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Investigating Sexual Auto-Dissemination of Native Strain of Metarhizium pingshaense from Burkina Faso within Aedes aegypti Mosquitoes for Dengue Control Perspectives
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作者 Etienne Bilgo Domonbabele François de Sales Hien +3 位作者 Souro Abel Millogo Edounou Jacques Gnambani Seni Ilboudo Abdoulaye Diabate 《Advances in Entomology》 2025年第1期61-67,共7页
In Burkina Faso, recent dengue outbreaks were exacerbated by Aedes aegypti mosquitoes, which have developed resistance to conventional insecticides. This study investigates the potential of Metarhizium pingshaense Met... In Burkina Faso, recent dengue outbreaks were exacerbated by Aedes aegypti mosquitoes, which have developed resistance to conventional insecticides. This study investigates the potential of Metarhizium pingshaense Met_S26, a fungus from Burkina Faso, for controlling both endophilic and exophilic Aedes mosquitoes. Traditional interventions are less effective against mosquitoes resting outdoors, and the ability of the fungus to be sexually transmitted could enhance its efficacy. Aedes mosquitoes were reared and exposed to various concentrations of Metarhizium pingshaense to assess its virulence. The fungus showed significant efficacy, with lethal times (LT80) ranging from 8.67 to 11.83 days depending on the concentration. Furthermore, bioassays demonstrated effective sexual auto-dissemination, with substantial transmission of fungal spores between infected and uninfected mosquitoes, leading to lower survival rates in uninfected mates. This study highlights Metarhizium pingshaense Met_S26 as a promising tool for controlling both indoor and outdoor Aedes populations, complementing existing vector control strategies such as the Sterile Insect Technique (SIT) and Wolbachia-based approaches. Future research should explore integrating this fungus with other control methods for a comprehensive vector management strategy. 展开更多
关键词 Sexual dissemination Metarhizium pingshaense Aedes aegypti DENGUE Burkina Faso
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From“Essential Extraction”to“In-Depth Dissemination”:A Study on the Logical Framework for Constructing a New Era Ideological and Political Discourse System in Higher Education Institutions
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作者 Chunsen Hu 《Journal of Contemporary Educational Research》 2025年第7期123-127,共5页
Ideological and political education in higher education institutions is currently facing the practical challenge of discourse transformation.Traditional theoretical indoctrination models are unable to effectively alig... Ideological and political education in higher education institutions is currently facing the practical challenge of discourse transformation.Traditional theoretical indoctrination models are unable to effectively align with the cognitive characteristics and acceptance habits of young people.With the profound changes in the media ecosystem,the ideological and political discourse system urgently needs to transition from a one-way communication model to an interactive dialogue model.This paper focuses on the bidirectional construction logic of“concise extraction”and“concise dissemination,”revealing the innovative characteristics of the ideological and political discourse system in content creation,dissemination methods,and talent cultivation mechanisms under the new era.It provides new theoretical perspectives and practical reference frameworks for addressing the challenges of insufficient effectiveness in ideological and political education. 展开更多
关键词 Concise extraction Concise dissemination Ideological and political discourse system Higher education institutions
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An“Effect-Oriented”Mechanism for the International Dissemination of China’s Human Rights Discourse
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作者 YAO Lu LIANG Tian’ai LIU Haile(Translated) 《The Journal of Human Rights》 2025年第1期164-189,共26页
The current international dissemination of China’s human rights discourse predominantly adopts a“sender-oriented”model,emphasizing the output of human rights discourse by transmitters while overlooking strategy adj... The current international dissemination of China’s human rights discourse predominantly adopts a“sender-oriented”model,emphasizing the output of human rights discourse by transmitters while overlooking strategy adjustments based on audience feedback.To some extent,the current approach has resulted in characteristics such as strong practical implementation but weak discourse,limited theoretical foundation,and insufficient recognition in China’s international human rights communication.Consequently,while China has achieved remarkable progress in its human rights endeavors,human rights issues remain a critical area of stigmatization by some Western countries.An“effect-oriented”mechanism for the international dissemination of China’s human rights discourse,therefore,aims to address this challenge by re-centering the audience as active participants in the communication process.By emphasizing the dual nature of human rights’international communication,this approach leverages the reflexive monitoring of initial transmitters throughout the dissemination process to finally construct a dynamic human rights discourse framework responsive to different time and space contexts.This mechanism directly confronts the diverse backgrounds of global audiences and the resulting varied interpretations of China’s human rights discourse.It advocates for dynamic evaluation of global dissemination outcomes based on audience feedback and the timely adaptation of communication strategies according to context.By doing so,it seeks to effectively advance China’s human rights communication efforts and enhance dissemination efficiency on the global scale. 展开更多
关键词 human rights China’s human rights discourse system international dissemination effect-oriented
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A Study on the Translation and Dissemination Model of the English Version of“Life and Death Are Wearing Me Out”from the Perspective of Communication Studies
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作者 Chenglin Zhang 《Journal of Contemporary Educational Research》 2025年第8期59-65,共7页
This study adopts a communication studies perspective,employing Lasswell’s“5W”model as the theoretical framework and integrating the“6W”elements of translation communication to systematically examine the translat... This study adopts a communication studies perspective,employing Lasswell’s“5W”model as the theoretical framework and integrating the“6W”elements of translation communication to systematically examine the translation and dissemination model of the English version of Mo Yan’s novel“Life and Death Are Wearing Me Out,”translated by Howard Goldblatt.By analyzing key elements such as communication content,translator strategies,dissemination channels,and reader reception,the study elucidates the intrinsic mechanisms behind the work’s successful overseas dissemination.The findings reveal that effective communication stems from the synergistic interplay of four dimensions:the intercultural adaptability of the work itself,the translator’s agential mediation,diversified dissemination channels,and reader-oriented translation strategies.This research provides theoretical and practical insights for promoting Chinese literature globally,demonstrating that successful intercultural communication requires an integrated approach encompassing the work,translator,channels,and reader research. 展开更多
关键词 Translation and dissemination model Intercultural communication Life and Death Are Wearing Me Out
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Digital Dissemination and Consumption of Cultural Symbols in Lingnan’s Traditional Villages
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作者 Xinrui Cai 《Proceedings of Business and Economic Studies》 2025年第6期24-31,共8页
Ancient villages in Lingnan serve as crucial carriers of Lingnan culture.Their abundant cultural symbols now face the dual task of inheritance and innovation in the digital era.Drawing on Stuart Hall’s encoding/decod... Ancient villages in Lingnan serve as crucial carriers of Lingnan culture.Their abundant cultural symbols now face the dual task of inheritance and innovation in the digital era.Drawing on Stuart Hall’s encoding/decoding theory,this study explores how representative cultural symbols of Lingnan’s ancient villages are digitally translated and disseminated.By analyzing specific cases,it elucidates the logic of audience interaction and consumption during the decoding of these digital cultural symbols.This study aims to offer valuable insights for revitalizing ancient village culture and informing its sustainable industrial development. 展开更多
关键词 Ancient villages of Lingnan Cultural symbols Digital dissemination Encoding and decoding Symbolic consumption
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The Dissemination, Acceptance and Evolution of The Romance of the Three Kingdoms in Japan
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作者 CHEN Rui-qi LI Jie 《Journal of Literature and Art Studies》 2024年第7期527-540,共14页
As one of the Four Great Masterpieces of China,The Romance of the Three Kingdoms has become a landmark of ancient Chinese literature with vivid and profound character images,ups and downs of politics and war descripti... As one of the Four Great Masterpieces of China,The Romance of the Three Kingdoms has become a landmark of ancient Chinese literature with vivid and profound character images,ups and downs of politics and war descriptions,and appealing historical plots.After being introduced to Japan in the second half of the 17th century,it was spread in Japanese society and was accepted for literary value,social needs and other reasons,then a series of evolutions were produced by combining with local culture,eventually becoming a national culture in Japan.This paper selects the most popular text of The Romance of the Three Kingdoms with 24 chapters and 120 verses in the Wanli period of the Ming Dynasty,and the Japanese translation of The Popular Romance of the Three Kingdoms published by Hunan Wenshan in 1689 as the objects,guided by Ralph Linton’s“Manifestation,Selection,Integration”cultural communication research method,to analyze the dissemination,acceptance and evolution of The Romance of the Three Kingdoms in 17-20 centuries’Japan,which started from the field of literature,then combined with various cultural forms and spread to the civic class,and finally entered politics area and produced a series of evolutions under the influence of Japanese values to become the representative culture of Japan.This paper suggests that in today’s world of frequent cultural exchanges,China should,based on strengthening cultural self-confidence,actively and appropriately select and accept foreign cultures with the attitude of prioritizing our own culture and utilizing foreign culture for our own purposes.The research outcome can provide experience for the current Chinese culture to go to the world with high quality. 展开更多
关键词 The Romance of the Three Kingdoms dissemination ACCEPTANCE EVOLUTION
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On the Dissemination and Acceptance of Dongpo Culture in the UK and the US
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作者 QIU Shicun XU Jinwen 《Sino-US English Teaching》 2024年第7期322-327,共6页
This study delves into the intricate dissemination and acceptance of Dongpo Culture,epitomized by Su Shi,in the UK and the US,aiming to bolster the global recognition of Chinese literary and cultural values and advanc... This study delves into the intricate dissemination and acceptance of Dongpo Culture,epitomized by Su Shi,in the UK and the US,aiming to bolster the global recognition of Chinese literary and cultural values and advance the national strategy of“Going Out”.Su Shi’s multifaceted contributions—spanning literature,philosophy,calligraphy,and art—serve as a pinnacle of Northern Song Dynasty culture.This research evaluates the varied translations,monographs,biographies,journal articles,and doctoral dissertations about Su Shi in these Western nations,using literature analysis,typical analysis,and comparative methods.The findings reveal a robust interest in Su Shi studies in the US,marked by a proliferation of scholarly works and translations across diverse disciplines,such as literature,art,and aesthetics,establishing the US as a leading center for Dongpo Culture studies.Conversely,the UK,despite its early engagement,shows limited scholarly outputs and significant research papers on the subject.By examining Dongpo Culture’s overseas communication path and influence paradigm,this paper seeks to enhance China’s cultural soft power and self-confidence.It underscores the vital role of international cultural exchange in constructing a positive image of China’s national identity,facilitating its peaceful rise,and providing strategic insights for the global promotion of Chinese culture. 展开更多
关键词 Dongpo Culture dissemination and acceptance national image cultural soft power
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On the International Dissemination of Zhuang Medicine
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作者 ZHANG Yan TAO Jien +1 位作者 LIAN Yujie CHEN Yingzhu 《Journalism and Mass Communication》 2024年第4期227-231,共5页
As an important part of Chinese culture,Zhuang medicine has a long history and unique diagnosis and treatment.With the international dissemination of Chinese culture,the international dissemination of Zhuang medicine ... As an important part of Chinese culture,Zhuang medicine has a long history and unique diagnosis and treatment.With the international dissemination of Chinese culture,the international dissemination of Zhuang medicine has become an increasing concern.This paper aims to discuss the status quo,challenges of the international dissemination of Zhuang medicine,then puts forwards corresponding solutions and recommendations,so as to make Zhuang medicine known by the world. 展开更多
关键词 international dissemination Zhuang medicine intercultural communication
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A Study on the Accessibility and Dissemination of Bilingual Chinese Culture Readers for Chinese Adolescents from the Perspective of English Glocalization
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作者 Su Yujie Dai Yuqing Li Xinping 《教育技术与创新》 2024年第4期82-93,共12页
The dissemination of Chinese culture is closely related to the influence of national culture.Chinese culture readers serve as important carriers for cultivating global competence among young people and disseminating C... The dissemination of Chinese culture is closely related to the influence of national culture.Chinese culture readers serve as important carriers for cultivating global competence among young people and disseminating Chinese culture.They are also important measures to help different cultures eliminate cultural barriers.However,the current Chinese culture readers are of various kinds,seldom testing the readability and rarely taking consideration of the target readers’accessibility.Therefore,this study explores the factors affecting the readability of different Chinese culture readers from the perspective of English global localization,aiming to explore the ways and methods to enhance the dissemination of Chinese culture.Meanwhile,it conducted a survey on the target readers’competence in language learning and culture awareness. 展开更多
关键词 English Glocalization Chinese culture readers ACCESSIBILITY dissemination
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A Study on the Path of Promoting External Dissemination of Regional Culture with Translation Technology under the Background of New Quality Productivity
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作者 Juan Zhou 《Journal of Contemporary Educational Research》 2024年第8期26-31,共6页
With the introduction of the concept of new quality productivity characterized by high technology,efficiency,and quality,various industries in China have ignited a high spirit of innovation and development.Against thi... With the introduction of the concept of new quality productivity characterized by high technology,efficiency,and quality,various industries in China have ignited a high spirit of innovation and development.Against this background,this article analyzes the significance and current situation of the external dissemination of regional culture and combines the application of translation technology empowered by new quality productivity to explore a path suitable for the wider,more effective,and higher-quality external dissemination of regional culture.The aim is to provide practical experience for promoting the effective dissemination of regional culture in China to the world and better build a cultural power. 展开更多
关键词 New quality productivity Regional culture External dissemination Translation technology
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UNESCO Global Geoparks as useful sceneries to disseminate science and raise awareness of geological risks: the case of Las Loras Geopark (Spain)
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作者 Irene DeFelipe Armanda Cruz Dolores Pereira 《Episodes》 2025年第1期29-40,共12页
This paper is focused on discussing the case of Las Loras UNESCO Global Geopark,in Spain,as an example to show the contribution of Geoparks to the dissemination of science and the relevance of preserving geoheritage b... This paper is focused on discussing the case of Las Loras UNESCO Global Geopark,in Spain,as an example to show the contribution of Geoparks to the dissemination of science and the relevance of preserving geoheritage by implementing simple measures based on communication and prevention.Natural and anthropic hazards derived from climate change are endangering heritage and the well-ness of the society.Geoheritage is vulnerable.Nowadays we are witnessing the destruction of monuments with high emotional significance due to wars,but climate change is also contributing to the loss of the same cultural heritage.Prevention is often the best way to protect geoheritage from disappearing and society is the best agent to implement preventive measures.Citizens are often unaware of the important treasures they have around them.Geoparks have been a great tool to bring awareness in society,since by involving the public in the whole process of recognition and promotion,they protect the space and the cultural and economic values associated with them.It is important to communicate the initiatives taking place in the Geoparks to explain the importance of geology and the risk of losing the geoheritage if natural hazards increase.Las Loras study is a good practice to implement in other Geoparks. 展开更多
关键词 preserving geoheritage destruction monuments dissemination science las loras unesco global geoparkin geoparks communication preventionnatural geological risks science dissemination
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Disseminated herpes simplex virus type 1 treated with ixekizumab in a patient with erythrodermic psoriasis:A case report
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作者 Ahmad Berjawi Rana Attieh +3 位作者 Marcella Younes Karen Beydoun Issam Fassih Zeina Tannous 《World Journal of Clinical Cases》 2025年第33期111-118,共8页
BACKGROUND Erythrodermic psoriasis(EP)is a rare and life-threatening form of psoriasis associated with significant morbidity and mortality.Systemic immunosuppre-ssive therapies are often required but may predispose to... BACKGROUND Erythrodermic psoriasis(EP)is a rare and life-threatening form of psoriasis associated with significant morbidity and mortality.Systemic immunosuppre-ssive therapies are often required but may predispose to opportunistic infections.Disseminated herpes simplex virus type-1(HSV-1)is an unusual complication in otherwise immunocompetent patients and has not been reported in association with ixekizumab therapy for EP.CASE SUMMARY We describe a 49-year-old man with longstanding severe plaque psoriasis,liver cirrhosis,and bipolar disorder who developed EP involving>90%of body surface area[Psoriasis Area and Severity Index(PASI)45].Following initial stabil-ization,he was admitted to the intensive care unit(ICU)with hemodynamic instability,leukocytosis with eosinophilia,and diffuse desquamation.Ixekizumab was initiated with high-dose topical clobetasol.During his ICU stay,he developed recurrent bacteremias and neurologic decline(Glasgow Coma Scale 7/15),fo-llowed by the appearance of widespread vesicles and hemorrhagic crusts.HSV-1 infection was confirmed by polymerase chain reaction(PCR).Immunosuppressive therapy was withheld,and intravenous acyclovir was started,leading to progre-ssive improvement.After ten days,ixekizumab was reintroduced with careful monitoring,resulting in marked clinical improvement(PASI 9.7 at six weeks).The patient remained stable on long-term follow-up with oral acyclovir prophylaxis.CONCLUSION This case highlights the diagnostic and therapeutic challenges of managing EP in the setting of biologic therapy.Disseminated cutaneous HSV-1 should be considered in immunosuppressed patients presenting with new vesicular eruptions,and prompt PCR testing with early antiviral therapy is essential.A multidisciplinary approach is critical to balance immunosuppression for disease control with infection risk. 展开更多
关键词 ERYTHRODERMA PSORIASIS disseminated herpes Ixekizumab Topical steroids Case report
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Disseminated liver histoplasmosis in an immunocompetent individual cured by liver transplantation and voriconazole from China:A case report
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作者 Chen-Xuan Li Hao-Dong Chen +3 位作者 Shakoor Kashif Bin Xie Jing Luo Ting Li 《World Journal of Gastroenterology》 2025年第9期146-153,共8页
BACKGROUND Histoplasmosis is a rare infectious condition with mainly pulmonary involvement which is generally self-limiting in immunocompetent individuals.Its manifestation varies and lacks specificity.This study repo... BACKGROUND Histoplasmosis is a rare infectious condition with mainly pulmonary involvement which is generally self-limiting in immunocompetent individuals.Its manifestation varies and lacks specificity.This study reports a case of primary disseminated liver histoplasmosis in a normal host presenting as liver failure cured by liver transplantation and voriconazole.CASE SUMMARY A 43-year-old Chinese man with intermittent fever,malaise,jaundice and extreme hepatomegaly for more than 40 days was admitted to the Second Xiang-ya Hospital.The patient was immunocompetent and lacked a definitive history of exposure.His condition deteriorated to liver failure,and he promptly underwent liver transplantation to ensure survival.One year later,the patient presented with severe gastrointestinal symptoms,including fever,abdominal pain,and diarrhea.Subsequently,tissue samples acquired via gastrointestinal endoscopy were subjected to pathological examination and next-generation sequencing analysis.Through a comprehensive amalgamation of clinical presentation,biopsy pathology,and next-generation sequencing analysis,the patient was ultimately diagnosed with disseminated hepatic histoplasmosis.The patient achieved complete recovery after 6 months of voriconazole treatment.CONCLUSION In patients with chronic-hepatitis-B having atypical symptoms,histoplasmosis can be a differential diagnosis.Voriconazole is effective in treating histoplasmosis. 展开更多
关键词 HISTOPLASMA disseminated histoplasmosis IMMUNOCOMPETENCE Liver transplantation VORICONAZOLE Case report
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Enhanced Cutaneous Melanoma Segmentation in Dermoscopic Images Using a Dual U-Net Framework with Multi-Path Convolution Block Attention Module and SE-Res-Conv
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作者 Kun Lan Feiyang Gao +2 位作者 Xiaoliang Jiang Jianzhen Cheng Simon Fong 《Computers, Materials & Continua》 2025年第9期4805-4824,共20页
With the continuous development of artificial intelligence and machine learning techniques,there have been effective methods supporting the work of dermatologist in the field of skin cancer detection.However,object si... With the continuous development of artificial intelligence and machine learning techniques,there have been effective methods supporting the work of dermatologist in the field of skin cancer detection.However,object significant challenges have been presented in accurately segmenting melanomas in dermoscopic images due to the objects that could interfere human observations,such as bubbles and scales.To address these challenges,we propose a dual U-Net network framework for skin melanoma segmentation.In our proposed architecture,we introduce several innovative components that aim to enhance the performance and capabilities of the traditional U-Net.First,we establish a novel framework that links two simplified U-Nets,enabling more comprehensive information exchange and feature integration throughout the network.Second,after cascading the second U-Net,we introduce a skip connection between the decoder and encoder networks,and incorporate a modified receptive field block(MRFB),which is designed to capture multi-scale spatial information.Third,to further enhance the feature representation capabilities,we add a multi-path convolution block attention module(MCBAM)to the first two layers of the first U-Net encoding,and integrate a new squeeze-and-excitation(SE)mechanism with residual connections in the second U-Net.To illustrate the performance of our proposed model,we conducted comprehensive experiments on widely recognized skin datasets.On the ISIC-2017 dataset,the IoU value of our proposed model increased from 0.6406 to 0.6819 and the Dice coefficient increased from 0.7625 to 0.8023.On the ISIC-2018 dataset,the IoU value of proposed model also improved from 0.7138 to 0.7709,while the Dice coefficient increased from 0.8285 to 0.8665.Furthermore,the generalization experiments conducted on the jaw cyst dataset from Quzhou People’s Hospital further verified the outstanding segmentation performance of the proposed model.These findings collectively affirm the potential of our approach as a valuable tool in supporting clinical decision-making in the field of skin cancer detection,as well as advancing research in medical image analysis. 展开更多
关键词 Dual U-Net skin lesion segmentation squeeze-and-excitation modified receptive field block multi-path convolution block attention module
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Disseminated mucormycosis originating from the stomach
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作者 Yongli Han Mengting Liu +1 位作者 Weiping Huang Hongke Zeng 《World Journal of Emergency Medicine》 2025年第5期508-510,共3页
Disseminated mucormycosis is a life-threatening fungal infection with high mortality,particularly in immunocompromised patients.Early diagnosis and prompt intervention are crutial but often delayed due to nonspecific ... Disseminated mucormycosis is a life-threatening fungal infection with high mortality,particularly in immunocompromised patients.Early diagnosis and prompt intervention are crutial but often delayed due to nonspecific presentations.Many studies have highlighted the challenges in emergency settings,where atypical symptoms may lead to misdiagnosis.We report a rare case of disseminated mucormycosis originating from the stomach in a pregnancy-induced thrombocytopenia(PITP)patient,emphasizing rapid gastroscopy examination,histopathological confi rmation,multidisciplinary management,and high-risk factors for hospital-acquired gastrointestinal mucormycosis infection. 展开更多
关键词 disseminated mucormycosis pregnancy induced thrombocytopenia rapid gastroscopy exam multidisciplinary management histopathological confirmation prompt intervention stomach origin rapid gastroscopy
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On the Problem of All Equal Positive Odd Number Solutions of the Dissemination of the Ends' Guess 被引量:1
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作者 刘元宗 《Chinese Quarterly Journal of Mathematics》 CSCD 2000年第2期108-109,共2页
The thesis is concerned with the problem of the dissemination of the Ends’ guess and offers the formula of all equal positive odd number solutions.
关键词 Ends’ guess dissemination all equal positive odd number solutions
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International Dissemination of TCM Culture under the "Belt and Road" Initiative: Opportunities and Challenges
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作者 毛和荣 LIU Dian-gang HE Qiang 《海外英语》 2017年第1期168-169,184,共3页
The international dissemination of TCM culture, as a carrier of the implementation of the"Belt and Road"Initiative, is being endowed with greater importance. However, the spread of TCM culture into the world... The international dissemination of TCM culture, as a carrier of the implementation of the"Belt and Road"Initiative, is being endowed with greater importance. However, the spread of TCM culture into the world faces opportunities as well as challenges. To better serve the"Belt and Road"Initiative, measures should be taken to strengthen TCM communication and cooperation in different aspects and build a sound intellectual property protection system. 展开更多
关键词 International dissemination TCM Culture the " Belt and Road " Initiative OPPORTUNITIES Challenges
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Molecular mechanisms of peritoneal dissemination in gastric cancer 被引量:22
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作者 Mitsuro Kanda Yasuhiro Kodera 《World Journal of Gastroenterology》 SCIE CAS 2016年第30期6829-6840,共12页
Peritoneal dissemination represents a devastating form of gastric cancer(GC) progression with a dismal prognosis. There is no effective therapy for this condition. The 5-year survival rate of patients with peritoneal ... Peritoneal dissemination represents a devastating form of gastric cancer(GC) progression with a dismal prognosis. There is no effective therapy for this condition. The 5-year survival rate of patients with peritoneal dissemination is 2%, even including patients with only microscopic free cancer cells without macroscopic peritoneal nodules. The mechanism of peritoneal dissemination of GC involves several steps: detachment of cancer cells from the primary tumor, survival in the free abdominal cavity, attachment to the distant peritoneum, invasion into the subperitoneal space and proliferation with angiogenesis. These steps are not mutually exclusive, and combinations of different molecular mechanisms can occur in each process of peritoneal dissemination. A comprehensive understanding of the molecular events involved in peritoneal dissemination is important and should be systematically pursued. It is crucial to identify novel strategies for the prevention of this condition and for identification of markers of prognosis and the development of molecular-targeted therapies. In this review, we provide an overview of recently published articles addressing the molecular mechanisms of peritoneal dissemination of GC to provide an update on what is currently known in this field and to propose novel promising candidates for use in diagnosis and as therapeutic targets. 展开更多
关键词 GASTRIC cancer PERITONEAL dissemination MICROENVIRONMENT BIOMARKER Molecular target
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Prognostic nutritional index is an independent prognostic factor for gastric cancer patients with peritoneal dissemination 被引量:20
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作者 Runcong Nie Shuqiang Yuan +7 位作者 Shi Chen Xiaojiang Chen Yongming Chen Baoyan Zhu Haibo Qiu Zhiwei Zhou Junsheng Peng Yingbo Chen 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2016年第6期570-578,共9页
Objective: The predictive and prognostic role of prognostic nutritional index(PNI) in gastric cancer patients with peritoneal dissemination remains unclear. This study aims to explore the role of the PNI in predict... Objective: The predictive and prognostic role of prognostic nutritional index(PNI) in gastric cancer patients with peritoneal dissemination remains unclear. This study aims to explore the role of the PNI in predicting outcomes of gastric cancer patients with peritoneal dissemination.Methods: A total of 660 patients diagnosed with gastric adenocarcinoma with peritoneal metastasis between January 2000 and April 2014 at Sun Yat-sen University Cancer Center and the Sixth Affiliated Hospital of Sun Yatsen University were retrospectively analyzed. The clinicopathologic characteristics and clinical outcomes of patients with peritoneal dissemination were analyzed.Results: Compared with PNI-high group, PNI-low group was correlated with advanced age(P=0.036), worse performance status(P0.001), higher frequency of ascites(P0.001) and higher frequency of multisite distant metastasis(P0.001). Kaplan-Meier survival curves showed that PNI-high group had a significantly longer median overall survival than PNI-low group(13.13 vs. 9.03 months, P0.001). Multivariate survival analysis revealed that Borrmann type IV(P=0.014), presence of ascites(P=0.017) and lower PNI(P=0.041) were independent poor prognostic factors, and palliative surgery(P0.001) and first-line chemotherapy(P0.001) were good prognostic factors. For patients receiving palliative surgery, the postoperative morbidity rates in the PNI-low group and PNIhigh group were 9.1% and 9.9%, respectively(P=0.797). The postoperative mortality rate was not significantly different between PNI-low and PNI-high groups(2.3% vs. 0.9%, P=0.362).Conclusions: PNI is a useful and practical tool for evaluating the nutritional status of gastric cancer patients with peritoneal dissemination, and is an independent prognostic factor for these patients. 展开更多
关键词 Prognostic nutritional index(PNI) gastric cancer peritoneal dissemination SURVIVAL
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A nomogram to predict prognosis for gastric cancer with peritoneal dissemination 被引量:6
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作者 Shi Chen Xijie Chen +6 位作者 Runcong Nie Liying Ou Yang Aihong Liu Yuanfang Li Zhiwei Zhou Yingbo Chen Junsheng Peng 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2018年第4期449-459,共11页
Objective: To identify independent prognostic factors to be included in a nomogram to predict the prognosis ofgastric cancer patients with peritoneal dissemination.Methods: This is a retrospective study on 684 patie... Objective: To identify independent prognostic factors to be included in a nomogram to predict the prognosis ofgastric cancer patients with peritoneal dissemination.Methods: This is a retrospective study on 684 patients with a histological diagnosis of gastric cancer withperitoneal dissemination from the Sun Yat-sen University Cancer Center as the development set, and 62 gastriccancer patients from the Sixth Affiliated Hospital of Sun Yat-sen University as the validation group. Chi-square testand Cox regression analysis were used to compare the clinicopathological variables and the prognosis of gastriccancer patients with peritoneal dissemination. The Harrell's concordance index (C-index) and calibration curvewere determined for comparisons of predictive ability of the nomogram.Results: Univariate and multivariate analyses showed that serum carcinoembryonic antigen (CEA) level(P=0.032), ascites grading (P=0.008), presence of extraperitoneal metastasis (P〈0.001), seeding status (P=0.016) andperformance status (P=0.009) were independent prognostic factors for gastric cancer patients with peritonealdissemination in the development set. The nomogram model was constructed using these five factors. Internalvalidation showed that the C-index of the model was 0.641. For the external validation, the C-index of this modelwas 0.709.Conclusions: We developed and validated a nomogram to predict the prognosis for gastric cancer patients withperitoneal dissemination. This nomogram may play an important clinical role in guiding palliative therapy for thesetypes of patients, although it may need more data for optimization. 展开更多
关键词 Gastric cancer PROGNOSIS peritoneal dissemination NOMOGRAM
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