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Risk Factors for Birth Defects: A Conditional LogisticRegression Analysis of a Case-Control Study in Guang-dong Province of China
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作者 王志瑾 穆荔 《Journal of Reproduction and Contraception》 CAS 1999年第3期170-175,共6页
Information was obtained from the same questionnaire (23 risk factors listed) of cases and controls. We used a multivariate logistic model, which described variables significantly increased risk of birth defects.... Information was obtained from the same questionnaire (23 risk factors listed) of cases and controls. We used a multivariate logistic model, which described variables significantly increased risk of birth defects. The risk factors included maternal educational levels, medicine taken during pregnancy and antenatal care. It was suggested to strengthen antenatal care was the main preventive measure against birth defects. 展开更多
关键词 Birth defects Risk factors Case control study Conditional logistic regression Antenatal care
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Chitosan conduits combined with nerve growth factor microspheres repair facial nerve defects 被引量:21
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作者 Huawei Liu Weisheng Wen +5 位作者 Min Hu Wenting Bi Lijie Chen Sanxia Liu Peng Chen Xinying Tan 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第33期3139-3147,共9页
Microspheres containing nerve growth factor for sustained release were prepared by a compound method, and implanted into chitosan conduits to repair 10-mm defects on the right buccal branches of the facial nerve in ra... Microspheres containing nerve growth factor for sustained release were prepared by a compound method, and implanted into chitosan conduits to repair 10-mm defects on the right buccal branches of the facial nerve in rabbits. In addition, chitosan conduits combined with nerve growth factor or normal saline, as well as autologous nerve, were used as controls. At 90 days post-surgery, the muscular atrophy on the right upper lip was more evident in the nerve growth factor and normal sa- line groups than in the nerve growth factor-microspheres and autologous nerve groups. Electro- physiological analysis revealed that the nerve conduction velocity and amplitude were significantly higher in the nerve growth factor-microspheres and autologous nerve groups than in the nerve growth factor and normal saline groups. Moreover, histological observation illustrated that the di- ameter, number, alignment and myelin sheath thickness of myelinated nerves derived from rabbits were higher in the nerve growth factor-microspheres and autologous nerve groups than in the nerve growth factor and normal saline groups. These findings indicate that chitosan nerve conduits com- bined with microspheres for sustained release of nerve growth factor can significantly improve facial nerve defect repair in rabbits. 展开更多
关键词 neural regeneration peripheral newe injury tissue engineering newe growth factor microspherefacial nerve defect CHITOSAN nerve conduit grants-suppoSed paper NEUROREGENERATION
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An epidemiologic study of mitochondrial membrane transporter protein gene polymorphism and risk factors for neural tube defects in Shanxi, China 被引量:1
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作者 Zhizhen Liu Jun Xie +4 位作者 Tian'e Luo Tao Zhang Xia Zhao Hong Zhao Peizhen Li 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第6期463-469,共7页
The present study involved a questionnaire survey of 156 mothers that gave birth to children with neural tube defects or had a history of pregnancy resulting in children with neural tube defects (case group) and 156... The present study involved a questionnaire survey of 156 mothers that gave birth to children with neural tube defects or had a history of pregnancy resulting in children with neural tube defects (case group) and 156 control mothers with concurrent healthy children (control group) as well as detection of mitochondrial membrane transporter protein gene [uncoupling protein 2 (UCP2)] polymorphism. The maternal UCP2 3' untranslated region (UTR) D/D genotype and D allele frequency were significantly higher in the case group compared with the control group (odds ratio (OR) 3.233; 95% confidence interval (C/) 1.103 9.476; P= 0.040; OR: 3.484; 95% CI: for neural tube defects 2.109 5.753; P 〈 0.001). Univariate and multivariate logistic regression analysis of risk factors for neural tube defects showed that a matemal UCP2 3' UTR D/D genotype was negatively interacted with the mothers' consumption of frequent fresh fruit and vegetables (S = 0.007), positively interacted with the mothers' frequency of germinated potato consumption (S = 2.15) and positively interacted with the mothers' body mass index (S = 3.50). These findings suggest that maternal UCP2 3' UTR gene polymorphism, pregnancy time, consumption of germinated potatoes and body mass index are associated with an increased risk for neural tube defects in children from mothers living in Shanxi province, China. Moreover, there is an apparent gene-environment interaction involved in the development of neural tube defects in offspring. 展开更多
关键词 neural tube defects uncoupling protein 2 genetic polymorphisms risk factors INTERACTION
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Spatiotemporal expression of leukemia inhibitory factor receptor protein during neural tube development in embryos with neural tube defects
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作者 Dong An Xiao-Wei Wei +3 位作者 He-Nan Zhang Dan Liu Wei Ma Zheng-Wei Yuan 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第4期705-711,共7页
Leukemia inhibitory factor receptor(LIFR),as a neuroregulatory cytokine receptor,generally shows a neuroprotective effect in central nervous system injuries.In this study,to understand the effect of LIFR on pathogenes... Leukemia inhibitory factor receptor(LIFR),as a neuroregulatory cytokine receptor,generally shows a neuroprotective effect in central nervous system injuries.In this study,to understand the effect of LIFR on pathogenesis of neural tube defects,we explored spatiotemporal expression of LIFR at different stages of fetal development in normal and neural tube defect embryos.Spina bifida aperta was induced with all-trans retinoic acid on embryonic day 10 in rats,and the spatiotemporal expression of LIFR was investigated in spina bifida aperta rats and healthy rats from embryonic day 11 to 17.Real time-polymerase chain reaction and western blot assay were used to examine mRNA and protein expression of LIFR in healthy control and neural tube defect embryos.Results of the animal experiment demonstrated that expression of LIFR protein and mRNA in the spinal cords of normal rat embryos increased with embryonic development.LIFR was significantly downregulated in the spinal cords of spina bifida aperta rats compared with healthy rats from embryonic days 11 to 17.Immunohistochemical staining showed that the expression of LIFR in placenta and spinal cord in spina bifida aperta rat embryos was decreased compared with that in control embryos at embryonic day 15.Results from human embryo specimens showed that LIFR mRNA expression was significantly down-regulated in spinal cords of human fetuses with neural tube defects compared with normal controls at a gestational age of 24 to 33 weeks.The results were consistent with the down-regulation of LIFR in the animal experiments.Our study revealed spatiotemporal changes in expression of LIFR during embryonic neurulation.Thus,LIFR might play a specific role in neural tube development.All animal and human experimental procedures were approved by the Medical Ethics Committee of Shengjing Hospital of China Medical University,China(approval No.2016PS106K)on February 25,2016. 展开更多
关键词 amniotic fluid DEVELOPMENT EMBRYOGENESIS LEUKEMIA INHIBITORY factor receptor nerve regeneration neural tube defect PLACENTA spatiotemporal expression spina bifida aperta spinal CORD serum
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不同浓度金诺芬抑制M1型巨噬细胞功能及修复糖尿病小鼠伤口的价值
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作者 潘鸿飞 庄圳冰 +7 位作者 徐白云 杨章阳 林恺瑞 詹冰晴 蓝靖涵 高恒 张南波 林家煜 《中国组织工程研究》 北大核心 2026年第6期1390-1397,共8页
背景:在糖尿病伤口愈合过程中,M1型巨噬细胞的持续激活加剧了炎症反应,阻碍了伤口愈合。金诺芬作为一种具有抗炎特性的药物,对M1型巨噬细胞的影响及在糖尿病伤口愈合中的潜在作用尚未明确。目的:探讨不同浓度金诺芬对M1型巨噬细胞生物... 背景:在糖尿病伤口愈合过程中,M1型巨噬细胞的持续激活加剧了炎症反应,阻碍了伤口愈合。金诺芬作为一种具有抗炎特性的药物,对M1型巨噬细胞的影响及在糖尿病伤口愈合中的潜在作用尚未明确。目的:探讨不同浓度金诺芬对M1型巨噬细胞生物学功能的影响,并评估金诺芬在糖尿病伤口愈合中的潜在应用价值。方法:以RAW264.7细胞、THP-1细胞作为研究对象,通过不同浓度的干扰素γ和脂多糖诱导M1型极化。然后,使用1,2μmol/L金诺芬处理M1型巨噬细胞,采用CCK-8法评估金诺芬对细胞活力的影响,采用qPCR检测白细胞介素1β、白细胞介素6和肿瘤坏死因子αmRNA表达,ELISA法检测细胞上清液中白细胞介素1β、白细胞介素6和肿瘤坏死因子α水平,Western blot检测NF-κB(p65)及磷酸化MAPK(p-MAPK)和总MAPK的蛋白表达。此外,选取6-8周龄雄性C57BL/6J小鼠及db/db糖尿病小鼠,分为C57对照组、db/db对照组和金诺芬治疗组,每组6只,进行背部皮肤缺损造模及腹腔注射金诺芬治疗,观察小鼠伤口愈合情况。结果与结论:①细胞实验显示,干扰素γ(10 ng/mL)与脂多糖(100 ng/mL)联合处理能显著诱导RAW264.7细胞、THP-1细胞的M1型极化,表现为白细胞介素1β、白细胞介素6和肿瘤坏死因子αmRNA表达显著升高;金诺芬(1,2μmol/L)处理后,细胞中炎症因子mRNA表达降低,细胞上清液中炎症因子分泌减少;②金诺芬显著抑制了NF-κB(p65)和p-MAPK信号通路的激活;③动物实验中,金诺芬促进了db/db小鼠伤口的愈合。结果表明,金诺芬具有良好的抗炎作用并可促进糖尿病小鼠伤口的愈合。 展开更多
关键词 金诺芬 M1型巨噬细胞 糖尿病 皮肤缺损 炎症因子 伤口愈合 工程化组织构建
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浓缩生长因子联合引导性组织再生术治疗下颌磨牙根分叉病变的疗效
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作者 王昕莹 程雪原 +3 位作者 张孟钧 李菲 段晋瑜 乔静 《北京大学学报(医学版)》 北大核心 2026年第2期372-379,共8页
目的:评价浓缩生长因子(concentrated growth factors,CGF)促进引导性组织再生术(guided tissue regeneration,GTR)联合植骨术治疗下颌磨牙Ⅱ度根分叉病变的临床效果,为根分叉病变的再生寻求更好的治疗方法。方法:纳入16例需进行牙周手... 目的:评价浓缩生长因子(concentrated growth factors,CGF)促进引导性组织再生术(guided tissue regeneration,GTR)联合植骨术治疗下颌磨牙Ⅱ度根分叉病变的临床效果,为根分叉病变的再生寻求更好的治疗方法。方法:纳入16例需进行牙周手术的慢性牙周炎患者(共20颗下颌磨牙,含36例颊舌侧Ⅱ度根分叉病变),随机分为两组(每组18例病变),试验组采用GTR+植骨术+CGF进行治疗,对照组采用GTR+植骨术进行治疗。分别于术前、术后6个月和1年对患牙进行临床检查,并拍摄锥形束CT(cone beam CT,CBCT)。比较试验组和对照组手术前后临床和CBCT数据的变化。结果:基线时两组的探诊深度、垂直和水平附着丧失,以及CBCT所示的垂直向和水平向骨丧失差异均无统计学意义(P>0.05)。术后6个月和1年时两组的临床指标及术后1年时两组的CBCT指标较基线时均有显著改善(P<0.01),且试验组改善程度显著优于对照组(P<0.05)。其中,术后1年时试验组探诊深度减少(4.75±1.87)mm,垂直和水平附着丧失分别减少(5.55±1.04)mm和(3.89±1.22)mm;对照组探诊深度减少(3.43±1.76)mm,垂直和水平附着丧失分别减少(4.41±1.08)mm和(3.07±1.02)mm。CBCT显示,试验组垂直向和水平向骨丧失分别减少(4.05±1.37)mm和(4.02±1.32)mm,对照组分别减少(3.17±1.09)mm和(3.27±1.08)mm。结论:为期1年的观察结果显示,CGF可以促进GTR+植骨术在下颌磨牙Ⅱ度根分叉病变中的再生治疗效果。 展开更多
关键词 浓缩生长因子 根分叉部缺损 引导组织再生术 磨牙 下颌骨
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漂浮式风电叶片结构稳定性分析方法研究
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作者 孙海涛 赵相江 +3 位作者 雷航 刘河生 王杰彬 张瑞刚 《能源工程》 2026年第2期68-75,共8页
为探明影响风电叶片非线性结构稳定特性的因素,采用Riks弧长法研究缺陷因子和弧长对叶片结构稳定性的影响,同时开展线性特征屈曲与非线性Riks分析法对其结构安全性影响的研究。结果表明,非线性稳定性对缺陷因子的敏感性程度低,对弧长的... 为探明影响风电叶片非线性结构稳定特性的因素,采用Riks弧长法研究缺陷因子和弧长对叶片结构稳定性的影响,同时开展线性特征屈曲与非线性Riks分析法对其结构安全性影响的研究。结果表明,非线性稳定性对缺陷因子的敏感性程度低,对弧长的改变较为敏感,大部分工况下,基本呈现非线性临界载荷系数随弧长增大而增大的趋势。同时考虑到漂浮式风电叶片设计的可靠性,建议在叶片结构稳定性评估时,结合线性和低弧长值的非线性稳定性分析方法,以最可靠的安全系数作为评估依据。 展开更多
关键词 Riks弧长法 特征屈曲 临界载荷 缺陷因子 非线性稳定性
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马鞍山市孕妇孕前保健服务利用及影响因素分析
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作者 周珊珊 高国朋 +1 位作者 陈敬芳 严双琴 《中国初级卫生保健》 2026年第2期39-42,共4页
目的:探究马鞍山市孕妇孕前保健知识知晓及孕前保健服务利用情况,分析孕前保健服务利用的影响因素。方法:采用横断面设计法,选取2024年7—10月在马鞍山市各县区医疗助产机构/乡镇卫生建立孕产保健手册的孕妇,采用自行设计的“马鞍山市... 目的:探究马鞍山市孕妇孕前保健知识知晓及孕前保健服务利用情况,分析孕前保健服务利用的影响因素。方法:采用横断面设计法,选取2024年7—10月在马鞍山市各县区医疗助产机构/乡镇卫生建立孕产保健手册的孕妇,采用自行设计的“马鞍山市出生缺陷一级预防现状孕妇调查问卷”进行问卷调查。采用logistic回归模式分析孕前保健行为的影响因素。结果:共收集1502名孕妇的有效问卷。孕前保健知识知晓率为82.9%,孕前保健服用利用正确率为87.2%。不知晓孕前保健知识、家庭人口数超过4人、非计划怀孕是孕前保健服务利用不正确的危险因素(P<0.05)。结论:马鞍山市地区孕妇孕前保健保健知识有待提高。需要加强家庭人口数多、非计划妊娠等重点人群的孕前咨询指导,帮助育龄妇女做好计划怀孕的准备,提高孕前保健服务利用率。 展开更多
关键词 孕妇 孕前保健 影响因素 出生缺陷 马鞍山
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室间隔缺损患儿家长术前焦虑及相关影响因素分析
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作者 张宇轩 孟影 +1 位作者 姜燕妮 殷杰 《国际精神病学杂志》 2026年第1期250-254,270,共6页
目的调查室间隔缺损且行修补术患儿的家长在术前的焦虑情况,并分析其相关影响因素,为制定有效的干预措施提供科学依据。方法选取南京医科大学附属儿童医院2022年8月—2024年3月收治的133例室间隔缺损且行修补术患儿的家长为研究对象,采... 目的调查室间隔缺损且行修补术患儿的家长在术前的焦虑情况,并分析其相关影响因素,为制定有效的干预措施提供科学依据。方法选取南京医科大学附属儿童医院2022年8月—2024年3月收治的133例室间隔缺损且行修补术患儿的家长为研究对象,采用广泛性焦虑量表(GAD-7)评分对其焦虑程度进行评估调查,并采用单、多因素分析室间隔缺损患儿家长术前焦虑的相关影响因素。结果125例室间隔缺损患儿家长中,存在轻度焦虑者44例,占比35.2%;存在中重度焦虑者29例,占比23.2%;无焦虑者52例,占比41.6%。轻度焦虑者、中重度焦虑者与无焦虑者的家长性别、婚姻状况、教育程度、居住地、工作状况、家庭月收入、患儿年龄、独生子女、患儿合并其他基础疾病、家长对疾病相关知识知晓情况、医疗费用支付差异均具有统计学意义(P<0.05)。多因素logistic回归分析结果显示女性家长、未婚或离异或丧偶、在职、家庭月收入、是独生子女、患儿合并其他基础疾病、家长对疾病相关知识不知晓、自费支付均是影响室间隔缺损患儿家长术前焦虑的独立危险因素(P<0.05),教育程度大专及以上、家庭月收入≥3000均是室间隔缺损患儿家长术前焦虑的独立保护因素(P<0.05)。结论室间隔缺损患儿家长术前焦虑比例较高,其影响因素主要与家长性别、婚姻状况、教育程度、工作状况、家庭月收入、独生子女、患儿合并其他基础疾病、家长对疾病相关知识知晓情况、医疗费用支付有关,临床应当提高对室间隔缺损患儿家长术前焦虑群体的干预,避免耽误患儿的治疗。 展开更多
关键词 室间隔缺损 患儿家长 术前焦虑 影响因素
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负载血小板衍生生长因子BB的壳聚糖/还原氧化石墨烯支架修复牙槽骨缺损
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作者 白相宇 霍峰 +2 位作者 郝妍 王泽成 郭晓宇 《中国组织工程研究》 北大核心 2026年第2期329-337,共9页
背景:研究显示血小板衍生生长因子BB可刺激间充质干细胞的增殖与成骨分化,加快成骨样细胞的钙化进程,但其临床应用存在半衰期短、易分解等问题,将生长因子负载到适宜的生物材料支架上可使其缓慢持续释放,维持有效的作用浓度,成为目前研... 背景:研究显示血小板衍生生长因子BB可刺激间充质干细胞的增殖与成骨分化,加快成骨样细胞的钙化进程,但其临床应用存在半衰期短、易分解等问题,将生长因子负载到适宜的生物材料支架上可使其缓慢持续释放,维持有效的作用浓度,成为目前研究的热点话题。目的:利用壳聚糖/还原氧化石墨烯支架负载血小板衍生生长因子BB,观察该支架修复大鼠牙槽骨缺损的作用。方法:①分别制备壳聚糖/还原氧化石墨烯支架(记为CS/rGO支架)与负载不同质量浓度(5,10,15,20 mg/L)血小板衍生生长因子BB的壳聚糖/还原氧化石墨烯支架(分别记为CS/rGO/PDGF-BB-5、CS/rGO/PDGF-BB-10、CS/rGO/PDGF-BB-15、CS/rGO/PDGF-BB-20支架)。将5组支架分别与大鼠牙周膜干细胞共培养,通过CCK-8实验与Transwell小室实验分别检测细胞增殖与迁移情况,筛选适宜的生长因子负载质量浓度进行后续实验。将CS/rGO支架(或浸提液)、CS/rGO/PDGF-BB-15支架(或浸提液)分别与大鼠牙周膜干细胞共培养,检测细胞成骨分化与成血管能力。②在16只SD大鼠双侧上颌第一磨牙前制备牙槽骨缺损模型,随机分4组干预:空白对照组不进行任何干预,单纯支架组植入CS/rGO/PDGF-BB-15支架,对照组植入CS/rGO支架与大鼠牙周膜干细胞复合物,实验组植入CS/rGO/PDGF-BB-15支架与大鼠牙周膜干细胞复合物,每组4只。术后12周,通过Micro CT扫描与苏木精-伊红染色观察牙槽骨缺损骨修复情况。结果与结论:①CS/rGO/PDGF-BB-5、CS/rGO/PDGF-BB-10、CS/rGO/PDGF-BB-15、CS/rGO/PDGF-BB-20支架均可促进大鼠牙周膜干细胞的增殖与迁移,其中CS/rGO/PDGF-BB-15支架促细胞增殖与迁移作用最显著,使用该支架进行后续实验。与CS/rGO支架比较,CS/rGO/PDGF-BB-15支架可促进大鼠牙周膜干细胞的成骨与成血管分化。②Micro CT扫描与苏木精-伊红染色结果显示,实验组牙槽骨缺损修复效果最好,可见大量新生骨组织与血管形成。③负载血小板衍生生长因子BB的壳聚糖/还原氧化石墨烯支架可通过促进大鼠牙周膜干细胞的增殖、迁移、成血管与成骨分化,进而有效促进大鼠牙槽骨缺损的修复。 展开更多
关键词 牙槽骨缺损 支架 壳聚糖 还原氧化石墨烯 血小板衍生生长因子BB 工程化口腔材料
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工程化干细胞仿生骨膜协调免疫炎症及血管化促进骨再生
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作者 孙慧雯 郭强强 +3 位作者 王伟 武杰 郗焜 顾勇 《中国组织工程研究》 北大核心 2026年第1期21-33,共13页
背景:临床上主要应用自体骨、异体骨或人工骨促进骨缺损修复,然而不愈合率仍维持较高水平状态,关键是忽视了骨膜在骨愈合过程中的重要性。项目组前期通过构建负载血管内皮生长因子的静电纺丝膜在骨缺损处高度模拟天然骨膜的膜内成骨过程... 背景:临床上主要应用自体骨、异体骨或人工骨促进骨缺损修复,然而不愈合率仍维持较高水平状态,关键是忽视了骨膜在骨愈合过程中的重要性。项目组前期通过构建负载血管内皮生长因子的静电纺丝膜在骨缺损处高度模拟天然骨膜的膜内成骨过程,一定程度上促进了骨再生。但是,损伤局部常面临巨噬细胞介导的剧烈炎症反应和种子细胞匮乏的窘境,导致递送生物因子面临失活或弥散的风险。因此,尚需进一步优化和协调仿生骨膜的免疫调控和成血管功能,促进骨修复。目的:探讨干细胞工程化仿生骨膜的理化性质以及调控炎症微环境促进骨修复的作用。方法:将左旋聚乳酸基微溶胶静电纺丝、Ⅰ型胶原蛋白自组装与凝胶干细胞移植技术结合,构建核层负载血管内皮生长因子、壳层递送骨髓间充质干细胞调控骨缺损免疫微环境的仿生骨膜(M@C-B)。通过扫描电镜、透射电镜、傅里叶红外光谱仪等检测骨膜的理化特性;通过仿生骨膜与巨噬细胞、骨髓间充质干细胞和人脐静脉内皮细胞建立共培养体系,探讨其免疫调控、体外成骨和成血管能力;最后,在大鼠股骨髁缺损模型中进一步验证干细胞工程化仿生骨膜的成骨性能。结果与结论:①透射电镜观察显示微溶胶静电纺丝(MS)人工骨膜形成明显的核壳结构,扫描电镜观察显示负载血管内皮生长因子的微溶胶表面自组装Ⅰ型胶原蛋白(M@C)人工骨膜表面出现明显“蜘蛛网状”纤维结构沉积,红外光谱检测进一步表明Ⅰ型胶原蛋白自组装成功;释放实验证明M@C人工骨膜较MS人工骨膜缓解了突释现象的发生,维持内部血管内皮生长因子活性和长效释放;②活死荧光染色、CCK-8实验显示,骨髓间充质干细胞在MS人工骨膜、单纯定向左旋聚乳酸表面自组装Ⅰ型胶原蛋白(PLLA@C)人工骨膜以及M@C-B人工骨膜上良好增殖并存活,其中M@C-B组活细胞数目最多且增殖速率最高;③碱性磷酸酶染色、茜素红染色、骨桥蛋白免疫荧光染色显示,PLLA@C组和M@C-B组人工骨膜可显著促进骨髓间充质干细胞成骨分化;成血管实验显示,MS组、M@C-B组血管长度更长,血管样染色结构呈网状形态,交叉节点更多,其中M@C-B组更为明显;④免疫荧光和细胞流式显示,M@C-B组人工骨膜能显著抑制促炎巨噬细胞表型,促进巨噬细胞向抗炎M2表型方向极化;⑤体内研究进一步表明M@C-B组大鼠骨密度、骨小梁厚度、相对骨体积和骨小梁间隙皆优于其他组;⑥结果提示:构建的骨髓间充质干细胞工程化人工骨膜通过Ⅰ型胶原蛋白/骨髓间充质干细胞外相快速调控骨缺损免疫微环境与内相微溶胶静电纺丝核壳结构持续释放血管内皮生长因子,协同双向促进骨愈合。 展开更多
关键词 骨缺损修复 仿生骨膜 静电纺丝 血管内皮生长因子 骨髓间充质干细胞 巨噬细胞 工程化干细胞
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Effect of Exposure to Trace Elements in the Soil on the Prevalence of Neural Tube Defects in a High-Risk Area of China 被引量:9
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作者 HUANG Jing WU JiLei +4 位作者 LI TieJun SONG XinMing ZHANG BingZi ZHANG PingWen ZHENG XiaoYing 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2011年第2期94-101,共8页
Objective Our objective is to build a model that explains the association between the exposure to trace elements in the soil and the risk of neural tube defects. Methods We built a function with different parameters t... Objective Our objective is to build a model that explains the association between the exposure to trace elements in the soil and the risk of neural tube defects. Methods We built a function with different parameters to describe the effects of trace elements on neural tube defects. The association between neural tube defects and trace element levels was transformed into an optimization problem using the maximum likelihood method. Results Tin, lead, nickel, iron, copper, and aluminum had typical layered effects (dosage effects) on the prevalence of neural tube defects. Arsenic, selenium, zinc, strontium, and vanadium had no effect, and molybdenum had one threshold value that affected the prevalence of birth defects. Conclusion As an exploratory research work, our model can be used to determine the direction of the effect of the trace element content of cultivated soil on the risk of neural tube defects, which shows the clues by the dosage effect of their toxicological characteristics. Based on our findings, future biogeochemical research should focus on the direct effects of trace elements on human health. 展开更多
关键词 Trace element Neural tube defects Risk factors identification Poisson model Maximum likelihood estimation
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浓缩生长因子在颌骨缺损修复中的应用效果Meta分析
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作者 丁志宇 王姝 李慧杰 《中国美容医学》 2026年第1期80-85,共6页
目的:浓缩生长因子(Concentrated Growth Factor,CGF)在修复各种原因引起的颌骨缺损中应用的有效性存在争议,本文通过Meta分析对CGF应用效果予以评估,以期为临床应用提供依据。方法:在Pubmed、EMBASE、Web of Science、Cochrane Librar... 目的:浓缩生长因子(Concentrated Growth Factor,CGF)在修复各种原因引起的颌骨缺损中应用的有效性存在争议,本文通过Meta分析对CGF应用效果予以评估,以期为临床应用提供依据。方法:在Pubmed、EMBASE、Web of Science、Cochrane Library、维普网等数据库检索2023年12个月前在颌骨缺损修复中使用CGF的临床随机对照试验。评价者采用Cochrane偏倚风险工具评价方法学质量;Meta分析采用RevMan5.4进行。结果:本研究纳入了包括796例颌骨缺损修复患者在内的13项研究。分析结果表明,局部应用CGF后骨愈合的情况显著优于对照组[SMD=1.17,95%CI(0.72,1.62),P<0.00001],可以有效减轻颌骨缺损修复术后疼痛[MD=-1.01,95%CI(-1.34,-0.67),P<0.00001],减轻术后黏膜瘢痕[MD=-1.22,95%CI(-1.79,-0.66),P<0.0001],同时能够有效减少术后并发症的发生[RR=0.46,95%CI(0.25,0.85),P=0.010],但在降低术后肿胀程度方面CGF组与对照组差异无统计学意义[RR=0.41,95%CI(0.11,1.63),P=0.210]。结论:以目前汇总分析的临床数据来看,局部应用CGF能促进骨缺损区成骨愈合,改善颌骨缺损修复术后疼痛、黏膜瘢痕、减少并发症发生率,仍需要更多的统一标准的临床试验来进行Meta分析。 展开更多
关键词 浓缩生长因子(CGF) 颌骨缺损修复 骨愈合 META分析 随机对照试验
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隧道石膏岩段衬砌病害机理与处治策略
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作者 王汉晨 朱麒 +3 位作者 仇文革 凌鹏 宋超业 解勇 《中国铁路》 北大核心 2026年第2期154-164,共11页
为探究含膏岩地层对隧道衬砌结构的病害影响机制及处治策略,以南吕梁山隧道为研究对象,综合采用工程调研、岩芯成分测试、室内试验及三维数值模拟等方法,系统分析含膏岩地层的工程特性及其对隧道结构的危害。研究表明:南吕梁山隧道穿越... 为探究含膏岩地层对隧道衬砌结构的病害影响机制及处治策略,以南吕梁山隧道为研究对象,综合采用工程调研、岩芯成分测试、室内试验及三维数值模拟等方法,系统分析含膏岩地层的工程特性及其对隧道结构的危害。研究表明:南吕梁山隧道穿越的含膏岩地层虽非典型石膏岩或强膨胀岩,且无大范围高压地下水,但围岩遇水膨胀软化产生的附加应力与地层中硫酸盐腐蚀性物质的协同作用是导致二次衬砌大范围开裂的主因。膨胀软化诱发衬砌初始裂缝后,硫酸盐沿裂缝渗透侵蚀混凝土,加速结构性能劣化。针对此多因素耦合病害机理,提出“隔水控源-材料防腐-结构释压”综合处治策略。现场监测表明,优化后衬砌全环处于受压状态,最大压应力为8.94 MPa,具有较高安全系数,能有效遏制衬砌开裂与腐蚀发展,可为类似地质条件下隧道工程的设计与维护提供理论支撑和实践参考。 展开更多
关键词 隧道病害 石膏岩地层 膨胀软化 硫酸盐腐蚀 多因素耦合
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Thermoelastic analysis of multiple defects with the extended finite element method 被引量:2
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作者 Honggang Jia Yufeng Nie 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2016年第6期1123-1137,共15页
In this paper, the extended finite element method (XFEM) is adopted to analyze the interaction between a single macroscopic inclusion and a single macroscopic crack as well as that between multiple macroscopic or micr... In this paper, the extended finite element method (XFEM) is adopted to analyze the interaction between a single macroscopic inclusion and a single macroscopic crack as well as that between multiple macroscopic or microscopic defects under thermal/mechanical load. The effects of different shapes of multiple inclusions on the material thermomechanical response are investigated, and the level set method is coupled with XFEM to analyze the interaction of multiple defects. Further, the discretized extended finite element approximations in relation to thermoelastic problems of multiple defects under displacement or temperature field are given. Also, the interfaces of cracks or materials are represented by level set functions, which allow the mesh assignment not to conform to crack or material interfaces. Moreover, stress intensity factors of cracks are obtained by the interaction integral method or the M-integral method, and the stress/strain/stiffness fields are simulated in the case of multiple cracks or multiple inclusions. Finally, some numerical examples are provided to demonstrate the accuracy of our proposed method. 展开更多
关键词 Multiple defects Stress intensity factors extended finite element method (XFEM) THERMOELASTIC
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老年牙列缺损种植修复患者口腔自我管理行为现状调查及影响因素
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作者 周莉 胡玮玮 +1 位作者 唐燕驰 赵海剑 《国际老年医学杂志》 2026年第1期72-78,共7页
目的 调查老年牙列缺损种植修复患者口腔自我管理的行为现状,并分析其影响因素。方法 采用方便抽样的方法,选取2021年1月—2024年12月徐州医科大学附属淮安医院收治的100例老年牙列缺损种植修复患者作为研究对象。对其进行一般资料调查... 目的 调查老年牙列缺损种植修复患者口腔自我管理的行为现状,并分析其影响因素。方法 采用方便抽样的方法,选取2021年1月—2024年12月徐州医科大学附属淮安医院收治的100例老年牙列缺损种植修复患者作为研究对象。对其进行一般资料调查表、口腔自我管理行为问卷调查,并对其影响因素进行单因素、多元线性回归分析。结果 老年牙列缺损种植修复患者口腔自我管理行为现状中,态度、知识、行为、环境评分分别是(23.72±2.04)分、(23.76±1.29)分、(21.75±1.69)分、(21.45±1.85)分。不同年龄、文化程度、口腔保健产品使用史、获取知识频率、心理因素、家庭支持、社会支持的老年患者,其口腔自我管理行为现状中,态度、知识、行为、环境评分差异均有统计学意义(P<0.05)。多元线性回归结果显示:文化程度、获取知识频率、心理因素、社会支持、家庭支持均是老年牙列缺损种植修复患者口腔自我管理行为现状的影响因素(P<0.05)。结论 老年牙列缺损种植修复患者口腔自我管理行为现状有待提升,其中获取知识频率越高、文化程度越高、心理状态越良好、家庭及社会支持越高的患者,口腔自我管理行为现状越好。因此,应针对这些因素采取针对性措施,从而改善老年牙列缺损种植修复患者的口腔自我管理行为,促进其口腔健康。 展开更多
关键词 牙列缺损 种植修复 口腔自我管理行为现状 影响因素
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Missense mutations in CSX/NKX_(2.5)are associated with atrial septal defects 被引量:1
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作者 Li Tian Jianfang Zhu +4 位作者 Junguo Yang Qihui Zhu Rong Du Jing Li Wei Li 《Journal of Nanjing Medical University》 2007年第4期218-221,共4页
Objective :To study the gene mutations of homeobox transcription factor (CSX/NKX2.5) associated with a Chinese family with secundum atrial septal defect (ASD). Methods :Polymerase chain reaction and DNA sequenci... Objective :To study the gene mutations of homeobox transcription factor (CSX/NKX2.5) associated with a Chinese family with secundum atrial septal defect (ASD). Methods :Polymerase chain reaction and DNA sequencing were used to check all the members in the family with ASD, and single strand conformation polymorphism analysis (SSCP) was used to check 126 normal control people for detecting the mutations of CSX/NKX2.5 gene. Results: Three mutations, G270A(Glu32Lys ), G378A (Glu68Lys)andG390A (Glu72Lys)were identified in CSX/NKX2.5 gene of ASD patients. However, the other members in the family with ASD and the control did not have such gene mutations. Conclusion:These mutations of CSX/NKX2.5 gene, which were identified in a Chinese family, may be one of the secundum ASD etiologic causes . 展开更多
关键词 secundum atrial septal defect homeobox transcription factor gene mutation
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Software defect prevention based on human error theories 被引量:1
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作者 Fuqun HUANG Bin LIU 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2017年第3期1054-1070,共17页
Software defect prevention is an important way to reduce the defect introduction rate.As the primary cause of software defects,human error can be the key to understanding and preventing software defects.This paper pro... Software defect prevention is an important way to reduce the defect introduction rate.As the primary cause of software defects,human error can be the key to understanding and preventing software defects.This paper proposes a defect prevention approach based on human error mechanisms:DPe HE.The approach includes both knowledge and regulation training in human error prevention.Knowledge training provides programmers with explicit knowledge on why programmers commit errors,what kinds of errors tend to be committed under different circumstances,and how these errors can be prevented.Regulation training further helps programmers to promote the awareness and ability to prevent human errors through practice.The practice is facilitated by a problem solving checklist and a root cause identification checklist.This paper provides a systematic framework that integrates knowledge across disciplines,e.g.,cognitive science,software psychology and software engineering to defend against human errors in software development.Furthermore,we applied this approach in an international company at CMM Level 5 and a software development institution at CMM Level 1 in the Chinese Aviation Industry.The application cases show that the approach is feasible and effective in promoting developers' ability to prevent software defects,independent of process maturity levels. 展开更多
关键词 Human factor Human error Programming Root cause analysis Software defect prevention Software design Software quality Software psychology
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纳米晶胶原基骨联合补肾壮筋汤修复骨质疏松大鼠骨缺损
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作者 周世博 俞兴 +1 位作者 陈海龙 熊洋 《中国组织工程研究》 北大核心 2026年第2期354-361,共8页
背景:课题组前期研究证实,补肾壮筋汤可以调节骨代谢并发挥抗骨质疏松作用,纳米晶胶原基骨可以辅助四肢骨缺损的修复。目的:探索纳米晶胶原基骨联合补肾壮筋汤对骨质疏松骨缺损的修复作用。方法:将84只雌性SD大鼠随机分为假手术组(n=6,... 背景:课题组前期研究证实,补肾壮筋汤可以调节骨代谢并发挥抗骨质疏松作用,纳米晶胶原基骨可以辅助四肢骨缺损的修复。目的:探索纳米晶胶原基骨联合补肾壮筋汤对骨质疏松骨缺损的修复作用。方法:将84只雌性SD大鼠随机分为假手术组(n=6,不造模)和双侧卵巢切除组(n=78),双侧卵巢切除12周后选取假手术组(n=6)、双侧卵巢切除组(n=6)进行骨质疏松造模验证。将双侧卵巢切除组剩余的72只大鼠随机分6组干预,每组12只:A-E组双侧卵巢切除12周后建立股骨缺损(直径3.5 mm,深度4 mm)模型,A组术后给予双蒸水灌胃(1次/d),B组术后给予补肾壮筋汤灌胃(1次/d),C组骨缺损部位填充纳米晶胶原基骨后给予双蒸水灌胃(1次/d),D组骨缺损部位填充纳米晶胶原基骨后给予阿仑膦酸钠灌胃(1次/周),E组骨缺损部位填充纳米晶胶原基骨后给予补肾壮筋汤灌胃(1次/d);F组双侧卵巢切除同时建立股骨缺损模型,骨缺损部位填充纳米晶胶原基骨后给予补肾壮筋汤灌胃(1次/d),均连续给药12周。末次给药12 h后,检测血清Ⅰ型前胶原氨基端原肽、Ⅰ型胶原交联C-末端肽、雌二醇水平,Micro-CT检测骨缺损区域骨体积,免疫组化染色检测骨缺损区域Ⅰ型胶原及血管内皮生长因子表达。结果与结论:①与A组相比,D、E组血清Ⅰ型前胶原氨基端原肽水平降低(P<0.05);与A、C组相比,D、E、F组血清雌二醇水平升高(P<0.05);A-F组缺损区域内骨体积比较差异无显著性意义(P>0.05);②免疫组化染色显示,与A组相比,B、D、E组Ⅰ型胶原与血管内皮生长因子表达均增加(P<0.05);与C组相比,B、D、E、F组Ⅰ型胶原表达增加(P<0.05),D、E、F组血管内皮生长因子表达增加(P<0.05);③结果表明,纳米晶胶原基骨联合补肾壮筋汤可能具备修复去卵巢骨质疏松大鼠骨缺损的潜在作用。 展开更多
关键词 补肾壮筋汤 骨质疏松骨缺损 纳米晶胶原基骨 Ⅰ型胶原 血管内皮细胞生长因子 工程化骨材料
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Genetics of congenital heart defects in DiGeorge syndrome
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作者 李嘉欣 郭惠明 +2 位作者 庄建 陈寄梅 朱平 《South China Journal of Cardiology》 CAS 2014年第3期213-218,共6页
Background Di George syndrome(DGS) is the most common microdeletion syndrome in humans and a disorder caused by a defect in chromosome 22. Almost 80% of DGS patients manifest congenital heart defects(CHD), which a... Background Di George syndrome(DGS) is the most common microdeletion syndrome in humans and a disorder caused by a defect in chromosome 22. Almost 80% of DGS patients manifest congenital heart defects(CHD), which are highly variable and severe. However, the genetics of CHD in DGS remain elusive. This review concludes that the TBX1 gene plays a critical role in cardiovascular defects, involving many additional genes, such as Six1, Eya1, Fgf8, Fox, and Shh. Concerning the variable manifestations of CHD in DGS,additional modifiers have been shown of involvement, such as Wnt, MOZ, micro RNAs, VEGF, and CRK.Knowledge of the genetics underlying CHD in DGS has the potential to early detection and treatment of this disease. 展开更多
关键词 DiGeorge syndrome congenital heart defects T-box transcription factor 1 genes
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