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Mechanically and chemically recyclable polyurethane-based optically clear adhesive with on-demand adhesion/deadhesion
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作者 Xiaoyu Zhang Mingqian Wang +3 位作者 Huan Yang Zhiqiang Ding Yuesheng Li Bin Wang 《Science China Materials》 2026年第3期1634-1646,共13页
Reuse/recycling of expensive components in next-generation optoelectronic systems(e.g.,flexible electronics and foldable displays)for sustainability purposes impose stringent requirements on optically clear adhesive(O... Reuse/recycling of expensive components in next-generation optoelectronic systems(e.g.,flexible electronics and foldable displays)for sustainability purposes impose stringent requirements on optically clear adhesive(OCA)with on-demand adhesion/deadhesion capability.Although some hot-melt OCAs have been developed,there still remain great challenges in balancing the mechanical property,adhesion/detachment and recyclability/reusability of the OCAs.Herein,we developed a debondable and robust polyurethane(PU)-based optically clear adhesive with both mechanical and chemical recyclability,overcoming the critical bottlenecks in sustainable advanced manufacturing.The ductile yet strong PU-based OCAs not only can adhere to various optically transparent glass and polymeric substrates(with a bonding strength high up to 5.0 MPa),but also exhibit deadhesion capability at high temperature owing to the thermally sensitive H-bonding interaction within the polymer network.The ondemand adhesion/deadhesion facilitates non-destructive detachment of functional assemblies and materials recycling/repair.The mechanical and chemical recyclability of PU-based OCAs can also effectively reduce the cost and address the endof-life issues.Moreover,the PU-based OCAs outperformed some commercial optical adhesives.In view of the straightforward synthesis,easy industrial scale-up and exceptional comprehensive properties,the PU-based OCAs will provide promising transformative solutions for advancing the circular economy and sustainability in next-generation optoelectronic devices. 展开更多
关键词 optically clear adhesive POLYURETHANE aliphatic polycarbonate recyclable polymers elastomers
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Graph-Based Unified Settlement Framework for Complex Electricity Markets:Data Integration and Automated Refund Clearing
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作者 Xiaozhe Guo Suyan Long +4 位作者 Ziyu Yue Yifan Wang Guanting Yin Yuyang Wang Zhaoyuan Wu 《Energy Engineering》 2026年第1期56-90,共35页
The increasing complexity of China’s electricity market creates substantial challenges for settlement automation,data consistency,and operational scalability.Existing provincial settlement systems are fragmented,lack... The increasing complexity of China’s electricity market creates substantial challenges for settlement automation,data consistency,and operational scalability.Existing provincial settlement systems are fragmented,lack a unified data structure,and depend heavily on manual intervention to process high-frequency and retroactive transactions.To address these limitations,a graph-based unified settlement framework is proposed to enhance automation,flexibility,and adaptability in electricity market settlements.A flexible attribute-graph model is employed to represent heterogeneousmulti-market data,enabling standardized integration,rapid querying,and seamless adaptation to evolving business requirements.An extensible operator library is designed to support configurable settlement rules,and a suite of modular tools—including dataset generation,formula configuration,billing templates,and task scheduling—facilitates end-to-end automated settlement processing.A robust refund-clearing mechanism is further incorporated,utilizing sandbox execution,data-version snapshots,dynamic lineage tracing,and real-time changecapture technologies to enable rapid and accurate recalculations under dynamic policy and data revisions.Case studies based on real-world data from regional Chinese markets validate the effectiveness of the proposed approach,demonstrating marked improvements in computational efficiency,system robustness,and automation.Moreover,enhanced settlement accuracy and high temporal granularity improve price-signal fidelity,promote cost-reflective tariffs,and incentivize energy-efficient and demand-responsive behavior among market participants.The method not only supports equitable and transparent market operations but also provides a generalizable,scalable foundation for modern electricity settlement platforms in increasingly complex and dynamic market environments. 展开更多
关键词 Electricity market market settlement data model graph database market refund clearing
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Adaptability Analysis of Dual Clearing Systems in Spot Electricity Markets Based on Fuzzy Evaluation Metrics:An Inner Mongolia Case Study
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作者 Kai Xie Shaoqing Yuan +4 位作者 Dayun Zou Jinran Wang Genjun Chen Ciwei Gao Yinghao Cao 《Energy Engineering》 2026年第2期348-368,共21页
The construction of spot electricity markets plays a pivotal role in power system reforms,where market clearing systems profoundly influence market efficiency and security.Current clearing systems predominantly adopt ... The construction of spot electricity markets plays a pivotal role in power system reforms,where market clearing systems profoundly influence market efficiency and security.Current clearing systems predominantly adopt a single-system architecture,with research focusing primarily on accelerating solution algorithms through techniques such as high-efficiency parallel solvers and staggered decomposition of mixed-integer programming models.Notably absent are systematic studies evaluating the adaptability of primary-backup clearing systems incontingency scenarios—a critical gap given redundant systems’expanding applications in operational environments.This paper proposes a comprehensive evaluation framework for analyzing dual-system adaptability,demonstrated through an in-depth case study of the Inner Mongolia power market.First,we establish the innovative“Dual-Active Heterogeneous”architecture that enables independent parallelized operation and fault-isolated redundancy.Subsequently,key performance indices are quantitatively evaluated across four critical dimensions:unit commitment decisions,generator output constraints,transmission section congestion patterns,and clearing price formation mechanisms.An integrated fuzzy evaluation methodology incorporating grey relational analysis is employed for objective indicator weighting,enabling systematic quantification of system superiority under specific grid operating states.Empirical results based on actual operational data from 200 generation units demonstrate the framework’s efficacy in guiding optimal system selection,with particularly strong performance observed during peak load periods.The proposed approach shows high generalization potential for other regional markets employing redundant clearing mechanisms—particularly those with increasing renewable penetration and associated uncertainty. 展开更多
关键词 Spot electricity markets dual clearing systems fuzzy comprehensive evaluation system adaptability primary-backup switching
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Clear cell sarcoma of the kidney with inferior vena cava tumor thrombus in a pediatric patient:a case report
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作者 Bo Yin Xingyu Long +3 位作者 Zhi Wang Feng Ning Kan Wang Jun He 《The Canadian Journal of Urology》 2026年第1期201-210,共10页
Background:Clear cell sarcoma of the kidney(CCSK)is a rare and highly aggressive pediatric renal malignancy with a marked propensity for metastatic spread.Cases of CCSK associated with inferior vena cava(IVC)tumor thr... Background:Clear cell sarcoma of the kidney(CCSK)is a rare and highly aggressive pediatric renal malignancy with a marked propensity for metastatic spread.Cases of CCSK associated with inferior vena cava(IVC)tumor thrombus(IVCTT)are exceptionally uncommon in the literature.We report a case of CCSK with IVCTT in a 15-month-old male infant.Case Description:We reported a case admitted in May 2020 for a 3-day history of fever and hematuria.Abdominal CT revealed an unevenly enhanced mass and low-density shadows within the IVC.The diagnosis of CCSK was confirmed via needle biopsy.The patient received 4 cycles of adjuvant chemotherapy.The initial surgery lasted 10 h with 600 mL blood loss,and primary closure was achieved.Postoperative management included 6 cycles of radiotherapy and 5 cycles of chemotherapy.In March 2022,CT detected IVCTT recurrence,requiring surgical intervention involving thrombus removal and partial IVC resection.This procedure lasted 8 h with 300 mL blood loss,followed by 5 additional chemotherapy cycles.The patient showed no sign of IVC obstruction,including varicose veins or lower limb edema,and maintained renal function throughout follow-up.However,Intracranial metastases were detected 15 months postoperatively.After the family opted against additional treatment,the patient succumbed to the disease.Conclusions:The management of CCSK associated with IVCTT should include consideration of IVC thrombectomy.In case of recurrent IVCTT with preserved collateral circulation,combined thrombus excision and partial IVC resection may be warranted. 展开更多
关键词 renal clear cell sarcoma of the kidney children recurrence of inferior vena cava thrombus tumor inferior vena cava resection distant metastasis case report
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Expert consensus on the clinical strategies for orthodontic treatment with clear aligners 被引量:5
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作者 Yan Wang Hu Long +17 位作者 Zhihe Zhao Ding Bai Xianglong Han Jun Wang Bing Fang Zuolin Jin Hong He Yuxin Bai Weiran Li Min Hu Yanheng Zhou Hong Ai Yuehua Liu Yang Cao Jun Lin Huang Li Jie Guo Wenli Lai 《International Journal of Oral Science》 2025年第3期314-327,共14页
Clear aligner treatment is a novel technique in current orthodontic practice.Distinct from traditional fixed orthodontic appliances,clear aligners have different material features and biomechanical characteristics and... Clear aligner treatment is a novel technique in current orthodontic practice.Distinct from traditional fixed orthodontic appliances,clear aligners have different material features and biomechanical characteristics and treatment efficiencies,presenting new clinical challenges.Therefore,a comprehensive and systematic description of the key clinical aspects of clear aligner treatment is essential to enhance treatment efficacy and facilitate the advancement and wide adoption of this new technique.This expert consensus discusses case selection and grading of treatment difficulty,principle of clear aligner therapy,clinical procedures and potential complications,which are crucial to the clinical success of clear aligner treatment. 展开更多
关键词 clinical strategies treatment difficulty clinical procedures orthodontic treatment clear aligner therapy clear aligner case selection orthodontic appliancesclear aligners
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The evolution and development of railway passenger transportation clearing method in China
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作者 Yin Zhou Wei Fang +2 位作者 Yan Xu Huaixiang Wang Lu Liu 《Railway Sciences》 2025年第1期97-107,共11页
Purpose–As an important part of the management of railway passenger transport,the rationality and effectiveness of the clearing method of railway passenger transport are directly related to the operating efficiency a... Purpose–As an important part of the management of railway passenger transport,the rationality and effectiveness of the clearing method of railway passenger transport are directly related to the operating efficiency and service quality of railway passenger transport enterprises.This paper aims to comprehensively and deeply discuss the evolution and development process of China’s railway passenger transport clearing method,analyze its characteristics and influences in each stage,identify the main factors affecting its evolution and development and then put forward thoughts on improving the future development of the clearing method.Design/methodology/approach–Through a detailed review of the railway passenger transport clearing methods from the planned economy period to the reform and opening up period and into the new century,the basis,mode,subject and object of clearing in different development stages are systematically compared.Findings–It comprehensively reveals the evolution of the clearing method,sorted out the characteristics and changes of the clearing method at each stage and the adaptability to the development of railway passenger transport at that time.The characteristics of the development of clearing measures for railway passenger transport in different stages and their far-reaching influence on railway passenger transport business are deeply analyzed.Originality/value–This paper summarized the factors influencing the development of China’s railway passenger transportation clearing approach evolution,including the simplified rules of clearing,enhanced the market adaptability,establishing and perfecting the incentive mechanism,strengthening the construction of informatization,etc.This paper puts forward the ways to improve the railway passenger transportation clearing future development thinking. 展开更多
关键词 Railway transport Railway passenger transport business Carrier system clearing method Evolution and development
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Chinese medicine Bupleuri Radix inhibits the proliferation of renal clear cell carcinoma is related to RORC
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作者 Yan Li Hao-Yu Wang +6 位作者 An-Qi Lv Xun Xu Wei Yan Lang Guo Zhong-Min Zhang Bing-Qi Zhang Zheng-Ming Liao 《Integrative Medicine Discovery》 2025年第5期1-12,共12页
Background:This research aims to investigate potential gene targets and mechanisms through which the traditional Chinese medicine(TCM)Bupleuri Radix(Chaihu)may impact on clear cell renal cell carcinoma(ccRCC)treatment... Background:This research aims to investigate potential gene targets and mechanisms through which the traditional Chinese medicine(TCM)Bupleuri Radix(Chaihu)may impact on clear cell renal cell carcinoma(ccRCC)treatment.Methods:Public databases were employed to identify Cedrenol,an active component of Bupleuri Radix,and its associated gene targets.Among these,the gene RORC(also known as RORγ)was selected for detailed analysis due to its high expression correlation.Expression levels of RORC across various cancers were assessed using the TCGA pan-cancer dataset.Further analyses,including differential expression,prognostic relevance,immune infiltration,single-gene,and functional enrichment analyses,were conducted using the TCGA ccRCC dataset.Additionally,potential drug sensitivities and molecular docking interactions with RORC were explored using the GSCALite and CellMiner databases.The effects of RORC on ccRCC were also validated through cellular experiments.Results:RORC exhibited elevated expression in clear cell renal carcinoma tissue in contrast to normal tissues,and lower RORC expression was related to better prognosis.Immune cell infiltration analysis suggested that RORC may influence the penetration of cells that inhibit immune responses,such as regulatory T cells,thereby affecting ccRCC progression.Furthermore,molecular docking studies revealed that several drugs,including Axitinib,Docetaxel,Methotrexate,and Temsirolimus,have a high affinity for RORC and exhibit strong molecular binding.In cellular experiment experiments confirmed that RORC knockdown led to reduced proliferation,metastasis,and ccRCC cell invasion.Conclusion:The study implies that RORC may be a potential gene target for Bupleuri Radix in the management of ccRCC. 展开更多
关键词 traditional Chinese medicine Bupleuri Radix(Chaihu) clear cell renal cell carcinoma urologic neoplasms RORC(RORγ)
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EGR1 inhibits clear cell renal cell carcinoma proliferation and metastasis via the MAPK15 pathway
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作者 NAIXIONG PENG YUEFENG CAI +3 位作者 DONG CHEN LING DENG ZEJIAN ZHANG WEI LI 《Oncology Research》 2025年第2期347-356,共10页
Background:Clear cell renal carcinoma(ccRCC),the leading histological subtype of RCC,lacks any targeted therapy options.Although some studies have shown that early growth response factor 1(EGR1)has a significant role ... Background:Clear cell renal carcinoma(ccRCC),the leading histological subtype of RCC,lacks any targeted therapy options.Although some studies have shown that early growth response factor 1(EGR1)has a significant role in cancer development and progression,its role and underlying mechanisms in ccRCC remain poorly understood.Methods:The Cancer Genome Atlas(TCGA)database was utilized to examine the expression of EGR1 in ccRCC.The expression of EGR1 in 55 ccRCC tissues was evaluated using immunohistochemistry.The link between EGR1 expression and clinicopathological variables was examined through an analysis.Gain-of-function assays were employed to investigate EGR1’s biological functions in ccRCC cells,involving proliferation,colony formation,invasion assays,and tumorigenesis in nude mice.In order to assess the protein expression of mitogen-activated protein kinase 15(MAPK15),E-cadherin,matrix metalloproteinase-9/-2(MMP-9 and MMP-2),Western blot technique was applied.Results:The results revealed a decrease in EGR1 expression in ccRCC tissues.This decrease was strongly linked to TNM stage,lymphatic metastasis,tumor size,histological grade,and unfavorable prognosis in ccRCC patients.It has been demonstrated that overexpressing EGR1 inhibits the growth of xenograft tumors in vivo and inhibits cell colony formation,motility,and invasion in vitro.Furthermore,EGR1 can prevent the development and movement of ccRCC cells by controlling the expression of MMP-2,MMP-9,E-cadherin,and MAPK15.Conclusions:The EGR1/MAPK15 axis may represent a promising target for drug development,with EGR1 serving as a possible target for ccRCC therapy. 展开更多
关键词 Early growth response factor 1(EGR1) MIGRATION PROLIFERATION Mitogen-activated protein kinase 15(MAPK15) clear cell renal carcinoma(ccRCC)
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压裂作业船气力发送罐气固两相流动数值模拟及结构优化
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作者 黄天成 沈立文 +4 位作者 陈涛 袁新梅 田晓宁 胡山山 周思柱 《化学工程》 北大核心 2026年第2期58-63,76,共7页
为了提高压裂作业船气力发送罐的输送效率,建立实际工况下的气力发送罐模型,采用正交试验方法和D-最优设计响应面设计方法,针对同种工况下不同结构参数的气力发送罐进行气固两相流动仿真分析;研究发送罐半顶角、进气管直径、出口管直径... 为了提高压裂作业船气力发送罐的输送效率,建立实际工况下的气力发送罐模型,采用正交试验方法和D-最优设计响应面设计方法,针对同种工况下不同结构参数的气力发送罐进行气固两相流动仿真分析;研究发送罐半顶角、进气管直径、出口管直径、吸嘴喷嘴间距、喷嘴直径比和吸嘴直径比对出口平均质量流量的影响程度;通过极差分析,确定以吸嘴喷嘴间距、进气管直径和吸嘴直径比为影响因素,以出口平均质量流量最大为目标,进行响应面优化;通过响应面法,建立3次多项式回归方程,得到气力发送罐优化后的结构参数。分析结果表明:进出口管间距对平均质量流量的影响最显著,在取值范围内,随着间距的增大,平均质量流量呈现先增大后减小的趋势。优化后的平均质量流量为147.60 kg/s,与响应面模型预测值误差为4.7%,较优化前提升29.4%。研究方法与结果可为压裂作业船气力发送罐的优化设计提供参考。 展开更多
关键词 压裂作业船 气力输送 发送罐 气固两相流 响应面优化
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ARPC1B Promotes Clear Cell Renal Cell Carcinoma Progression via the Wnt/β-Catenin Signaling Pathway
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作者 Jiayin Peng Yijun Xue +5 位作者 Zhiren Cai Zhaoguan Li Kangyan Han Xiaoqi Lin Yutong Li Yumin Zhuo 《Oncology Research》 2025年第10期3127-3154,共28页
Background:Clear cell renal cell carcinoma(ccRCC)is an aggressive malignancy associated with limited treatment options and poor prognosis.Emerging studies suggest that the actin-regulating protein actin-related protei... Background:Clear cell renal cell carcinoma(ccRCC)is an aggressive malignancy associated with limited treatment options and poor prognosis.Emerging studies suggest that the actin-regulating protein actin-related protein 2/3 complex subunit 1B(ARPC1B),a key regulatory protein within the actin cytoskeleton,could play a pivotal role in ccRCC progression.The current study aimed to uncover the biological functions of ARPC1B and the molecular mechanisms driving its effects in ccRCC.Methods:ARPC1B expression and prognostic implications were analyzed using data sourced from the Gene Expression Profiling Interactive Analysis(GEPIA)platform,immunohistochemical(IHC)staining on 150 tumor samples along with 30 corresponding normal tissues,and Western blotting(WB)analyses across multiple ccRCC-derived cell lines.Functional assays assessing cell proliferation,colony formation capability,migration,invasion,and in vivo tumorigenicity were conducted following either ARPC1B suppression or upregulation.Additionally,WB analysis was utilized to evaluate proteins linked to epithelial-to-mesenchymal transition(EMT)and the Wnt/β-catenin pathway.Results:The findings revealed a substantial elevation of ARPC1B in ccRCC tissues and cell lines,significantly associated with advanced TNM stages,higher Fuhrman grades,and reduced overall survival(OS)(p<0.001).Multivariate statistical analysis identified ARPC1B as a standalone prognostic factor.Silencing ARPC1B notably impaired ccRCC cellular activities,and tumorigenesis in animalmodels,whereas augmented ARPC1B expression enhanced these malignant phenotypes.Mechanistically,downregulation of ARPC1B suppressed Wnt/β-catenin signaling and disrupted EMT,indicated by reducedβ-catenin,c-Myc,cyclin D1,and ZEB-1 levels,and concurrently increased E-cadherin expression.Additionally,reactivation of theWnt/β-catenin pathway partly reversed the inhibitory effects of ARPC1B depletion on tumor growth and invasiveness.Conclusions:ARPC1B emerges as an essential oncogenic factor in ccRCC by stimulating EMT and activating the Wnt/β-catenin pathway,ultimately enhancing tumor aggressiveness and metastatic potential.Thus,targeting ARPC1B represents a promising therapeutic strategy,warranting further exploration in ccRCC management. 展开更多
关键词 clear cell renal cell carcinoma(ccRCC) BIOMARKER epithelial-to-mesenchymal transition(EMT) Wnt/β-catenin signaling actin-related protein 2/3 complex subunit 1B(ARPC1B)
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透明矫治技术研究新进展
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作者 陈嵩 《华西口腔医学杂志》 北大核心 2026年第1期29-33,共5页
本文系统梳理了透明矫治技术在材料学、临床治疗效果及对口腔健康影响方面的最新研究进展。在材料学领域,研究聚焦于膜片的生物相容性、生物/智能复合矫治器的研发及直接打印透明矫治器技术。尽管主流材料总体安全,但部分仍存在细胞毒... 本文系统梳理了透明矫治技术在材料学、临床治疗效果及对口腔健康影响方面的最新研究进展。在材料学领域,研究聚焦于膜片的生物相容性、生物/智能复合矫治器的研发及直接打印透明矫治器技术。尽管主流材料总体安全,但部分仍存在细胞毒性隐患;智能复合材料通过集成传感器或添加抗菌成分,为监测和预防釉质脱矿提供了新策略;直接打印透明矫治器技术则因其可定制化和高精度展现出巨大潜力。临床疗效方面,对于轻中度错[牙合]畸形,透明矫治器与固定矫治器疗效相当,但在复杂拔牙病例中其效率与效果稍逊。具体牙移动控制上,扩弓主要通过牙冠倾斜移动实现,效果低于设计预期;磨牙远移的实现度也有限;同时,研究否定了其具有特异性的“[牙合]垫效应”,并能导致下颌逆旋的观点。对于儿童骨性Ⅱ类错[牙合]畸形,结合功能矫治模块的透明矫治器显示出良好的应用前景,但证据等级仍需提高。在对口腔健康的影响上,与固定矫治器相比,透明矫治器能有效降低釉质脱矿风险,减少菌斑堆积,改善牙周健康状况。透明矫治技术正朝着更精准、高效和个性化的方向发展,但医生需明确其工具属性,成功治疗的根本仍在于全面的诊断、恰当的治疗计划与细致的临床操作。 展开更多
关键词 正畸治疗 透明矫治器 固定矫治器
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浙贝母及其炮制品灰贝的药效作用比较
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作者 陈磊 赵明方 +4 位作者 叶宇 竹炳 陈妤恬 杜伟锋 葛卫红 《华西药学杂志》 北大核心 2026年第1期21-25,共5页
目的比较浙贝母与灰贝在清热、化痰、止咳、平喘及抗炎方面的药效差异。方法采用腹腔注射脂多糖和皮下注射干酵母建立大鼠发热模型评价解热作用;氨水诱咳法建立小鼠咳嗽模型评价止咳作用;酚红排痰法建立小鼠模型评价化痰作用;二甲苯致... 目的比较浙贝母与灰贝在清热、化痰、止咳、平喘及抗炎方面的药效差异。方法采用腹腔注射脂多糖和皮下注射干酵母建立大鼠发热模型评价解热作用;氨水诱咳法建立小鼠咳嗽模型评价止咳作用;酚红排痰法建立小鼠模型评价化痰作用;二甲苯致小鼠耳肿胀模型评价抗炎作用;乙酰胆碱-组胺混合液雾化致豚鼠哮喘模型评价平喘作用。结果浙贝母与灰贝均能显著降低大鼠发热体温,延长小鼠咳嗽潜伏期并减少咳嗽次数,增加小鼠气管酚红排泌量,减轻小鼠耳肿胀度,延长豚鼠哮喘抽搐潜伏期。结论浙贝母与灰贝均具有清热、止咳、化痰、抗炎及平喘的作用;在止咳方面,同等剂量下灰贝中剂量的效果优于浙贝母;在平喘方面,浙贝母效果较优。 展开更多
关键词 浙贝母 灰贝 炮制 清热 化痰 止咳 平喘 抗炎
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多网融合下都市圈轨道交通清分方法改进研究
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作者 朱炜 张炜晗 +2 位作者 郁叶萍 费佳莹 商泰峰 《铁道运输与经济》 北大核心 2026年第2期42-48,118,共8页
在我国都市圈快速发展及轨道交通多网融合的背景下,各大城市积极推进多制式轨道交通系统的协同运营管理,传统城市轨道交通客流清分方法在新网络条件下面临诸多挑战。首先梳理了当前我国都市圈轨道交通发展趋势与客流清分现状,系统分析... 在我国都市圈快速发展及轨道交通多网融合的背景下,各大城市积极推进多制式轨道交通系统的协同运营管理,传统城市轨道交通客流清分方法在新网络条件下面临诸多挑战。首先梳理了当前我国都市圈轨道交通发展趋势与客流清分现状,系统分析了多网融合条件下不同换乘模式与票价方案对乘客出行选择的影响,以及对现有客流清分模型适用性的冲击,明确了模式与方案的适配关系。在此基础上,结合都市圈轨道交通多网融合建设目标,重点揭示现有清分模型在“无感换乘”与“差异化票价”组合场景中的局限性,并针对性提出了未来模型的改进方向。研究成果可为多网融合背景下轨道交通系统的运营调度与收益分配提供理论支撑,推动多制式轨道交通系统安全高效运行。 展开更多
关键词 都市圈轨道交通 多网融合 互联互通 票价方案 清分方法
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纳武利尤单抗治疗转移性肾透明细胞癌的效果及对患者肿瘤微环境的影响
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作者 张群妹 狄文玉 +2 位作者 张春晓 王海峰 鲁广建 《实用癌症杂志》 2026年第1期151-154,共4页
目的探讨纳武利尤单抗在转移性肾透明细胞癌治疗中的效果及安全性。方法该研究为一项前瞻性、随机对照试验,共纳入118例转移性透明细胞癌患者。随机将患者分为观察组(纳武利尤单抗组,59例)和对照组(依维莫司组,59例),比较2组治疗效果和... 目的探讨纳武利尤单抗在转移性肾透明细胞癌治疗中的效果及安全性。方法该研究为一项前瞻性、随机对照试验,共纳入118例转移性透明细胞癌患者。随机将患者分为观察组(纳武利尤单抗组,59例)和对照组(依维莫司组,59例),比较2组治疗效果和不良反应发生情况。同时,通过流式细胞术分析肿瘤微环境中CD8^(+)T细胞和Treg细胞的比例。结果观察组的客观缓解率和疾病控制率显著高于对照组(P<0.001),且不良反应发生率低于对照组(32.2%vs 50.8%,P=0.040)。肿瘤微环境分析显示,观察组的CD8^(+)T细胞比例显著高于对照组,而Treg细胞比例则显著低于对照组(P<0.001)。结论纳武利尤单抗在转移性透明细胞癌治疗中的效果显著优于依维莫司,且具有更好的耐受性,同时在改善肿瘤微环境方面纳武利尤单抗表现出更显著的优势。 展开更多
关键词 转移性肾透明细胞癌 纳武利尤单抗 依维莫司 免疫疗法 肿瘤微环境
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张冰教授采用“清法四则”分期辨治银屑病验案解析
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作者 李向日 郭萍 +1 位作者 张冰 《中国医院用药评价与分析》 2026年第2期253-256,共4页
银屑病是慢性、反复发作的难治性、炎症性皮肤病。北京中医药大学张冰教授认为银屑病的病机与毒邪密切相关,治疗应始终以“清法”为主线,并结合疾病分期采用不同的用药思路,进行期采用“清宣”与“清消”,静止期采用“清行”,消退期采... 银屑病是慢性、反复发作的难治性、炎症性皮肤病。北京中医药大学张冰教授认为银屑病的病机与毒邪密切相关,治疗应始终以“清法”为主线,并结合疾病分期采用不同的用药思路,进行期采用“清宣”与“清消”,静止期采用“清行”,消退期采用“清补”。该文总结了张冰教授的4种“清法”在银屑病不同分期中的具体应用,以期为临床治疗银屑病提供参考。 展开更多
关键词 银屑病 毒邪 清法 药性
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从“浊邪害清”论治干眼
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作者 回世洋 倪帅 《辽宁中医杂志》 北大核心 2026年第1期60-62,共3页
由于经济水平的增长,视频终端的普及,以及人们饮食结构的改变,干眼的发病率逐年上升。嗜食肥甘厚味以及辛辣刺激、饥饱无常等因素,湿热浊邪致病因素逐渐得到了医学领域的重视。目前对于干眼与“浊邪害清”有关的理论与临床研究较为匮乏... 由于经济水平的增长,视频终端的普及,以及人们饮食结构的改变,干眼的发病率逐年上升。嗜食肥甘厚味以及辛辣刺激、饥饱无常等因素,湿热浊邪致病因素逐渐得到了医学领域的重视。目前对于干眼与“浊邪害清”有关的理论与临床研究较为匮乏,因此该文将依据“浊邪害清”理论,探讨其与干眼之间的联系,并挖掘其相应的治则治法,以期为干眼的诊治提供一定的治疗思路。 展开更多
关键词 干眼 浊邪害清 中医药
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隐形矫治技术在多学科复杂病例中的应用
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作者 赖文莉 《华西口腔医学杂志》 北大核心 2026年第1期9-16,共8页
隐形矫治技术发展20多年,已从单纯的牙齿排齐工具发展为多学科口腔治疗的核心手段,尤其在牙周病正畸治疗、颞下颌关节紊乱病(TMD)正畸治疗、修复种植正畸联合治疗及正畸正颌联合治疗中展现显著优势。牙周病正畸治疗的目标是促进健康与... 隐形矫治技术发展20多年,已从单纯的牙齿排齐工具发展为多学科口腔治疗的核心手段,尤其在牙周病正畸治疗、颞下颌关节紊乱病(TMD)正畸治疗、修复种植正畸联合治疗及正畸正颌联合治疗中展现显著优势。牙周病正畸治疗的目标是促进健康与稳定。建议牙周炎症控制后介入正畸治疗,实行轻力渐进原则,减少牙移动步距,减少隐形矫治器包裹,延长牙套替换时间。TMD正畸治疗的目标是咬合—关节协调,解除咬合创伤,稳定关节功能,排齐牙列,改善咬合。正畸介入时机仅适于稳定期TMD,强调多学科联合管理,患者正畸治疗的知情同意非常重要。修复种植正畸联合治疗的目标是空间与美学整合。隐形矫治的数字化设计可集中间隙,拓展修复种植空间,压低伸长对颌牙,直立倾斜的基牙,为修复种植提供理想的[牙合]龈距离及近远中径,配合微笑设计等提升红白美学指数。严重骨性畸形的正畸正颌联合治疗可实现正畸—手术精准协同。隐形矫治数字化设计,上下牙弓宽度匹配相对固定矫治更容易实现,有效减少椅旁操作时间,提升矫治效率。目前隐形矫治在多学科领域里的应用还相对有限,高质量研究也不多,期待未来有更多高质量的研究以提高对隐形矫治的认识,让更多患者能精准高效地完成隐形矫治。 展开更多
关键词 隐形矫治技术 牙周炎 颞下颌关节紊乱病 修复 正颌外科 数字化
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3-羟异丁酰辅酶A水解酶通过调控Akt/mTOR通路抑制肾癌增殖、迁移、侵袭的机制
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作者 杨帆 逯艳文 +4 位作者 管翊冰 郑涛 张天标 张卫星 王瑞 《中华实验外科杂志》 2026年第1期86-89,共4页
目的探究HIBCH对ccRCC生物学行为的调控及相关机制。方法 2025年2月至2025年9月, 通过生物信息学筛选出HIBCH, 进而通过CCK-8、克隆形成、划痕、Transwell、qRT-PCR等细胞实验及ccRCC组织层面验证HIBCH对ccRCC生物行为的影响, 蛋白质印... 目的探究HIBCH对ccRCC生物学行为的调控及相关机制。方法 2025年2月至2025年9月, 通过生物信息学筛选出HIBCH, 进而通过CCK-8、克隆形成、划痕、Transwell、qRT-PCR等细胞实验及ccRCC组织层面验证HIBCH对ccRCC生物行为的影响, 蛋白质印迹法(Western blot)实验检测HIBCH对Akt/mTOR通路的影响。结果 ccRCC中HIBCH低表达, 且淋巴结浸润越多、分级分期越高, HIBCH的表达越低, 低表达HIBCH的患者预后差, 体现在OS和PFS上。与HK-2比较, 肾癌细胞系的HIBCH都处于低表达水平, 其中OSRC-2、786-O表达更低。组织水平发现HIBCH低表达率达到了80%(8/10)。过表达HIBCH后, 增殖能力、克隆形成能力、穿过Transwell小室的能力、划痕愈合面积低于空白对照组。干扰HIBCH后, 细胞增殖能力、克隆形成集落数、穿透小室基底膜的能力、愈合面积高于空白干扰组。进一步发现HIBCH通过Akt/mTOR通路影响ccRCC的生物学行为。结论 HIBCH通过调控Akt/mTOR通路抑制肾癌增殖、迁移、侵袭。 展开更多
关键词 3-羟异丁酰辅酶A水解酶 透明细胞肾癌 增殖 Akt/mTOR通路
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求解流动和传热问题的一种新的全隐算法-CLEAR(上) 被引量:4
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作者 屈治国 何雅玲 陶文铨 《工程热物理学报》 EI CAS CSCD 北大核心 2005年第1期125-127,共3页
本文对求解不可压缩流体流动和传热问题提出了一种全隐算法。该算法被称为CLEAR(Coupled and LinkedEquations Algorithm Revised).该算法不同与SIMPLE系列算法之处在于,它用直接求解的压力改进速度,而不引入压力修正项。完全考虑了邻... 本文对求解不可压缩流体流动和传热问题提出了一种全隐算法。该算法被称为CLEAR(Coupled and LinkedEquations Algorithm Revised).该算法不同与SIMPLE系列算法之处在于,它用直接求解的压力改进速度,而不引入压力修正项。完全考虑了邻点速度的影响,速度和压力的耦合得到很好的保证。因此在很大程度上加快了迭代的收敛速度,而且可以通过引入第二松弛因子,对迭代过程进行控制。本文详细阐述了CLEAR算法的数学原理和计算步骤,并讨论与SIMPLER算法的区别。在本文下篇中用五个算例对CLEAR算法和SIMPLER算法进行比较,证明了该算法的可行性。 展开更多
关键词 全隐算法 clear SIMPLE 压力修正 收敛速度 第二松弛因子
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壮医药治疗热射病用药规律分析
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作者 张琢 岳桂华 《新中医》 2026年第5期1-6,共6页
目的:分析壮医药治疗热射病的用药规律,以期为临床治疗提供参考。方法:收集《中国壮医学》等壮医经典及中国知网等数据库的壮医药治疗热射病的方剂,运用Excel、SPSS Modeler等工具对壮药的频数、性味及关联规则与聚类进行可视化分析。... 目的:分析壮医药治疗热射病的用药规律,以期为临床治疗提供参考。方法:收集《中国壮医学》等壮医经典及中国知网等数据库的壮医药治疗热射病的方剂,运用Excel、SPSS Modeler等工具对壮药的频数、性味及关联规则与聚类进行可视化分析。探讨壮医药治疗热射病的理论基础。结果:筛选得到壮医药治疗热射病方剂46首,涉及药物88味,排在前6位分别是山芝麻、两面针、地胆草、古羊藤、黄皮、金银花。壮药治疗热射病的药物中以寒性最多,没有热性药物;五味以苦味、辛味、甘味为主。常见药物组合为两面针-古羊藤、金银花-山芝麻、古羊藤-两面针、古羊藤-山芝麻等14组,核心组方为两面针-古羊藤-南蛇簕-地胆草-救必应、黄皮-陈皮-磨盘草-甘草-藿香-金果榄、功劳木-板蓝根-生姜-仙鹤草-六月雪、山芝麻-金银花。结论:壮医治疗热射病遵循毒邪致病理论,组方配伍上体现了壮医“清热解毒、散瘀,通调龙路、火路”的治疗原则,高频次使用的壮药包括山芝麻、两面针、地胆草、古羊藤、黄皮、金银花,性味多为寒、苦、辛、甘,两面针和古羊藤为核心药物,为临床用药提供参考依据。 展开更多
关键词 热射病 壮医药 数据挖掘 用药规律 清热解毒、散瘀 通调龙路、火路
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