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Odor representation and coding by the mitral/tufted cells in the olfactory bulb
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作者 Panke WANG Shan LI An’an LI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2024年第10期824-840,共17页
The olfactory bulb(OB)is the first relay station in the olfactory system and functions as a crucial hub.It can represent odor information precisely and accurately in an ever-changing environment.As the only output neu... The olfactory bulb(OB)is the first relay station in the olfactory system and functions as a crucial hub.It can represent odor information precisely and accurately in an ever-changing environment.As the only output neurons in the OB,mitral/tufted cells encode information such as odor identity and concentration.Recently,the neural strategies and mechanisms underlying odor representation and encoding in the OB have been investigated extensively.Here we review the main progress on this topic.We first review the neurons and circuits involved in odor representation,including the different cell types in the OB and the neural circuits within and beyond the OB.We will then discuss how two different coding strategies—spatial coding and temporal coding—work in the rodent OB.Finally,we discuss potential future directions for this research topic.Overall,this review provides a comprehensive description of our current understanding of how odor information is represented and encoded by mitral/tufted cells in the OB. 展开更多
关键词 Olfactory bulb mitral/tufted cells Odor identity Neural representation Information encoding
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Distinct Characteristics of Odor-evoked Calcium and Electrophysiological Signals in Mitral/Tufted Cells in the Mouse Olfactory Bulb
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作者 Han Xu Chi Geng +3 位作者 Xinzhong Hua Penglai Liu Jinshan Xu Anan Li 《Neuroscience Bulletin》 SCIE CAS CSCD 2021年第7期959-972,共14页
Fiber photometry is a recently-developed method that indirectly measures neural activity by monitoring Ca^(2+)signals in genetically-identified neuronal populations.Although fiber photometry is widely used in neurosci... Fiber photometry is a recently-developed method that indirectly measures neural activity by monitoring Ca^(2+)signals in genetically-identified neuronal populations.Although fiber photometry is widely used in neuroscience research,the relationship between the recorded Ca^(2+)signals and direct electrophysiological measurements of neural activity remains elusive.Here,we simultaneously recorded odor-evoked Ca^(2+)and electrophysiological signals[single-unit spikes and local field potentials(LFPs)]from mitral/tufted cells in the olfactory bulb of awake,head-fixed mice.Odors evoked responses in all types of signal but the response characteristics(e.g.,type of response and time course)differed.The Ca^(2+)signal was correlated most closely with power in theβ-band of the LFP.The Ca^(2+)signal performed slightly better at odor classification than high-γoscillations,worse than single-unit spikes,and similarly toβoscillations.These results provide new information to help researchers select an appropriate method for monitoring neural activity under specific conditions. 展开更多
关键词 mitral/tufted cells Fiber photometry ELECTROPHYSIOLOGY Odor representation Olfactory bulb
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Advanced tufted carpet patterning technology 被引量:1
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作者 赵越 戴惠良 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2006年第3期374-377,共4页
After a review of the tufting industry’s development, and a brief introduction to available systems for producing patterned tufted carpets, the principle of ICN (Individually Controlled Needle) and the related advanc... After a review of the tufting industry’s development, and a brief introduction to available systems for producing patterned tufted carpets, the principle of ICN (Individually Controlled Needle) and the related advanced tufting technology Col-ortec are presented. Finally, Colortec machine, Axminster weaving machine, and Wilton loom are compared. It is believed that the Cobble Colortec machine is a significant jump forward in the tufted carpets industry as it now allows access to all major carpet markets in a competitive fashion. 展开更多
关键词 tufting PATTERNING Sliding needlebar Colortec Creel SCROLL
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Tufting缝合C/C复合材料制备与力学性能 被引量:2
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作者 刘苏骅 严钰轩 +1 位作者 嵇阿琳 肖春 《复合材料学报》 北大核心 2025年第5期2547-2556,共10页
采用Tufting缝合机器人研制碳纤维缝合预制体,通过改变预制体结构与致密化方式,制备具有不同结构的缝合C/C复合材料,探讨基体类型、网胎引入、针刺工艺等对缝合C/C复合材料力学性能的影响规律,并探讨力学性能影响机制。结果表明:在完全... 采用Tufting缝合机器人研制碳纤维缝合预制体,通过改变预制体结构与致密化方式,制备具有不同结构的缝合C/C复合材料,探讨基体类型、网胎引入、针刺工艺等对缝合C/C复合材料力学性能的影响规律,并探讨力学性能影响机制。结果表明:在完全相同的预制体结构条件下,采用化学气相沉积工艺致密的缝合C/C拉伸模量和拉伸强度更高,采用化学气相沉积+糠酮树脂浸渍碳化工艺制备的缝合C/C具有更加优异的层间剪切性能与弯曲性能。在完全相同的复合致密条件下,网胎层的加入对于提高C/C复合材料弯曲、剪切性能有积极的作用,逐层针刺+缝合C/C复合材料强度性能优于缝合C/C复合材料,但因针刺工艺的引入削弱了缝合C/C复合材料的“假塑形”变形能力。 展开更多
关键词 缝合 C/C 复合材料 预制体结构 力学性能
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Transcatheter edge-to-edge repair in Carpentier type IIIa mitral regurgitation: challenging conventional contraindications
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作者 Wen-Hua LEI Yu-Jia LIANG +1 位作者 Zhen-Gang ZHAO Mao CHEN 《Journal of Geriatric Cardiology》 2025年第6期609-610,共2页
Mitral regurgitation (MR) is a highly prevalent valvular heart disease globally,with untreated severe cases demonstrating associations with elevated morbidity,mortality,and adverse cardiovascular outcomes.[1,2]While t... Mitral regurgitation (MR) is a highly prevalent valvular heart disease globally,with untreated severe cases demonstrating associations with elevated morbidity,mortality,and adverse cardiovascular outcomes.[1,2]While transcatheter edge-toedge repair (TEER) has emerged as an alternative option for high surgical risk patients with severe MR,[3,4]severe MR of Carpentier class IIIa (characterized by restricted leaflet motion during both systole and diastole) has been considered a relative contraindication for TEER interventions due to stenosis risk and procedural complexity.[5,6] 展开更多
关键词 transcatheter edge edge repair restricted leaflet motion CONTRAINDICATIONS mitral regurgitation mr valvular heart disease carpentier type iiia mitral regurgitation severe mitral regurgitation
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Pimobendan alleviates myocyte apoptosis and fibrosis associated with mitral regurgitation by targeting endoplasmic reticulum stress
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作者 Pakit Boonpala Sushawadee Tongta +8 位作者 Nakkawee Saengklub Vudhiporn Limprasutr Sirinapa Srikam Wilawan Ji-au Tussapon Boonyarattanasoonthorn Yaowalak Panyasing Sarawut Kumphune Sarinee Kalandakanond-Thongsong Anusak Kijtawornrat 《Animal Models and Experimental Medicine》 2025年第11期2069-2079,共11页
Background:Endoplasmic reticulum(ER)stress is an important factor in the development of numerous cardiovascular disorders;nevertheless,the association between ER stress and mitral regurgitation(MR)remains inadequately... Background:Endoplasmic reticulum(ER)stress is an important factor in the development of numerous cardiovascular disorders;nevertheless,the association between ER stress and mitral regurgitation(MR)remains inadequately characterized.The molecular mechanism of pimobendan(PIMO)that contributes to the delay in congestive heart failure(CHF)in MR associated with apoptosis and fibrosis is still unclear.Our aim was to examine the impact of PIMO on ER stress,apoptosis,and fibrosis in a chronic MR rat model.Methods:MR was surgically induced in 10 Sprague–Dawley rats,with 5 serving as sham operation controls.At 8 weeks postsurgery,the MR animals were randomly allocated into two groups:MR and MR+PIMO groups.PIMO was administered twice daily through oral gavage for 4 weeks,whereas the sham and MR groups were administered similar quantities of drinking water.Echocardiography was conducted before the delivery of PIMO as a baseline measure and at the end of the study.At the end of the investigation,hearts were procured for histopathological and ER stress evaluations.Results:PIMO significantly maintained heart function and structural remodeling in the MR animals.PIMO significantly reduced MR-induced myocyte apoptosis(p=0.044)and fibrosis(p=0.002)by reducing the messenger RNA expression of genes associated with ER stress(GRP78[glucose-regulated protein 78],ATF4[activating transcription factor 4],and CHOP[C/ERP homologous protein])compared to the MR group(p<0.05,p<0.01,and p<0.001,respectively).Conclusion:PIMO demonstrated cardioprotective benefits on heart function,myocyte apoptosis,and fibrosis by regulating ER stress in an MR-induced CHF rat model. 展开更多
关键词 APOPTOSIS endoplasmic reticulum(ER)stress FIBROSIS mitral regurgitation mitral regurgitation rat model pimobendan
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A preclinical evaluation and first-in-man case for transcatheter edge-to-edge mitral valve repair using PulveClip®transcatheter repair device
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作者 Gang-Jun ZONG Jie-Wen DENG +10 位作者 Ke-Yu CHEN Hua WANG Fei-Fei DONG Xing-Hua SHAN Jia-Feng WANG Ni ZHU Fei LUO Peng-Fei DAI Zhi-Fu GUO Yong-Wen QIN Yuan BAI 《Journal of Geriatric Cardiology》 2025年第2期265-269,共5页
The prevalence of mitral regurgitation(MR)is increasingly worldwide as a consequence of improved survival and ischemic heart disease.Severe MR is associated with worse prognosis,independent of left ventricular functio... The prevalence of mitral regurgitation(MR)is increasingly worldwide as a consequence of improved survival and ischemic heart disease.Severe MR is associated with worse prognosis,independent of left ventricular function and associated comorbidities.[1-3]Although surgical valve repair or replacement remains the standard treatment for patients with chronic MR,up to 50%of MR patients with symptomatic MR are not referred for surgery,mainly because of multiple comorbid conditions resulting in high surgical risk.[4]There is,therefore,a clear need for less invasive approaches for this patient group. 展开更多
关键词 mitral TRANSCATHETER PROGNOSIS
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Temporal trends in characteristics and outcomes of patients undergoing percutaneous mitral valve repair
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作者 Rasha Kaddoura Zainab Dakhil +3 位作者 Daoud Al-Badriyeh Dina Abushanab Ihsan Rafie Mohammed Al-Hijji 《World Journal of Cardiology》 2025年第12期156-167,共12页
BACKGROUND Observational studies reported characteristics and outcomes of patients with secondary mitral valve regurgitation(MR)who underwent transcatheter edge-toedge repair of the mitral valve.No study investigated ... BACKGROUND Observational studies reported characteristics and outcomes of patients with secondary mitral valve regurgitation(MR)who underwent transcatheter edge-toedge repair of the mitral valve.No study investigated the temporal trend of patient characteristics and outcomes in comparison with the published randomized trials.AIM To investigate the temporal trend in baseline characteristics and outcomes of patients with secondary MR who underwent transcatheter edge-to-edge repair of the mitral valve in the real world compared with those from the published landmark trials.METHODS A comprehensive systematic literature search was conducted using MEDLINE,EMBASE,and CENTRAL databases,and the identified observational studies were divided into two five-year recruitment periods.The first period included 36 studies that enrolled patients between 2008 and 2012,and the second period included 25 studies that recruited patients between 2013 and 2017-2018.Pooled variables of each five-year recruitment period were compared with those of the landmark trials.A random-effects model was used for statistical comparisons.RStudio and RevMan software were used for the analysis.RESULTS Overall,there were no major variations in the findings between the first and the second five-year recruitment periods.EVEREST program vs observational studies:Patients in the EVEREST program were more likely to have non-ischemic MR etiology[odds ratio(OR)=3.59,95%confidence interval(CI):2.92-4.42]and atrial fibrillation(OR=1.71,95%CI:1.42-2.06).They were less likely to receive angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers(OR=0.72,95%CI:0.58-0.90)and implantable cardiac device(OR=0.41,95%CI:0.33-0.49)as well as less likely to be symptomatic at hospital presentation without a difference in MR grade≤2+or mortality at 12-month follow-up.COAPT trial vs observational studies:COAPT patients were more likely to have prior myocardial infarction(OR=1.62,95%CI:1.27-2.06)and renal insufficiency(OR=2.66,95%CI:2.05-3.45).They were more likely to receive beta-blockers(OR=2.54,95%CI:1.68-3.85)and an implanted cardiac device(OR=2.20,95%CI:1.71-2.84).There was no difference in procedure success or mortality.MITRA-FR trial vs observational studies:MITRA-FR patients were less likely to have atrial fibrillation(OR=0.49,95%CI:0.34-0.69)and renal insufficiency(OR=0.18,95%CI:0.11-0.28)but more likely to have a history of myocardial infarction(OR=1.48,95%CI:1.06-2.05)and to receive diuretics(OR=19.81,95%CI:2.75-142.48)and implantable cardiac devices(OR=1.69,95%CI:1.21-2.37).At hospital presentation,they were less likely to be symptomatic(OR=0.25,95%CI:0.18-0.35)without a difference in MR grades 3+and 4+.There was no difference in terms of MR grade or mortality at 12-month follow-up.CONCLUSION Patients in the landmark studies may have favourable or unfavourable characteristics when compared to those in the observational studies,but this did not translate into different outcomes over time. 展开更多
关键词 Edge-to-edge MITRACLIP mitral regurgitation Transcatheter repair Temporal trends
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Mitral valve regurgitant area as an independent predictor of in-hospital mortality in elderly patients with dilated car-diomyopathy
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作者 ZHANG Zi-yi LI Xin-yi +5 位作者 WANG Jia-qi GONG Jian-tao TAN Ning TSANG Suk-Ying WONG Wing-tak JIANG Lei 《South China Journal of Cardiology》 2025年第1期42-48,共7页
Background Predicting in-hospital mortality in elderly patients with dilated cardiomyopathy(DCM)is critical for improving clinical management.This study investigated the prognostic significance of mitral valve regurgi... Background Predicting in-hospital mortality in elderly patients with dilated cardiomyopathy(DCM)is critical for improving clinical management.This study investigated the prognostic significance of mitral valve regurgitant area(MVRA)as a predictor of in-hospital mortality.Methods A total of 813 elderly patients(age≥60 years)diag-nosed with DCM were included in this retrospective study,with admissions spanning from January 2010 to Decem-ber 2019.Univariate and multivariate Cox regression analyses were conducted to assess the association between MVRA and in-hospital mortality.Receiver operating characteristic(ROC)curve and Kaplan-Meier survival analy-ses were employed to assess the predictive performance of MVRA and to compare cumulative survival rates be-tween groups,respectively.Results MVRA was significantly associated with in-hospital mortality in both univar-iate and multivariate analyses(HR:1.119,95%CI:1.028-1.218,P=0.009).ROC curve analysis demonstrated good prognostic performance for MVRA[area under curve(AUC):0.714].Kaplan-Meier analysis revealed that patients with high MVRA(HMVRA)had significantly worse in-hospital survival outcomes(log-rank χ2=12.628,P<0.001).Conclusions An increase in MVRA is significantly associated with higher in-hospital mortality in elderly DCM patients,with an MVRA exceeding 7 cm2 indicating a notably increased mortality rate.MVRA serves as a simple and effective parameter for risk assessment and treatment monitoring in DCM patients. 展开更多
关键词 In-hospital mortality Dilated cardiomyopathy Elderly patients mitral regurgitation Risk prediction
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Genetic liability to atrial fibrillation,aortic valve disease,and mitral valve disease:a two-sample Mendelian randomization study
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作者 Yun Zhang Chengui Zhuo +1 位作者 Ting Chen Xiaosheng Hu 《World Journal of Emergency Medicine》 2025年第5期475-480,共6页
BACKGROUND:Research has revealed a relationship between atrial fi brillation(AF)and valvular heart disease;however,the causality remains largely unknown.This study explored whether a causal association between AF and ... BACKGROUND:Research has revealed a relationship between atrial fi brillation(AF)and valvular heart disease;however,the causality remains largely unknown.This study explored whether a causal association between AF and non-rheumatic aortic valve disease(AVD)and mitral valve disease(MVD)could be found.METHODS:A two-sample Mendelian randomization(TSMR)method was applied to determine the causal eff ect of AF on AVD,mitral regurgitation,and MVD.The inverse variance weighted(IVW)method was used as the primary analytical approach,and several complementary analyses were conducted.Outliers were detected using the Mendelian Randomization Pleiotropy RESidual Sum and Outlier(MR-PRESSO)and radial Mendelian randomization(MR)methods.RESULTS:Genetically predicted AF was found to be causally associated with the risk of MVD(odds ratio[OR]=1.001;95%confi dence interval[CI]:1.000-1.001;P=1.33×10-6)and mitral regurgitation(OR=1.001;95%CI:1.000-1.002;P=0.009).However,no signifi cant causal associations between AF and AVD were detected(OR=1.000;95%CI:0.999-1.000;P=0.804).Causal eff ects were still detected,even after adjusting for potential risk factors or removing the identifi ed outliers.Reverse MR analyses revealed no signifi cant causal eff ect of valvular heart disease on AF.CONCLUSION:Our findings demonstrate a positive causal association between AF,MVD,and mitral regurgitation,but not AVD.Further research and an aggressive AF management strategy should be explored as potential measures for preventing MVD. 展开更多
关键词 Atrial fi brillation Valvular heart disease mitral valve disease
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Streptococcus agalactiae native valve endocarditis with posterior mitral leaflet perforation,intraparenchymal septic emboli,and meningitis:a case report
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作者 Ariella Gartenberg Alexander Petrie 《World Journal of Emergency Medicine》 2025年第4期392-394,共3页
Group B Streptococcus(GBS;Streptococcus agalactiae)is a gram-positive coccus that colonizes the gastrointestinal and genital tracts in adults,as well as the upper respiratory tract in infants.While it has been thought... Group B Streptococcus(GBS;Streptococcus agalactiae)is a gram-positive coccus that colonizes the gastrointestinal and genital tracts in adults,as well as the upper respiratory tract in infants.While it has been thought that GBS only results in invasive disease in pregnant females and neonates,recent literature has suggested an increasing incidence of invasive GBS among non-pregnant individuals within the United States. 展开更多
关键词 group b streptococcus gbsstreptococcus agalactiae posterior mitral leaflet perforation gastrointestinal genital tracts intraparenchymal septic emboli GBS Group B Streptococcus native valve endocarditis Streptococcus agalactiae
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高龄房性功能性二尖瓣关闭不全合并持续性心房颤动外科手术与内科治疗的远期预后比较
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作者 门琛 庞思思 +3 位作者 张林飞 詹发亮 叶涛 郑翔翔 《南京医科大学学报(自然科学版)》 北大核心 2026年第3期413-417,共5页
目的:探讨高龄(≥70岁)持续性心房颤动(房颤)继发中重度房性功能性二尖瓣关闭不全(atrial functional mitral regurgitation,AFMR)患者,行外科二尖瓣成形联合房颤消融术与规范化内科药物治疗的临床效果及远期预后。方法:本研究为回顾性... 目的:探讨高龄(≥70岁)持续性心房颤动(房颤)继发中重度房性功能性二尖瓣关闭不全(atrial functional mitral regurgitation,AFMR)患者,行外科二尖瓣成形联合房颤消融术与规范化内科药物治疗的临床效果及远期预后。方法:本研究为回顾性队列研究。连续纳入2019年1月—2024年12月于南京医科大学第一附属医院及伊犁州友谊医院住院治疗的70岁以上AFMR合并持续性房颤患者。根据治疗策略分为外科组(二尖瓣成形+房颤消融+左心耳处理)和内科组(规范化药物治疗)。应用倾向性评分匹配(propensity score matching,PSM)按1∶1比例平衡两组基线特征,最终每组纳入91例患者。主要终点为全因死亡率,次要终点包括缺血性脑卒中、房颤复发、心力衰竭再入院率及二尖瓣反流复发。结果:91对匹配患者中位随访时间为41.5(26.4,47.0)个月。随访期间共观察到46例死亡。外科组与内科组的5年生存率分别为61.9%和61.4%,Log-Rank检验显示两组总体生存分布差异无统计学意义(P=0.788)。与内科组相比,外科组显著降低了缺血性脑卒中发生率(5.5%vs. 18.7%,P=0.012)及中重度二尖瓣反流发生率(28.6%vs. 100.0%,P<0.001)。外科组随访期间房颤复发率显著低于内科组(78.0%vs.100.0%,P=0.002)。两组间脑出血及心力衰竭再住院率差异无统计学意义(均P > 0.05)。结论:对于高龄AFMR合并房颤患者,外科手术虽未能显著延长总生存期,但在纠正瓣膜病变、预防致残性脑卒中方面具有显著优势。临床决策应综合评估患者的生理储备与卒中风险,实施个体化治疗。 展开更多
关键词 房性二尖瓣关闭不全 心房颤动 外科消融 二尖瓣成形术 高龄 预后
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二元Logistic回归分析二尖瓣关闭不全患者冠脉搭桥术后发生低氧血症的相关因素
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作者 陈英 袁超 +2 位作者 段正伟 常峰荣 赵俊涛 《临床研究》 2026年第2期6-9,共4页
目的基于二元Logistic回归分析二尖瓣关闭不全(MR)患者冠脉搭桥术(CABG)术后发生低氧血症的相关因素,以期为临床早期制定相应干预方案、降低患者低氧血症发生风险提供参考。方法回顾性选取2021年5月至2025年5月郑州市第七人民医院收治... 目的基于二元Logistic回归分析二尖瓣关闭不全(MR)患者冠脉搭桥术(CABG)术后发生低氧血症的相关因素,以期为临床早期制定相应干预方案、降低患者低氧血症发生风险提供参考。方法回顾性选取2021年5月至2025年5月郑州市第七人民医院收治的MR行CABG术患者200例,根据术后是否发生低氧血症分为发生组(n=56)和未发生组(n=144),比较两组临床资料,采用二元Logistic回归分析MR患者CABG术后发生低氧血症的相关因素。结果发生组术前LVEF显著低于未发生组,差异有统计学意义(P<0.05),且发生组中体外循环时间>120 min、术中液体超负荷、未采用肺保护性通气、有吸烟史、术后镇痛不充分的比例均显著高于未发生组,差异均有统计学意义(P<0.05);经二元Logistic回归分析结果显示,体外循环时间>120 min、术中液体超负荷、未采用肺保护性通气、吸烟史、术后镇痛不充分均为MR患者CABG术后发生低氧血症的相关因素(P<0.05)。结论体外循环时间>120 min、术中液体超负荷、未采用肺保护性通气、吸烟史、术后镇痛不充分均为MR患者CABG术后低氧血症的相关因素,可为临床评估术后低氧血症发生风险、制定相应干预方案提供参考。 展开更多
关键词 二尖瓣关闭不全 冠脉搭桥术 低氧血症 相关因素
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提高缺血性二尖瓣反流成形效果的新策略临床研究
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作者 倪良春 郭晓珂 +3 位作者 宗良 姚碧 段晨曦 程前进 《医学研究前沿》 2026年第3期132-134,共3页
目的研究缺血性二尖瓣反流(IMR)患者应用限制性二尖瓣瓣环成形术+瓣下结构修复术治疗的效果。方法回顾性研究,选择2023年5月-2025年5月符合我院纳入标准的IMR患者共60例,按住院号奇偶数分对照组(限制性二尖瓣瓣环成形术)、观察组(以对... 目的研究缺血性二尖瓣反流(IMR)患者应用限制性二尖瓣瓣环成形术+瓣下结构修复术治疗的效果。方法回顾性研究,选择2023年5月-2025年5月符合我院纳入标准的IMR患者共60例,按住院号奇偶数分对照组(限制性二尖瓣瓣环成形术)、观察组(以对照组为基础+瓣下结构修复术)各30例,两组疗效比较。结果治疗前,比较两组心功能、心室重构情况无差异,P>0.05;治疗后,观察组LVD、RVD、LAD指标低于对照组,LVEF指标高于对照组;LVPWd、LVPWS、LVPWT、IVSS指标低于对照组;观察组不良心脑血管事件总发生率(3.33%)显著低于对照组(13.33%),P<0.05,数据比较有统计学差异。结论限制性二尖瓣瓣环成形术+瓣下结构修复术治疗可有效改善患者心功能、心室重构情况,避免发生不良心脑血管事件,安全可靠、值得临床借鉴。 展开更多
关键词 缺血性二尖瓣反流 心功能 心室重构情况 不良心脑血管事件
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在心源性与非心源性肺水肿中的鉴别及预后评估中的价值
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作者 周丽霞 冯春晖 卢冬敏 《临床和实验医学杂志》 2026年第6期658-662,共5页
目的研究超声心动图参数三尖瓣环收缩期位移(TAPSE)/二尖瓣环收缩期位移(MAPSE)在心源性与非心源性肺水肿(PE)中的鉴别及预后评估价值。方法回顾性选取2023年1月至2025年1月秦皇岛市第二医院收治的86例APE患者,参考胸部CT特征、超声心... 目的研究超声心动图参数三尖瓣环收缩期位移(TAPSE)/二尖瓣环收缩期位移(MAPSE)在心源性与非心源性肺水肿(PE)中的鉴别及预后评估价值。方法回顾性选取2023年1月至2025年1月秦皇岛市第二医院收治的86例APE患者,参考胸部CT特征、超声心动图、生物学标志物及临床症状分为心源组(心源性PE,n=43)与非心源组(非心源性PE,n=43)。比较心源组、非心源组患者的基线资料(性别、年龄、氧合指数)与超声参数(TAPSE、MAPSE、LVEF及TAPSE/MAPSE比值);分析心源组正压机械通气治疗前与治疗后各项指标[TAPSE、MAPSE、TAPSE/MAPSE、血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))、酸碱度(pH)、二氧化碳分压(PaCO_(2))、呼吸频率(RR)、平均动脉压(MAP)、心率]水平变化;采用受试者操作特征(ROC)曲线评价心源性PE鉴别中超声参数诊断效能;采用Pearson相关性分析评价LVEF与超声参数的相关性,并分析超声参数与预后的相关性。结果心源组与非心源组患者的性别构成比、年龄、氧合指数比较,差异均无统计学意义(P>0.05);心源组患者的TAPSE、MAPSE、LVEF及TAPSE/MAPSE明显低于非心源组,差异均有统计学意义(P<0.05)。较正压机械通气治疗前,治疗后心源组TAPSE、SaO_(2)、MAPSE、PaO_(2)、TAPSE/MAPSE、pH均更高,PaCO_(2)、MAP、RR、心率均更低,差异均有统计学意义(P<0.05)。ROC曲线结果显示,心源性与非心源性PE鉴别中TAPSE/MAPSE诊断效能最高,最佳截断值、特异度、敏感度、曲线下面积(AUC)依次为1.528、0.63、0.93、0.789。Pearson相关性分析结果显示,TAPSE/MAPSE、TAPSE、MAPSE与LVEF呈正相关(r=0.435、0.424、0.397,P<0.05)。较TAPSE/MAPSE≥1.528者,<1.528者住院时间、机械通气时间更长,急性肾损伤发生率及30 d病死率更高,差异均有统计学意义(P<0.05)。结论心源性、非心源性PE鉴别中TAPSE/MAPSE具有较高诊断价值,且与患者预后、心功能变化有着紧密联系,可用于临床评估。 展开更多
关键词 急性肺水肿 心源性 超声心动图 三尖瓣环收缩期位移 二尖瓣环收缩期位移
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硝苯地平联合美托洛尔对风湿性心脏病二尖瓣狭窄患者的疗效观察
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作者 张晶 邢晓煜 《天津药学》 2026年第1期9-13,共5页
目的探讨硝苯地平联合美托洛尔对风湿性心脏病二尖瓣狭窄患者神经内分泌因子、左室功能和耐力的影响。方法选取2022年3月至2025年3月南阳市中心医院收治的120例风湿性心脏病二尖瓣狭窄患者,采用随机数字表法将其分为对照组(n=60,常规治... 目的探讨硝苯地平联合美托洛尔对风湿性心脏病二尖瓣狭窄患者神经内分泌因子、左室功能和耐力的影响。方法选取2022年3月至2025年3月南阳市中心医院收治的120例风湿性心脏病二尖瓣狭窄患者,采用随机数字表法将其分为对照组(n=60,常规治疗+美托洛尔)和联合组(n=60,常规治疗+美托洛尔+硝苯地平),比较两组临床疗效、神经内分泌因子[心房钠尿肽(ANP)、脑钠肽(BNP)]、左室功能[左室射血分数(LVEF)、左室短轴缩短率(LVFS)、二尖瓣前向血流e峰与a峰的比值(E/A)]、血流动力学指标[平均肺动脉压(mPAP)、左房平均压(mLAP)、平均二尖瓣压力差(mMPG)]、运动耐力[6 min步行试验(6MWT)距离]、不良反应。结果联合组治疗总有效率为96.67%,高于对照组的86.67%(χ^(2)=3.927,P=0.048);治疗后联合组ANP[(51.26±7.83)pg/mL]、BNP[(242.59±37.79)pg/mL]低于对照组[(54.47±7.89)pg/mL、(275.49±38.64)pg/mL](t=2.237、4.715;P=0.027、<0.001);治疗后,联合组LVEF[(65.46±11.24)%]、LVFS[(34.69±5.49)%]、E/A(0.99±0.12)水平均高于对照组[(59.47±10.63)%、(28.58±5.52)%、(0.93±0.13)](t=3.000、6.079、2.626;P=0.003、<0.001、0.010);治疗后,联合组mPAP[(23.47±2.11)mmHg]、mLAP[(4.57±0.82)mmHg]、mMPG[(4.23±0.75)mmHg]均低于对照组[(25.49±2.02)mmHg、(5.64±0.74)mmHg、(5.02±0.84)mmHg](t=5.357、14.166、5.434;P=0.001、<0.001、<0.001);治疗后,联合组6MWT距离[(372.83±37.77)m]长于对照组[(356.64±37.26)m](t=2.364,P=0.020);两组不良反应发生率的差异无统计学意义(5.00%vs 6.67%)(χ^(2)=0.152,P=0.697)。结论风湿性心脏病二尖瓣狭窄患者应用硝苯地平联合美托洛尔治疗可提高疗效,调节神经内分泌因子,改善左室功能,提高运动耐力,安全性较高。 展开更多
关键词 风湿性心脏病 二尖瓣狭窄 硝苯地平 美托洛尔 神经内分泌因子
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TGF-β1/JNK信号通路在不同类型二尖瓣疾病伴心房颤动患者中的调控作用
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作者 常超 付博 +5 位作者 朱晓龙 张崇杰 赵霞 唐红 肖锡俊 白云鹏 《中国胸心血管外科临床杂志》 北大核心 2026年第2期291-299,共9页
目的探讨转化生长因子-β1(transforming growth factor-β1,TGF-β1)在不同类型二尖瓣疾病(mitral valvular disease,MVD)伴心房颤动(atrial fibrillation,AF)病程中的调控机制。方法纳入2011年8月—2012年8月就诊于四川大学华西医院... 目的探讨转化生长因子-β1(transforming growth factor-β1,TGF-β1)在不同类型二尖瓣疾病(mitral valvular disease,MVD)伴心房颤动(atrial fibrillation,AF)病程中的调控机制。方法纳入2011年8月—2012年8月就诊于四川大学华西医院心血管外科需行二尖瓣置换术的单纯中-重度MVD伴AF患者。根据超声心动图结果将患者分为二尖瓣反流(mitral regurgitation,MR)伴AF组(MR-AF)和二尖瓣狭窄(mitral stenosis,MS)伴AF组(MS-AF)。术中采集左心耳组织样本,运用酶联免疫吸附测定、实时荧光定量聚合酶链反应、免疫组织化学和蛋白质印迹等技术检测TGF-β1/JNK通路中的关键分子。结果共纳入16例患者,MR-AF组8例,其中男5例、女3例,平均年龄(41.38±11.19)岁;MS-AF组8例,其中男6例、女2例,平均年龄(43.12±5.30)岁。MR-AF患者的左心房容量负荷更高,而MS-AF患者的左心房压力负荷更高;MS-AF患者左心耳组织中MAPK9、JUN、CASP3、BAX和BCL2 mRNA的相对表达量显著上调;MR-AF组血清TGF-β1蛋白水平、左心耳组织中p-JNK、p-c-Jun、Caspase-3等蛋白相对表达量更高;MS-AF组心肌细胞损伤更严重,且Bcl-2蛋白表达量更高。结论不同MVD血流动力学特征不同,MR-AF患者的左心房心肌更易凋亡,可能通过激活TGF-β1/JNK信号通路实现。 展开更多
关键词 心房颤动 二尖瓣疾病 TGF-β1/JNK信号通路 细胞凋亡 心房结构重构 二尖瓣反流 二尖瓣狭窄 血流动力学
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毛竹结构与应用场景对竹牙刷毛束拉力的影响
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作者 郝兆锋 张文福 +5 位作者 张建 胡鸣 王洪艳 赵莹 袁少飞 任文庭 《北京林业大学学报》 北大核心 2026年第1期197-207,共11页
【目的】竹材因其各向异性,在相同工艺条件下加工的竹牙刷质量存在差异。本研究旨在探讨不同密度竹材加工的竹牙刷及其在不同应用场景下的毛束拉力性能规律,以提高竹牙刷质量的可控性。【方法】将原竹加工为竹牙刷,在加工过程中统计规... 【目的】竹材因其各向异性,在相同工艺条件下加工的竹牙刷质量存在差异。本研究旨在探讨不同密度竹材加工的竹牙刷及其在不同应用场景下的毛束拉力性能规律,以提高竹牙刷质量的可控性。【方法】将原竹加工为竹牙刷,在加工过程中统计规格竹条的密度(ρ),并按密度对竹牙刷分类。对比测试塑料牙刷与不同密度竹牙刷的毛束拉力性能,选取相同密度区间的竹牙刷,通过不同温度水浴处理与吸水-干燥循环处理模拟不同的应用场景,测试竹牙刷在使用过程中的耐久性。另外,通过测试相同密度区间下竹牙刷的竹青/竹黄面以及刷头不同孔位的毛束拉力性能,探讨竹牙刷最佳加工工艺条件。利用超景深显微镜、扫描电镜(SEM)和显微CT设备观察并分析竹牙刷植毛孔的微观形貌结构。【结果】(1)不同密度竹材制成的竹牙刷在毛束拉力性能上存在显著差异,毛束拉力随竹材密度增加而显著提高。密度大于0.70 g/cm^(3)的竹牙刷毛束拉力均满足国标15 N的要求,密度大于0.75 g/cm^(3)的竹牙刷在毛束拉力性能上优于塑料牙刷。(2)0.75≤ρ<0.80竹牙刷的耐久性测试结果显示:常温水浴处理的竹牙刷毛束拉力稳定在15.42~16.69 N之间;即使在6天吸水-干燥循环处理后,拉力下降至15.6 N,仍符合国标要求。(3)竹青面植毛牙刷的毛束拉力均值为19.55 N,高于竹黄面的17.89 N。刷头外圈孔位的毛束拉力均值(18.21 N)高于刷头整体毛束拉力性能(17.81 N),内圈孔位(17.23 N)低于刷头整体毛束拉力性能。结合内圈与外圈孔位的毛束拉力值的方差分析(p<0.05),表明边缘孔位表现出更优的毛束拉力性能。(4)植毛孔形貌结构结果显示,竹材天然结构为嵌入孔内的金属片提供了良好的接触界面。【结论】较高密度竹材制备的竹牙刷具备更优的毛束拉力性能,同时在日常使用条件下其毛束拉力性能表现稳定,可替代市场上的一般塑料牙刷,展现出良好的应用潜力。根据不同孔位及植毛面对毛束拉力的差异化影响,在实际生产中可采取差异化设计策略优化孔位分布和植毛部位,从而提升竹牙刷的可靠性与耐久性。 展开更多
关键词 以竹代塑 毛竹牙刷 毛束拉力 竹材密度-力学关联 各向异性微结构 吸湿-干燥循环耐久性 竹青/竹黄植毛面 植毛孔形貌
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TUFT1真核表达质粒的构建及其功能研究 被引量:3
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作者 袁孔现 王继年 《皖西学院学报》 2017年第2期71-74,共4页
设计合成引物,扩增出TUFT1的CDS序列,双酶切后连接到pEGFP-C2载体上,将过表达质粒转染至胰腺癌细胞株中。结果显示,过表达组细胞的增殖率,显著高于空白组和对照组;过表达组细胞的凋亡率,显著低于空白组和对照组。成功构建TUFT1的真核表... 设计合成引物,扩增出TUFT1的CDS序列,双酶切后连接到pEGFP-C2载体上,将过表达质粒转染至胰腺癌细胞株中。结果显示,过表达组细胞的增殖率,显著高于空白组和对照组;过表达组细胞的凋亡率,显著低于空白组和对照组。成功构建TUFT1的真核表达载体,并初步确定TUFT1可以明显增强人胰腺癌细胞株的增殖,同时抑制其凋亡,为进一步探索TUFT1基因功能、寻求治疗胰腺癌的新途径提供了细胞学基础。 展开更多
关键词 tuft1 转染 增殖 凋亡
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三阴乳腺癌组织中TUFT1和Rab5-GTP的表达水平及临床意义 被引量:1
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作者 史素芳 宋亚娟 +3 位作者 尹天露 李勇 贾东晓 刘伟光 《中国实验诊断学》 2023年第3期267-269,共3页
目的研究三阴乳腺癌(TNBC)组织中TUFT1和Rab5-GTP的表达水平,分析两种蛋白表达的相关性及TUFT1与患者临床病理特征的关系。方法选取2021年3月至2021年12月住院手术的TNBC患者80例,收集其癌组织。免疫组化法检测TUFT1和Rab5-GTP在癌组织... 目的研究三阴乳腺癌(TNBC)组织中TUFT1和Rab5-GTP的表达水平,分析两种蛋白表达的相关性及TUFT1与患者临床病理特征的关系。方法选取2021年3月至2021年12月住院手术的TNBC患者80例,收集其癌组织。免疫组化法检测TUFT1和Rab5-GTP在癌组织中的表达情况,分析两种蛋白表达的相关性;评估TUFT1与TNBC患者临床病理特征之间的关系。结果在TNBC组织中,观察到TUFT1主要在癌细胞胞膜上和胞质内均有染色,以胞质内染色最强,Rab5-GTP在胞质内染色,两种蛋白的表达呈正相关(P<0.05);TUFT1表达与患者年龄无关(P>0.05),而与肿瘤大小、组织学分级、腋窝淋巴结转移均呈正相关(均P<0.05)。结论TUFT1和Rab5-GTP的表达水平与三阴乳腺癌病程的进展关系密切。 展开更多
关键词 三阴乳腺癌 tuft1 Rab5-GTP 临床病理特征
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