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Remission of iron overload in adipose tissue of obese mice by fatty acid-modified polyoxovanadates
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作者 Kun Chen Yu-Rong Qin +1 位作者 Sheng-Qiu Liu Rou-Ling Chen 《Rare Metals》 2025年第1期461-471,共11页
Iron overload has been evidenced to contribute to obesity-associated metabolic disorders,including insulin resistance.Strategies to reduce iron levels might help manage the metabolic complications associated with obes... Iron overload has been evidenced to contribute to obesity-associated metabolic disorders,including insulin resistance.Strategies to reduce iron levels might help manage the metabolic complications associated with obesity.Here,it is demonstrated that the specific accumulation of oleic acid-modified polyoxovanadates(OPOVs)in adipose tissue leads to the reduction of iron concentrations in adipocytes in mice fed with a high-fat diet(HFD).Conjugation of oleic acids to polyoxovanadates enables tissue-specific depletion of iron from white adipose tissue(WAT)by OPOVs,protecting mice from HFD-induced obesity and obesity-associated metabolic deteriorations.Glucose tolerance and insulin sensitivity are improved in OPOV-treated mice,which demonstrates that the OPOV-induced iron depletion can reverse the metabolic degeneration caused by HFD-induced obesity.Furthermore,a decrease in expression of the marker genes of iron overload suggests the participation of OPOVs in maintaining iron homeostasis and a potential medical application of vanadium clusters in targeting the iron overload caused by obesity.These findings underscore the potential of vanadate-based clusters tailored to address the complex interplay between iron metabolism and metabolic health. 展开更多
关键词 POLYOXOVANADATES Lipophilic conjugation Obesity Iron overload Insulin resistance
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Combinatorial approach to treat iron overload cardiomyopathy in pediatric patients with thalassemia-major: A systematic review and meta-analysis
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作者 Moaz Safwan Mariam Safwan Bourgleh +1 位作者 Aseel Alsudays Khawaja Husnain Haider 《World Journal of Cardiology》 2025年第2期93-102,共10页
BACKGROUND Iron overload cardiomyopathy is a significant cause of morbidity and mortality in transfusion-dependent thalassemia patients.Standard iron chelation therapy is less efficient in alleviating iron accumulatio... BACKGROUND Iron overload cardiomyopathy is a significant cause of morbidity and mortality in transfusion-dependent thalassemia patients.Standard iron chelation therapy is less efficient in alleviating iron accumulation in many organs,especially when iron enters the cells via specific calcium channels.AIM To validate our hypothesis that adding amlodipine to the iron chelation regimen is more efficient in alleviating myocardial iron overload.METHODS Five databases,including PubMed,Cochrane Library,Embase,ScienceDirect,and ClinicalTrials.gov,were systematically searched,and three randomized controlled trials involving 144 pediatric patients with transfusion-dependent thalassemia were included in our meta-analysis based on the predefined eligibility criteria.The quality of the included studies was assessed based on the Cochrane collab-oration tool for bias assessment.The primary outcome assessed was myocardial-T2 and myocardial iron concentration,while the secondary results showed serum ferritin level,liver iron concentration,and treatment adverse outcomes.Weighted mean difference and odds ratio were calculated to measure the changes in the estimated treatment effects.RESULTS During the follow-up period,Amlodipine treatment significantly improved cardiac T2 by 2.79 ms compared to the control group[95%confidence interval(CI):0.34-5.24,P=0.03,I2=0%].Additionally,a significant reduction of 0.31 in myocardial iron concentration was observed with amlodipine treatment compared to the control group[95%CI:-0.38-(-0.25),P<0.00001,I2=0%].Liver iron concentration was slightly lower in the amlodipine group by-0.04 mg/g,but this difference was not statistically significant(95%CI:-0.33-0.24,P=0.77,I2=0%).Amlodipine also showed a non-significant trend toward a reduction in serum ferritin levels(-328.86 ng/mL,95%CI:-1212.34-554.62,P=0.47,I2=90%).Regarding safety,there were no significant differences between the groups in the incidence of gastrointestinal upset,hypotension,or lower limb edema.CONCLUSION Amlodipine with iron chelation therapy significantly improved cardiac parameters,including cardiac-T2 and myocardial iron,in patients with transfusion-dependent thalassemia without causing significant adverse events but enhancing the efficacy of iron chelation therapy. 展开更多
关键词 AMLODIPINE CARDIOMYOPATHY Iron overload Randomized controlled trials THALASSEMIA
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Numerical study on the failure characteristics and reinforcement effects of shield segmental linings subjected to localized overload
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作者 Long ZHOU Zhiguo YAN Mengqi ZHU 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 2025年第10期950-966,共17页
When only a portion of the shield lining structures in a full-line tunnel are overloaded,their bearing and failure characteristics are significantly different from those in the full-line overloaded case.In existing st... When only a portion of the shield lining structures in a full-line tunnel are overloaded,their bearing and failure characteristics are significantly different from those in the full-line overloaded case.In existing studies,one or several segmental lining rings have been studied,with overload applied to selected lining rings to analyze the performance evolution of the lining structures;however,this approach fails to reveal the bearing and failure characteristics of shield lining rings under localized overload.To address this research gap,we employ 3D finite element modeling to investigate the mechanical performance and failure mechanisms of shield segmental linings under localized overload conditions,and compare the results with full-line overload scenarios.Additionally,the impact of reinforcing shield segmental linings with steel rings is studied to address issues arising from localized overloads.The results indicate that localized overloads lead to significant ring joint dislocation and higher stress on longitudinal bolts,potentially causing longitudinal bolt failure.Furthermore,the overall deformation of lining rings,segmental joint opening,and stress in circumferential bolts and steel bars is lower compared to full-line overloads.For the same overload level,the convergence deformation of the lining under full-line overload is 1.5 to 2.0 times higher than that under localized overload.For localized overload situations,a reinforcement scheme with steel rings spanning across two adjacent lining rings is more effective than installing steel rings within individual lining rings.This spanning ring reinforcement strategy not only enhances the structural rigidity of each ring,but also limits joint dislocation and reduces stress on longitudinal bolts,with the reduction in maximum ring joint dislocation ranging from 70%to 82%and the reduction in maximum longitudinal bolt stress ranging from 19%to 57%compared to reinforcement within rings. 展开更多
关键词 Shield segmental lining Localized overload Failure characteristics Steel ring reinforcement
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Three-body cooperative active defense guidance law with overload constraints:A small speed ratio perspective
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作者 Shuangxi LIU Zehuai LIN +3 位作者 Yichong WANG Wei HUANG Binbin YAN Yong LI 《Chinese Journal of Aeronautics》 2025年第2期226-243,共18页
In air combat,one effective way to counter an incoming missile attacking an aircraft is to launch a defense missile compared with traditional passive defense strategies such as decoy and electronic countermeasures.To ... In air combat,one effective way to counter an incoming missile attacking an aircraft is to launch a defense missile compared with traditional passive defense strategies such as decoy and electronic countermeasures.To address this issue,this paper proposes a three-body cooperative active defense guidance law with overload constraints from the perspective of a small speed ratio.First,a cooperative guidance-oriented model for active defense is established and linearized to provide a foundation for the design of the guidance law.Then,the essential quantity known as Zero-Effort-Miss(ZEM)is analyzed during the engagement process.In order to minimize the influence of inaccurate estimates of remaining flight time in the ZEM,the concept of Zero-Effort-Velocity(ZEV)is introduced.Subsequently,utilizing the sliding mode control method,the guidance law is designed by selecting the ZEM and ZEV as sliding mode surfaces,combined with the fast power reaching law,and its finite-time stability is analyzed using the Lyapunov method.Furthermore,to quantitatively evaluate the performance of the proposed active defense guidance law,the interception rendezvous angle index is introduced.The proposed active defense guidance law considers integrating information from the incoming missile,aircraft,and defense missile with fewer simplifications and assumptions,and ensures that the aircraft is effectively protected with less overload required for the defense missile.Finally,simulation experiments demonstrate the effectiveness and adaptability of the proposed active defense guidance law. 展开更多
关键词 Three-body active defense Cooperative guidance Guidance law overload constraint Small speed ratio Sliding mode control
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PDZK1 protects against mechanical overload-induced chondrocyte senescence and osteoarthritis by targeting mitochondrial function 被引量:1
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作者 Yan Shao Hongbo Zhang +13 位作者 Hong Guan Chunyu Wu Weizhong Qi Lingfeng Yang Jianbin Yin Haiyan Zhang Liangliang Liu Yuheng Lu Yitao Zhao Sheng Zhang Chun Zeng Guiqing Wang Xiaochun Bai Daozhang Cai 《Bone Research》 SCIE CAS CSCD 2024年第3期621-633,共13页
Mechanical overloading and aging are two essential factors for osteoarthritis(OA)development.Mitochondria have been identified as a mechano-transducer situated between extracellular mechanical signals and chondrocyte ... Mechanical overloading and aging are two essential factors for osteoarthritis(OA)development.Mitochondria have been identified as a mechano-transducer situated between extracellular mechanical signals and chondrocyte biology,but their roles and the associated mechanisms in mechanical stress-associated chondrocyte senescence and OA have not been elucidated. 展开更多
关键词 overload aging stress
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Repressing iron overload ameliorates central poststroke pain via the Hdac2-Kv1.2 axis in a rat model of hemorrhagic stroke 被引量:3
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作者 He Fang Mengjie Li +6 位作者 Jingchen Yang Shunping Ma Li Zhang Hongqi Yang Qiongyan Tang Jing Cao Weimin Yang 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第12期2708-2722,共15页
Thalamic hemorrhage can lead to the development of central post-stroke pain.Changes in histone acetylation levels,which are regulated by histone deacetylases,affect the excitability of neurons surrounding the hemorrha... Thalamic hemorrhage can lead to the development of central post-stroke pain.Changes in histone acetylation levels,which are regulated by histone deacetylases,affect the excitability of neurons surrounding the hemorrhagic area.However,the regulato ry mechanism of histone deacetylases in central post-stroke pain remains unclea r.Here,we show that iron overload leads to an increase in histone deacetylase 2expression in damaged ventral posterolateral nucleus neurons.Inhibiting this increase restored histone H3 acetylation in the Kcna2 promoter region of the voltage-dependent potassium(Kv)channel subunit gene in a rat model of central post-stroke pain,thereby increasing Kcna2expression and relieving central pain.However,in the absence of nerve injury,increasing histone deacetylase 2 expression decreased Kcna2expression,decreased Kv current,increased the excitability of neurons in the ventral posterolateral nucleus area,and led to neuropathic pain symptoms.Moreover,treatment with the iron chelator deferiprone effectively reduced iron overload in the ventral posterolateral nucleus after intracerebral hemorrhage,reversed histone deacetylase 2 upregulation and Kv1.2 downregulation,and alleviated mechanical hypersensitivity in central post-stroke pain rats.These results suggest that histone deacetylase 2 upregulation and Kv1.2 downregulation,mediated by iron overload,are important factors in central post-stroke pain pathogenesis and co uld se rve as new to rgets for central poststroke pain treatment. 展开更多
关键词 central post-stroke pain hemorrhagic stroke histone deacetylase iron overload voltage-gated potassium ion channel 1.2
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Treatment with β-sitosterol ameliorates the effects of cerebral ischemia/reperfusion injury by suppressing cholesterol overload, endoplasmic reticulum stress, and apoptosis 被引量:12
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作者 Xiuling Tang Tao Yan +8 位作者 Saiying Wang Qingqing Liu Qi Yang Yongqiang Zhang Yujiao Li Yumei Wu Shuibing Liu Yulong Ma Le Yang 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第3期642-649,共8页
β-Sitosterol is a type of phytosterol that occurs naturally in plants.Previous studies have shown that it has anti-oxidant,anti-hyperlipidemic,anti-inflammatory,immunomodulatory,and anti-tumor effects,but it is unkno... β-Sitosterol is a type of phytosterol that occurs naturally in plants.Previous studies have shown that it has anti-oxidant,anti-hyperlipidemic,anti-inflammatory,immunomodulatory,and anti-tumor effects,but it is unknown whetherβ-sitosterol treatment reduces the effects of ischemic stroke.Here we found that,in a mouse model of ischemic stroke induced by middle cerebral artery occlusion,β-sitosterol reduced the volume of cerebral infarction and brain edema,reduced neuronal apoptosis in brain tissue,and alleviated neurological dysfunction;moreover,β-sitosterol increased the activity of oxygen-and glucose-deprived cerebral cortex neurons and reduced apoptosis.Further investigation showed that the neuroprotective effects ofβ-sitosterol may be related to inhibition of endoplasmic reticulum stress caused by intracellular cholesterol accumulation after ischemic stroke.In addition,β-sitosterol showed high affinity for NPC1L1,a key transporter of cholesterol,and antagonized its activity.In conclusion,β-sitosterol may help treat ischemic stroke by inhibiting neuronal intracellular cholesterol overload/endoplasmic reticulum stress/apoptosis signaling pathways. 展开更多
关键词 APOPTOSIS blood-brain barrier Β-SITOSTEROL cerebral ischemia/reperfusion injury cholesterol overload cholesterol transport endoplasmic reticulum stress ischemic stroke molecular docking NPC1L1
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Investigations of the mechanical response of dummy HTPB propellant grain under ultrahigh acceleration overload conditions using onboard flight-test measurements 被引量:1
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作者 Yiming Zhang Ningfei Wang +3 位作者 Weihua Ma Ran Wang Long Bai Yi Wu 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第2期473-484,共12页
In this paper,to study the mechanical responses of a solid propellant subjected to ultrahigh acceleration overload during the gun-launch process,specifically designed projectile flight tests with an onboard measuremen... In this paper,to study the mechanical responses of a solid propellant subjected to ultrahigh acceleration overload during the gun-launch process,specifically designed projectile flight tests with an onboard measurement system were performed.Two projectiles containing dummy HTPB propellant grains were successfully recovered after the flight tests with an ultrahigh acceleration overload value of 8100 g.The onboard-measured time-resolved axial displacement,contact stress and overload values were successfully obtained and analysed.Uniaxial compression tests of the dummy HTPB propellant used in the gunlaunched tests were carried out at low and intermediate strain rates to characterize the propellant's dynamic properties.A linear viscoelastic constitutive model was employed and applied in finite-element simulations of the projectile-launching process.During the launch process,the dummy propellant grain exhibited large deformation due to the high acceleration overload,possibly leading to friction between the motor case and propellant grain.The calculated contact stress showed good agreement with the experimental results,though discrepancies in the overall displacement of the dummy propellant grain were observed.The dynamic mechanical response process of the dummy propellant grain was analysed in detail.The results can be used to estimate the structural integrity of the analysed dummy propellant grain during the gun-launch process. 展开更多
关键词 Gun-launched flight test Dummy HTPB propellant Onboard measurements Utrahigh overload Mechanical response
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Numerical Simulation-Based Analysis of the Impact of Overloading on Segmentally Assembled Bridges 被引量:1
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作者 Donghui Ma Wenqi Wu +4 位作者 Yuan Li Lun Zhao Yingchun Cai Pan Guo Shaolin Yang 《Structural Durability & Health Monitoring》 EI 2024年第5期663-681,共19页
Segmentally assembled bridges are increasinglyfinding engineering applications in recent years due to their unique advantages,especially as urban viaducts.Vehicle loads are one of the most important variable loads acti... Segmentally assembled bridges are increasinglyfinding engineering applications in recent years due to their unique advantages,especially as urban viaducts.Vehicle loads are one of the most important variable loads acting on bridge structures.Accordingly,the influence of overloaded vehicles on existing assembled bridge structures is an urgent concern at present.This paper establishes thefinite element model of the segmentally assembled bridge based on ABAQUS software and analyzes the influence of vehicle overload on an assembled girder bridge struc-ture.First,afinite element model corresponding to the target bridge is established based on ABAQUS software,and the load is controlled to simulate vehicle movement in each area of the traveling zone at different times.Sec-ond,the key cross-sections of segmental girder bridges are monitored in real time based on the force character-istics of continuous girder bridges,and they are compared with the simulation results.Finally,a material damage ontology model is introduced,and the structural damage caused by different overloading rates is compared and analyzed.Results show that thefinite element modeling method is accurate by comparing with on-site measured data,and it is suitable for the numerical simulation of segmental girder bridges;Dynamic sensors installed at 1/4L,1/2L,and 3/4L of the segmental girder main beams could be used to identify the dynamic response of segmental girder bridges;The bottom plate of the segmental girder bridge is mostly damaged at the position where the length of the precast beam section changes and the midspan position.With the increase in load,damage in the direction of the bridge develops faster than that in the direction of the transverse bridge.Thefindings of this study can guide maintenance departments in the management and maintenance of bridges and vehicles. 展开更多
关键词 Segmentally assembled bridge dynamic response moving loads overloadING structural damage finite element analysis
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SiO_(2) Induces Iron Overload and Ferroptosis in Cardiomyocytes in a Silicosis Mouse Model
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作者 Yongheng Wang Ning Li +11 位作者 Yi Guan Tong LI Yuxiu Zhang Hong Cao Zhihua Yu Zhiheng Li Shuoyan Li Jiahao Hu Wenxin Zhou Sisi Qin Shuang Li Sanqiao Yao 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2024年第6期617-627,共11页
Objective The aim of this study was to explore the role and mechanism of ferroptosis in SiO_(2)-induced cardiac injury using a mouse model.Methods Male C57BL/6 mice were intratracheally instilled with SiO_(2) to creat... Objective The aim of this study was to explore the role and mechanism of ferroptosis in SiO_(2)-induced cardiac injury using a mouse model.Methods Male C57BL/6 mice were intratracheally instilled with SiO_(2) to create a silicosis model.Ferrostatin-1(Fer-1)and deferoxamine(DFO)were used to suppress ferroptosis.Serum biomarkers,oxidative stress markers,histopathology,iron content,and the expression of ferroptosis-related proteins were assessed.Results SiO_(2) altered serum cardiac injury biomarkers,oxidative stress,iron accumulation,and ferroptosis markers in myocardial tissue.Fer-1 and DFO reduced lipid peroxidation and iron overload,and alleviated SiO_(2)-induced mitochondrial damage and myocardial injury.SiO_(2) inhibited Nuclear factor erythroid 2-related factor 2(Nrf2)and its downstream antioxidant genes,while Fer-1 more potently reactivated Nrf2 compared to DFO.Conclusion Iron overload-induced ferroptosis contributes to SiO_(2)-induced cardiac injury.Targeting ferroptosis by reducing iron accumulation or inhibiting lipid peroxidation protects against SiO_(2) cardiotoxicity,potentially via modulation of the Nrf2 pathway. 展开更多
关键词 SiO_(2) exposure Iron overload Ferroptosis Cardiac injury NRF2
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Involvement of mitochondrial TRPV3 in cardiac hypertrophy induced by pressure overload in rats
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作者 ZHU Mei-Ping ZHANG Bing-Yi +8 位作者 LIAN Ting TAN Yuan-Jia CHANG Lin-Lin XU Pan ZHANG Jin-Yi DU Yan-Huan XIONG Zhen-Yu DU Qiong ZHANG Shi-Zhong 《生理学报》 CAS CSCD 北大核心 2024年第5期703-716,共14页
Mitochondria play an important role in pressure overload-induced cardiac hypertrophy.The present study aimed to investigate the role of mitochondrial transient receptor potential vanilloid 3(TRPV3)in myocardial hypert... Mitochondria play an important role in pressure overload-induced cardiac hypertrophy.The present study aimed to investigate the role of mitochondrial transient receptor potential vanilloid 3(TRPV3)in myocardial hypertrophy.A 0.7 mm diameter U-shaped silver clip was used to clamp the abdominal aorta of Sprague Dawley(SD)rats and establish an animal model of abdominal aortic constriction(AAC).Rat H9C2 myocardial cells were treated with angiotensin II(Ang II)to establish a hypertrophic myocardial cell model,and TRPV3 expression was knocked down using TRPV3 small interfering RNA(siRNA).JC-1 probe was used to detect mitochondrial membrane potential(MMP).DHE probe was used to detect ROS generation.Enzyme activities of mitochondrial respiratory chain complex I and III and ATP production were detected by assay kits.Immunofluorescence staining was used to detect TRPV3 expression in H9C2 cells.Western blot was used to detect the protein expression levels ofβ-myosin heavy chain(β-MHC),mitochondrial TRPV3 and mitochondrial NOX4.The results showed that,in the rat AAC model heart tissue and H9C2 cells treated with Ang II,the protein expression levels ofβ-MHC,mitochondrial TRPV3 and mitochondrial NOX4 were up-regulated,MMP was decreased,ROS generation was increased,mitochondrial respiratory chain complex I and III enzyme activities were decreased,and ATP production was reduced.After knocking down mitochondrial TRPV3 in H9C2 cells,the protein expression levels ofβ-MHC and mitochondrial NOX4 were down-regulated,MMP was increased,ROS generation was decreased,mitochondrial respiratory chain complex I and III enzyme activities were increased,and ATP production was increased.These results suggest that mitochondrial TRPV3 in cardiomyocytes exacerbates mitochondrial dysfunction by up-regulating NOX4,thereby participating in the process of pressure overload-induced myocardial hypertrophy. 展开更多
关键词 cardiac hypertrophy pressure overload MITOCHONDRION TRPV3/NOX4
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CaCO_(3)-encircled hollow CuS nanovehicles to suppress cervical cancer through enhanced calcium overload-triggered mitochondria damage
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作者 Pengfei Wang Xichen Sun +4 位作者 Liuyan Tang Ningning Li Qing Wang Bicheng Gan Yuezhou Zhang 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2024年第6期138-153,共16页
Cervical cancer stands is a formidablemalignancy that poses a significant threat towomen’s health.Calcium overload,a minimally invasive tumor treatment,aims to accumulate an excessive concentration of Ca^(2+)within m... Cervical cancer stands is a formidablemalignancy that poses a significant threat towomen’s health.Calcium overload,a minimally invasive tumor treatment,aims to accumulate an excessive concentration of Ca^(2+)within mitochondria,triggering apoptosis.Copper sulfide(CuS)represents a photothermal mediator for tumor hyperthermia.However,relying solely on thermotherapy often proves insufficient in controlling tumor growth.Curcumin(CUR),an herbal compound with anti-cancer properties,inhibits the efflux of exogenous Ca^(2+)while promoting its excretion from the endoplasmic reticulum into the cytoplasm.To harness these therapeutic modalities,we have developed a nanoplatform that incorporates hollow CuS nanoparticles(NPs)adorned with multiple CaCO_(3) particles and internally loaded with CUR.This nanocomposite exhibits high uptake and easy escape from lysosomes,along with the degradation of surrounding CaCO3,provoking the generation of abundant exogenous Ca^(2+)in situ,ultimately damaging the mitochondria of diseased cells.Impressively,under laser excitation,the CuS NPs demonstrate a photothermal effect that accelerates the degradation of CaCO_(3),synergistically enhancing the antitumor effect through photothermal therapy.Additionally,fluorescence imaging reveals the distribution of these nanovehicles in vivo,indicating their effective accumulation at the tumor site.This nanoplatform shows promising outcomes for tumor-targeting and the effective treatment in a murine model of cervical cancer,achieved through cascade enhancement of calcium overload-based dual therapy. 展开更多
关键词 Hollow CuS nanovehicles Tumor-specific synergistic therapy Mitochondrial damage Cascade-enhanced calcium overload
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Effect of the LEARNS Model on Self-Care Agency and Compliance in Hemodialysis Patients with Fluid Overload
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作者 Zhenzhen Hao Yang Xu +2 位作者 Jing Li Li Guo Jiao Yao 《Journal of Clinical and Nursing Research》 2024年第12期217-222,共6页
Objective:To explore an intervention strategy for patients with fluid overload undergoing maintenance hemodialysis and to evaluate the effects of the LEARNS model on improving self-care agency and patient compliance.M... Objective:To explore an intervention strategy for patients with fluid overload undergoing maintenance hemodialysis and to evaluate the effects of the LEARNS model on improving self-care agency and patient compliance.Methods:A total of 76 patients with fluid overload undergoing maintenance hemodialysis at our hospital from March 2023 to March 2024 were selected for the study.Patients were randomly divided into two groups,with 38 in each group.The control group received conventional interventions,while the observation group was treated using the LEARNS model.Self-care agency,compliance,and quality of life outcomes in both groups were analyzed and compared.Results:Before the intervention,no statistically significant differences were observed in the self-care agency scores between the two groups(P>0.05).After the intervention,patients’self-care agency improved significantly,with the observation group showing notably higher scores than the control group(P<0.05).Patient compliance in the observation group was also significantly higher than in the control group(P<0.05).Quality of life,assessed using the SF-36 scale,showed no significant differences between the two groups prior to intervention(P>0.05).After the intervention,quality of life scores improved significantly in both groups,with the observation group exhibiting significantly higher scores than the control group(P<0.05).Conclusion:The LEARNS model is effective in improving patient compliance,enhancing self-care agency,and improving quality of life in maintenance hemodialysis patients with fluid overload,making it a promising approach for broader application. 展开更多
关键词 LEARNS model Maintenance hemodialysis Fluid overload Self-care agency COMPLIANCE
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腹膜透析患者铁过载状况及对其生存预后的影响 被引量:1
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作者 陈娜 付丽娜 +4 位作者 马亚琪 肖东星 褚睿 陈孟华 田娜 《宁夏医科大学学报》 2025年第4期377-382,共6页
目的探讨单中心腹膜透析患者铁过载发生状况和影响因素及对患者生存预后的影响。方法收集2017年1月至2023年1月在宁夏医科大学总医院规律行腹膜透析患者的人口学特征、病史、血清学指标等资料。根据血清铁蛋白水平分为铁过载组和非铁过... 目的探讨单中心腹膜透析患者铁过载发生状况和影响因素及对患者生存预后的影响。方法收集2017年1月至2023年1月在宁夏医科大学总医院规律行腹膜透析患者的人口学特征、病史、血清学指标等资料。根据血清铁蛋白水平分为铁过载组和非铁过载组;根据血红蛋白水平及铁蛋白和转铁蛋白饱和度水平进行亚组分析,比较组间临床特征差异、铁过载的相关影响因素及对生存预后的影响。结果本研究纳入腹膜透析患者135人,其中铁过载患者占40%。铁过载组患者的透析龄、网织红细胞计数、全段甲状旁腺激素、血清铁、转铁饱和度、血糖、药物性牙龈增生比例、β2微球蛋白均高于非铁过载组,其尿量、总铁结合力低于非铁过载组(P均<0.05)。铁过载组静脉补铁的患者比例高于非铁过载组(P<0.05)。铁过载与透析龄、静脉补铁、药物性牙龈增生、超滤量、网织红细胞计数、血清铁、转铁蛋白饱和度、血糖、β2微球蛋白均呈正相关(P均<0.05);与尿量、总铁结合力呈负相关(P<0.05)。经过中位43个月的队列观察,Kaplan-Meier生存分析显示,是否存在铁过载与全因病死率之间无相关性(P=0.174)。结论铁过载在腹膜透析患者中普遍存在,长透析龄、静脉补铁、血糖高、β2微球蛋白水平高均与铁过载相关;对于远期预后尚未发现铁过载存在不良影响。 展开更多
关键词 腹膜透析 铁过载 贫血 预后
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社会冲突治理的组织过载难题、梗阻镜像及应力调校 被引量:1
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作者 胡锐军 《南京师大学报(社会科学版)》 北大核心 2025年第2期137-147,共11页
各级权力机关是防范社会冲突的最核心动力单元。随着中国式现代化的纵深发展,社会秩序的变革更加剧烈,其所面临的治理瓶颈日益凸显,这源于社会冲突诱发的组织过载难题及由此所衍生的系列困境。其中,组织运行中呈现和面临的势能超宽、功... 各级权力机关是防范社会冲突的最核心动力单元。随着中国式现代化的纵深发展,社会秩序的变革更加剧烈,其所面临的治理瓶颈日益凸显,这源于社会冲突诱发的组织过载难题及由此所衍生的系列困境。其中,组织运行中呈现和面临的势能超宽、功能超限、负能超高等问题对社会冲突治理形成了一定的短板、障碍和梗阻:组织机构设置的缺失与臃肿;组织机构运行的亢进与僵化;组织机构维护的对抗与冷漠。为此,要对其抗压应力作出合理调校,重点是建立三种对应的压力缓解机制,分别是:责任分担与任务分解的减压机制;力量加固与功能整合的弹性机制;文化滋养与认同培育的润滑机制。 展开更多
关键词 社会冲突治理 组织过载 治理困境 梗阻镜像 应力调校
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心理认知因素对公众健康信息获取行为的影响调查研究 被引量:1
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作者 刘宁 曹湘博 秦洪晶 《医学信息学杂志》 2025年第3期68-72,共5页
目的/意义调查分析不同心理认知因素对公众健康信息获取行为产生的影响,为建立新型健康信息服务模式提供依据。方法/过程通过文献回顾构建心理认知因素与健康信息获取行为相关性理论模型,设计结构化问卷,使用偏最小二乘结构方程模型检... 目的/意义调查分析不同心理认知因素对公众健康信息获取行为产生的影响,为建立新型健康信息服务模式提供依据。方法/过程通过文献回顾构建心理认知因素与健康信息获取行为相关性理论模型,设计结构化问卷,使用偏最小二乘结构方程模型检验心理认知因素与健康信息获取行为之间的相关性。结果/结论信息过载、信息焦虑、信息回避与公众健康信息获取行为相关性假设成立,且对其产生负面影响,导致公众作出不利于自身健康的决策。 展开更多
关键词 健康信息获取 信息过载 信息焦虑 信息回避
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采空区下回撤通道围岩应力偏增载模式及控制 被引量:1
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作者 陈冬冬 张志峰 +1 位作者 贾清博 王奕洋 《华中科技大学学报(自然科学版)》 北大核心 2025年第7期136-144,共9页
针对采空区下回撤通道围岩在工作面回采过程中出现的非对称变形破坏及末采阶段覆岩失稳压架问题,采用数值模拟及现场实际矿压观测等方法,对回撤通道围岩支承压力、主应力及偏应力演化规律进行研究.得到结论:工作面回采全过程中,采空区... 针对采空区下回撤通道围岩在工作面回采过程中出现的非对称变形破坏及末采阶段覆岩失稳压架问题,采用数值模拟及现场实际矿压观测等方法,对回撤通道围岩支承压力、主应力及偏应力演化规律进行研究.得到结论:工作面回采全过程中,采空区下回撤通道围岩应力呈现非对称偏增载特征;回撤通道围岩偏应力高峰区的演化模式分为6个阶段,即两侧偏应力高峰区启动型→两帮偏应力高峰值微增型→采帮偏应力高峰区及数值达最大型→采帮偏应力高峰区域反向型→采帮偏应力高峰区及数值陡降型→非采帮偏应力高峰区及数值达最大型;回撤通道围岩补强控制关键区域为回撤通道非采帮与顶板交接区域;形成的回撤通道围岩控制技术为:锚杆与锚索基本支护+回撤通道围岩偏应力高峰区补强支护+回撤通道采空区侧的顶板预裂切顶.现场监测结果显示,回撤通道围岩最大变形量约246 mm,实现了工作面设备的安全回撤. 展开更多
关键词 采空区 回撤通道 偏增载 非对称支护 围岩控制
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机电结构高过载特性地面模拟实验研究进展
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作者 孙世岩 李池 +2 位作者 张轶群 梁伟阁 赵洋 《海军工程大学学报》 北大核心 2025年第2期78-84,共7页
机电结构抗高过载技术已成为制约智能化弹药快速发展的瓶颈技术之一,而机电结构在高过载环境下的性能特性,需要结合现代实验技术进行验证研究。针对现阶段过载环境模拟实验研究的现状,总结了不同实验方法的研究特点;针对现阶段过载实验... 机电结构抗高过载技术已成为制约智能化弹药快速发展的瓶颈技术之一,而机电结构在高过载环境下的性能特性,需要结合现代实验技术进行验证研究。针对现阶段过载环境模拟实验研究的现状,总结了不同实验方法的研究特点;针对现阶段过载实验方法的局限性,结合电磁与气体发射技术的应用特点,总结了模拟高过载环境新的技术途径,为后续广大科研工作的实验研究提供了一种新思路。 展开更多
关键词 机电结构 环境实验 过载
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铁过载与骨质疏松症相关性研究进展
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作者 张彬 许超 +3 位作者 刘悦 许伟攀 王敏龙 丁积勇 《中国骨质疏松杂志》 北大核心 2025年第11期1634-1639,1643,共7页
铁过载是一种体内铁储存过多、超过细胞可耐受阈值的病理状态。由于人体没有有效的铁排泄机制,过量的铁沉积在骨骼等器官组织中,从而导致铁中毒。这些沉积的铁会打破骨代谢平衡,最终造成骨吸收增加,提高罹患骨质疏松风险。最近有许多研... 铁过载是一种体内铁储存过多、超过细胞可耐受阈值的病理状态。由于人体没有有效的铁排泄机制,过量的铁沉积在骨骼等器官组织中,从而导致铁中毒。这些沉积的铁会打破骨代谢平衡,最终造成骨吸收增加,提高罹患骨质疏松风险。最近有许多研究已将铁过载作为骨质疏松症的独立危险因素。铁过载不仅与老年性骨质疏松、绝经后骨质疏松以及青少年骨代谢发育密切相关,还可以直接导致与铁代谢相关的继发性骨质疏松。因此,认清铁过载对人体骨密度的重要影响,梳理铁代谢相关性骨质疏松症主要风险人群,明确其发病机制,对当前骨质疏松症的预防和治疗意义重大。 展开更多
关键词 铁过载 骨代谢 骨质疏松症
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火箭电液伺服机构在过载环境下的伺服阀零偏特性研究
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作者 孙毅 王增 +2 位作者 王建军 曲颖 张磊 《机床与液压》 北大核心 2025年第14期144-148,共5页
现役运载火箭多采用伺服阀控电液伺服机构完成火箭发动机的推力矢量控制,阀控伺服机构能够在毫秒级的时间内响应控制指令,确保火箭飞行过程中的姿态稳定和轨道调整的准确性。然而,某些高加速与机动能力强的过载环境会导致伺服阀出现工... 现役运载火箭多采用伺服阀控电液伺服机构完成火箭发动机的推力矢量控制,阀控伺服机构能够在毫秒级的时间内响应控制指令,确保火箭飞行过程中的姿态稳定和轨道调整的准确性。然而,某些高加速与机动能力强的过载环境会导致伺服阀出现工作零位漂移或零偏电流增大的故障,影响火箭飞行控制的精度和稳定性。基于此,对某火箭电液伺服机构配套伺服阀在过载环境下进行零偏特性分析。对伺服阀前置级和功率级的受力开展理论分析,得到过载大小和方向对伺服阀零偏电流的影响规律;然后设计伺服阀的过载试验方案,采集伺服阀在不同过载条件下的零偏电流并进行对比,通过试验验证了理论分析的正确性。结果表明:仅当过载方向与伺服阀阀芯轴向一致时,伺服阀零偏电流受到的干扰最大,此时来自伺服阀挡板的转动力矩在过载力的作用下增加,并且其增加量与过载加速度成正比,阀芯所受过载力对伺服阀零偏电流的影响很小;当过载方向位于伺服阀阀芯轴向的垂直方向(即纵向或法向)时,能够有效避免过载环境对伺服阀零偏电流的影响,可以合理设置伺服机构的安装方向,避免过载方向与伺服阀阀芯轴向一致,以保障火箭伺服的控制精度。 展开更多
关键词 过载方向 伺服阀 零偏电流 控制精度
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