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Microbiological screenings for infection control in unaccompanied minor refugees:the German Armed Forces Medical Service's experience 被引量:2
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作者 Winfried Maaβen Dorothea Wiemer +7 位作者 Claudia Frey Christina Kreuzberg Egbert Tannich Rebecca Hinz Andreas Wille Andreas Fritsch Ralf Matthias Hagen Hagen Frickmann 《Military Medical Research》 SCIE CAS 2018年第1期33-40,共8页
Background:The German Military Medical Service contributed to the medical screening of unaccompanied minor refugees(UMRs)coming to Germany in 2014 and 2015.In this study,a broad range of diagnostic procedures was appl... Background:The German Military Medical Service contributed to the medical screening of unaccompanied minor refugees(UMRs)coming to Germany in 2014 and 2015.In this study,a broad range of diagnostic procedures was applied to identify microorganisms with clinical or public health significance.Previously,those tests had only been used to screen soldiers returning from tropical deployments.This instance is the first time the approach has been studied in a humanitarian context.Methods:The offered screenings included blood cell counts,hepatitis B serology and microscopy of the stool to look for protozoa and worm eggs as well as PCR from stool samples targeting pathogenic bacteria,protozoa and helminths.If individuals refused certain assessments,their decision to do so was accepted.A total of 219 apparently healthy male UMRs coming from Afghanistan,Egypt,Somalia,Eritrea,Syria,Ghana,Guinea,Iran,Algeria,Iraq,Benin,Gambia,Libya,Morocco,Pakistan,and Palestine were assessed.All UMRs who were examined at the study department were included in the assessment.Results:We detected decreasing frequencies of pathogens that included diarrhoea-associated bacteria[Campylobacter(C.)jejuni,enteropathogenic Escherichia(E.)coli(EPEC),enterotoxic E.coli(ETEC),enteroaggregative E.coli(EAEC),enteroinvasive E.coli(EIEC)/Shigella spp.),Giardia(G.)duodenalis,helminths(comprising Schistosoma spp.,Hymenolepis(H.)nana,Strongyloides(S.)stercoralis]as well as hepatitis B virus.Pathogenic microorganisms dominated the samples by far.While G.duodenalis was detected in 11.4%of the assessed UMRs,the incidence of newly identified cases in the German population was 4.5 cases per 100,000 inhabitants.Conclusion:We conclude that the applied in-house PCR screening systems,which have proven to be useful for screening military returnees from tropical deployments,can also be used for health assessment of immigrants from the respective sites.Apparently healthy UMRs may be enterically colonized with a broad variety of pathogenic and apathogenic microorganisms.Increased colonization rates,as shown for G.duodenalis,can pose a hygiene problem in centralized homes for asylum seekers. 展开更多
关键词 REFUGEE MIGRATION Asylum seeker Infection control SCREENING Gastrointestinal pathogens
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Newborn Hip Screenings at 4 to 8 Weeks Are Optimal in Predicting Referral and Treatment Outcomes: A Retrospective Review 被引量:1
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作者 Eric C. Lussier Wei-Te Lei +3 位作者 Yi-Ting Sun Hui-Wen Chen Tung-Yao Chang Chia-Hsieh Chang 《Open Journal of Pediatrics》 2020年第2期332-346,共15页
Optimal DDH screening timing and whether adding risk profiles could aid in detecting treatment outcome were investigated. Risk factors were employed to supplement ultrasound findings in flagging cases for follow-up. I... Optimal DDH screening timing and whether adding risk profiles could aid in detecting treatment outcome were investigated. Risk factors were employed to supplement ultrasound findings in flagging cases for follow-up. Initial screening results and harness treatment outcomes concordance were compared at different screening ages and screening protocols. Using clinical decision to supplement ultrasound screening allowed to accurately flag all 12 DDH treated cases upon initial visit. Clinical decision correctly identified cases that would have otherwise been missed (n = 2). However, doing so increased the rate of false positive cases at all time points of initial screening. Initial screens were more accurate for predicting treatment outcomes when using ultrasound only if done after 28 days [≤28 days (88.1%) vs. 29 - 56 days (98.5%), OR = 7.16, p < 0.001] or ultrasound with clinical decision [≤28 days (86.4%) vs. 29 - 56 days (95.7%), OR = 3.00, p < 0.001]. In contrast, screening after 56 days failed to marginally improve accuracy compared to screens done between 29 - 56 days, regardless of the screening protocol employed. Two important trade-offs emerged. First, when choosing timing of initial screening, optimal accuracy and harness treatment schedule should both be considered. Second, when considering whether to use a more conservative risk profile to supplement ultrasound findings, treatment accuracy and the ability to efficiently detect cases requiring harness treatment should both be considered. We provide evidence for performing an initial DDH ultrasound screen between 4 and 8 weeks (29 - 56 days), while employing clinical decision to aid in determining cases that require further follow-up evaluation. 展开更多
关键词 DDH Graf Classification Pediatric Orthopedics ULTRASOUND SCREENING
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The Effect of Training and Consultancy on the Knowledge Level and Health Belief regarding the Cervical Cancer Screenings, and Participation in Screenings
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作者 Ö zlem Karabulutlu Türkan Pasinlioglu 《Open Journal of Obstetrics and Gynecology》 2016年第13期818-829,共13页
Background/Aim: The purpose of this study was to examine the effect of training and consultancy on women’s knowledge level and health belief regarding the cervical cancer screenings and their participation in screeni... Background/Aim: The purpose of this study was to examine the effect of training and consultancy on women’s knowledge level and health belief regarding the cervical cancer screenings and their participation in screenings. Materials and Methods: The study is designed as pre-experiment with one group pretest-posttest. The sample group of the study consists of 66 women. The data were collected between March and June 2011. “Personal Information Form”, “Information Form of Cervical Cancer Screenings”, “Health Belief Model Scale for Cervical Cancer and Pap Smear Test”, and “Assessment Form Concerning Taking the Pap Smear Test” were used to collect the data. Results: It was determined that at the end of all trainings, 45.5% of women took the relevant test. Among those who participated in the Pap Smear screening, the training and consultancy had an effect of 100%, booklets 100% and telephone calls 25%. The training and consultancy increased the perception of “benefit and motivation” regarding the Pap Smear test and Pap Smear decreased the perception of “barriers”. Regarding the cervical cancer, it decreased the perception of “regard/seriousness”, “susceptibility” and “health motivation”. Conclusions: It was concluded that training and consultancy change the health beliefs regarding cervical cancer screenings, increase the participation in screenings and consequently, contribute to early diagnosis. 展开更多
关键词 CONSULTANCY TRAINING Cervical Cancer Health Belief SCREENING
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Precision organoid segmentation technique(POST):accurate organoid segmentation in challenging bright-field images 被引量:1
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作者 Xuan Du Yuchen Li +5 位作者 Jiaping Song Zilin Zhang Jing Zhang Yanhui Li Zaozao Chen Zhongze Gu 《Bio-Design and Manufacturing》 2026年第1期80-93,I0013-I0016,共18页
Organoids possess immense potential for unraveling the intricate functions of human tissues and facilitating preclinical disease treatment.Their applications span from high-throughput drug screening to the modeling of... Organoids possess immense potential for unraveling the intricate functions of human tissues and facilitating preclinical disease treatment.Their applications span from high-throughput drug screening to the modeling of complex diseases,with some even achieving clinical translation.Changes in the overall size,shape,boundary,and other morphological features of organoids provide a noninvasive method for assessing organoid drug sensitivity.However,the precise segmentation of organoids in bright-field microscopy images is made difficult by the complexity of the organoid morphology and interference,including overlapping organoids,bubbles,dust particles,and cell fragments.This paper introduces the precision organoid segmentation technique(POST),which is a deep-learning algorithm for segmenting challenging organoids under simple bright-field imaging conditions.Unlike existing methods,POST accurately segments each organoid and eliminates various artifacts encountered during organoid culturing and imaging.Furthermore,it is sensitive to and aligns with measurements of organoid activity in drug sensitivity experiments.POST is expected to be a valuable tool for drug screening using organoids owing to its capability of automatically and rapidly eliminating interfering substances and thereby streamlining the organoid analysis and drug screening process. 展开更多
关键词 Organoid Drug screening Deep learning Image segmentation
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Flexible and Stable Quantum Dot-PDMS Films via Screen Printing for Photonic Anti-counterfeiting
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作者 LIU Xing HUANG Min +4 位作者 LI Xiu WANG Qiang ZHANG Yuan-kun LI Gen YANG Li-xue 《印刷与数字媒体技术研究》 北大核心 2026年第1期138-146,共9页
Quantum dot(QD)-based fluorescent inks offer high potential due to their tunable emission and high quantum yield,but their practical application suffers from poor environmental stability,aggregation,and challenges in ... Quantum dot(QD)-based fluorescent inks offer high potential due to their tunable emission and high quantum yield,but their practical application suffers from poor environmental stability,aggregation,and challenges in scalable flexible fabrication.In this study,a high-stability fluorescent ink was developed by incorporating QDs into a polydimethylsiloxane(PDMS)colloidal matrix.High-performance patterned films were then obtained via systematic optimization of screen-printing parameters,with film quality governed by substrate type(131μm PDMS),QD concentration(1.5 mg/mL),and screen mesh count(420 mesh).The optimized films exhibit outstanding environmental and photostability,retaining 75.6% of their fluorescence intensity after immersion in deionized water and 63.8% in 75%ethanol at 25℃ for 100 minutes.Under UV irradiation(365 nm,9 W,100 min),fluorescence intensity decreases by less than 20%.Utilizing their daylight transparency and UV-excitable luminescence,various patterns including QR codes and Code 93 standard barcodes were fabricated via screen printing with high pattern fidelity and machine readability.This study presents a scalable and reliable strategy for the fabrication of flexible,high-stability fluorescent films,supporting their integration into next-generation optoelectronic devices,advanced displays,and secure anti-counterfeiting. 展开更多
关键词 Quantum dots Screen printing FLEXIBILITY Optical anti-counterfeiting
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Automatic for the People AI is reshaping diagnosis,but who is responsible when it goes wrong?
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作者 Wang Zhe 《China Report ASEAN》 2026年第2期55-57,共3页
At Beijing Tongren Hospital,an AI-powered retinal screening system can screen for 10 chronic illnesses from just two photos in two minutes.Using one fundus image from each eye,it scans for early signs of diabetic reti... At Beijing Tongren Hospital,an AI-powered retinal screening system can screen for 10 chronic illnesses from just two photos in two minutes.Using one fundus image from each eye,it scans for early signs of diabetic retinopathy,hypertension,atherosclerosis and other conditions,with a reported accuracy of about 90 percent. 展开更多
关键词 diabetic retinopathyhypertensionatherosclerosis responsibility chronic illnesses accuracy AI screen chronic illnesses AUTOMATIC retinal screening
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Detection of human saliva using surface-enhanced Raman spectroscopy combined with fractionation processing and machine learning for noninvasive screening of nasopharyngeal carcinoma
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作者 Zijie Wu Shihong Hou +2 位作者 Sufang Qiu Youliang Weng Duo Lin 《Journal of Innovative Optical Health Sciences》 2026年第1期87-95,共9页
Nasopharyngeal carcinoma(NPC)is a malignant tumor prevalent in southern China and Southeast Asia,where its early detection is crucial for improving patient prognosis and reducing mortality rates.However,existing scree... Nasopharyngeal carcinoma(NPC)is a malignant tumor prevalent in southern China and Southeast Asia,where its early detection is crucial for improving patient prognosis and reducing mortality rates.However,existing screening methods suffer from limitations in accuracy and accessibility,hindering their application in large-scale population screening.In this work,a surface-enhanced Raman spectroscopy(SERS)-based method was established to explore the profiles of different stratified components in saliva from NPC and healthy subjects after fractionation processing.The study findings indicate that all fractionated samples exhibit diseaseassociated molecular signaling differences,where small-molecule(molecular weight cut-offvalue is 10 kDa)demonstrating superior classification capabilities with sensitivity of 90.5%and speci-ficity of 75.6%,area under receiver operating characteristic(ROC)curve of 0:925±0:031.The primary objective of this study was to qualitatively explore patterns in saliva composition across groups.The proposed SERS detection strategy for fractionated saliva offers novel insights for enhancing the sensitivity and reliability of noninvasive NPC screening,laying the foundation for translational application in large-scale clinical settings. 展开更多
关键词 SALIVA SERS machine learning nasopharyngeal carcinoma SCREENING
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High efficiency of thalassemia prevention by next-generation sequencing:a real-world cohort study in two centers of China
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作者 Jinman Zhang Wenqian Zhang +18 位作者 Haoqing Zhang Aiqi Cai Caiyun Li Ling Liu Jufang Tan Yang Yang Wen Yuan Jing He Shiping Chen Yingli Cao Yan Zhang Jie Zhang Rui Zhou Shuai Hou Dongqun Huang Danjing Chen Zhiyu Peng Dongzhu Lei Baosheng Zhu 《Journal of Genetics and Genomics》 2026年第1期87-96,共10页
The occurrence of severe thalassemia,an inherited blood disorder that is either blood-transfusiondependent or fatal,can be mitigated through carrier screening.Here,we aim to evaluate the effectiveness and outcomes of ... The occurrence of severe thalassemia,an inherited blood disorder that is either blood-transfusiondependent or fatal,can be mitigated through carrier screening.Here,we aim to evaluate the effectiveness and outcomes of pre-conceptional and early pregnancy screening initiatives for severe thalassemia prevention in a diverse population of 28,043 women.Using next-generation sequencing(NGS),we identify 4,226(15.07%)thalassemia carriers across 29 ethnic groups and categorize them into high-(0.75%),low-(25.86%),and unknown-risk(69.19%)groups based on their spouses'screening results.Post-screening follow-up reveals 59 fetuses with severe thalassemia exclusively in high-risk couples,underscoring the efficacy of risk classification.Among 25,053 live births over 6 months of age,two severe thalassemia infants were born to unknown-risk couples,which was attributed to incomplete screening and late NGS-based testing for a rare variant.Notably,64 rare variants are identified in 287 individuals,highlighting the genetic heterogeneity of thalassemia.We also observe that migrant flow significantly impacts carrier rates,with 93.90%of migrants to Chenzhou originating from high-prevalence regions in southern China.Our study demonstrates that NGS-based screening during pre-conception and early pregnancy is effective for severe thalassemia prevention,emphasizing the need for continuous screening efforts in areas with high and underestimated prevalence. 展开更多
关键词 THALASSEMIA Carrier screening Next generation sequencing Rare thalassemia Clinical effectiveness Blood-transfusion-dependent
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Inner Ear Organoids:A Hydrogel-Based Platform for Drug Screening and Deafness Modeling
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作者 Yuyu Cao Xiaotao Liu +1 位作者 Renjie Chai Zuhong He 《Neuroscience Bulletin》 2026年第1期221-232,共12页
This review highlights advances in inner ear organoids(IEOs)as a novel platform for drug screening and disease modeling,particularly for hearing loss.IEOs,derived from embryonic stem cells,induced pluripotent stem cel... This review highlights advances in inner ear organoids(IEOs)as a novel platform for drug screening and disease modeling,particularly for hearing loss.IEOs,derived from embryonic stem cells,induced pluripotent stem cells,or tissue-specific progenitors,provide a physiologically relevant alternative to traditional animal models.Significant progress has been made in utilizing various cell sources,extracellular matrix materials such as Matrigel and hydrogels,and methods for controlling microenvironments through biochemical and biophysical signals.Applications of IEOs in drug screening,disease modeling,and personalized medicine enable exploration of hearing loss mechanisms and therapeutic testing.However,challenges remain,including the incomplete maturation of cochlear cells and difficulty replicating in vivo environments.Future research should focus on optimizing IEO generation,incorporating microfluidic technologies,and advancing high-throughput screening to enhance drug discovery and clinical translation. 展开更多
关键词 Inner ear organoids HYDROGEL Drug screening Hearing loss Disease modeling
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Electrochromic retina E-paper:defining the ultimate display at the human vision limit
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作者 Tongqing Zhou Jianmin Li +1 位作者 Shujuan Liu Qiang Zhao 《Journal of Semiconductors》 2026年第3期1-5,共5页
In an era dominated by visual information,the display interface serves as a critical gateway between the human and digital worlds.The relentless pursuit of visual immersion has driven display technology from cinema sc... In an era dominated by visual information,the display interface serves as a critical gateway between the human and digital worlds.The relentless pursuit of visual immersion has driven display technology from cinema screens to smart-phones and now to virtual and augmented reality(VR/AR)headsets,progressively moving closer to the human eye.This evolution places unprecedented demands on pixel density,power efficiency,and form factor,pushing up against funda-mental physical and physiological limits. 展开更多
关键词 display interface display technology e paper electrochromic cinema screens RETINA virtual augmented visual immersion
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Identification and screening of bioactive peptides against nephropathy derived from Mantidis Oötheca based on complement C3 inhibition
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作者 Shanshan Li Peiling Liu +3 位作者 Tiantian Zhang Shujun Jiang Faren Xie Yanliang Zhang 《Chinese Journal of Natural Medicines》 2026年第1期100-111,共12页
Insects represent emerging sources of bioactive peptides and functional materials.Mantidis Oötheca(Sang-Piao-Xiao in Chinese,SPX)serves as an insect-derived medicine for treating kidney disease.This study demonst... Insects represent emerging sources of bioactive peptides and functional materials.Mantidis Oötheca(Sang-Piao-Xiao in Chinese,SPX)serves as an insect-derived medicine for treating kidney disease.This study demonstrated that supernatant(SPX)improved kidney function in adriamycin(ADR)-induced nephropathy mice model.Transcriptomic analysis revealed that SPX inhibited complement activation by targeting the MASP1-C3/C3a receptor(C3aR)pathway.Peptidomic analysis identified 304 peptides from SPX,with 49 peptides selected for evaluation using prediction tools and molecular docking with complement core protein C3.Three peptides(PMGFPFDR,FNDPK,AAQFFNR)exhibiting docking scores below-8.0 were synthesized to verify complement inhibition and anti-fibrotic activities.The synthetic peptide AAQFFNR demonstrated complement inhibitory activity,with an inhibitory complement hemolytic 50%(ICH_(50))value of 24.54μmol·L^(-1),and exhibited superior protective effects in ADR-induced HK-2 cells.Surface plasmon resonance(SPR)assay revealed direct interaction between AAQFFNR and complement C3 with K_(d)value of 16.8μmol·L^(-1).The reno-protective effect of AAQFFNR was subsequently verified in ADR-induced mice.This research provides initial evidence that complement C3-inhibiting peptides from insects demonstrate potential in preventing nephropathy through in silico and in vivo validation approaches. 展开更多
关键词 Mantidis Oötheca NEPHROPATHY Complement C3 Peptide screening
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The application of China’s standards on AI screening for diabetic retinopathy in Cambodia
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作者 Sun Rongsong Sorl Sung +5 位作者 Meng Panha Yang Yayu Touch Khun Qiao Zhujun Liu Duo Hu Yuandong 《China Standardization》 2026年第1期63-67,共5页
Diabetic retinopathy(DR)is a leading cause of vision loss among working-age populations,with early screening significantly reducing the risk of blindness.However,resource-limited regions often face challenges in DR sc... Diabetic retinopathy(DR)is a leading cause of vision loss among working-age populations,with early screening significantly reducing the risk of blindness.However,resource-limited regions often face challenges in DR screening due to a shortage of ophthalmologists.This study reports the implementation and outcomes of the Chinese local standard DB52/T 1726-2023,Regulations for the application of diabetic retinopathy screening artificial intelligence,in Cambodian healthcare institutions.A pilot DR screening program with independent operational capability is established by providing a non-mydriatic fundus camera and deploying a localized diabetic retinopathy artificial intelligence(DR-AI)screening platform at the Cambodia-Kingdom Friendship Hospital in Phnom Penh,along with comprehensive training.From January to August 2025,a total of 565 patients with type 2 diabetes were screened,yielding a DR detection rate of 26.0%(147 cases).Research findings demonstrate that applying mature Chinese DR-AI screening standards and technological solutions through international collaboration in regions with a scarcity of ophthalmic professionals is both feasible and effective.This project serves as a reference for promoting DR-AI in resource-constrained countries and regions,highlighting its significant potential to leverage AI in addressing the global burden of chronic diseases and advancing the modernization of health systems. 展开更多
关键词 international collaboration overseas application of standards diabetic retinopathy AI screening
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Short-chain Length Dependence of Equilibrium Dynamics and Nonlinear Rheology in Unentangled Long-chain/Short-chain Polymer Blends
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作者 Xiao-Yang Wang Bo Liu +2 位作者 Li-Jia An Zhen-Hua Wang Yu-Yuan Lu 《Chinese Journal of Polymer Science》 2026年第2期525-535,I0016,共12页
The equilibrium dynamics and nonlinear rheology of unentangled polymer blends remain inadequately understood,especially regarding the influence of short-chain matrix length N_(S) on the structure and rheological behav... The equilibrium dynamics and nonlinear rheology of unentangled polymer blends remain inadequately understood,especially regarding the influence of short-chain matrix length N_(S) on the structure and rheological behavior of dispersed long chains.Using molecular dynamics simulations based on the Kremer-Grest model,we systematically explore the N_(S)-dependence of static conformations,equilibrium dynamics,and nonlinear shear responses in unentangled long-chain/short-chain polymer blends.Our results demonstrate a decoupling between the static and dynamic sensitivity to N_(S):while the static chain size,R_g,follows Flory theory with slight swelling at small N_(S) due to incomplete excluded volume screening,the diffusion coefficient,D,and the relaxation time,τ_(0),exhibit a strong,non-monotonic N_(S)-dependence,transitioning from monomeric friction dominance at small N_(S) to collective segmental rearrangement at large N_(S).Additionally,we observe partial decoupling between the viscous and normal stress responses:while the zero-shear viscosity,η,is strongly N_(S)-dependent,the first and second normal stress coefficients,Ψ_(1) and Ψ_(2),collapse onto universal curves when scaled by the dimensionless shear rate,γτ_(0),suggesting a common mechanism of orientation and stretching.Under shear,long chains compress in the vorticity direction λ_(z)~Wi^(-0.2),which reduces collision frequency and contributes to shear thinning,while the scaling of weaker orientation resistance m_(G)~Wi^(0.35)reflects hydrodynamic screening by the short-chain matrix.These findings highlight the limitations of single-chain models and emphasize the necessity of considering N_(S)-dependent matrix dynamics and flow-induced structural changes in understanding the rheology of unentangled polymer blends. 展开更多
关键词 Unentangled polymer blend Nonlinear rheology Equilibrium dynamics Hydrodynamic interaction screening Molecular dynamics simulation
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Recent Advances and Prospects in Research of In Vitro 3D Functional Skin Tissue Models
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作者 Li Tao Zhang Liqing 《China Detergent & Cosmetics》 2026年第1期75-88,共14页
With the increasing demand for understanding skin physiology and advancing regenerative medicine,in vitro three-dimensional(3D)functional skin tissue models have become vital tools in dermatological research.These mod... With the increasing demand for understanding skin physiology and advancing regenerative medicine,in vitro three-dimensional(3D)functional skin tissue models have become vital tools in dermatological research.These models effectively mimic the complex structure and functions of human skin.This review comprehensively discusses the latest advancements in construction techniques,material selection,and applications of 3D skin models.It highlights the advantages and challenges associated with cutting-edge technologies such as layer-by-layer cell coating,3D bioprinting,bio-spray technology,and photolithographic microfabrication in creating highly realistic skin models.Moreover,it examines the wide-ranging applications of 3D skin models,includingelucidation of skin disease mechanisms,investigation of skin barrier functions,studies on skin aging and repair,hair regeneration,efficacy screening of therapeutic agents,cosmetic safety assessment,and personalized medicine.Finally,this review anticipates future trends in developing 3D skin models with greater structural and functional complexity,enhanced multifunctionality,and improved clinical translation. 展开更多
关键词 3D skin models tissue engineering BIOPRINTING skin barrier disease modeling drug screening hair regeneration skin aging
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Utility of the Vulnerable Elders Survey-13(VES-13) in detecting frailty and predicting prognosis in heart failure outpatients
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作者 Thaïs Roig Elisabet Zamora +15 位作者 Josep Lupón Beatriz González Ana Pulido Eva Crespo Patricia Velayos Carmen Rivas Violeta Díaz Yolanda López Andrea Borrellas Mar Domingo María Ruiz Pau Codina Evelyn Santiago-Vacas MiquelÀMas Ramón Miralles Antoni Bayes-Genis 《Journal of Geriatric Cardiology》 2026年第1期17-26,共10页
Background Frailty is common and significantly impacts prognosis in heart failure(HF). The Vulnerable Elders Survey-13(VES-13), widely used in oncogeriatrics and public health, remains unexplored as a frailty screenin... Background Frailty is common and significantly impacts prognosis in heart failure(HF). The Vulnerable Elders Survey-13(VES-13), widely used in oncogeriatrics and public health, remains unexplored as a frailty screening tool in HF outpatients. In this study, we prospectively evaluated VES-13 against a multimodal screening assessment in detecting frailty and predicting individual risk of adverse prognosis.Methods Frailty was assessed at the initial visit using both a multimodal approach, incorporating Barthel Index, Older American Resources and Services scale, Pfeiffer Test, abbreviated Geriatric Depression Scale, age > 85 years, lacking support systems,and VES-13. Patients scoring ≥ 3 on VES-13 or meeting at least one multimodal criterion were classified as frail. Endpoints included all-cause mortality, a composite of death or HF hospitalization, and recurrent HF hospitalizations.Results A total of 301 patients were evaluated. VES-13 identified 40.2% as frail and the multimodal assessment 33.2%. In Cox regression analyses, frailty identified by VES-13 showed greater prognostic significance than the multimodal assessment for allcause mortality(HR = 3.70 [2.15–6.33], P < 0.001 vs. 2.40 [1.46–4.0], P = 0.001) and the composite endpoint(HR = 3.13 [2.02–4.84], P< 0.001 vs. 1.96 [1.28–2.99], P = 0.002). Recurrent HF hospitalizations were four times more frequent in VES-13 frail patients while two times in those identified as frail by the multimodal assessment. Additionally, stratifying patients by VES-13 tertiles provided robust risk differentiation.Conclusions VES-13, a simple frailty tool, outperformed a comprehensive multimodal assessment and could be easily integrated into routine HF care, highlighting its clinical utility in identifying patients at risk for poor outcomes. 展开更多
关键词 barthel i FRAILTY heart failure hf Heart Failure multimodal screening assessment multimodal approach detecting frailty Vulnerable Elders Survey
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Development of Patient-Derived Conditionally Reprogrammed 3D Breast Cancer Culture Models for Drug Sensitivity Evaluation
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作者 Jing Cai Haoyun Zhu +4 位作者 Weiling Guo Ting Huang Pangzhou Chen Wen Zhou Ziyun Guan 《Oncology Research》 2026年第1期500-520,共21页
Background:Therapeutic responses of breast cancer vary among patients and lead to drug resistance and recurrence due to the heterogeneity.Current preclinical models,however,are inadequate for predicting individual pat... Background:Therapeutic responses of breast cancer vary among patients and lead to drug resistance and recurrence due to the heterogeneity.Current preclinical models,however,are inadequate for predicting individual patient responses towards different drugs.This study aimed to investigate the patient-derived breast cancer culture models for drug sensitivity evaluations.Methods:Tumor and adjacent tissues from female breast cancer patients were collected during surgery.Patient-derived breast cancer cells were cultured using the conditional reprogramming technique to establish 2D models.The obtained patient-derived conditional reprogramming breast cancer(CRBC)cells were subsequently embedded in alginate-gelatin methacryloyl hydrogel microspheres to form 3D culture models.Comparisons between 2D and 3D models were made using immunohistochemistry(tumor markers),MTS assays(cell viability),flow cytometry(apoptosis),transwell assays(migration),and Western blotting(protein expression).Drug sensitivity tests were conducted to evaluate patient-specific responses to anti-cancer agents.Results:2D and 3D culture models were successfully established using samples from eight patients.The 3D models retained histological and marker characteristics of the original tumors.Compared to 2D cultures,3D models exhibited increased apoptosis,enhanced drug resistance,elevated stem cell marker expression,and greater migration ability—features more reflective of in vivo tumor behavior.Conclusion:Patient-derived 3D CRBC models effectively mimic the in vivo tumor microenvironment and demonstrate stronger resistance to anti-cancer drugs than 2D models.These hydrogel-based models offer a cost-effective and clinically relevant platform for drug screening and personalized breast cancer treatment. 展开更多
关键词 Patient-derived breast cancer cells conditional reprogramming hydrogel microsphere 3D culture model drug screening
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Human cerebral organoids:Complex,versatile,and human-relevant models of neural development and brain diseases
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作者 Raquel Coronel Rosa González-Sastre +8 位作者 Patricia Mateos-Martínez Laura Maeso Elena Llorente-Beneyto Sabela Martín-Benito Viviana S.Costa Gagosian Leonardo Foti Ma Carmen González-Caballero Victoria López-Alonso Isabel Liste 《Neural Regeneration Research》 2026年第3期837-854,共18页
The brain is the most complex human organ,and commonly used models,such as two-dimensional-cell cultures and animal brains,often lack the sophistication needed to accurately use in research.In this context,human cereb... The brain is the most complex human organ,and commonly used models,such as two-dimensional-cell cultures and animal brains,often lack the sophistication needed to accurately use in research.In this context,human cerebral organoids have emerged as valuable tools offering a more complex,versatile,and human-relevant system than traditional animal models,which are often unable to replicate the intricate architecture and functionality of the human brain.Since human cerebral organoids are a state-of-the-art model for the study of neurodevelopment and different pathologies affecting the brain,this field is currently under constant development,and work in this area is abundant.In this review,we give a complete overview of human cerebral organoids technology,starting from the different types of protocols that exist to generate different human cerebral organoids.We continue with the use of brain organoids for the study of brain pathologies,highlighting neurodevelopmental,psychiatric,neurodegenerative,brain tumor,and infectious diseases.Because of the potential value of human cerebral organoids,we describe their use in transplantation,drug screening,and toxicology assays.We also discuss the technologies available to study cell diversity and physiological characteristics of organoids.Finally,we summarize the limitations that currently exist in the field,such as the development of vasculature and microglia,and highlight some of the novel approaches being pursued through bioengineering. 展开更多
关键词 assembloids BIOENGINEERING challenges disease modeling drug screening and toxicology human brain organoids human pluripotent stem cells neurodegenerative diseases NEURODEVELOPMENT VASCULARIZATION
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ReacNetwork: A method for large-scale reaction network analysis of energetic materials
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作者 Zhonghui Chen Chengjie Tong +5 位作者 Qiang Gan Jie Li Yuhang Tao Gen Li Yajun Wang Changgen Feng 《Defence Technology(防务技术)》 2026年第3期202-216,共15页
The combustion and detonation processes of energetic materials exhibit remarkable complexity and ultra-fast transient characteristics.While reactive molecular dynamics has been extensively employed to investigate the ... The combustion and detonation processes of energetic materials exhibit remarkable complexity and ultra-fast transient characteristics.While reactive molecular dynamics has been extensively employed to investigate the reaction dynamics of energetic materials,its utility is often constrained to capturing only fundamental reaction events and species information,thereby limiting mechanistic investigations of complex reaction pathways.To elucidate the topological features of energetic material reaction networks and identify critical reaction pathways with high fidelity,this study presents ReacNetwork-an advanced large-scale reaction network analysis methodology that synergistically integrates complex network theory with molecular simulation techniques.Specifically,we have developed a multi-dimensional feature screening protocol based on node centrality metrics and K-shell decomposition algorithms.Takingα-Hexahydro-1,3,5-trinitro-1,3,5-triazine(α-RDX)as the subject,we successfully constructed a comprehensive high-temperature thermal decomposition reaction network consisting of 1,134 distinct chemical species and 3,626 elementary reactions.Through systematic application of community detection algorithms and global topological feature extraction techniques,we achieved effective dimensionality reduction and successfully identified the dominant reaction pathway within theα-RDX thermal decomposition network.The computational results not only validate the well-established initial reaction mechanism dominated by N-NO2 homolytic bond cleavage,but also provide unprecedented visualization ofα-RDX framework ring-opening dynamics and subsequent radical chain propagation networks. 展开更多
关键词 Energetic materials RDX reaction network Multi-dimensional feature screening Network dimensionality reduction and analysis
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High-throughput computational screening of functionalized MOFs for energy-efficient CO_(2)capture:Balancing selective CO_(2)adsorption performance and energy inputs
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作者 Sen Liu Zhe Sun +8 位作者 Bo Liao Huili Zhang Ling Zhang Yuchen Huang Lin Wan Maohuai Wang Shuxian Wei Baojun Wei Xiaoqing Lu 《Journal of Energy Chemistry》 2026年第3期136-145,共10页
The rational design of high-performance CO_(2)adsorbents remains a critical challenge in addressing global carbon emissions,with metal-organic frameworks(MOFs)emerging as promising candidates due to their tunable pore... The rational design of high-performance CO_(2)adsorbents remains a critical challenge in addressing global carbon emissions,with metal-organic frameworks(MOFs)emerging as promising candidates due to their tunable pore environments.However,the lack of systematic guidelines for functional group selection has hindered their practical implementation in carbon capture applications.Here,this gap was addressed by developing a comprehensive design framework through high-throughput computational screening.Through construction of a topology-directed database of 4797,integrating 10 metal centers with 144 functionalized ligands(18 ligands modified by–NH_(2),–NO_(2),–CH_(3),–CF_(3),–SH_(2),–SO_(2),–OH,and–OLi)across 36 topologies,the fundamental structure–property relationships governing CO_(2)capture performance was established.Multi-metric evaluation reveals that–NO_(2),–SO_(2),and–OLi dramatically enhance CO_(2)selectivity over CH_4/N_(2)via selectivity(S_(ads)),working capacity(ΔN),adsorbent performance score(APS),sorbent selection parameter(S_(sp)),and renewability R.Specially,ΔN rises from 2.34(pristine)to 5.91–7.94 mmol g^(-1)and S_(ads)surges from 24.94/40.36 to 121.11/176.87(–NO_(2)),149.94/215.54(–SO_(2)),and 58.64/267.44(–OLi).Besides,the critical trade-off between adsorption strength and renewability demonstrates that enhanced performance comes at the cost of reduced renewability,where stronger CO_(2)affinity(isosteric heat of-29.15,-29.96,and-30.09 for–NO_(2),–SO_(2),and–OLi)compromises renewability(R reduced by -50%).To resolve this trade-off,a novel energy efficiency(η)metric was introduced,which holistically evaluates both adsorption performance(S_(ads),ΔN,APS,S_(sp),and R)and energy inputs(desorption heat,pressure-swing energy,net loss).This leads to the identification of–SO_(2)as the optimal functional group that balances exceptional CO_(2)capture(η=6.17/12.78 for CO_(2)over CH_4/N_(2)),surpassing the second higher of 4.74/8.80 in–CF_(3)and 0.99/2.18 in non-functionalized counterparts.Adopting high-throughput computational screening methods,this work provides both fundamental insights into host–vip interactions in functionalized MOFs and a practical framework for designing next-generation adsorbents,bridging the gap between materials discovery and process engineering considerations in carbon capture technologies. 展开更多
关键词 Metal-organic frameworks High-throughput computational screening Selective CO_(2)adsorption Functional group engineering Energy efficiency
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