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Overcoming Dynamic Connectivity in Internet of Vehicles:A DAG Lattice Blockchain with Reputation-Based Incentive
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作者 Xiaodong Zhang Wenhan Hou +2 位作者 Juanjuan Wang Leixiao Li Pengfei Yue 《Computers, Materials & Continua》 2026年第2期1803-1822,共20页
Blockchain offers a promising solution to the security challenges faced by the Internet of Vehicles(IoV).However,due to the dynamic connectivity of IoV,blockchain based on a single-chain structure or Directed Acyclic ... Blockchain offers a promising solution to the security challenges faced by the Internet of Vehicles(IoV).However,due to the dynamic connectivity of IoV,blockchain based on a single-chain structure or Directed Acyclic Graph(DAG)structure often suffer from performance limitations.The DAG lattice structure is a novel blockchain model in which each node maintains its own account chain,and only the node itself is allowed to update it.This feature makes the DAG lattice structure particularly suitable for addressing the challenges in dynamically connected IoV environment.In this paper,we propose a blockchain architecture based on the DAG lattice structure,specifically designed for dynamically connected IoV.In the proposed system,nodes must obtain authorization from a trusted authority before joining,forming a permissioned blockchain.Each node is assigned an individual account chain,allowing vehicles with limited storage capacity to participate in the blockchain by storing transactions only from nearby vehicles’account chains.Every transmitted message is treated as a transaction and added to the blockchain,enablingmore efficient data transmission in a dynamic network environment.Areputation-based incentivemechanism is introduced to encourage nodes to behave normally.Experimental results demonstrate that the proposed architecture achieves better performance compared with traditional single-chain and DAG-based approaches in terms of average transmission delay and storage cost. 展开更多
关键词 Blockchain internet of vehicles dynamic connectivity dAG lattice INCENTIVE
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FSL-TM:Review on the Integration of Federated Split Learning with TinyML in the Internet of Vehicles
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作者 Meenakshi Aggarwal Vikas Khullar Nitin Goyal 《Computers, Materials & Continua》 2026年第2期290-320,共31页
The Internet of Vehicles,or IoV,is expected to lessen pollution,ease traffic,and increase road safety.IoV entities’interconnectedness,however,raises the possibility of cyberattacks,which can have detrimental effects.... The Internet of Vehicles,or IoV,is expected to lessen pollution,ease traffic,and increase road safety.IoV entities’interconnectedness,however,raises the possibility of cyberattacks,which can have detrimental effects.IoV systems typically send massive volumes of raw data to central servers,which may raise privacy issues.Additionally,model training on IoV devices with limited resources normally leads to slower training times and reduced service quality.We discuss a privacy-preserving Federated Split Learning with Tiny Machine Learning(TinyML)approach,which operates on IoV edge devices without sharing sensitive raw data.Specifically,we focus on integrating split learning(SL)with federated learning(FL)and TinyML models.FL is a decentralisedmachine learning(ML)technique that enables numerous edge devices to train a standard model while retaining data locally collectively.The article intends to thoroughly discuss the architecture and challenges associated with the increasing prevalence of SL in the IoV domain,coupled with FL and TinyML.The approach starts with the IoV learning framework,which includes edge computing,FL,SL,and TinyML,and then proceeds to discuss how these technologies might be integrated.We elucidate the comprehensive operational principles of Federated and split learning by examining and addressingmany challenges.We subsequently examine the integration of SL with FL and various applications of TinyML.Finally,exploring the potential integration of FL and SL with TinyML in the IoV domain is referred to as FSL-TM.It is a superior method for preserving privacy as it conducts model training on individual devices or edge nodes,thereby obviating the necessity for centralised data aggregation,which presents considerable privacy threats.The insights provided aim to help both researchers and practitioners understand the complicated terrain of FL and SL,hence facilitating advancement in this swiftly progressing domain. 展开更多
关键词 Machine learning federated learning split learning TinyML internet of vehicles
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MWaOA:A Bio-Inspired Metaheuristic Algorithm for Resource Allocation in Internet of Things
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作者 Rekha Phadke Abdul Lateef Haroon Phulara Shaik +3 位作者 Dayanidhi Mohapatra Doaa Sami Khafaga Eman Abdullah Aldakheel N.Sathyanarayana 《Computers, Materials & Continua》 2026年第2期1285-1310,共26页
Recently,the Internet of Things(IoT)technology has been utilized in a wide range of services and applications which significantly transforms digital ecosystems through seamless interconnectivity between various smart ... Recently,the Internet of Things(IoT)technology has been utilized in a wide range of services and applications which significantly transforms digital ecosystems through seamless interconnectivity between various smart devices.Furthermore,the IoT plays a key role in multiple domains,including industrial automation,smart homes,and intelligent transportation systems.However,an increasing number of connected devices presents significant challenges related to efficient resource allocation and system responsiveness.To address these issue,this research proposes a Modified Walrus Optimization Algorithm(MWaOA)for effective resource management in smart IoT systems.In the proposed MWaOA,a crowding process is incorporated to maintain diversity and avoid premature convergence thereby enhancing the global search capability.During resource allocation,the MWaOA prevents early convergence,which aids in achieving a better balance between the exploration and exploitation phases during optimization.Empirical evaluations show that the MWaOA reduces energy consumption by approximately 4% to 34%and minimizes the response time by 6% to 33% across different service arrival rates.Compared to traditional optimization algorithms,MWaOA reduces energy consumption by 5% to 30%and minimizes the response time by 4% to 28% across different simulation epochs.The proposed MWaOA provides adaptive and robust resource allocation,thereby minimizing transmission cost while considering network constraints and real-time performance parameters. 展开更多
关键词 delay GATEWAY internet of things resource allocation resource management walrus optimization algorithm
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Lightweight Hash-Based Post-Quantum Signature Scheme for Industrial Internet of Things
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作者 Chia-Hui Liu 《Computers, Materials & Continua》 2026年第2期1041-1058,共18页
TheIndustrial Internet of Things(IIoT)has emerged as a cornerstone of Industry 4.0,enabling large-scale automation and data-driven decision-making across factories,supply chains,and critical infrastructures.However,th... TheIndustrial Internet of Things(IIoT)has emerged as a cornerstone of Industry 4.0,enabling large-scale automation and data-driven decision-making across factories,supply chains,and critical infrastructures.However,the massive interconnection of resource-constrained devices also amplifies the risks of eavesdropping,data tampering,and device impersonation.While digital signatures are indispensable for ensuring authenticity and non-repudiation,conventional schemes such as RSA and ECCare vulnerable to quantumalgorithms,jeopardizing long-termtrust in IIoT deployments.This study proposes a lightweight,stateless,hash-based signature scheme that achieves post-quantum security while addressing the stringent efficiency demands of IIoT.The design introduces two key optimizations:(1)Forest ofRandomSubsets(FORS)onDemand,where subset secret keys are generated dynamically via a PseudoRandom Function(PRF),thereby minimizing storage overhead and eliminating key-reuse risks;and(2)Winternitz One-Time Signature Plus(WOTS+)partial hash-chain caching,which precomputes intermediate hash values at edge gateways,reducing device-side computations,latency,and energy consumption.The architecture integrates a multi-layerMerkle authentication tree(Merkle tree)and role-based delegation across sensors,gateways,and a Signature Authority Center(SAC),supporting scalable cross-site deployment and key rotation.Froma theoretical perspective,we establish a formal(Existential Unforgeability under Chosen Message Attack)EUF-CMA security proof using a game-based reduction framework.The proof demonstrates that any successful forgerymust reduce to breaking the underlying assumptions of PRF indistinguishability,(second)preimage resistance,or collision resistance,thus quantifying adversarial advantage and ensuring unforgeability.On the implementation side,our design achieves a balanced trade-off between postquantum security and lightweight performance,offering concrete deployment guidelines for real-time industrial systems.In summary,the proposed method contributes both practical system design and formal security guarantees,providing IIoT with a deployable signature substrate that enhances resilience against quantum-era threats and supports future extensions such as device attestation,group signatures,and anomaly detection. 展开更多
关键词 Industrial internet of Things(IIoT) post-quantum cryptography hash-based signatures SPHINCS+
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Robust and Efficient Federated Learning for Machinery Fault Diagnosis in Internet of Things
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作者 Zhen Wu Hao Liu +4 位作者 Linlin Zhang Zehui Zhang Jie Wu Haibin He Bin Zhou 《Computers, Materials & Continua》 2026年第4期1051-1069,共19页
Recently,Internet ofThings(IoT)has been increasingly integrated into the automotive sector,enabling the development of diverse applications such as the Internet of Vehicles(IoV)and intelligent connected vehicles.Lever... Recently,Internet ofThings(IoT)has been increasingly integrated into the automotive sector,enabling the development of diverse applications such as the Internet of Vehicles(IoV)and intelligent connected vehicles.Leveraging IoVtechnologies,operational data fromcore vehicle components can be collected and analyzed to construct fault diagnosis models,thereby enhancing vehicle safety.However,automakers often struggle to acquire sufficient fault data to support effective model training.To address this challenge,a robust and efficient federated learning method(REFL)is constructed for machinery fault diagnosis in collaborative IoV,which can organize multiple companies to collaboratively develop a comprehensive fault diagnosis model while keeping their data locally.In the REFL,the gradient-based adversary algorithm is first introduced to the fault diagnosis field to enhance the deep learning model robustness.Moreover,the adaptive gradient processing process is designed to improve the model training speed and ensure the model accuracy under unbalance data scenarios.The proposed REFL is evaluated on non-independent and identically distributed(non-IID)real-world machinery fault dataset.Experiment results demonstrate that the REFL can achieve better performance than traditional learning methods and are promising for real industrial fault diagnosis. 展开更多
关键词 Federated learning adversary algorithm internet of Vehicles(IoV) fault diagnosis
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Anomaly Detection Method of Power Internet of Things Terminals in Zero-Trust Environment
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作者 Sun Pengzhan Ren Yinlin +2 位作者 Shao Sujie Yang Chao Qiu Xuesong 《China Communications》 2026年第1期290-305,共16页
With more and more IoT terminals being deployed in various power grid business scenarios,terminal reliability has become a practical challenge that threatens the current security protection architecture.Most IoT termi... With more and more IoT terminals being deployed in various power grid business scenarios,terminal reliability has become a practical challenge that threatens the current security protection architecture.Most IoT terminals have security risks and vulnerabilities,and limited resources make it impossible to deploy costly security protection methods on the terminal.In order to cope with these problems,this paper proposes a lightweight trust evaluation model TCL,which combines three network models,TCN,CNN,and LSTM,with stronger feature extraction capability and can score the reliability of the device by periodically analyzing the traffic behavior and activity logs generated by the terminal device,and the trust evaluation of the terminal’s continuous behavior can be achieved by combining the scores of different periods.After experiments,it is proved that TCL can effectively use the traffic behaviors and activity logs of terminal devices for trust evaluation and achieves F1-score of 95.763,94.456,99.923,and 99.195 on HDFS,BGL,N-BaIoT,and KDD99 datasets,respectively,and the size of TCL is only 91KB,which can achieve similar or better performance than CNN-LSTM,RobustLog and other methods with less computational resources and storage space. 展开更多
关键词 anomaly detection distributed machine learning power internet of Things zero trust
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A Multi-Objective Deep Reinforcement Learning Algorithm for Computation Offloading in Internet of Vehicles
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作者 Junjun Ren Guoqiang Chen +1 位作者 Zheng-Yi Chai Dong Yuan 《Computers, Materials & Continua》 2026年第1期2111-2136,共26页
Vehicle Edge Computing(VEC)and Cloud Computing(CC)significantly enhance the processing efficiency of delay-sensitive and computation-intensive applications by offloading compute-intensive tasks from resource-constrain... Vehicle Edge Computing(VEC)and Cloud Computing(CC)significantly enhance the processing efficiency of delay-sensitive and computation-intensive applications by offloading compute-intensive tasks from resource-constrained onboard devices to nearby Roadside Unit(RSU),thereby achieving lower delay and energy consumption.However,due to the limited storage capacity and energy budget of RSUs,it is challenging to meet the demands of the highly dynamic Internet of Vehicles(IoV)environment.Therefore,determining reasonable service caching and computation offloading strategies is crucial.To address this,this paper proposes a joint service caching scheme for cloud-edge collaborative IoV computation offloading.By modeling the dynamic optimization problem using Markov Decision Processes(MDP),the scheme jointly optimizes task delay,energy consumption,load balancing,and privacy entropy to achieve better quality of service.Additionally,a dynamic adaptive multi-objective deep reinforcement learning algorithm is proposed.Each Double Deep Q-Network(DDQN)agent obtains rewards for different objectives based on distinct reward functions and dynamically updates the objective weights by learning the value changes between objectives using Radial Basis Function Networks(RBFN),thereby efficiently approximating the Pareto-optimal decisions for multiple objectives.Extensive experiments demonstrate that the proposed algorithm can better coordinate the three-tier computing resources of cloud,edge,and vehicles.Compared to existing algorithms,the proposed method reduces task delay and energy consumption by 10.64%and 5.1%,respectively. 展开更多
关键词 deep reinforcement learning internet of vehicles multi-objective optimization cloud-edge computing computation offloading service caching
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Scalable and Resilient AI Framework for Malware Detection in Software-Defined Internet of Things
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作者 Maha Abdelhaq Ahmad Sami Al-Shamayleh +2 位作者 Adnan Akhunzada Nikola Ivkovi´c Toobah Hasan 《Computers, Materials & Continua》 2026年第4期1307-1321,共15页
The rapid expansion of the Internet of Things(IoT)and Edge Artificial Intelligence(AI)has redefined automation and connectivity acrossmodern networks.However,the heterogeneity and limited resources of IoT devices expo... The rapid expansion of the Internet of Things(IoT)and Edge Artificial Intelligence(AI)has redefined automation and connectivity acrossmodern networks.However,the heterogeneity and limited resources of IoT devices expose them to increasingly sophisticated and persistentmalware attacks.These adaptive and stealthy threats can evade conventional detection,establish remote control,propagate across devices,exfiltrate sensitive data,and compromise network integrity.This study presents a Software-Defined Internet of Things(SD-IoT)control-plane-based,AI-driven framework that integrates Gated Recurrent Units(GRU)and Long Short-TermMemory(LSTM)networks for efficient detection of evolving multi-vector,malware-driven botnet attacks.The proposed CUDA-enabled hybrid deep learning(DL)framework performs centralized real-time detection without adding computational overhead to IoT nodes.A feature selection strategy combining variable clustering,attribute evaluation,one-R attribute evaluation,correlation analysis,and principal component analysis(PCA)enhances detection accuracy and reduces complexity.The framework is rigorously evaluated using the N_BaIoT dataset under k-fold cross-validation.Experimental results achieve 99.96%detection accuracy,a false positive rate(FPR)of 0.0035%,and a detection latency of 0.18 ms,confirming its high efficiency and scalability.The findings demonstrate the framework’s potential as a robust and intelligent security solution for next-generation IoT ecosystems. 展开更多
关键词 AI-driven malware analysis advanced persistent malware(APM) AI-poweredmalware detection deep learning(dL) malware-driven botnets software-defined internet of things(Sd-IoT)
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高剂量维生素D在儿童短肠综合征合并维生素D不足/缺乏中的应用
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作者 吴青青 曹毅 +4 位作者 陆丽娜 陶怡菁 冯海霞 颜伟慧 王莹 《上海交通大学学报(医学版)》 北大核心 2026年第1期54-59,共6页
目的·探讨单次高剂量肌内注射途径补充维生素D对儿童短肠综合征(short bowel syndrome,SBS)合并维生素D不足/缺乏的安全性和有效性。方法·回顾性纳入32例SBS合并维生素D不足/缺乏的儿童。当患儿血清25-羟维生素D[25-hydroxyvi... 目的·探讨单次高剂量肌内注射途径补充维生素D对儿童短肠综合征(short bowel syndrome,SBS)合并维生素D不足/缺乏的安全性和有效性。方法·回顾性纳入32例SBS合并维生素D不足/缺乏的儿童。当患儿血清25-羟维生素D[25-hydroxyvitamin D,25-(OH)D]浓度低于50 nmol/L时,通过肌内注射途径补充200000 IU的维生素D2。收集患儿的临床资料(性别、年龄、原发疾病、小肠剩余长度、是否保留回盲瓣以及结肠是否完整等),记录肌内注射部位皮肤情况,以及维生素D补充前和补充后1个月的血清25-(OH)D、钙、磷和碱性磷酸酶水平状况。结果·SBS患儿入组时的中位年龄为5.0(3.0,7.0)个月。小肠闭锁和坏死性小肠结肠炎是导致SBS的主要原因(分别占28.13%和21.88%),剩余小肠平均长度为(57.27±24.55)cm。在补充维生素D之前,65.63%(21/32)的患儿存在维生素D缺乏,34.38%(11/32)的患儿存在维生素D不足。在补充维生素D之后,患儿25-(OH)D水平由28.87 nmol/L显著升高至53.10 nmol/L(P<0.001);在维生素D不足的患儿中,25-(OH)D水平从37.30 nmol/L显著升高至58.51 nmol/L(P=0.010);而在维生素D缺乏的患儿中,该水平从26.91 nmol/L显著升高至44.82 nmol/L(P<0.001);62.50%(20/32)的患儿25-(OH)D浓度达到正常水平。所有患儿在研究期间均未出现维生素D中毒、高钙血症、皮肤硬结或局部感染等并发症。结论·单次、高剂量(200000 IU)肌内注射途径补充维生素D,可以安全、有效地改善SBS合并维生素D不足/缺乏婴儿的维生素D水平。 展开更多
关键词 短肠综合征 儿童 高剂量 维生素d
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基于金属纳米光栅结构修饰的D型光纤表面等离激元共振超材料传感器研究
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作者 刘琨 熊艺扬 +8 位作者 井建迎 朱枫彤 肖璐 战晓寒 刘津畅 江俊峰 徐天华 王双 刘铁根 《量子电子学报》 北大核心 2026年第1期141-150,共10页
超材料因其独特的亚波长结构设计和独特的电磁响应特性,在提升表面等离激元共振(Surface Plasmon Resonance,SPR)传感器灵敏度方面具有广阔前景。本文设计了一款金属纳米光栅结构修饰的D型光纤SPR超材料传感器,并对折射率范围在1.332~1.... 超材料因其独特的亚波长结构设计和独特的电磁响应特性,在提升表面等离激元共振(Surface Plasmon Resonance,SPR)传感器灵敏度方面具有广阔前景。本文设计了一款金属纳米光栅结构修饰的D型光纤SPR超材料传感器,并对折射率范围在1.332~1.344的低折射率溶液进行了传感检测。首先,基于倏逝波和表面等离极化激元(Surface Plasmon Polaritons,SPPs)的光波矢特性,对D型光纤SPR传感器进行了理论分析,绘制得到不同折射率下共振波长随入射角度变化的解析解曲线,以便研究光纤中不同传导模式下的SPR激发条件。进而建立了D型光纤SPR超材料传感器二维有限元仿真模型进行模式分析研究,计算了模式损耗和传感器的灵敏度。最后,基于前述的仿真模型,具体构建了分别为以不同间隔的双条带或者单条带为金属光栅单元的传感器,以及使用银/铜替代金,作为金属连续层和金属光栅材料时的传感器,对比探究了这些传感器的灵敏度性能。研究结果表明,改变双条带光栅单元的条带间隔,对灵敏度的影响并不显著,与光栅单元为单条带的传感器灵敏度几乎一致;使用银替代金作为连续金属层材料时,传感器的灵敏度性能达到最优,可达1800 nm·RIU^(-1)。 展开更多
关键词 表面等离激元共振 灵敏度优化 金属纳米光栅 d型光纤
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拉萨市不同孕期妇女血清25羟基维生素D水平的比较
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作者 尼玛顿珠 扎西央宗 +5 位作者 边珍 益西措姆 支张卓玛 詹明君 巴桑央吉 秦绪珍 《基础医学与临床》 2026年第1期120-123,共4页
目的了解西藏拉萨市不同孕期妇女血清25羟基维生素D[25-(OH)D]浓度水平,观察不同孕期妇女维生素D(VD)营养状态。方法选取在2021年7月至2023年4月在西藏自治区人民医院产科门诊就诊的健康孕妇367例为研究对象,取同期209例未妊娠的育龄期... 目的了解西藏拉萨市不同孕期妇女血清25羟基维生素D[25-(OH)D]浓度水平,观察不同孕期妇女维生素D(VD)营养状态。方法选取在2021年7月至2023年4月在西藏自治区人民医院产科门诊就诊的健康孕妇367例为研究对象,取同期209例未妊娠的育龄期体检妇女为正常对照组,采用雅培i2000化学发光仪检测血清25-(OH)D水平,用SPSS统计学软件进行统计分析。结果367例孕期妇女血清25-(OH)D总体水平为11.5(8.5,17.3)ng/mL。VD充足、不足、缺乏分别占16.6%、30.0%、53.4%;209例健康对照组妇女血清25-(OH)D总体水平为9.9(7.7,13.6)ng/mL。VD充足、不足、缺乏分别占6.7%、27.8%、65.5%。9~13^(+6)周、15~20^(+6)周孕期妇女血清25-(OH)D水平比较差异无统计学意义。结论拉萨市孕期和未妊娠育龄妇女普遍存在VD不足或缺乏现象,应在备孕及怀孕期间补充VD。 展开更多
关键词 孕妇 25羟基维生素d 维生素d
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甲型流感病毒感染相关危险因素及其25-羟基维生素D与血常规参数表达
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作者 于丽瑞 黄玉焕 周曼丽 《病毒学报》 北大核心 2026年第1期200-206,共7页
目的分析甲型流感病毒(INFA)感染相关危险因素及其25-羟基维生素D[25(OH)D]与血常规参数表达特点。方法选取我院2022年10月-2024年9月收治的212例有流感症状患儿,根据上呼吸道核酸六项检测结果分为INFA感染组(n=55)和INFA未感染组(n=15... 目的分析甲型流感病毒(INFA)感染相关危险因素及其25-羟基维生素D[25(OH)D]与血常规参数表达特点。方法选取我院2022年10月-2024年9月收治的212例有流感症状患儿,根据上呼吸道核酸六项检测结果分为INFA感染组(n=55)和INFA未感染组(n=157),采用Logistic回归模型分析INFA感染相关危险因素,采用ROC曲线分析预测变量准确性。结果212例患儿中,INFA感染55例(25.94%)。多因素结果显示:年龄、热程、咳嗽咳痰、喘息、未接种流感疫苗、住院时间是INFA感染的独立影响因素(P<0.05)。策树模型显示住院时间(≥7d)是重要预测因子。ROC分析结果显示:PLT、WBC、LYMPH、NEUT、MON、25(OH)D、HCT、MCV、Hb、CRP、SAA指标预测PICU中INFA感染均具有统计学意义(P<0.05)。结论PICU中INFA感染患儿早期具显著临床特征,应高度关注年龄、热程、咳嗽咳痰、喘息、未接种流感疫苗、住院时间等因素,加强血清25(OH)D及血常规水平监测,以预防INFA感染发生。 展开更多
关键词 甲型流感病毒感染 危险因素 25-羟基维生素d 血常规
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昆明地区RhD初筛阴性献血者RHD基因多态性及分子机制研究
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作者 杜霞 李茜 +6 位作者 涂源泉 陈璐 张智慧 彭沫溱 罗臻 寸伟 朱祥明 《临床输血与检验》 2026年第1期97-102,共6页
目的研究昆明地区RhD初筛阴性献血者RHD基因的多态性及其分子机制,为建立区域性献血者RHD基因数据库提供数据支持。方法选择昆明地区2023年11月-2024年8月初筛RhD阴性标本218例,采用间接抗球蛋白试验法(IAT)进行RhD阴性确认,采用盐水试... 目的研究昆明地区RhD初筛阴性献血者RHD基因的多态性及其分子机制,为建立区域性献血者RHD基因数据库提供数据支持。方法选择昆明地区2023年11月-2024年8月初筛RhD阴性标本218例,采用间接抗球蛋白试验法(IAT)进行RhD阴性确认,采用盐水试管法进行RhCE表型鉴定。提取全血基因组DNA,采用PCR-SSP法/SSP荧光PCR染料法进行RHD基因分型,对无法确定基因型的标本进行RHD基因1~10外显子Sanger测序分析。结果检出RhD真阴性表型179例(82.11%),其中RHD*01N.01(RHD全缺失)型154例(86.03%),表型以ccee为主(87.01%);携带非功能性RHD等位基因25例(13.97%),包括RHD*01N.0320例、RHD*01N.163例、RHD*01N.051例、RHD*01N.591例,表型以Ccee为主(64%)。检出D变异型39例(15.89%),其中RHD*DEL1(c.1227G>A)型34例,表型均为C抗原阳性(Ccee 27例,CCee 7例);弱D/部分D型4例,包括RHD*DVI.32例、RHD*weak D type 711例、RHD*weak D type1081例;另检出1例RHD*01/RHD*01N.01,基因型与血清学表型结果不一致。RHD*01N.01女性献血者不规则抗体(主要为抗-D)阳性率9.84%。结论昆明地区RhD初筛阴性献血者RHD基因多态性显著,RhD真阴性比例高于国内部分地区,D变异型以“亚洲型”DEL为主,比例低于国内部分地区。研究结果为本地区RhD阴性和D变异型个体精准输血提供了理论和数据支持。 展开更多
关键词 RHd阴性 d变异型 亚洲型dEL 基因多态性 分子机制
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妊娠期血清维生素D水平的影响因素及与妊娠结局的关系
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作者 杜潘艳 高翠红 +3 位作者 王振荣 李艳华 赵娜 吴景华 《中国妇幼健康研究》 2026年第2期65-71,共7页
目的了解唐山地区孕妇血清维生素D(VD)水平,探讨其影响因素及与妊娠结局的相关性。方法纳入2022年7月—2024年6月于唐山市妇幼保健院妇产科进行妊娠期体检的16138例孕妇作为研究对象,整理研究对象首诊时的基本信息和临床资料,以化学发... 目的了解唐山地区孕妇血清维生素D(VD)水平,探讨其影响因素及与妊娠结局的相关性。方法纳入2022年7月—2024年6月于唐山市妇幼保健院妇产科进行妊娠期体检的16138例孕妇作为研究对象,整理研究对象首诊时的基本信息和临床资料,以化学发光法检测血清25-羟基维生素D_(3)[25-(OH)D_(3)]水平。结果孕妇血清VD水平缺乏11981例(74.24%),不足3387例(20.99%),充足770例(4.77%)。妊娠中期、妊娠晚期血清25-(OH)D_(3)水平低于妊娠早期(t=16.595、9.155,P<0.05);≤36岁孕妇血清25-(OH)D_(3)水平较低,各年龄段间营养状况均较差(F=31.202,P<0.05),>36岁血清25-(OH)D_(3)水平较高,且随年龄增加呈逐渐升高趋势。春季血清25-(OH)D_(3)水平最高,1~12月份中血清25-(OH)D_(3)水平4月(17.02±7.38)ng/mL和10月(17.17±7.85)ng/mL高于其他组(F=2.153,P<0.05),VD缺乏率(71.78%、71.69%)均低于其他组(χ^(2)=45.063,P<0.05);血清25-(OH)D_(3)水平在妊娠期糖尿病和子痫前期均低于正常组,其中子痫前期组最低(t=7.63、3.06,P<0.05);孕妇就诊时血清25-(OH)D_(3)水平对后续胎儿发育不同情况(自然流产、胎儿停育、早产、胎儿发育延迟和正常)间均无统计学差异(P>0.05)。结论孕妇血清维生素D水平偏低,夏秋冬季节、妊娠中期和晚期、年龄≤36岁、妊娠期糖尿病和子痫前期最为显著。建议医生积极指导本地区孕妇合理补充维生素D。 展开更多
关键词 孕妇 维生素d 营养状况 妊娠结局
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D-二聚体和25-羟基维生素D与妊娠期糖尿病患者子痫前期发生风险的关联性
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作者 王娜 张小环 +2 位作者 姚利 李盼盼 惠琳 《医药论坛杂志》 2026年第2期128-133,共6页
目的 探讨妊娠期糖尿病患者血清D-二聚体(D-dimer, D-D)与25-羟基维生素D[25-hydroxyvitamin D, 25-(OH)D]水平对子痫前期发生的预测价值。方法 选取2022年2月至2024年10月在南阳市中心医院治疗的妊娠期糖尿病患者153例,按是否发生子痫... 目的 探讨妊娠期糖尿病患者血清D-二聚体(D-dimer, D-D)与25-羟基维生素D[25-hydroxyvitamin D, 25-(OH)D]水平对子痫前期发生的预测价值。方法 选取2022年2月至2024年10月在南阳市中心医院治疗的妊娠期糖尿病患者153例,按是否发生子痫前期分为无子痫前期组(n=104)和子痫前期组(n=49),比较两组患者一般情况,并采用胶乳免疫比浊法、化学发光免疫分析法和酶联免疫吸附法检测2组患者的D-D、25-(OH)D和游离脂肪酸(free fatty acid, FFA)水平,计算稳态模型胰岛素抵抗指数(homeostasis model assessment of insulin resistance, HOMA-IR),分析上述指标以预测子痫前期发生的价值。结果 子痫前期组妊娠期糖尿病患者的收缩压、舒张压、24 h尿蛋白定量、丙氨酸转氨酶、天冬氨酸转氨酶、尿素氮、肌酐及尿酸分别为(151.42±3.64)mmHg、(111.31±2.23)mmHg、(5.32±1.19)g/d、(31.32±2.59)U/L、(37.58±3.65)U/L、(6.76±1.33)mmol/L、(123.57±5.69)μmol/L、(343.78±12.46)μmol/L,均较无子痫前期组高[分别为(143.86±3.32)mmHg、(92.57±2.34)mmHg、(1.24±0.28)g/d、(17.48±2.76)U/L、(28.63±3.84)U/L、(5.32±1.41)mmol/L、(92.78±6.32)μmol/L、(227.49±14.52)μmol/L,P<0.05],子痫前期组白蛋白及直接胆红素分为(25.73±3.42)g/L、(6.34±1.21)μmol/L,较无子痫前期组低[分别为(32.46±3.34)g/L、(7.83±1.16)μmol/L,P<0.05];子痫前期组患者的血清D-D、FFAs、HOMA-IR水平分别为(2 418.63±206.74)μg/mL、(796.37±121.09)μmol/L、(2.63±0.42),均高于无子痫前期组的(2 129.38±193.82)μg/mL、(664.88±116.73)μmol/L、(1.94±0.51),差异有统计学意义(P<0.05),25-(OH)D水平为(15.33±3.56)ng/mL,较无子痫前期组的(21.06±3.71)ng/mL低,差异有统计学意义(P<0.05);妊娠期糖尿病患者的血清D-D、25-(OH)D、FFAs、HOMA-IR及四者联合预测其子痫前期发生的效能较高,其中四者联合预测效能最高,当其曲线下面积(area under the curve, AUC)为0.874时,预测妊娠期糖尿病并发子痫前期的敏感度为0.816,特异度为0.779。结论 妊娠期糖尿病并发子痫前期患者的血清D-D、FFAs和HOMA-IR水平均异常增高,而25-(OH)D异常降低,且可作为预测妊娠期糖尿病患者发生子痫前期的有效指标。 展开更多
关键词 d-二聚体 25-羟基维生素d 妊娠期糖尿病子痫前期 发生风险
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孕早中期25-羟维生素D水平与婴儿上呼吸道感染关联的队列研究
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作者 陈曦 宋五星 +6 位作者 卢爱华 朱娅 汪小娟 吴为文 张耀东 邓伟 张玲 《中国食物与营养》 2026年第1期164-171,共8页
目的:了解黄冈市妇女孕早中期血液25-羟维生素D[25(OH)D]水平,探讨孕期25(OH)D水平与婴儿上呼吸道感染(upper respiratory tract infection,URTI)发生风险的关联。方法:研究对象来自黄冈出生队列,于孕早中期(<24 w)通过问卷调查了解... 目的:了解黄冈市妇女孕早中期血液25-羟维生素D[25(OH)D]水平,探讨孕期25(OH)D水平与婴儿上呼吸道感染(upper respiratory tract infection,URTI)发生风险的关联。方法:研究对象来自黄冈出生队列,于孕早中期(<24 w)通过问卷调查了解孕妇的一般情况,同时收集血样,采用干式荧光免疫层析法检测全血25(OH)D水平;产后6月龄通过儿科医生面对面访谈了解婴儿URTI患病信息。采用广义估计方程分析孕早中期25(OH)D水平与婴儿URTI的关联,计算调整多种混杂因素后的相对危险度(relative risk,RR)及95%置信区间(confidence interval,CI),用限制性立方样条模拟其剂量-反应关系。结果:本研究纳入333对母婴,其中84名(25.2%)婴儿出生后6个月内发生URTI。孕早中期维生素D缺乏137人(41.1%),不足128人(38.4%),充足68人(20.4%)。孕早中期25(OH)D水平的中位数(四分位数间距)为21.49(16.67,28.61)ng/mL。血样检测季节为夏秋季的孕妇,其25(OH)D中位数水平显著高于冬春季(24.17ng/mL vs.19.07ng/mL,P<0.001)。调整潜在的混杂因素后,在血样检测季节为冬春季的孕妇中,与25(OH)D缺乏组相比,25(OH)D充足组的孕妇子代发生URTI的RR值(95%CI)为0.72(0.64,0.82),趋势性检验具有统计学意义(P=0.008);母亲孕早中期25(OH)D每升高2 ng/mL可使URTI风险降低14%;25(OH)D水平与URTI发生风险呈线性负相关,关联接近显著性(P=0.060)。在夏秋季检测的孕妇中未观察到25(OH)D水平与URTI发生风险的关联。结论:黄冈市妇女孕早中期维生素D的缺乏或不足率高(79.6%)。在血样检测季节为冬春季的孕妇中,孕早中期25(OH)D水平较低,且与婴儿6月龄URTI发生风险呈接近显著性负相关。 展开更多
关键词 孕期 婴儿 25-羟维生素d 上呼吸道感染 队列研究
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维生素D结合膳食纤维干预对妊娠期糖尿病血糖控制及妊娠结局的影响研究
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作者 韩洁 苏妍 +1 位作者 张竹青 曹丽娜 《中国食物与营养》 2026年第1期196-200,共5页
目的:探讨维生素D结合膳食纤维干预对妊娠期糖尿病(gestational diabetes mellitus,GDM)患者血糖控制、妊娠结局的影响。方法:选取2023年6月—2024年12月在唐山市妇幼保健院产科门诊定期产检的158例患有GDM的孕妇为研究对象,随机分为观... 目的:探讨维生素D结合膳食纤维干预对妊娠期糖尿病(gestational diabetes mellitus,GDM)患者血糖控制、妊娠结局的影响。方法:选取2023年6月—2024年12月在唐山市妇幼保健院产科门诊定期产检的158例患有GDM的孕妇为研究对象,随机分为观察组和对照组各79例。对照组接受临床常规治疗,观察组在此基础上给予维生素D(400 IU/次,1次/d)和膳食纤维(12 g/次,1次/d)干预,观察并比较两组患者的血糖控制情况,包括空腹血糖(fasting blood glucose,FBG)、餐后2小时血糖水平(2 h PG)、糖化血红蛋白(glycated hemoglobin,HbA1c)、胰岛素抵抗指数(insulin resistance index,HOMA-IR),以及孕妇和胎儿不良妊娠结局。结果:两组孕妇在年龄、孕周、BMI、文化程度、居住地、是否首次妊娠、叶酸补充情况、规律运动及每日户外活动时间上均无差异(P>0.05)。干预前两组患者FBG、HbA1C、2 h PG、HOMA-IR水平无差异(P>0.05)。干预后,两组患者上述指标均较干预前下降,且经维生素D及膳食纤维干预的观察组孕妇下降程度显著高于对照组(P<0.05),产妇和胎儿不良妊娠结局发生率(6.78%vs 30.51%)也显著低于对照组(P=0.001)。结论:维生素D结合膳食纤维干预有助于控制GDM患者血糖水平,降低不良妊娠结局的发生率。故对于GDM孕妇,可进行合理的维生素D和膳食纤维补充,以帮助稳定孕妇血糖水平,降低不良妊娠结局发生率。 展开更多
关键词 维生素d 膳食纤维 妊娠期糖尿病 血糖 妊娠结局
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细菌溶解产物联合维生素D在儿童哮喘合并反复呼吸道感染中的免疫调节作用及长期疗效观察
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作者 刘阳 王艺 +2 位作者 张映雪 曾苑 白方会 《中国免疫学杂志》 北大核心 2026年第3期555-559,共5页
目的:探究细菌溶解产物联合维生素D治疗儿童哮喘合并反复呼吸道感染(RRTIs)的长期效果及免疫调节作用。方法:选取2021年12月至2023年8月南阳市中心医院收治的哮喘合并RRTIs患儿220例,按随机数字表法分为对照组(110例,维生素D治疗)与观察... 目的:探究细菌溶解产物联合维生素D治疗儿童哮喘合并反复呼吸道感染(RRTIs)的长期效果及免疫调节作用。方法:选取2021年12月至2023年8月南阳市中心医院收治的哮喘合并RRTIs患儿220例,按随机数字表法分为对照组(110例,维生素D治疗)与观察组(110例,细菌溶解产物联合维生素D治疗,疗程3个月)。比较两组临床疗效、安全性及治疗前后肺功能[用力肺活量(FVC)、第1秒用力呼气量(FEV1)、最大呼气流速(PEF)]、气道重塑[组织金属蛋白酶抑制因子-2(TIMP-2)、基质金属蛋白酶-2(MMP-2)、TGF-β1]、T细胞亚群(CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+))、Th17/Treg细胞因子(IL-6、IL-10、IL-17),随访1年观察长期效果。结果:观察组总有效率(92.73%)高于对照组总有效率(75.45%,P<0.05);观察组治疗后FVC、FEV1、PEF、CD3^(+)T、CD4^(+)T、CD4^(+)T/CD8^(+)T、IL-10水平高于对照组,血清TIMP-2、MMP-2、TGF-β1、IL-6、IL-17水平低于对照组(P<0.05);随访1年观察组呼吸道感染、哮喘发作次数、抗生素平均使用天数均少于对照组(P<0.05),两组不良反应发生率差异无统计学意义(P>0.05)。结论:细菌溶解产物联合维生素D治疗儿童哮喘合并RRTIs疗效确切,可增强患儿免疫功能、调节Th17/Treg平衡,对改善肺功能、逆转气道重塑、避免病情反复具有积极作用。 展开更多
关键词 哮喘 反复呼吸道感染 细菌溶解产物 维生素d 免疫 长期效果
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具有修正的Min(N,D)-策略和单重休假的Geo/G/1离散时间排队分析
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作者 魏瑛源 余玅妙 唐玉玲 《应用数学》 北大核心 2026年第1期108-128,共21页
本文研究服务员具有单重休假和系统采用修正的Min(N,D)-策略的离散时间Geo/G/1排队系统,运用更新过程理论、全概率分解技术和z-变换工具,从任意初始状态开始,研究队长的瞬时性态和平稳性态,得到了任意时刻n^(+)处队长瞬态分布的z-变换... 本文研究服务员具有单重休假和系统采用修正的Min(N,D)-策略的离散时间Geo/G/1排队系统,运用更新过程理论、全概率分解技术和z-变换工具,从任意初始状态开始,研究队长的瞬时性态和平稳性态,得到了任意时刻n^(+)处队长瞬态分布的z-变换表达式和稳态分布的递推表达式,同时给出了不同时刻n^(-)、n、n^(+)和外部观测点处队长稳态分布之间的重要关系.进一步借助于数值实例,讨论了系统的空闲率与稳态平均队长关于系统参数的敏感性,并且阐述了便于作数值计算的队长稳态分布的递推公式在系统容量优化设计中的重要价值.最后,运用更新报酬过程定理,建立了费用结构模型,获得了系统长期运行下单位时间内所产生的期望费用的显示表达式,并通过数值算例,寻求使期望费用最小的最优控制策略(N^(*),D^(*)). 展开更多
关键词 离散时间排队 修正的Min(N d)-策略 单重休假 队长分布 系统容量优化设计 最优控制策略
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补充维生素A及维生素D治疗妊娠期高血压子痫前期患者的临床疗效
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作者 陈静华 程汐 +1 位作者 黄巧如 黄素然 《川北医学院学报》 2026年第2期201-205,共5页
目的:探讨补充维生素A及维生素D治疗妊娠期高血压子痫前期(PE)患者的临床疗效。方法:纳入86例妊娠期高血压PE患者作为研究对象,按不同治疗方案分为对照组(n=43)和研究组(n=43),对照组予以硫酸镁+硝苯地平降压预防子痫发作治疗;研究组在... 目的:探讨补充维生素A及维生素D治疗妊娠期高血压子痫前期(PE)患者的临床疗效。方法:纳入86例妊娠期高血压PE患者作为研究对象,按不同治疗方案分为对照组(n=43)和研究组(n=43),对照组予以硫酸镁+硝苯地平降压预防子痫发作治疗;研究组在予以硫酸镁+硝苯地平降压治疗基础上给予维生素A及维生素D辅助治疗,比较两组PE患者治疗前后血压、儿茶酚胺及炎症内皮因子变化。结果:两组PE患者治疗后收缩压(SBP)及舒张压(DBP)均较治疗前下降(P<0.05),且治疗后研究组患者收缩压(142.52±9.41)mmHg和舒张压(90.40±8.11)mmHg均低于对照组收缩压(158.01±10.32)mmHg和舒张压(98.31±9.22)mmHg(P<0.05);两组PE患者治疗后多巴胺、去甲肾上腺素及肾上腺素均较治疗前明显下降(P<0.05),且研究组低于对照组(P<0.05);两组PE患者治疗后肿瘤坏死因子-α(TNF-α)、内皮素-1(ET-1)及C反应蛋白(CRP)均较治疗前明显下降(P<0.05),且研究组低于对照组(P<0.05);两组患者治疗后血管内皮生长因子(VEGF)及胎盘生长因子(PLGF)均较治疗前明显上升(P<0.05),且研究组高于对照组(P<0.05)。结论:在常规解痉、降压治疗基础上,补充维生素A及维生素D能明显降低妊娠期高血压PE患者血压、儿茶酚胺水平,改善炎症内皮因子水平。 展开更多
关键词 子痫前期 维生素A 维生素d 儿茶酚胺 炎症内皮因子
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