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不同原料生产API II/III类润滑油基础油的研究
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作者 王新苗 陆雪峰 +1 位作者 张彦 杨晓东 《中文科技期刊数据库(全文版)自然科学》 2018年第6期00146-00146,150,共2页
我国润滑油质量升级步伐带动市场对API Ⅱ/Ⅲ类高档润滑油基础油的需求持续旺盛。润滑油基础油异构脱蜡技术以其低倾点、高收率等优点成为目前生产Ⅱ/Ⅲ类基础油的重要手段。石油化工研究院(PRI)多年来致力于润滑油基础油异构脱蜡技术... 我国润滑油质量升级步伐带动市场对API Ⅱ/Ⅲ类高档润滑油基础油的需求持续旺盛。润滑油基础油异构脱蜡技术以其低倾点、高收率等优点成为目前生产Ⅱ/Ⅲ类基础油的重要手段。石油化工研究院(PRI)多年来致力于润滑油基础油异构脱蜡技术的研发,形成了石蜡基馏分油、中间基馏分油、加氢裂化尾油等不同原料生产Ⅱ/Ⅲ类高档润滑油基础油的成套技术,为高档润滑油基础油的生产提供了技术支持。 展开更多
关键词 异构脱蜡 催化剂 ii/iii类基础油
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约恩·福瑟《另一个名字:七部曲I-II》的记忆与自我
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作者 武姨虹 孔瑞 《语言与文化研究》 2026年第1期208-211,共4页
2023年诺贝尔文学奖得主约恩·福瑟新近出版的小说《另一个名字:七部曲I-II》的记忆书写不仅是叙事手法,更揭示了自我身份建构主题。本文基于记忆理论,探析“既视”记忆中的自我危机,记忆之场的自我追寻,以及通过自传体记忆建构自... 2023年诺贝尔文学奖得主约恩·福瑟新近出版的小说《另一个名字:七部曲I-II》的记忆书写不仅是叙事手法,更揭示了自我身份建构主题。本文基于记忆理论,探析“既视”记忆中的自我危机,记忆之场的自我追寻,以及通过自传体记忆建构自我。记忆深入人类心灵深处,呈现了自我在非线性时间中的流动与重构,也揭示了人类对存在本质的永恒追问。 展开更多
关键词 约恩·福瑟 《另一个名字:七部曲I-ii 记忆 自我
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1例II型糖尿病患者合并血栓性血小板减少性紫癜的护理
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作者 林静 滕晓琼 +2 位作者 彭静 张晨馨 郭君怡 《护理学》 2025年第3期344-349,共6页
目的:总结一例64岁II型糖尿病合并血栓性血小板减少性紫癜患者在院治疗调控血糖期间针对在血浆置换治疗过程中出现感染、内分泌代谢紊乱、出血、气体交换障碍等主要护理问题的护理要点,以期为相似案例提供借鉴。方法:就患者治疗全周期... 目的:总结一例64岁II型糖尿病合并血栓性血小板减少性紫癜患者在院治疗调控血糖期间针对在血浆置换治疗过程中出现感染、内分泌代谢紊乱、出血、气体交换障碍等主要护理问题的护理要点,以期为相似案例提供借鉴。方法:就患者治疗全周期进行管理,以抢救生命、治疗疾病为重点,期间以控制管理基础疾病为基础,包括预防感染、血糖管理、症状护理、血浆置换护理、管道管理、心理护理等方面。结果:连续治疗10 d后患者生命体征暂时能够平稳,病情得到控制。结论:对患者生命治疗周期进行整体管控护理,针对基础慢性疾病合并疑难急症进行科学合理地护理,能迅速保障患者生命安全、提升治疗效率。Objective: To summarize the key points of nursing for a 64-year-old patient with type II diabetes mellitus complicated with thrombotic thrombocytopenic purpura during inpatient treatment for major nursing problems such as infection, endocrine and metabolic disorders, bleeding and gas exchange disorders during plasma exchange treatment, in order to provide reference for similar cases. Methods: The whole cycle of treatment was managed, focusing on life-saving and disease treatment, and the control and management of underlying diseases were the basis, including infection prevention, blood glucose management, symptom nursing, plasmapheresis nursing, pipeline management, and psychological nursing. Results: After 10 days of continuous treatment, the patient’s vital signs were temporarily stable and the condition was controlled. Conclusion: The overall control and nursing of the patient’s life cycle and the scientific and reasonable nursing for the underlying chronic diseases combined with intractable and urgent diseases can quickly ensure the life safety of patients and improve the treatment efficiency. 展开更多
关键词 血栓性血小板减少性紫癜 ii型糖尿病 血浆置换 护理
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氨基改性埃洛石对Cu(II)和Cd(II)的吸附研究
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作者 肖雪 于文彬 +3 位作者 谭道永 吴兴福 覃宗华 万泉 《矿物学报》 北大核心 2025年第1期169-180,共12页
本研究采用3-氨丙基三乙氧基硅烷对管状埃洛石(Hal)进行共价接枝制备了氨基改性埃洛石(Hal-NH_(2)),通过XRD、TEM、SEM、氮气吸脱附等手段表征了Hal-NH_(2)的结构特征,并通过批次吸附实验、谱学技术研究了Hal-NH_(2)对Cu(II)和Cd(II)的... 本研究采用3-氨丙基三乙氧基硅烷对管状埃洛石(Hal)进行共价接枝制备了氨基改性埃洛石(Hal-NH_(2)),通过XRD、TEM、SEM、氮气吸脱附等手段表征了Hal-NH_(2)的结构特征,并通过批次吸附实验、谱学技术研究了Hal-NH_(2)对Cu(II)和Cd(II)的吸附性能及机理。Hal-NH_(2)中氨基主要存在于Hal的内腔,其氨基嫁接量为0.83 mmol/L,由于硅烷嫁接占据了部分内腔孔道,Hal-NH_(2)的比表面积和总孔体积较Hal明显降低。Hal-NH_(2)对Cu^(2+)和Cd^(2+)的吸附随溶液初始p H值的增大而增加,吸附时间为2160 min时达到吸附平衡,298 K时,Hal-NH_(2)对Cu^(2+)和Cd^(2+)的Langmuir吸附量分别为50.29和68.70 mg/g,是Hal的3.11和1.97倍。Hal-NH_(2)吸附Cu^(2+)和Cd^(2+)为自发的吸热反应,吸附后体系的混乱度增大,其吸附机制主要是氨基与重金属离子之间发生配位反应,且Hal-NH_(2)对Cu^(2+)的作用力强于Cd^(2+);Cu^(2+)和Cd^(2+)共存时,Hal-NH_(2)对Cu^(2+)的吸附基本不受影响,其对Cd^(2+)的吸附显著降低。由于其较高的吸附能力,Hal-NH_(2)可作为Cu(II)和Cd(II)吸附材料用于水体中重金属离子的去除,本研究为Hal在重金属污染治理领域的应用提供了实验和理论依据。 展开更多
关键词 埃洛石 氨基改性 吸附 重金属 CU(ii) CD(ii)
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膝痹宁II通过AMPK/PGC1α信号通路调控糖酵解而减轻膝骨关节炎大鼠软骨损伤
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作者 魏义保 马振源 +5 位作者 刘德仁 胡恩睿 李晓辰 王培民 廖太阳 梅伟 《中国病理生理杂志》 北大核心 2025年第8期1569-1577,共9页
目的:基于AMP活化蛋白激酶(AMPK)/过氧化物酶体增殖物激活受体γ辅激活因子1α(PGC1α)信号通路探讨膝痹宁II(XBN II)调控糖酵解并减轻膝骨关节炎(KOA)大鼠软骨损伤的作用机制。方法:将32只SD大鼠随机分为假手术(sham)组、KOA组、XBN I... 目的:基于AMP活化蛋白激酶(AMPK)/过氧化物酶体增殖物激活受体γ辅激活因子1α(PGC1α)信号通路探讨膝痹宁II(XBN II)调控糖酵解并减轻膝骨关节炎(KOA)大鼠软骨损伤的作用机制。方法:将32只SD大鼠随机分为假手术(sham)组、KOA组、XBN II组和二甲双胍(Met)组,每组8只。通过前交叉韧带切断术建立KOA模型。造模后第14天开始,XBN II组大鼠每日予XBN II灌胃1次,Met组隔天予Met腹腔注射1次,共给药4周。采用HE和番红固绿染色评估软骨组织病理并进行Mankin和OARSI评分;乳酸检测试剂盒检测各组大鼠软骨组织和血清中乳酸含量;免疫组化检测软骨组织中磷酸化AMPK和PGC1α蛋白水平;RT-qPCR和Western blot检测糖酵解相关因子(葡萄糖转运蛋白1、己糖激酶2和乳酸脱氢酶A)、软骨合成和分解代谢相关因子(II型胶原、聚集蛋白聚糖、基质金属蛋白酶13和含血小板应答蛋白基序的解整联蛋白及金属蛋白酶5)及AMPK/PGC1α信号通路相关因子的mRNA和蛋白表达水平。结果:与sham组比较,KOA组大鼠软骨组织和血清中乳酸水平显著升高(P<0.05),软骨组织表面磨损,软骨层结构紊乱,基质淡染,Mankin和OARSI评分显著升高(P<0.05);软骨合成代谢因子及AMPK/PGC1α信号通路相关因子的mRNA和蛋白表达水平显著降低(P<0.05),软骨分解代谢相关因子及糖酵解相关因子的mRNA和蛋白表达水平显著升高(P<0.05)。与KOA组比较,XBN II组和Met组大鼠软骨组织形态有明显改善,Mankin和OARSI评分显著降低,且上述因子的mRNA和蛋白表达水平均显著逆转(P<0.05)。结论:XBN II可通过抑制糖酵解有效减轻KOA大鼠软骨损伤,其作用机制可能与AMPK/PGC1α信号通路的激活有关。 展开更多
关键词 膝痹宁ii 膝骨关节炎 软骨损伤 糖酵解 AMPK/PGC1α信号通路
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经后路侧块螺钉悬臂梁技术治疗齿状突II型骨折临床效果分析
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作者 刘君 张红军 +3 位作者 邓美超 崔宇轩 李波 邵高海 《临床医学进展》 2025年第8期1741-1750,共10页
目的:回顾分析经后路侧块螺钉结合悬臂梁技术提拉复位固定治疗II齿状突骨折患者的临床效果。方法:分析我院自2015年11月至2022年11月经颈后路侧块螺钉结合悬臂梁技术提拉复位固定治疗II型齿状突骨折32例患者临床资料。其中男23例,女9例... 目的:回顾分析经后路侧块螺钉结合悬臂梁技术提拉复位固定治疗II齿状突骨折患者的临床效果。方法:分析我院自2015年11月至2022年11月经颈后路侧块螺钉结合悬臂梁技术提拉复位固定治疗II型齿状突骨折32例患者临床资料。其中男23例,女9例;年龄24~65,平均43.6 ± 13.1岁。车祸伤26例,高坠伤6例。IIa型16例,IIb型9例,IIc型7例。所有病例均有不同程度的枕颈部疼痛及活动受限,VAS评分5~10分,平均7.5 ± 1.3分。其中11例患者有不同程度脊髓神经损伤表现,其中ASIA分级D级7例,C级4例;JOA评分9~13分,平均11.4 ± 1.2分。所有患者均行经后路侧块螺钉结合钛缆悬梁支撑提拉复位固定并椎板间植骨术。结果:所有患者均顺利完成手术,术中均未发生血管、脊髓、神经损伤。所有病例均获得随访,随访时间1~3年,随访期间未发生内固定位置松动及寰椎后弓切割骨折。手术后一周、6个月及末次随访的VAS评分分别为3.9 ± 1.0、1.3 ± 0.9、0.8 ± 0.7分,均较术前7.5 ± 1.3分明显改善(P < 0.001)。11例合并脊髓损伤患者末次随访时均有所改善,9例(82%)神经功能提升1级,2例(18%)神经功能提升2级;术后一周、6个月及末次随访的JOA评分分别为13.7 ± 1.3、15.6 ± 1.1、16.2 ± 0.6分,均较术前明显改善(P < 0.001)。末次随访寰枢椎复位位置良好,螺钉、U形棒、钛缆无松动、断裂。术后6月齿状突骨折愈合17例,骨折愈合率53.13%,术后12月骨折愈合25例,愈合率78.13%,术后18月骨折愈合29例,愈合率90.62%,术后36月3例骨折未愈合,未愈合率9.38%,但所有患者后路植骨均获得良好融合。结论:经后路侧块螺钉结合悬臂梁技术提拉复位固定治疗II型齿状突骨折伴寰枢椎不稳,固定可靠,骨折愈合率高,植骨融合率高。临床应用具有操作简单、安全有效的优势。 展开更多
关键词 齿状突 ii型骨折 侧块螺钉 悬臂梁 寰枢椎
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羧基改性纤维素气凝胶对Ni(II)的去除研究
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作者 陈梁心铭 张丽芳 +1 位作者 宋颖韬 许代兵 《沈阳理工大学学报》 2025年第5期67-73,共7页
为提高纤维素对Ni(II)的吸附效果,通过环氧氯丙烷交联和苹果酸羧基化改性,制备具有良好吸附性能的羧基改性纤维素气凝胶。采用扫描电子显微镜、傅里叶变换红外光谱仪和X射线衍射仪系统表征材料羧基化前后的变化,结果表明,改性过程实现... 为提高纤维素对Ni(II)的吸附效果,通过环氧氯丙烷交联和苹果酸羧基化改性,制备具有良好吸附性能的羧基改性纤维素气凝胶。采用扫描电子显微镜、傅里叶变换红外光谱仪和X射线衍射仪系统表征材料羧基化前后的变化,结果表明,改性过程实现了纤维素表面羟基与苹果酸中羧基的有效酯化,所得气凝胶呈现典型的三维蜂窝状多孔结构。通过条件优化实验发现,当苹果酸与纤维素质量比为1.75∶1、磷酸二氢钠用量为0.5 g/g、130℃反应210 min时,制备的改性纤维素气凝胶在pH为7.0、吸附时间为120 min条件下,对Ni(II)的去除率可达92.61%。动力学及热力学分析结果表明,苹果酸改性纤维素气凝胶对Ni(II)的吸附过程可由准二级动力学模型描述,符合Langmuir等温吸附模型,且为自发进行的吸热过程。 展开更多
关键词 改性纤维素 苹果酸 环氧氯丙烷 吸附 NI(ii)
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外周血平均血小板体积/淋巴细胞计数(MPVLR)联合APACHE II评分对脓毒症患者预后的预测价值
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作者 郭宇琴 刘红玲 +2 位作者 陶武 王念 姚钰竹 《临床医学进展》 2025年第2期330-337,共8页
目的:探讨外周血平均血小板体积/淋巴细胞计数(MPVLR)联合APACHE II评分对脓毒症患者预后的预测价值。方法:采用回顾性队列研究方法,选择该院2020年8月至2023年8月收治的符合脓毒症3.0诊断标准的患者。根据脓毒症患者的28 d预后情况分... 目的:探讨外周血平均血小板体积/淋巴细胞计数(MPVLR)联合APACHE II评分对脓毒症患者预后的预测价值。方法:采用回顾性队列研究方法,选择该院2020年8月至2023年8月收治的符合脓毒症3.0诊断标准的患者。根据脓毒症患者的28 d预后情况分为生存组及死亡组。收集患者的临床资料及确诊脓毒症后24 h内血小板体积(MPV)、淋巴细胞(LYM)计数的最差值,并计算平均血小板体积/淋巴细胞计数(MPVLR)、APACHE II评分及SOFA评分。随后使用多因素Logistic回归分析,确定脓毒症患者预后的影响因素,再构建受试者工作特征曲线,评估各项指标对脓毒症患者预后的预测价值。结果:共纳入患者127例,生存组患者76例,死亡组患者51例。死亡组患者更易合并慢性阻塞性肺疾病,且平均血小板体积(MPV)、平均血小板体积/淋巴细胞计数(MPVLR)、APACHE II评分、SOFA评分、及年龄均高于生存组,且差异具有统计学意义(P Objective: To investigate the prognostic value of the mean platelet volume (MPV)-to-lymphocyte ratio (MPVLR) combined with the APACHE II score in predicting the outcomes of patients with sepsis. Methods: This retrospective study screened patients with sepsis who were hospitalized in our hospital, from August 2020 to August 2023 were included and categorized into the survival group and the non-survival group based on 28-day outcomes of sepsis patients. Clinical date and the worst of mean platelet volume (MPV), lymphocyte (LYM) count values within 24 hours of sepsis diagnosis were collected, MPVLR and APACHE II scores were calculated. Multifactorial logistic regression analysis was used to identify risk factors affecting the prognosis of sepsis patients, and then a subject operating characteristic curve (ROC) was constructed to assess the predictive value of each indicator on the prognosis of sepsis patients. Results: A total of 127 patients were included, with 76 in the survival group and 51 in the non-survival group. Patients in the non-survival group were more likely to have chronic obstructive pulmonary disease, and had significantly higher MPV, MPVLR, APACHE II scores, SOFA scores and age compared to the survival group (P < 0.05). In contrast, peripheral blood lymphocyte counts in the survival group were significantly higher than that in the non-survival group (P < 0.05). Multivariate logistic regression analysis showed that MPVLR and APACHE II scores were independent risk factors for 28-day mortality in sepsis patients (P < 0.05). Receiver operating characteristic curve (ROC) curve analysis showed that the area under the curve (AUC) values for MPVLR, APACHE II scores, and their combination were 0.840, 0.800, and 0.885, respectively. Notably, the MPVLR combined with the APACHE II score showed the best predictive value, with an AUC of 0.824. It demonstrated excellent predictive performance, achieving a sensitivity of 94.6% and a specificity of 82.4%. Conclusion: APACHE II scores and MPVLR are independent risk factors for 28-day mortality in sepsis patients, and their combined use provides higher predictive value. 展开更多
关键词 脓毒症 APACHE ii评分 血小板平均体积 淋巴细胞计数 血小板平均体积与淋巴细胞计数比值
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HFNC与NPPV治疗对AECOPD合并II型呼衰患者血气指标和复发率的影响 被引量:3
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作者 韩军侠 王举 王玉宏 《分子诊断与治疗杂志》 2025年第2期239-242,共4页
目的分析经鼻高流量氧疗(HFNC)、无创正压通气(NPPV)治疗对慢性阻塞性肺疾病急性加重(AECOPD)合并II型呼衰患者血气指标和复发率的影响。方法选取安徽省濉溪县医院2022年5月至2024年5月收治的160例AECOPD合并II型呼衰患者为研究对象,依... 目的分析经鼻高流量氧疗(HFNC)、无创正压通气(NPPV)治疗对慢性阻塞性肺疾病急性加重(AECOPD)合并II型呼衰患者血气指标和复发率的影响。方法选取安徽省濉溪县医院2022年5月至2024年5月收治的160例AECOPD合并II型呼衰患者为研究对象,依照随机化分组法分为NPPV组(n=80)和HFNC组(n=80)。NPPV组实施NPPV治疗,HFNC组实施HFNC治疗。比较两组治疗基本情况(呼衰改善时间、通气治疗时间、住院时间),比较两组治疗前、治疗后循环指标[心率(HR)、呼吸频率(RR)]、血气指标[氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))、氧合指数(OI)],统计两组治疗期间并发症发生率以及两组复发情况。结果HFNC组呼衰改善时间、通气治疗时间、住院时间均低于NPPV组,差异有统计学意义(P<0.05)。治疗后,两组HR、RR、PaCO_(2)均低于治疗前,且HFNC组低于NPPV组,差异有统计学意义(P<0.05);两组PaO_(2)、OI均高于治疗前,且HFNC组高于NPPV组,差异有统计学意义(P<0.05)。两组并发症发生率、复发率比较差异无统计学意义(P>0.05)。结论HFNC治疗可显著改善AECOPD合并II型呼衰患者氧合及循环功能,加快患者恢复进程,治疗安全性高、复发率低,对其预后更为有利。 展开更多
关键词 慢性阻塞性肺疾病急性加重 ii型呼吸衰竭 经鼻高流量氧疗 无创正压通气 血气指标
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红叶石楠和荷花木兰PSII和PSI功能对冬季短暂升温的响应
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作者 张敏 赵延宽 +2 位作者 王欣倩 吴雯清 胡文海 《江西农业大学学报》 北大核心 2025年第5期1289-1299,共11页
【目的】全球气候变暖背景下亚热带地区冬季常出现日最高气温高于15℃的短暂升温现象,探究红叶石楠(Photinia×fraseri)与荷花木兰(Magnolia grandiflora)光系统II(PSII)和光系统I(PSI)功能对冬季短暂升温的响应,分析2种植物越冬光... 【目的】全球气候变暖背景下亚热带地区冬季常出现日最高气温高于15℃的短暂升温现象,探究红叶石楠(Photinia×fraseri)与荷花木兰(Magnolia grandiflora)光系统II(PSII)和光系统I(PSI)功能对冬季短暂升温的响应,分析2种植物越冬光保护策略的差异,为常绿植物引种驯化提供理论依据。【方法】以栽培于亚热带的红叶石楠和荷花木兰为材料,于2023年12月短暂升温期(持续5 d的日最高气温大于15℃),分别于升温前1天和升温第5天测定2种植物阴生叶和阳生叶的叶绿素荧光快速光曲线。【结果】红叶石楠和荷花木兰受冬季低温抑制的PSII和PSI功能在短暂升温期内均有所恢复,但对升温呈现不同的响应特征。冬季低温导致2种植物阳生叶PSII和PSI光抑制同时发生,但阴生叶仅发生PSI光抑制。升温有利于2种植物阳生叶PSII光抑制恢复,2种植物阳生叶PSII最大光化学效率(F_(v)/F_(m))分别由升温前的0.758和0.676恢复至0.843和0.737;但是,升温对2种植物PSI光抑制恢复没有显著作用,升温前后2种植物阴生叶和阳生叶P700最大荧光信号(P_(m))未发生明显变化。升温促进红叶石楠阴生叶和阳生叶PSII实际光化学量子产量[Y(II)]、PSI光化学量子产量[Y(I)]和光化学猝灭系数(q P)的快速增加,尤其是在中高光强下增幅更为显著,但导致非光化学猝灭系数(NPQ)、PSII调节性能量耗散的量子产量[Y(NPQ)]和环式电子传递(CEF)下降。升温促进荷花木兰阳生叶Y(II)、Y(I)和q P在中低光强下恢复,但并未对阴生叶造成明显影响。升温导致荷花木兰阴生叶和阳生叶NPQ和Y(NPQ)在弱光下降低,但在中高光强下,阴生叶与升温前无明显差异,阳生叶则显著升高。同时,升温也导致荷花木兰阴生叶和阳生叶CEF的降低。无论是升温前还是升温期,荷花木兰阴生叶和阳生叶的NPQ、Y(NPQ)和CEF均显著高于同期的红叶石楠。【结论】冬季低温下红叶石楠和荷花木兰2种植物均可通过下调PSII功能、增强热耗散和环式电子传递等光保护途径以防御PSII和PSI光抑制。红叶石楠PSII和PSI 2个光系统对冬季低温均具有较强的耐性,其功能可快速响应升温而恢复。冬季低温对荷花木兰PSII和PSI造成一定程度伤害,短暂升温只能使其功能部分恢复,但是荷花木兰拥有比红叶石楠更强的热耗散和环式电子传递等光保护能力。研究结果可为红叶石楠和荷花木兰在亚热带地区的引种驯化和园林应用提供理论依据。 展开更多
关键词 红叶石楠 荷花木兰 冬季短暂升温 PSii功能 PSI功能 亚热带地区
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II型残角子宫妊娠的临床诊疗分析一例
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作者 王培莎 张少华 《临床医学进展》 2025年第10期2173-2178,共6页
残角子宫是一种罕见的先天性子宫畸形,表现为一侧子宫发育正常,另一侧发育不全。残角子宫妊娠属于罕见异位妊娠,其中II型残角子宫(有宫腔但与单角子宫不相通)因临床表现缺乏特异性,极易被误诊或延误治疗。临床资料显示,其术前确诊率较低... 残角子宫是一种罕见的先天性子宫畸形,表现为一侧子宫发育正常,另一侧发育不全。残角子宫妊娠属于罕见异位妊娠,其中II型残角子宫(有宫腔但与单角子宫不相通)因临床表现缺乏特异性,极易被误诊或延误治疗。临床资料显示,其术前确诊率较低,早期发现困难,常与宫角妊娠或输卵管间质部妊娠混淆,严重者可致子宫破裂和大出血。本例患者女,30岁,停经约50天后因阴道出血入院,入院时血β-人绒毛膜促性腺激素(β-HCG)水平为27,662 mIU/ml。影像学检查提示II型残角子宫妊娠。患者术前行米非司酮药物预处理后,顺利接受宫腔镜联合腹腔镜下残角子宫切除术及左侧输卵管切除术,术后恢复良好。提示:II型残角子宫妊娠的早期诊断主要依赖超声和MRI检查,并需与宫角妊娠鉴别。治疗以手术为主,腹腔镜切除残角子宫为首选方案。早期影像学评估及及时手术干预对于降低严重并发症风险具有重要临床意义。 展开更多
关键词 残角子宫妊娠 ii型残角子宫 子宫畸形 超声 MRI 微创手术 腹腔镜治疗
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Metabolic landscape of human alveolar type II epithelial cells undergoing epithelial-mesenchymal transition induced directly by silica exposure 被引量:1
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作者 Jin Sun Na Zhao +8 位作者 Ruijia Zhang Yizheng Li Tiantian Yu Qiying Nong Li Lin Xubin Yang Tiangang Luan Baowei Chen Yongshun Huang 《Journal of Environmental Sciences》 2025年第3期676-687,共12页
Epithelial-mesenchymal transition(EMT)plays an irreplaceable role in the development of silicosis.However,molecular mechanisms of EMT induced by silica exposure still remain to be addressed.Herein,metabolic profiles o... Epithelial-mesenchymal transition(EMT)plays an irreplaceable role in the development of silicosis.However,molecular mechanisms of EMT induced by silica exposure still remain to be addressed.Herein,metabolic profiles of human alveolar type II epithelial cells(A549 cells)exposed directly to silica were characterized using non-targeted metabolomic approaches.A total of 84 differential metabolites(DMs)were identified in silica-treated A549 cells undergoing EMT,which were mainly enriched in metabolisms of amino acids(e.g.,glutamate,alanine,aspartate),purine metabolism,glycolysis,etc.The number of DMs identified in the A549 cells obviously increased with the elevated exposure concentration of silica.Remarkably,glutamine catabolism was significantly promoted in the silica-treated A549 cells,and the levels of related metabolites(e.g.,succinate)and enzymes(e.g.,α-ketoglutarate(α-KG)dehydrogenase)were substantially up-regulated,with a preference toα-KG pathway.Supplementation of glutamine into the cell culture could substantially enhance the expression levels of both EMT-related markers and Snail(zinc finger transcription factor).Our results suggest that the EMT of human alveolar epithelial cells directly induced by silica can be essential to the development of silicosis. 展开更多
关键词 Silica exposure Human alveolar type ii epithelial cells(ATii cells) Epithelial-mesenchymal transition(EMT) Metabolomics GLUTAMINE
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应用CAESAR II软件进行埋地玻璃钢管道应力分析
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作者 高建林 邱廷东 +1 位作者 蔡志强 高涵 《化工设备与管道》 北大核心 2025年第2期94-98,共5页
玻璃钢(FRP)管道以其优良的耐腐蚀性、重量轻、优异的水力性能以及保温性能好等优点,已逐渐被应用到石油、化工和给排水等各个领域。目前,国际上用于玻璃钢管道的应力分析标准主要有UKOOA、BS 7159以及ISO 14692,文章对三个标准的校核... 玻璃钢(FRP)管道以其优良的耐腐蚀性、重量轻、优异的水力性能以及保温性能好等优点,已逐渐被应用到石油、化工和给排水等各个领域。目前,国际上用于玻璃钢管道的应力分析标准主要有UKOOA、BS 7159以及ISO 14692,文章对三个标准的校核方法进行论述,并以消防水系统玻璃钢管道为例,阐述CAESAR II软件使用ISO 14692标准进行埋地玻璃钢管道应力分析的应用方法,为埋地玻璃钢管道的应力分析提供参考和依据。 展开更多
关键词 玻璃钢管道 应力分析 CAESAR ii
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Efficacy of adjuvant chemotherapy in stage II colon cancer patients with twelve or more lymph nodes retrieve
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作者 Yu Huo Yue-Yang Zhang +4 位作者 Shuai Jiao Zhong-Yuan Bai Wen-Qi Bai Hai-Tao Zhou Xu Guan 《World Journal of Gastrointestinal Oncology》 2025年第9期110-120,共11页
BACKGROUND The National Comprehensive Cancer Network guidelines recommend adjuvant chemotherapy(ACT)for patients with stage II colon cancer who have undergone curative surgery when fewer than 12 lymph nodes(LNs)are re... BACKGROUND The National Comprehensive Cancer Network guidelines recommend adjuvant chemotherapy(ACT)for patients with stage II colon cancer who have undergone curative surgery when fewer than 12 lymph nodes(LNs)are retrieved.This study seeks to further examine the requirement for ACT in individuals who had 12 or more LNs harvested.AIM To investigate if stage II colon cancer patients with 12 or more LNs retrieved benefit from ACT.METHODS This retrospective cohort study included individuals diagnosed with stage II colon cancer who underwent surgery between 2008 and 2017 from the Surveillance,Epidemiology,and End Results(SEER)registry and a Chinese multicenter database.All patients had at least 12 LNs retrieved.The key endpoint was overall survival(OS).Cox regression analysis was performed to assess independent OS predictors.Propensity score matching controlled for confounders,and Kaplan-Meier analysis evaluated the impact of ACT on survival.RESULTS A total of 32742 patients with stage II colon cancer from the SEER cohort and 3153 patients from the Chinese cohort were included.The average number of LNs retrieved was 20.0(15.0,26.0)in the SEER cohort and 18.0(15.0,22.0)in the Chinese cohort.No-ACT remained an independent risk factor in both cohorts(hazard ratio=1.589,95%confidence interval:1.485-1.700 and hazard ratio=1.865,95%confidence interval:1.465-2.375,respectively).In the SEER cohort,patients in the ACT group consistently demonstrated better 5-year OS rates both before and after propensity score matching(79.4%vs 66.1%and 79.4%vs 69.4%,both P<0.0001).Similarly,these findings were further validated in the Chinese cohort(91.2%vs 82.1%and 90.0%vs 82.8%,both P<0.0001).ACT improved prognosis even in T3 and grade 1/2 patients.CONCLUSION This research,based on two large population-based cohorts,demonstrates that stage II colon cancer patients with 12 or more LNs retrieved can still benefit from ACT. 展开更多
关键词 Stage ii Colon cancer Lymph nodes CHEMOTHERAPY PROGNOSIS
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Effect of Nursing Interventions Based on APACHE II Scores on Gastrointestinal Function Recovery Time in Patients with Severe Pancreatitis
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作者 Yinfeng Wu 《Journal of Clinical and Nursing Research》 2025年第1期273-278,共6页
Objective: To explore the application effect of nursing interventions based on APACHE II scores in patients with severe pancreatitis and its impact on the recovery time of the gastrointestinal function. Methods: A tot... Objective: To explore the application effect of nursing interventions based on APACHE II scores in patients with severe pancreatitis and its impact on the recovery time of the gastrointestinal function. Methods: A total of 86 patients with severe pancreatitis treated in our hospital from March 2023 to March 2024 were selected. Using a random number table method, the patients were divided into a control group receiving conventional nursing care and a study group receiving nursing interventions based on APACHE II scores, with 43 patients in each group. The intervention effects of the two groups were compared. Results: The recovery time of gastrointestinal function in the study group was significantly shorter than that in the control group (P < 0.05). After the intervention, the quality of life scores in the study group was significantly higher than those in the control group (P < 0.05). The incidence of complications in the study group was significantly lower than in the control group (P < 0.05). Conclusion: Nursing interventions based on APACHE II scores can shorten gastrointestinal recovery time and reduce complications in patients with severe pancreatitis, contributing to improved quality of life. 展开更多
关键词 Severe pancreatitis APACHE ii score NURSING Gastrointestinal function
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基于APACHEII评分和前白蛋白水平分析的护理模式对重症患者压力性损伤事件的影响
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作者 郭欢欢 《中文科技期刊数据库(文摘版)医药卫生》 2025年第12期132-135,共4页
探讨基于 APACHEII评分和前白蛋白水平联合分析的护理模式,对老年重症患者压力性损伤事件的预防效果。方法 研究对象来自我院重症监护病房,选择460例老年患者,时间范围2019年1月至2023年12月。对照组采用常规重症护理方案,试验组在对照... 探讨基于 APACHEII评分和前白蛋白水平联合分析的护理模式,对老年重症患者压力性损伤事件的预防效果。方法 研究对象来自我院重症监护病房,选择460例老年患者,时间范围2019年1月至2023年12月。对照组采用常规重症护理方案,试验组在对照组基础上实施基于APACHE II评分和前白蛋白水平分层的护理干预。比较压力性损伤发生情况,营养和炎症指标。结果 压力性损伤发生情况,以及护理后的营养和炎性指标比较,试验组体现的优势更大(P<0.05)。结论 基于 APACHE II评分和前白蛋白水平的联合护理模式可有效降低老年重症患者压力性损伤的发生率,延缓发生时间,减轻严重程度,改善患者营养状态。 展开更多
关键词 APACHE ii评分 前白蛋白 重症患者 压力性损伤 护理模式
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Erbium-based hydrothermal YOF with stark sublevels for in vivo NIR II luminescence nanothermometer
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作者 Zhenghao Liu Ziyue Ju +2 位作者 Hanyu Liu Zhan Wang Ruichan Lv 《Journal of Innovative Optical Health Sciences》 2025年第3期99-108,共10页
Rare earth luminescent materials have attracted extensive attention in the biomedical field as noncontact temperature monitoring devices with microscopic resolution due to their properties in the visible and near-infr... Rare earth luminescent materials have attracted extensive attention in the biomedical field as noncontact temperature monitoring devices with microscopic resolution due to their properties in the visible and near-infrared regions.At the application level,it is required to have a certain temperature monitoring capability in the near-infrared region II window to enhance the tissue penetration depth.Here,two kinds of YOFs:Er^(3+),Yb^(3+)were prepared by co-precipitation and hydrothermal method,and the luminescence was enhanced by ion doping.An Er^(3+)-based ratiometric nanothermometer of ^(4)F_(9∕2)→4 I_(15∕2)(672nm,upconversion luminescence)to ^(4)I _(13∕2)→^(4) I_(15∕2)(1580nm/1566nm,NIR II downshifting luminescence)were designed with the Stark energy level.When doped with 2%Zn^(2+),the relative temperature sensitivity of YOF prepared by co-precipitation method was improved from 0.30%℃^(-1)(30℃)to 0.59%℃^(-1)(30℃),expanding its use as a temperature monitoring device possibility.The temperature sensitivity of YOF prepared by hydrothermal method was 1.01%℃^(-1)(30℃).Finally,the NIR II luminescence of the prepared nanothermometer was used as a control for temperature monitoring of heating sites in mice.The results showed that it can distinguish heating site from control site and no significant cytotoxicity or damage to the tissues was revealed,indicating its broad prospects in the biomedical field and other temperature monitoring scenarios in the future. 展开更多
关键词 Ratiometric nanothermometer upconversion luminescence NIR ii in vivo imaging
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Reconfiguration and Optimal Positioning of Multiple-Point Capacitors in a High-Voltage Distribution Network Using the NSGAII
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作者 Arouna Oloulade Richard Gilles Agbokpanzo +6 位作者 Maurel Richy Aza-Gnandji Hassane Ousseyni Ibrahim Moussa Gonda Eméric Tokoudagba Juliano Sétondji François-Xavier Fifatin Adolphe Moukengue Imano 《Open Journal of Applied Sciences》 2025年第2期501-516,共16页
The distribution networks sometimes suffer from excessive losses and voltage violations in densely populated areas. The aim of the present study is to improve the performance of a distribution network by successively ... The distribution networks sometimes suffer from excessive losses and voltage violations in densely populated areas. The aim of the present study is to improve the performance of a distribution network by successively applying mono-capacitor positioning, multiple positioning and reconfiguration processes using GA-based algorithms implemented in a Matlab environment. From the diagnostic study of this network, it was observed that a minimum voltage of 0.90 pu induces a voltage deviation of 5.26%, followed by active and reactive losses of 425.08 kW and 435.09 kVAR, respectively. Single placement with the NSGAII resulted in the placement of a 3000 kVAR capacitor at node 128, which proved to be the invariably neuralgic point. Multiple placements resulted in a 21.55% reduction in losses and a 0.74% regression in voltage profile performance. After topology optimization, the loss profile improved by 65.08% and the voltage profile improved by 1.05%. Genetic algorithms are efficient and effective tools for improving the performance of distribution networks, whose degradation is often dynamic due to the natural variability of loads. 展开更多
关键词 RECONFIGURATION Capacitor Bank NSGA ii Dynamic Network Degradation Distribution Network Reliability
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Are there Class II rocks?
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作者 Ming Cai 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第12期7489-7502,共14页
This paper addresses a fundamental question in rock mechanics:Are there Class II rocks?The historical development of servo-controlled rock testing machines is reviewed,followed by a brief review of some stiff testing ... This paper addresses a fundamental question in rock mechanics:Are there Class II rocks?The historical development of servo-controlled rock testing machines is reviewed,followed by a brief review of some stiff testing machines.The pioneering work of some researchers is reviewed,and the misconception of classifying rocks into Class I and Class II is discussed.The mechanism of post-peak Class II behavior is discussed based on some recent test results.When a brittle hard rock is tested using a soft testing machine under axial-strain-controlled loading,violent failure can occur when the peak strength is reached,and the post-peak stress-strain curve cannot be obtained.However,a Class II post-peak stress-strain curve can be obtained when the rock is tested under lateral-strain-controlled loading.If a stiff testing machine is used,Class I and Class II post-peak stress-strain curves will be obtained under axial-and lateral-strain-controlled loadings,respectively.It is therefore not appropriate to classify rocks into Class I or Class II rocks.The influences of other conditions,such as rock type,confinement,and specimen height-to-diameter ratio,on the type(Class I or Class II)of post-peak stress-strain curves are also discussed.Finally,some misconceptions in the rock mechanics community,stemming from the concept of“Class II rock”,are discussed.By clarifying these concepts related to Class I and Class II behaviors,this paper seeks to clarify misunderstandings and misapplications related to post-peak strength and deformation properties in the field. 展开更多
关键词 Class I Class ii Brittle hard rock Post-peak stress-strain curve Rock dilation Loading control mode
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Deformation characteristics and interfacial damage of CRTS II slab track joints under operating temperature conditions
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作者 DONG Bo CHEN Zhi-yuan +3 位作者 ZHU Hao CAI Xiao-pei ZHANG Xing HE Xu 《Journal of Central South University》 2025年第9期3657-3674,共18页
Arching and cracking of joints between slabs have become a problem in China Railway Track System(CRTS)II slab track.The slab track is susceptible to complex temperature variations as a longitudinal continuous structur... Arching and cracking of joints between slabs have become a problem in China Railway Track System(CRTS)II slab track.The slab track is susceptible to complex temperature variations as a longitudinal continuous structure.Based on measured data,a thermal-mechanical coupling model of the track was established.The deformation characteristics and interfacial damage behavior of joints under typical temperature fields were studied.The findings indicate that the annual extreme temperature range of the slab track,fluctuates from−1.4 to 49.8℃.The annual temperature gradient within the vertical depth range of 0 to 0.2 m of the track varies between−16.19℃/m and 30.15℃/m.The vertical deformation of joints is significantly influenced by high temperatures,with a maximum measured deformation of 0.828 mm.The joint seams are primarily affected by low temperatures,which lead to a separation of 0.9 to 1.0 mm.Conversely,interlayer damage of joints is predominantly influenced by elevated temperatures.In summer,the maximum ratio of interface damage area in the joint can reach up to 95%,with the maximum debonding area ratio can be as high as 84%.The research results can provide help for joint damage regularity and deformation control of CRTS II slab track. 展开更多
关键词 CRTS ii slab track temperature measurement thermo-mechanical coupling analysis deformation characteristics damage evolution
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