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Development of Solid Rocket Motor for Manned Launch Vehicle Escape System
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作者 LI Dongchun SHI Hongbin WEI Kunlong 《Aerospace China》 2022年第1期19-26,共8页
The solid rocket motors for the escape system of China’s LM-2 F manned launch vehicle are described,the key technologies and technical innovations utilized are summarized.The technical features and development of for... The solid rocket motors for the escape system of China’s LM-2 F manned launch vehicle are described,the key technologies and technical innovations utilized are summarized.The technical features and development of foreign manned launch abort systems are also presented.The development trends of the solid rocket motor for future Chinese manned launch vehicle escape systems are proposed,which can provide a reference for the future development of manned launch vehicle escape systems. 展开更多
关键词 solid rocket motor manned launch vehicle escape system key technologies development trends
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ESCAPE集束化护理策略在多发性创伤患者谵妄管理中的应用
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作者 宋燕 宋国丽 《长治医学院学报》 2025年第6期548-553,共6页
目的:探讨ESCAPE集束化护理策略在多发性创伤患者谵妄管理中的应用。方法:选取310例于2021年9月至2023年9月在我院急诊科救治的多发性创伤患者为研究对象,2021年9月至2022年8月收治的155例患者为对照组,2022年9月至2023年9月收治的155... 目的:探讨ESCAPE集束化护理策略在多发性创伤患者谵妄管理中的应用。方法:选取310例于2021年9月至2023年9月在我院急诊科救治的多发性创伤患者为研究对象,2021年9月至2022年8月收治的155例患者为对照组,2022年9月至2023年9月收治的155例患者为实验组,对照组患者给予常规护理,实验组患者给予ESCAPE集束化护理,比较2组患者谵妄发生率、谵妄类型分布、谵妄持续时间,瑞芬太尼、盐酸右美托咪啶总量、机械通气时间、ICU住院时间、住院总时间,免疫功能指标和不良反应发生率,并按颅脑、胸部及躯干/四肢损伤进行亚组分析。结果:实验组谵妄发生率(20.00%)低于对照组(37.42%),谵妄持续时间(3.88±0.90) d短于对照组(5.05±0.92) d、不良反应发生率(2.58%)低于对照组(12.26%),差异有统计学意义(P<0.05);实验组瑞芬太尼、盐酸右美托咪定用量少于对照组,实验组机械通气时间、ICU住院时间和住院总时间短于对照组,差异有统计学意义(P<0.05);实验组CD4+/CD8+高于对照组,IL-8、TNF-α水平低于对照组,差异有统计学意义(P<0.05);亚组分析显示,颅脑损伤组、胸部损伤组、躯干/四肢损伤组中,实验组谵妄发生率均低于对照组,谵妄持续时间均短于对照组,差异有统计学意义(P<0.05)。结论:在多发性创伤患者谵妄管理中应用ESCAPE集束化护理策略能够有效减少镇静镇痛药物的使用量,缩短患者住院治疗时间,增强患者免疫功能,降低谵妄和不良反应的发生率。 展开更多
关键词 escape集束化护理策略 多发性创伤 谵妄 机械通气
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Asymmetric Effects on Escape Rates of Bistable System 被引量:2
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作者 王参军 戴祖诚 梅冬成 《Communications in Theoretical Physics》 SCIE CAS CSCD 2011年第12期1041-1044,共4页
The asymmetric effects on the escape rates from the stable states x±in the bistable system are analyzed. The results indicate that the multiplicative noise and the additive noise always enhance the particle escap... The asymmetric effects on the escape rates from the stable states x±in the bistable system are analyzed. The results indicate that the multiplicative noise and the additive noise always enhance the particle escape from stable states x±of bistable.However,the asymmetric parameter r enhances the particle escape from stable state x_+,and holds back the particle escape from stable state x_-. 展开更多
关键词 bistable system escape rate asymmetric effects noise
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Enhanced lysosome escape mediated by 1,2-dicarboxylic-cyclohexene anhydride-modified poly-L-lysine dendrimer as a gene delivery system 被引量:1
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作者 Jianmin Shen Jing Chen +5 位作者 Jingbo Ma Linlan Fan Xiaoli Zhang Ting Yue Yaping Yan Yuhang Zhang 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2020年第6期759-776,共18页
Antisense oligodeoxynucleotide(ASODN)can directly interfere a series of biological events of the target RNA derived from tumor cells through Watson-Crick base pairing,in turn,plays antitumor therapeutic roles.In the s... Antisense oligodeoxynucleotide(ASODN)can directly interfere a series of biological events of the target RNA derived from tumor cells through Watson-Crick base pairing,in turn,plays antitumor therapeutic roles.In the study,a novel HIF-1αASODN-loaded nanocomposite was formulated to efficiently deliver gene to the target RNA.The physicochemical properties of nanocomposite were characterized using TEM,FTIR,DLS and zeta potentials.The mean diameter of resulting GEL-DGL-FA-ASODN-DCA nanocomposite was about 170–192 nm,and according to the agarose gel retardation assay,the loading amount of ASODN accounted for 166.7 mg/g.The results of cellular uptake showed that the nanocomposite could specifically target to HepG2 and Hela cells.The cytotoxicity assay demonstrated that the toxicity of vectors was greatly reduced by using DCA to reversibly block the cationic DGL.The subcellular distribution images clearly displayed the lysosomal escape ability of the DCA-modified nanocomposite.In vitro exploration of molecular mechanism indicated that the nanocomposite could inhibit m RNA expression and HIF-1αprotein translation at different levels.In vivo optical images and quantitative assay testified that the formulation accumulated preferentially in the tumor tissue.In vivo antitumor efficacy research confirmed that this nanocomposite had significant antitumor activity and the tumor inhibitory rate was 77.99%.These results manifested that the GEL-DGL-FA-ASODNDCA nanocomposite was promising in gene therapeutics for antitumor by interacting directly with target RNA. 展开更多
关键词 Antisense oligodeoxynucleotide(ASODN) Gene delivery Dendrigraft poly-L-lysines(DGL) Lysosomal escape Tumor targeting
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Escape of Brownian Particles in the System Driven by Correlated White Noises:Comparison of Three Models
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作者 YOU Jing-Yun CAO Li WU Da-Jin ZHANG Li 《Communications in Theoretical Physics》 SCIE CAS CSCD 2001年第11期535-540,共6页
The relative escape rate (RER) in the bistable sawtooth system driven by correlated white noises was studied in the case of linear multiplicative noise coefficient.And we compare the RER of linear multiplicative noise... The relative escape rate (RER) in the bistable sawtooth system driven by correlated white noises was studied in the case of linear multiplicative noise coefficient.And we compare the RER of linear multiplicative noise coefficient with the RER of the piecewise constant multiplicative noise coefficient in the bistable sawtooth system,finally compare the RER of the bistable sawtooth potential with the RER of the quartic potential in the case of linear multiplicative noise coefficient.It can be seen that the form of the multiplicative noise coefficient and the nonlinearity of potential have an important influence on the resonant activation and the suppression of the RER.The resonant activation of the RER vanishes in the negative correlation when the multiplicative noise coefficient was shifted from piecewise constant to linear function in the bistable sawtooth potential.The suppression of the RER disappears in the negative correlation when thelinear potential is converted into nonlinear one. 展开更多
关键词 the CORRELATED noises escape rate resonant activation suppression
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Probability Density and Statistical Properties for a Three-State Markovian Noise and Escape of Particles for a System Driven by This Noise
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作者 LI Jing-Hui 《Communications in Theoretical Physics》 SCIE CAS CSCD 2008年第8期391-395,共5页
A three-state Markovian noise is investigated.Its probability density and statistical properties are obtained. Escape of particles for a system with potential barrier only driven by this noise is investigated.It is sh... A three-state Markovian noise is investigated.Its probability density and statistical properties are obtained. Escape of particles for a system with potential barrier only driven by this noise is investigated.It is shown that,in some circumstances,this noise can make the particles escape over the potential barrier;but in other circumstances,it cannot. Resonant activation phenomenon appears for the system considered by us. 展开更多
关键词 probability density noise escape
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A Fire Escape Simulation System Based on the Dijkstra Algorithm
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作者 Haolong Yang Chunqiang Hu +1 位作者 Guwei Li Jingchun Fan 《Computer Systems Science & Engineering》 SCIE EI 2021年第12期365-372,共8页
Despite the support of all kinds of fire prevention measures and high-tech fire prevention equipment,fires still occur frequently because of both anthro-pogenic factors and natural disasters.This issue has drawn the a... Despite the support of all kinds of fire prevention measures and high-tech fire prevention equipment,fires still occur frequently because of both anthro-pogenic factors and natural disasters.This issue has drawn the attention of schools,all levels of government,and other organizations.Many types of organi-zations carry out fire drills throughout the year.Because this kind of drill cannot anticipate the specific circumstances of each fire,which are generally far more complicated than drills,most people cannot correctly choose the optimal escape route from real fires.Thus,a fire-scene virtual simulation system based on the Dijkstra algorithm is here proposed to address such problems as casualties caused by frequent fires and the inability of most people to correctly choose a fire escape route.This virtual fire escape simulation system uses Maya to carry out 3D recon-struction of the fire scene,the Unity engine to conduct interactive function design,and the Dijkstra algorithm to calculate the best escape route.The results of the example indicate that the simulation system solves the problems of the traditional simulation system,such as stiffness,lack of intelligence,and poor simulation. 展开更多
关键词 Dijkstra algorithm virtual fire escape simulation system FIRE
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Ubiquitin-specific protease 1 facilitates tumor immune escape from natural killer cells and predicts the prognosis in small cell lung cancer
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作者 SHIQIN JIANG YICHUN TANG +2 位作者 FENG MA YUCHUN NIU LEI SUN 《Oncology Research》 SCIE 2025年第1期213-224,共12页
Objective:Small cell lung cancer(SCLC)is commonly recognized as the most fatal lung cancer type.Despite substantial advances in immune checkpoint blockade therapies for treating solid cancers,their benefits are limite... Objective:Small cell lung cancer(SCLC)is commonly recognized as the most fatal lung cancer type.Despite substantial advances in immune checkpoint blockade therapies for treating solid cancers,their benefits are limited to a minority of patients with SCLC.In the present study,novel indicators for predicting the outcomes and molecular targets for SCLC treatment were elucidated.Methods:We conducted bioinformatics analysis to identify the key genes associated with tumor-infiltrating lymphocytes in SCLC.The functional role of the key gene identified in SCLC was determined both in vitro and in vivo.Results:A significant correlation was observed between patient survival and CD56dim natural killer(NK)cell proportion.Furthermore,we noted that the hub gene ubiquitin-specific protease 1(USP1)is closely correlated with both CD56dim NK cells and overall survival in SCLC.Bioinformatics analysis revealed that USP1 is upregulated in SCLC.In addition,gene set enrichment analysis revealed that USP1 overexpression hinders NK cell-mediated immune responses.By co-cultivating NK-92 cells with SCLC cells,we demonstrated that NK cell cytotoxicity against SCLC could be improved either via USP1 knock-down or pharmacological inhibition.Furthermore,using a nude-mice xenograft tumor model,we noted that USP1 inhibition effectively suppressed tumor proliferation and increased the expression of NK cell-associated markers.Conclusions:Our study findings highlight the importance of NK cells in regulating SCLC.USP1 overexpression can inhibit NK cell-mediated immunity;therefore,USP1 may serve not only as a prognostic biomarker but also as a potential molecular target of SCLC therapy. 展开更多
关键词 Ubiquitin-specific protease 1(USP1) Natural killer(NK)cell Small cell lung cancer(SCLC) PROGNOSIS Immune escape
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捷安特全新ESCAPE系列车型:大有内在,平而不凡
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作者 《中国自行车》 2025年第5期98-101,共4页
大有内在,平而不凡。捷安特全新推出ESCAPE系列车型:在晨光中启程,是心与路的默契约定;于微风中前行,感受生活轻盈的韵律;在街巷间穿梭,聆听自由灵魂的低语;旅途中有ESCAPE相伴,便是骑行诗意的美好开端。全新车架,简约而不简单全新ESCAP... 大有内在,平而不凡。捷安特全新推出ESCAPE系列车型:在晨光中启程,是心与路的默契约定;于微风中前行,感受生活轻盈的韵律;在街巷间穿梭,聆听自由灵魂的低语;旅途中有ESCAPE相伴,便是骑行诗意的美好开端。全新车架,简约而不简单全新ESCAPE系列车型搭载了Giant ALUXX全方位运动竞速级铝合金车架。 展开更多
关键词 晨光 街巷 车架 捷安特 骑行 微风 escape系列 铝合金
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Escape behaviors of the Eurasian Tree Sparrow(Passer montanus)across China:Northern populations are bolder than southern populations
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作者 Yidong Wei Yuran Liu +6 位作者 Kangning Luo Qiqi Liu Fangfang Zhang Weihui Xing Caizhen Wen Jinmei Liu Wei Liang 《Avian Research》 2025年第4期721-726,共6页
Urbanization has significantly altered the habitat structure and behavioral patterns of animals.In urban environments with frequent human disturbances,animals may undergo adaptive adjustments in their escape behaviors... Urbanization has significantly altered the habitat structure and behavioral patterns of animals.In urban environments with frequent human disturbances,animals may undergo adaptive adjustments in their escape behaviors.This study focuses on Eurasian Tree Sparrows(Passer montanus)from five cities across different latitudes in China,comparing their flight initiation distance(FID)in urban and rural areas to assess the impact of urbanization on their escape behavior and the trend of ecological homogenization.The results confirm the established pattern at the geographic level:a reduction of FID in urban habitats and a decrease in FID with increasing latitude.That is,northern populations of the Eurasian Tree Sparrow in China are bolder than the southern populations.In addition,FID is positively correlated with flock size,with rural flocks exhibiting more pronounced group behavior(observed flocking frequency for urban and rural is 28.74%vs.40.7%,flock size variance is 26.90 vs.55.63).Despite the differences between northern and southern latitudes,the variability of FID in urban individuals consistently remains lower than that in rural areas,supporting the trend of reduced variability in escape behavior among birds in urban environments.Driven by urbanization,the escape behavior of Eurasian Tree Sparrows tends toward ecological homogenization,meaning that behavioral differences between urban areas in different cities are diminishing.This trend may obscure the behavioral variability brought about by latitude gradients,indicating that urbanization not only shapes the behavioral adaptations of birds but also potentially weakens their behavioral diversity. 展开更多
关键词 escape behavior Flight initiation distance Latitudinal gradient Rural-urban difference Urban homogenization
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将Escape Room游戏理念贯穿于食管癌术后饮食训练管理方案中的应用价值分析
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作者 宋双双 苏巧针 +1 位作者 王玉曼 徐洪丽 《医学理论与实践》 2025年第21期3754-3757,共4页
目的:探讨Escape Room游戏理念贯穿于食管癌术后饮食训练管理方案中的效果与价值。方法:选取2022年1月—2024年1月我院收治的食管癌患者154例为研究对象,采用抽签法分为研究组和常规组,各77例。常规组给予单纯饮食训练管理,研究组结合Es... 目的:探讨Escape Room游戏理念贯穿于食管癌术后饮食训练管理方案中的效果与价值。方法:选取2022年1月—2024年1月我院收治的食管癌患者154例为研究对象,采用抽签法分为研究组和常规组,各77例。常规组给予单纯饮食训练管理,研究组结合Escape Room游戏进行干预。观察并比较两组饮食训练管理认知、胃肠道症状、营养状态及生活质量。结果:出院时,研究组饮食训练管理认知得分、营养状态与胃肠道症状得分、生活质量各维度得分改善情况显著优于常规组(P<0.05)。结论:在饮食训练管理方案中结合Escape Room游戏理念对提升患者饮食训练管理认知,改善患者营养状态,对胃肠道适应能力与生活质量均具有更为积极和显著的作用。 展开更多
关键词 食管癌 escape Room游戏 饮食训练管理 胃肠道症状 营养状态 生活质量
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Martian atmosphere sputtering escape generated by penetrating hydrogen energetic neutral atoms
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作者 JiJie Ma LingGao Kong +13 位作者 Hao Gu WenYa Li YuMing Wang YuTian Chi BinBin Tang XiaoPeng Liu YiFan Song BaiQu Pu FuHao Qiao LiMin Wang Jun Cui Yong Wei AiBing Zhang Chi Wang 《Earth and Planetary Physics》 2025年第6期1147-1156,共10页
Atmospheric escape plays a critical role in shaping the long-term climate evolution of Mars.Among the various escape mechanisms,energetic neutral atoms(ENAs)generated through charge exchange between solar wind ions an... Atmospheric escape plays a critical role in shaping the long-term climate evolution of Mars.Among the various escape mechanisms,energetic neutral atoms(ENAs)generated through charge exchange between solar wind ions and exospheric neutrals serve as an important diagnostic for ion-neutral interactions and upper atmospheric loss.This study presents direct observations of hydrogen ENAs(H-ENAs)on the dayside of Mars by using the Mars Ion and Neutral Particle Analyzer(MINPA)onboard China’s Tianwen-1 orbiter.By analyzing H-ENA data during a coronal mass ejection and a stream interaction region from December 29,2021,to January 1,2022,and comparing these data with MAVEN/SWIA(Mars Atmosphere and Volatile EvolutioN/Solar Wind Ion Analyzer)solar wind measurements,we examine the temporal evolution of H-ENA flux and the associated sputtered escape of atmospheric constituents.The observed H-ENA velocity is consistent with upstream solar wind ions,and the H-ENA-to-ion intensity ratio is used to infer variations in exospheric density,revealing a delayed response to enhanced solar wind activity.Penetrating H-ENA intensities reach up to 5.3×10^(6)s^(−1) cm^(−2),with energy fluxes on the order of(0.5-8.1)×10^(−3) mW/m^(2).The estimated oxygen sputtered escape rate driven by penetrating H-ENAs ranges from 5.5×10^(23)s^(−1) to 5.2×10^(24)s^(−1),comparable to or exceeding previous estimates based on penetrating ions.The findings highlight the need for low-altitude H-ENA observations to better quantify their atmospheric interactions and refine our understanding of nonthermal escape processes at Mars. 展开更多
关键词 penetrating energetic neutral atoms sputtered escape Mars atmosphere loss Tianwen-1 future energetic neutral atom observations
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A Novel Functional Method of Protector Screening for Zebrafish Lateral Line Hair Cells via the Acoustic Escape Response
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作者 Ling Zheng Qiaosen Shen +8 位作者 Tong Zhao Qingsong Liu Zihao Huang Feng Zhao Mengqian Zhang Yongdong Song Daogong Zhang Dong Liu Fangyi Chen 《Neuroscience Bulletin》 2025年第9期1537-1552,共16页
Zebrafish larvae are useful for identifying chemicals against lateral line(LL)hair cell(HC)damage and this type of chemical screen mainly focuses on searching for protectors against cell death.To expand the candidate ... Zebrafish larvae are useful for identifying chemicals against lateral line(LL)hair cell(HC)damage and this type of chemical screen mainly focuses on searching for protectors against cell death.To expand the candidate pool of HC protectors,a self-built acoustic escape response(AER)-detecting system was developed to apply both low-frequency near-field sound transmission and AER image acquisition/processing modules.The device quickly confirmed the changed LL HC functions caused by most known ototoxins,protectors,and neural transmission modifiers,or knockdown of LL HC-expressing genes.With ten devices wired in tandem,five‘hit’chemicals were identified from 124 cyclin-dependent kinase inhibitors to partially restore cisplatin-damaged AER in less than a day.AS2863619,ribociclib,and SU9516 among the hits,protected the HCs in the mouse cochlea.Therefore,using free-swimming larval zebrafish,the self-made AER-detecting device can efficiently identify compounds that are protective against HC damage,including cell death and loss-of-function. 展开更多
关键词 Acoustic escape response Zebrafish Lateral line Hair cell Low-frequency sound Functional screening
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MINDY1 Induces PD-L1 Deubiquitination to Promote Immune Escape in Hepatocellular Carcinoma by the Wnt/β-Catenin Pathway
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作者 Xingchao Song Qiuyu Song +2 位作者 Xiao Ma Anzhi Xu Chunyan Tian 《Oncology Research》 2025年第11期3583-3603,共21页
Background:Motif interacting with ubiquitin-containing novelDUB family-1(MINDY1)could enhance the stability of programmed death-ligand 1(PD-L1).The study aimed to investigate whether MINDY1 regulates the immune escape... Background:Motif interacting with ubiquitin-containing novelDUB family-1(MINDY1)could enhance the stability of programmed death-ligand 1(PD-L1).The study aimed to investigate whether MINDY1 regulates the immune escape of hepatocellular carcinoma(HCC)mediated by PD-L1.Methods:MINDY1 and PD-L1 levels were detected throughWestern blot.The link between MINDY1 and PD-L1 was validated using the co-immunoprecipitation assay.The malignant biology of HCC cells was assessed through Cell Counting Kit-8,Carboxyfluorescein Succinimidyl Ester staining,transwell,and wound healing assay.CD8^(+)T cells were isolated and then co-cultured with HCC cells.Enzyme-linked immunosorbent Assay kits detected CD8^(+)T cytokine content.CD8^(+)T cell activation markers,PD-L1 ubiquitination levels,andWnt/β-catenin pathway-associated protein levels were detected throughWestern blot.AHCC nude mouse model was developed,Ki-67 positivity and CD8^(+)T-cell infiltration were assessed through pathological staining and flow cytometry.Results:MINDY1 and PD-L1 levels were elevated in HCC.Overexpression of MINDY1 increased migrating and invading cells,elevated cell viability,and decreased apoptosis in HCC cells,leading to PD-L1 deubiquitination.Knockdown of MINDY1 reversed all of these indicators.Co-culturing withHCC cells overexpressing MINDY1 resulted in decreased proliferative capacity and cytotoxicity of CD8^(+)T cells,increased apoptosis,and decreased levels of cytokines and activation markers in CD8^(+)T cells.MINDY1 triggeredWnt/β-catenin pathway,Wnt activators further promoted PD-L1 deubiquitination and suppressed CD8^(+)T cell activation.MINDY1 overexpression increased PD-L1 and Ki67 positivity level in HCC tumors,suppressed CD8^(+)T-cell infiltration.Conclusion:MINDY1 promotes PD-L1 deubiquitination and inhibits CD8^(+)T cell activation by stimulating the Wnt/β-catenin pathway,consequently promoting HCC tumor immune escape. 展开更多
关键词 Hepatocellular carcinoma motif interacting with ubiquitin-containing novel DUB family-1 WNT/Β-CATENIN programmed death-ligand 1 immune escape
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Understanding of endo/lysosomal escape of nanomaterials in biomedical application
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作者 Xin Wang Haoyu Li +1 位作者 Chen Chen Zhihui Liang 《Smart Molecules》 2025年第4期33-46,共14页
Emerging therapies rely on the efficient and specific delivery of targeted agents into the cytosol,such as DNA,siRNA and proteins.Nanoparticles showed great potentials in safe delivery and transportation of the target... Emerging therapies rely on the efficient and specific delivery of targeted agents into the cytosol,such as DNA,siRNA and proteins.Nanoparticles showed great potentials in safe delivery and transportation of the targeted cargoes;however,the entrapment in endosomes and degradation by specific enzymes in the lysosome hindered the bioavailability,cytosolic delivery and subsequent therapeutic efficacy.In this case,the development of methods for efficient and specific delivery of targeted therapeutic agents focuses on overcoming the major challenge of endo/lysosomal escape,which relies on the development of safe and efficient nanodelivery systems.A deeper mechanistic understanding in the endo/lysosomal escape will guide the development of more efficient nano-delivery systems.In this review,we summarize various mechanisms by which nanoparticles escape from the endo/lysosome,and showcase the recent progress in dissecting the endo/lysosomal approaches based on nano-delivery systems.Emphasis will lie on the properties of nanoparticles that govern the endo/lysosomal escape pathway as well as the latest promising applications in vaccine delivery and genetic engineering field. 展开更多
关键词 biomedical application endo/lysosomal escape nanomaterials property
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ESCAPE策略在机械通气患者谵妄管理的应用 被引量:19
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作者 骆艳妮 王秀莹 +3 位作者 王小闯 吴媛 苏丹 刘佳 《护理学杂志》 CSCD 北大核心 2019年第19期37-40,共4页
目的评价ESCAPE策略用于机械通气患者谵妄管理的效果。方法将165例机械通气患者采用随机数字软件分为干预组(n=86)、对照组(n=79)。对照组采用ICU常规护理,包括观察患者生命体征、呼吸机及循环监测、常规镇痛镇静护理、药物不良反应及... 目的评价ESCAPE策略用于机械通气患者谵妄管理的效果。方法将165例机械通气患者采用随机数字软件分为干预组(n=86)、对照组(n=79)。对照组采用ICU常规护理,包括观察患者生命体征、呼吸机及循环监测、常规镇痛镇静护理、药物不良反应及脏器功能监测。干预组采用ICU常规护理的同时应用ESCAPE策略,包括早期活动、睡眠管理、每日唤醒及自主呼吸试验、精神状态评估、情感支持、镇痛镇静管理。比较两组患者谵妄发生率、谵妄持续时间、镇痛镇静药物使用量、机械通气时间、ICU住院时间。结果干预组患者谵妄发生率、谵妄持续时间、镇痛镇静药物使用量、机械通气时间、ICU住院时间显著低于/短于对照组(P<0.05,P<0.01)。结论实施ESCAPE策略可有效降低ICU机械通气患者谵妄发生率,缩短谵妄持续时间,提高临床护理质量。 展开更多
关键词 机械通气 谵妄 escape策略 ICU住院时间 镇痛 镇静
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改良ESCAPE集束化策略在急性呼吸衰竭有创机械通气脱机患者中的应用价值 被引量:3
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作者 陈新龙 赵宏胜 +3 位作者 陆舒 许惠芬 王乃学 王林华 《交通医学》 2023年第6期582-585,共4页
目的:探讨改良ESCAPE集束化策略在急性呼吸衰竭有创机械通气脱机患者中的应用价值。方法:接受有创机械通气治疗的急性呼吸衰竭患者116例,随机分为观察组60例和对照组56例。对照组由主管医师制定整体治疗方案,采用常规治疗护理。观察组... 目的:探讨改良ESCAPE集束化策略在急性呼吸衰竭有创机械通气脱机患者中的应用价值。方法:接受有创机械通气治疗的急性呼吸衰竭患者116例,随机分为观察组60例和对照组56例。对照组由主管医师制定整体治疗方案,采用常规治疗护理。观察组在常规治疗护理基础上,实施改良ESCAPE集束化策略。结果:观察组脱机后1 h、12 h、24 h时SaO_(2)分别为(96.7±3.7)%、(97.3±3.8)%和(97.4±3.3)%,高于对照组的(92.1±4.3)%、(92.5±2.1)%和(93.3±3.9)%,观察组脱机后1 h、12 h、24 h时PaO_(2)/FiO_(2)分别为255.5±33.5 mmHg、257.5±28.7 mmHg和271.3±32.6 mmHg,高于对照组的213.4±30.7 mmHg、218.1±30.4 mmHg和225.5±30.3 mmHg,差异均有统计学意义(P<0.05);观察组患者脱机后1 h RR 20.5±3.7次/min,低于对照组的25.6±4.1次/min,差异有统计学意义(P<0.05)。观察组机械通时间5.9±2.7 d,短于对照组的8.6±3.1 d,差异有统计学意义(P<0.05);观察组48 h内再插管5例(8.3%),对照组48 h内再插管6例(10.7%),两组再插管率的差异无统计学意义(P>0.05)。观察组谵妄发生率18.3%,低于对照组的35.7%,观察组ICU-AW发生率16.7%,低于对照组的25.0%,差异均有统计学意义(P<0.05);观察组ICU住院时间8.3±3.7 d,短于对照组的11.2±4.1 d,差异有统计学意义(P<0.05)。结论:改良ESCAPE策略可改善急性呼吸衰竭患者呼吸机撤机后的氧合指标,降低谵妄及ICU获得性衰弱的发生率,缩短机械通气时间和ICU住院时间。 展开更多
关键词 改良escape集束化策略 急性呼吸衰竭 机械通气 脱机
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Initial Study on Immune Escape Mechanism of Mouse Acute Myelomonocytic Leukemic Cell Line WEHI-3
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作者 黎纬明 刘凌波 +1 位作者 何伟 邹萍 《The Chinese-German Journal of Clinical Oncology》 CAS 2006年第4期291-293,共3页
Objective: To investigate the expression of Fas, Fas ligand (FasL) and CD80 on the cell surface of mouse acute myelomonocytic leukemia cell line WEHI-3 and the function of FasL. Methods: The expression of Fas, Fas... Objective: To investigate the expression of Fas, Fas ligand (FasL) and CD80 on the cell surface of mouse acute myelomonocytic leukemia cell line WEHI-3 and the function of FasL. Methods: The expression of Fas, FasL and CD80 was detected on WEHI-3 cell surface by flow cytometry. Simultaneously the function of FasL was determined by Thymidine (^3H-TdR) Incorporation. Results: The expression of CD80 and Fas on WEHI-3 cell surface was 5.06%±0.41% and 6.75%±2.31% (n=5) respectively, and the expression of FasL was up to 63.73%±5.23% (n=5). The apoptotic rate of YAC-1 cells was 26%±4.5%, 35%±3.2% and 43%±2.7% (n=5) respectively when WEHI-3 (effector cell, E) and Fas^+ YAC-1 cells (target cell, T) were cultured in the ratio of 3:1, 10:1 and 30:1. Conclusion: WEHI-3 cells express high FasL, low Fas and CD80, and can induce apoptosis of Fas^+ YAC-1 cells. 展开更多
关键词 acute myelomonocytic leukemia FASL FAS CD80 immune escape
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早期肺康复联合ESCAPE集束化护理对ICU有创机械通气患者呼吸机相关膈肌功能障碍的影响 被引量:8
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作者 刘红伟 倪平娟 +3 位作者 李丽 黄来刚 王建扬 王玉辉 《齐鲁护理杂志》 2024年第10期20-23,共4页
目的:探讨早期肺康复联合ESCAPE集束化护理对ICU有创机械通气患者呼吸机相关膈肌功能障碍(VIDD)的影响。方法:将2023年2月1日~12月31日综合ICU收治的41例成人有创机械通气患者随机分为实验组20例和对照组21例,其中实验组3例、对照组4例... 目的:探讨早期肺康复联合ESCAPE集束化护理对ICU有创机械通气患者呼吸机相关膈肌功能障碍(VIDD)的影响。方法:将2023年2月1日~12月31日综合ICU收治的41例成人有创机械通气患者随机分为实验组20例和对照组21例,其中实验组3例、对照组4例因转出ICU而脱落,最终纳入实验组和对照组各17例。实验组给予早期肺康复训练联合ESCAPE集束化护理,对照组给予ESCAPE集束化护理。比较两组膈肌移动度及增厚率、临床肺部感染评分(CPIS)、急性生理学与慢性健康状况评分(APACHEⅡ)。结果:实验组治疗后膈肌移动度高于治疗前(P<0.05),膈肌增厚率比较差异无统计学意义(P>0.05);实验组治疗后CPIS、APACHEⅡ评分均低于治疗前(P<0.05)。结论:早期肺康复联合ESCAPE集束化护理可改善ICU有创机械通气患者的膈肌移动度,降低肺部感染发生风险、改善健康状况,减轻膈肌萎缩,控制ICU呼吸机相关性肺炎。 展开更多
关键词 有创机械通气 早期肺康复 escape集束化护理管理 呼吸机相关膈肌功能障碍 呼吸训练
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Colon cancer and the immune system:The role of tumor invading T cells 被引量:16
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作者 Maximilian Waldner Carl C Schimanski Markus F Neurath 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第45期7233-7238,共6页
Colon cancer is still one of the leading causes of cancer death worldwide. Although the host immune system has been shown to react against tumor cells, mainly through tumor infi ltrating lymphocytes and NK cells, tumo... Colon cancer is still one of the leading causes of cancer death worldwide. Although the host immune system has been shown to react against tumor cells, mainly through tumor infi ltrating lymphocytes and NK cells, tumor cells may utilize different ways to escape anti-tumor immune response. Tumor infi ltration of CD8+ and CD4+ (T-bet+) effector T cells has been attributed to a beneficial outcome, and the enhancement of T cell activation through T cell receptor stimulation and co-stimulatory signals provides promising strategies for immunotherapy of colon cancer. Growing evidence supports a role for the Fas/FasL system in tumor immunology, although the mechanisms and consequences of FasL activation in colon cancer are not completely understood. In animal models, depletion of regulatory T cells (CD4+ CD25+ T cells) can enhance the anti-tumor immune response under certain conditions. Taken together, recent insights in the immune reaction against colon carcinoma have provided new approaches to immunotherapy, although much remains to be learned about the exact mechanisms. 展开更多
关键词 CD4-positive T-lymphocytes CD8-positive T-lymphocytes IMMUNOLOGY Colonic neoplasms therapy Colorectal neoplasms Humans LYMPHOCYTES Tumor-infiltrating Tumor escape
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