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Key elements and checklist of shared decisionmaking conversation on life-sustaining treatment in emergency:a multispecialty study from China
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作者 Shu Li Jing Xie +8 位作者 Ziyi Chen jie yan Yuliang Zhao Yali Cong Bin Zhao Hua Zhang Hongxia Ge Qingbian Ma Ning Shen 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2023年第5期380-385,共6页
BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture... BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture or detailed guidance for clinical practice.This study is to investigate the optimal application of SDM to guide life-sustaining treatment(LST)in emergencies.METHODS:This study was a prospective two-round Delphi consensus-seeking survey among multiple stakeholders at the China Consortium of Elite Teaching Hospitals for Residency Education.Participants were identified based on their expertise in medicine,law,administration,medical education,or patient advocacy.All individual items and questions in the questionnaire were scored using a 5-point Likert scale,with responses ranging from"very unimportant"(a score of 1)to"extremely important"(a score of 5).The percentages of the responses that had scores of 4-5on the 5-point Likert scale were calculated.A Kendall’s W coefficient was calculated to evaluate the consensus of experts.RESULTS:A two-level framework consisting of 4 domains and 22 items as well as a ready-touse checklist for the informed consent process for LST was established.An acceptable Kendall’s W coefficient was achieved.CONCLUSION:A consensus-based framework supporting SDM during LST in an emergency department can inform the implementation of guidelines for clinical interventions,research studies,medical education,and policy initiatives. 展开更多
关键词 Shared decision-making Life-sustaining treatment EMERGENCY CHECKLIST
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Study on Sustained-Release Pesticides Blended with Fosthiazate-Stearic Acid/Expanded Perlite
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作者 Huimin Huang Zijun Wu +3 位作者 Zhijian Zhou Qiulin Xu jie yan Qiaoguang Li 《Journal of Renewable Materials》 SCIE EI 2023年第1期257-272,共16页
The low utilization rate of pesticides makes the migration of pesticides in water and soil,which brings great harm to the ecosystem.The development of pesticide carriers with good drug loading capacity and release con... The low utilization rate of pesticides makes the migration of pesticides in water and soil,which brings great harm to the ecosystem.The development of pesticide carriers with good drug loading capacity and release control abil-ity is an effective method to realize effective utilization of pesticides and reduce pesticide losses.In this work,fosthiazate-stearic acid/expanded perlite sustained-release particles were successfully prepared by vacuum impregnation using expanded perlite(EP)as carrier,fosthiazate(FOS)as model pesticide and stearic acid(SA)as hydrophobic matrix.The structure and morphology of the samples were studied by BET,FT-IR,TGA,XRD,DSC and SEM.The effects of different mass ratios of FOS to SA on loading capacity and release rate at 24 h were investigated.The sustained release behavior of FOS-SA/EP at different temperatures and pH values was investigated by static dialysis bag method.The results showed that FOS and SA were adsorbed in EP pores by physical interaction.With the mass ratios of FOS to SA decreasing from 7:3 to 3:7,the 24 h release rate of FOS-SA/EP decreased from 18.77%to 8.05%,and the drug loading decreased from 461.32 to 130.99 mg/g.FOS-SA/EP showed obvious temperature response at 25℃,30℃ and 35℃,the cumulative release rate(CRR)of 200 h were 33.38%,41.50%and 51.17%,respectively.When pH=5,the CRR of FOS was higher than that of pH=7,and the CRR of FOS for 200 h were 49.01%and 30.12%,respectively.At different temperatures and pH=5,the release mechanism of FOS-SA/EP belongs to the Fickian diffusion mechanism;When pH=7,the diffusion mechanism is dominant,and the dissolution mechanism is complementary. 展开更多
关键词 Expanded perlite FOSTHIAZATE stearic acid sustained release release kinetics
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Relaxation of Ne^(1+)1s^(0)2s^(2)2p^(6)np produced by resonant excitation of an ultraintense ultrafast x-ray pulse
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作者 闫杰 刘彦鹏 +4 位作者 侯永 高城 吴建华 曾交龙 袁建民 《Chinese Physics B》 SCIE EI CAS CSCD 2023年第6期75-79,共5页
The creation and relaxation of double K-hole states 1s^(0)2s^(2)2p^(6)np(n≥3)of Ne^(1+)in the interaction with ultraintense ultrafast x-ray pulses are theoretically investigated.The x-ray photon energies are selected... The creation and relaxation of double K-hole states 1s^(0)2s^(2)2p^(6)np(n≥3)of Ne^(1+)in the interaction with ultraintense ultrafast x-ray pulses are theoretically investigated.The x-ray photon energies are selected so that x-rays first photoionize1s^(22)s^(22)p^(6) of a neon atom to create a single K-hole state of 1s2s^(22)p^(6) of Ne^(1+),which is further excited resonantly to double K-hole states of ls^(0)2s^(2)2p^(6)np(n≥3).A time-dependent rate equation is used to investigate the creation and relaxation processes of 1s^(0)2s^(2)2p^(6)np,where the primary microscopic atomic processes including photoexcitation,spontaneous radiation,photoionization and Auger decay are considered.The calculated Auger electron energy spectra are compared with recent experimental results,which shows good agreement.The relative intensity of Auger electrons is very sensitive to the photon energy and bandwidth of x-ray pulses,which could be used as a diagnostic tool for x-ray free electron laser and atom experiments. 展开更多
关键词 hollow atoms x-ray resonant excitation RELAXATION
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Preparation of Iron-Pillared Bentonite/Oyster Shell Composite and Phosphate Adsorption in Water
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作者 Zhijian Zhou jie yan +6 位作者 Xinxiang Du Qiulin Xu Zijun Wu Jinlan yang Xitong Fang Qiuling Zhong Qiaoguang Li 《Journal of Renewable Materials》 EI 2023年第9期3501-3515,共15页
Iron-pillared bentonite(FB)was prepared by Fe(III)modified bentonite,and then the composites(FB-OS)were prepared by iron-pillared bentonite and oyster shell powder.The composites were characterized by FTIR,SEM,TGA,and... Iron-pillared bentonite(FB)was prepared by Fe(III)modified bentonite,and then the composites(FB-OS)were prepared by iron-pillared bentonite and oyster shell powder.The composites were characterized by FTIR,SEM,TGA,and EDS,and the phosphorus removal test was carried out.The results showed that FB-OS contained a large amount of CaO.Its structure was compact,but there were gaps in it.The maximum bending stress and compressive strength were 43.7 N and 0.927 MPa,respectively.The phosphorus removal test showed that the phosphorus removal rate of FB-OS was more than 90%,and measured the maximum adsorption capacity was 48.31 mg/g.A large amount of spherical products were produced on the surface and inside of FB-OS after phos-phorus removal,it was speculated that spherical products were amorphous calcium phosphate in the paper.Ana-lysis indicated that there was chemical adsorption during phosphorus removal.The kinetic equation of phosphorus adsorption by FB-OS was qt=10:193t/1+2:574t (R^(2)=0.995).The adsorption rate was mainly controlled by outerfilm diffusion and intraparticle diffusion. 展开更多
关键词 Oyster shell powder iron-pillared bentonite composite material phosphorous removal
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Al-6.2Zn-0.70Mg-0.30Mn-0.17Zr合金基于Arrhenius模型与ANN模型的热压缩流变行为(英文) 被引量:14
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作者 严杰 潘清林 +1 位作者 李安德 宋文博 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2017年第3期638-647,共10页
在Gleeble-3500热模拟仪上进行热压缩实验,研究在变形温度为623~773 K、应变速率为0.01~20 s^(-1)时均匀化状态下Al-6.2Zn-0.70Mg-0.30Mn-0.17Zr合金的热变形行为。实验结果表明:变形过程中流变应力值随应变速率的减小或变形温度的升高... 在Gleeble-3500热模拟仪上进行热压缩实验,研究在变形温度为623~773 K、应变速率为0.01~20 s^(-1)时均匀化状态下Al-6.2Zn-0.70Mg-0.30Mn-0.17Zr合金的热变形行为。实验结果表明:变形过程中流变应力值随应变速率的减小或变形温度的升高而减小。为研究热压缩过程合金的流变行为,同时建立了应变补偿本构模型与人工神经网络模型。计算结果表明:热压缩过程中各个材料常数与应变之间的关系可分别用6次多项式描述;隐含层含有16个神经元的神经网络模型具有好的预测效果。采用应变补偿本构模型和神经网络模型对流变应力进行预测,预测值平均绝对误差分别为3.49%和1.03%,神经网络模型预测精度与效率均高于应变补偿本构模型。 展开更多
关键词 铝合金 热压缩变形 流变应力 本构方程 人工神经网络模型
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黑龙江东部大豆疫霉生理小种及毒性结构时空动态分析 被引量:1
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作者 贾梦瑱 张斌 +7 位作者 田苗 揭岩 赵钰琦 高新颖 顾鑫 丁俊杰 陈宇飞 文景芝 《华北农学报》 CSCD 北大核心 2019年第5期208-215,共8页
为了研究大豆疫霉生理小种和致病型随时间和空间而变化的规律,连续4 a从黑龙江省东部地区发病较严重的4个代表性地块采集土壤样品,采用叶碟诱捕法分离出其中的大豆疫霉,将确认为大豆疫霉的菌株利用下胚轴伤口接种法鉴定其生理小种和致病... 为了研究大豆疫霉生理小种和致病型随时间和空间而变化的规律,连续4 a从黑龙江省东部地区发病较严重的4个代表性地块采集土壤样品,采用叶碟诱捕法分离出其中的大豆疫霉,将确认为大豆疫霉的菌株利用下胚轴伤口接种法鉴定其生理小种和致病型,对于科学使用大豆品种具有重要意义。结果表明,497株大豆疫霉属于135种致病型,包含29个生理小种,1株IRT和105个新致病型,其中16,18,22,28,35号生理小种为中国首次报道,而4,33,38,39,43,48,49号生理小种未分离到。13号小种分离频率最高,为3.2%,1号小种分离频率仅为2.4%。结果显示,黑龙江东部大豆疫霉群体致病力偏弱,对8个Rps基因致病频率为27.8%~53.1%,其中对Rps1k、Rps3a、Rps1c和Rps6基因的致病频率低于35%,对Rps7基因的致病频率为53.1%,说明在黑龙江东部种植含有Rps1k、Rps3a、Rps1c和Rps6基因的大豆品种较安全,种植含Rps7基因的大豆品种较危险。随时间推移黑龙江东部大豆疫霉生理小种和致病型分化迅速,致病型变得复杂多样,对绝大多数Rps基因致病频率增加,单株毒性和群体致病力均增强;生理小种和新致病型在试验田与生产田间数量差异不大,但种类差别较大,试验田单株毒性和群体致病力更强。 展开更多
关键词 大豆疫霉 生理小种 毒性结构 时空动态 黑龙江东部
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Association of high expression in rat gastric mucosal heat shock protein 70 induced by moxibustion pretreatment with protection against stress injury 被引量:22
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作者 Xiao-Rong Chang La Peng +2 位作者 Shou-Xiang Yi yan Peng jie yan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第32期4355-4359,共5页
AIM:To study the effect of moxibustion on Zusanli or Liangmeng point on gastric mucosa injury in stress-induced ulcer rats and its correlation with the expression of heat shock protein 70 (HSP70). METHODS:Sixty health... AIM:To study the effect of moxibustion on Zusanli or Liangmeng point on gastric mucosa injury in stress-induced ulcer rats and its correlation with the expression of heat shock protein 70 (HSP70). METHODS:Sixty healthy SD rats (30 males,30 females) were divided into control group,injury model group,Zushanli point group,Liangmeng point group. Stress gastric ulcer model was induced by binding cold stress method. Gastric mucosa ulcer injury (UI) index was calculated by Guth method. Gastric mucosa blood flow (GMBF) was recorded with a biological signal analyzer. Protein content and gene expression in gastric mucosal HSP70 were detected by immunohistochemistry (IHC) and reverse transcription polymerase chain reaction (RT-PCR). Thiobarbital method was used to determine malondialdehyde (MDA) content. Gastric mucosal endothelin (ET) and prostaglandin E2 (PGE2) were analyzed by radioimmunoassay. RESULTS:High gastric mucosal UI index,high HSP70 expression,low GMBF and PGF2,elevated MDA and ET were observed in gastric mucosa of rats subjected to cold stress. Moxibustion on Zusanli or Liangmeng point decreased rat gastric mucosal UI index,MDA and ET. Conversely,the expression of HSP70,GMBF,and PGE2 was elevated in gastric mucosa after pretreatment with moxibustion on Zusanli or Liangmeng point. The observed parameters were significantly different between Zusanli and Liangmeng points. CONCLUSION:Pretreatment with moxibustion on Zusanli or Liangmeng point protects gastric mucosa against stress injury. This protection is associated with the higher expression of HSP70 mRNA and protein,leading to release of PGE2 and inhibition of MDA and ET,impairment of gastric mucosal index. 展开更多
关键词 灸术 溃疡应激 胃黏膜保护 热休克蛋白质
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Translation and validation of the Nepean Dyspepsia Index for functional dyspepsia in China 被引量:11
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作者 Xiao-Ping Tian Ying Li +6 位作者 Fan-Rong Liang Guo-jie Sun jie yan Xiao-Rong Chang Ting-Ting Ma Shu-Yuan Yu Xu-Guang yang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第25期3173-3177,共5页
AIM:To assess the reliability and validity of the translated version of Nepean Dyspepsia Index (NDI) in Chinese patients with documented functional dyspepsia (FD).METHODS: The translation process included forward tran... AIM:To assess the reliability and validity of the translated version of Nepean Dyspepsia Index (NDI) in Chinese patients with documented functional dyspepsia (FD).METHODS: The translation process included forward translation, back translation, pretest and cross-cultural adaptation. Reliability and validity of the translated version were examined by asking 300 subjects to complete the Chinese version of the NDI. The mean age of subjects was 39.24 years and 68.7% of the subjects were women. Internal consistency analysis with Cronbach's α was performed to test the reliability. Correlation analysis was used to assess the content validity. Factor analysis and structural equation models were used to assess the construct validity.RESULTS: The Cronbach's α coefficients ranged 0.833-0.960, well above the acceptable level of 0.70. Correlation analysis showed that each item had a strong correlation with the corresponding domain, but a weak correlation with other domains. Confi rmatory factor analysis indicated that the comparative fit index was 0.94, higher than the acceptable level of 0.90.CONCLUSION: The Chinese version of the NDI is a reliable and valid scale for measuring health-related quality of life and disease severity in Chinese patients with FD. 展开更多
关键词 消化不良 翻译过程 拟合指数 验证 中国 结构方程模型 相关分析 可靠性
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Role of the nucleus tractus solitarii in the protection of pre-moxibustion on gastric mucosal lesions 被引量:9
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作者 Liang Peng Mi Liu +4 位作者 Xiaorong Chang Zhou yang Shouxiang Yi jie yan yan Peng 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第2期198-204,共7页
Previous studies have shown that somatic sensation by acupuncture and visceral nociceptive stimulation can converge in the nucleus tractus solitarii where neurons integrate signals impacting on the function of organs.... Previous studies have shown that somatic sensation by acupuncture and visceral nociceptive stimulation can converge in the nucleus tractus solitarii where neurons integrate signals impacting on the function of organs. To explore the role of the nucleus tractus solitarii in the protective mechanism of pre-moxibustion on gastric mucosa, nucleus tractus solitarii were damaged in rats and pre-moxibustion treatment at the Zusanli(ST36) point followed. The gastric mucosa was then damaged by the anhydrous ethanol lavage method. Morphological observations, enzyme linked immunosorbent assays, and western immunoblot analyses showed that gastric mucosa surface lesion and the infiltration of inflammatory cells were significantly ameliorated after pre-moxibustion treatment. Furthermore, the gastric mucosal damage index and somatostatin level were reduced, and epidermal growth factor content in the gastric mucosa and heat-shock protein-70 expression were increased. These results were reversed by damage to the nucleus tractus solitarii. These findings suggest that moxibustion pretreatment at the Zusanli point is protective against acute gastric mucosa injury, and nucleus tractus solitarii damage inhibits these responses. Therefore, the nucleus tractus solitarii may be an important area for regulating the signal transduction of the protective effect of pre-moxibustion on gastric mucosa. 展开更多
关键词 胃粘膜损伤 保护机制 孤束核 艾灸 酶联免疫吸附试验 热休克蛋白70 病变 免疫印迹分析
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RIP3/MLKL-mediated neuronal necroptosis induced by methamphetamine at 39℃ 被引量:6
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作者 Li-Min Guo Zhen Wang +8 位作者 Shi-Ping Li Mi Wang Wei-Tao yan Feng-Xia Liu Chu-Dong Wang Xu-Dong Zhang Dan Chen jie yan Kun Xiong 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第5期865-874,共10页
Methamphetamine is one of the most prevalent drugs abused in the world.Methamphetamine abusers usually present with hyperpyrexia (39℃),hallucination and other psychiatric symptoms.However,the detailed mechanism under... Methamphetamine is one of the most prevalent drugs abused in the world.Methamphetamine abusers usually present with hyperpyrexia (39℃),hallucination and other psychiatric symptoms.However,the detailed mechanism underlying its neurotoxic action remains elusive.This study investigated the effects of methamphetamine + 39℃ on primary cortical neurons from the cortex of embryonic Sprague-Dawley rats.Primary cortex neurons were exposed to 1 mM methamphetamine + 39℃.Propidium iodide staining and lactate dehydrogenase release detection showed that methamphetamine + 39℃ triggered obvious necrosis-like death in cultured primary cortical neurons,which could be partially inhibited by receptor-interacting protein-1 (RIP1) inhibitor Necrostatin-1 partially.Western blot assay results showed that there were increases in the expressions of receptor-interacting protein-3 (RIP3) and mixed lineage kinase domain-like protein (MLKL) in the primary cortical neurons treated with 1 mM methamphetamine + 39℃ for 3 hours.After pre-treatment with RIP3 inhibitor GSK’872,propidium iodide staining and lactate dehydrogenase release detection showed that neuronal necrosis rate was significantly decreased;RIP3 and MLKL protein expression significantly decreased.Immunohistochemistry staining results also showed that the expressions of RIP3 and MLKL were up-regulated in brain specimens from humans who had died of methamphetamine abuse.Taken together,the above results suggest that methamphetamine + 39℃ can induce RIP3/MLKL regulated necroptosis,thereby resulting in neurotoxicity.The study protocol was approved by the Medical Ethics Committee of the Third Xiangya Hospital of Central South University,China (approval numbers: 2017-S026 and 2017-S033) on March 7,2017. 展开更多
关键词 GSK'872 human brain tissue hyperpyrexia METHAMPHETAMINE mixed LINEAGE kinase domain-like protein necrostatin-1 NECROPTOSIS nerve REGENERATION neural REGENERATION rat CORTICAL neurons receptor-interacting protein-3 synergistic effect
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Rapid Detection of rpoB Gene Mutations in Rif-resistant M.tuberculosis Isolates by Oligonucleotide Microarray 被引量:8
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作者 AI-HUA SUN XING-LI FAN +3 位作者 LI-WEI LI LI-FANG WANG WEN-YING AN jie yan 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2009年第3期253-258,共6页
To detect the specific mutations in rpoB gene of Mycobacterium tuberculosis by oligonucleotide microarray.Methods Four wild-type and 8 mutant probes were used to detect rifampin resistant strains.Target DNA of M.tuber... To detect the specific mutations in rpoB gene of Mycobacterium tuberculosis by oligonucleotide microarray.Methods Four wild-type and 8 mutant probes were used to detect rifampin resistant strains.Target DNA of M.tuberculosis was amplified by PCR,hybridized and scanned.Direct sequencing was performed to verify the results of oligonucleotide microarray.Results Of the 102 rifampin-resistant strains 98(96.1%) had mutations in the rpoB genes.Conclusion Oligonucleotide microarray with mutation-specific probes is a reliable and useful tool for the rapid and accurate diagnosis of rifampin resistance in M.tuberculosis isolates. 展开更多
关键词 RPOB基因突变 耐药结核分枝杆菌 寡核苷酸芯片 耐药菌株 快速检测 PCR扩增 直接测序法 特异性探针
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Diversity of Helicobacter pylori isolates in expression of antigens and induction of antibodies 被引量:11
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作者 Ren-Xian Tang Dong-Jiao Luo +1 位作者 Ai-Hua Sun jie yan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第30期4816-4822,共7页
AIM: To obtain evidence for selection of antigens used in genetically engineered vaccine against Helicobacter pylori (H pylori). METHODS: Enzyme linked immunoabsorbent assay (ELISA) was established on the basis of rec... AIM: To obtain evidence for selection of antigens used in genetically engineered vaccine against Helicobacter pylori (H pylori). METHODS: Enzyme linked immunoabsorbent assay (ELISA) was established on the basis of recombinant protein antigens rUreB, rHpaA, rVacA, rCagA1, rNapA, rFlaA and rFlaB of H pylori to detect expression rates of the antigens in bacterial isolates as well as positive rates of the antibodies in sera from H pylori-infected patients. PCR was applied to the detection of carrying rates of the genes encoding antigens in the isolates. RESULTS: The outputs of rUreB, rHpaA, rVacA, rCagA1, rNapA, rFlaA and rFlaB were approximately 35%, 32%, 15%, 23%, 56%, 25% and 20% of the total bacterial proteins, respectively. One hundred and fifty-one strains of H pylori were isolated from 347 biopsy specimens of chronic gastritis, peptic ulcer or gastric adenocarcinoma, with a positive rate of 43.5%. All of the isolates expressed UreB, HpaA, FlaA and FlaB while 52.3%, 92.1% and 93.4% of the isolates expressed VacA, CagA and NapA, respectively. In the sera of 151 H pylori-infected patients, the positive ratesof IgG antibodies against UreB, HpaA, VacA, CagA, NapA, FlaA and FlaB were 100%, 87.4%, 43%, 71.5%, 89.4%, 84.8% and 79.5%, respectively. Furthermore, the expression frequencies of VacA and NapA were found to be relative to the severity of gastric diseases (P = 0.016 and P < 0.0001, respectively). CONCLUSION: UreB antigen is the top option of developing genetically engineered vaccine against H pylori followed by NapA or HpaA. 展开更多
关键词 幽门杆菌 抗原 抗体 表达频率
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A comprehensive review for wind,solar,and electrical load forecasting methods 被引量:9
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作者 Han Wang Ning Zhang +3 位作者 Ershun Du jie yan Shuang Han Yongqian Liu 《Global Energy Interconnection》 EI CAS CSCD 2022年第1期9-30,共22页
Wind power,solar power,and electrical load forecasting are essential works to ensure the safe and stable operation of the electric power system.With the increasing permeability of new energy and the rising demand resp... Wind power,solar power,and electrical load forecasting are essential works to ensure the safe and stable operation of the electric power system.With the increasing permeability of new energy and the rising demand response load,the uncertainty on the production and load sides are both increased,bringing new challenges to the forecasting work and putting forward higher requirements to the forecasting accuracy.Most review/survey papers focus on one specific forecasting object(wind,solar,or load),a few involve the above two or three objects,but the forecasting objects are surveyed separately.Some papers predict at least two kinds of objects simultaneously to cope with the increasing uncertainty at both production and load sides.However,there is no corresponding review at present.Hence,our study provides a comprehensive review of wind,solar,and electrical load forecasting methods.Furthermore,the survey of Numerical Weather Prediction wind speed/irradiance correction methods is also included in this manuscript.Challenges and future research directions are discussed at last. 展开更多
关键词 Wind power Solar power Electrical load Forecasting Numerical Weather Prediction CORRELATION
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血清神经元特异性烯醇化酶和尿香草扁桃酸与神经母细胞瘤临床病理特征的相关性 被引量:7
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作者 朱富艺 闫杰 +4 位作者 曹嫣娜 李杰 靳燕 胡嘉健 赵强 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第22期1160-1166,共7页
目的:分析神经母细胞瘤(neuroblastoma,NB)患儿治疗前血清神经元特异性烯醇化酶(neuron-specific enolase,NSE)和尿香草扁桃酸(vanillymandelic acid,VMA)的水平,比较二者与NB临床病理特征的相关性以及二者预测高危组患儿的能力,为更好... 目的:分析神经母细胞瘤(neuroblastoma,NB)患儿治疗前血清神经元特异性烯醇化酶(neuron-specific enolase,NSE)和尿香草扁桃酸(vanillymandelic acid,VMA)的水平,比较二者与NB临床病理特征的相关性以及二者预测高危组患儿的能力,为更好地诊断和评估病情提供依据。方法:收集2011年9月至2019年9月天津医科大学肿瘤医院确诊的155例NB患儿的临床病理资料。回顾性分析不同临床特征的患儿血清NSE和尿VMA水平,包括年龄、性别、肿瘤体积及部位、病理类型、INSS分期、危险度分组、是否转移、MYCN基因扩增及有无IDRFs情况。采用非参数秩和检验比较组间差异,P<0.05为差异具有统计学意义。为比较血清NSE和尿VMA在高危组患儿中的诊断价值,绘制ROC曲线,建立预测模型,比较二者鉴别高危组患儿的准确性。结果:109例患儿检测尿VMA,其中阴性61例,阳性48例,阳性率44.0%。152例患儿检测血清NSE,其中阴性2例,阳性150例,阳性率98.7%。血清NSE和尿VMA水平在INSS 4期、COG高危组、伴有转移和有IDRFs的患儿中均显著增高(P<0.05)。血清NSE在肿瘤部位、肿瘤体积和病理类型不同的患儿中具有显著性差异;肿瘤体积>500 cm3、INPC预后不良,病理类型为NB,原发灶位于腹膜后的患儿,血清NSE水平显著高于其他组(P<0.001)。ROC曲线结果显示血清NSE鉴别高危组患儿的界值为98.50 ng/mL,曲线下面积AUC为0.943(95%CI:0.906~0.991)。尿VMA鉴别高危组患儿的界值为62.28μmoL/24 h,AUC为0.791(95%CI:0.705~0.878)。联合二者鉴别高危组患儿,AUC为0.948(95%CI:0.900~0.997)。结论:与尿VMA相比,血清NSE与更多的NB临床特征相关,可以更全面地辅助诊断疾病及评估病情。在高危组患儿中,血清NSE和尿VMA水平均显著增高。NSE鉴别高危组患儿的准确性、灵敏度和特异度均高于尿VMA,二者联合检测并不能提高诊断的准确性。 展开更多
关键词 神经母细胞瘤 肿瘤标记物 神经元特异性烯醇化酶 尿香草扁桃酸 临床病理特征 危险度分组
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CagA^+ H.pylori Induces Akt1 Phosphorylation and Inhibits Transcription of p21^(WAF1/CIP1) and p27^(KIP1) via PI3K/Akt1 Pathway 被引量:4
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作者 SHU-PING LI XUE-JUN CHEN +2 位作者 AI-HUA SUN JIN-FANG ZHAO jie yan 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2010年第4期273-278,共6页
Objective Cytotoxin-associated protein (CagA) of H. pylori has been confirmed to be closely associated with gastric inflammation and tumorigenesis, but the mechanism behind it is little understood. In this study, we t... Objective Cytotoxin-associated protein (CagA) of H. pylori has been confirmed to be closely associated with gastric inflammation and tumorigenesis, but the mechanism behind it is little understood. In this study, we try to determine roles of CagA+ strain in activating PI3K/Akt1 signaling pathway, and affecting expression of p21WAF1/CIP1 and p27KIP1, and also in releasing IL-8 in host cells. Methods Akt1 phosphorylation and IL-8 levels of CagA+ and CagAˉ strain infected AGS cells were detected by ELISAs. Two quantitative RT-PCRs were established to measure p21WAF1/CIP1 and p27KIP1 mRNA levels in the CagA+ and CagAˉ strain infected cells. LY294002, an inhibitor of PI3K/Akt pathway, was used to define effect of the pathway in IL-8 release. Results CagA+ strain could induce an obvious elevation of Akt1 phosphorylation in the infected AGS cells while CagAˉ strain failed to do so. The CagA+ H. pylori strain infected AGS cells showed significant drops both in p21WAF1/CIP1 and p27KIP1 mRNA levels, whereas the CagAˉ H. pylori strain caused a remarkable increase in p21WAF1/CIP1 mRNA without affecting p27KIP1 gene transcription in the AGS cells. Both the CagA+ and CagAˉ H. pylori strains enabled AGS cells to produce close elevated levels of IL-8, and the LY294002 block resulted in unexpected elevations of IL-8 levels. Conclusion CagA can activate PI3K/Akt1 pathway that plays an inhibitory role in IL-8 release in H. pylori infected AGS cells. Activation of PI3K/Akt1 pathway and subsequent negative regulation of p21WAF1/CIP1 and p27KIP1 expression might be involved in CagA-associated carcinogenesis. 展开更多
关键词 蛋白磷酸化 幽门螺杆菌 信号通路 A蛋白 Cag 基因转录 P27 P21
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Optimal two-iteration sculling compensation mathematical framework for SINS velocity updating 被引量:4
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作者 Tong Zhang Kang Chen +2 位作者 Wenxing Fu Yunfeng Yu jie yan 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2014年第6期1065-1071,共7页
A new two-iteration sculling compensation mathematical framework is provided for modern-day strapdown inertial navigation system(SINS) algorithm design that utilizes a new concept in velocity updating. The principal s... A new two-iteration sculling compensation mathematical framework is provided for modern-day strapdown inertial navigation system(SINS) algorithm design that utilizes a new concept in velocity updating. The principal structure of this framework includes twice sculling compensation procedure using incremental outputs from the inertial system sensors during the velocity updating interval. Then, the moderate algorithm is designed to update the velocity parameter. The analysis is conducted in the condition of sculling motion which indicates that the new mathematical framework error which is smaller than the conventional ones by at least two orders is far superior. Therefore, a summary is given for SINS software which can be designed with the new mathematical framework in velocity updating. 展开更多
关键词 数学框架 速度更新 捷联惯导 划船 补偿 捷联惯性导航系统 迭代 SINS
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儿童横纹肌肉瘤复发及预后的影响因素分析 被引量:4
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作者 倪燕 赵强 +4 位作者 闫杰 曹嫣娜 李杰 靳燕 邱艳丽 《中国肿瘤临床》 CAS CSCD 北大核心 2018年第18期950-954,共5页
目的:探讨横纹肌肉瘤(rhabdomyosarcoma,RMS)的复发及预后的影响因素。方法:回顾性分析2000年1月至2017年10月天津医科大学肿瘤医院儿童肿瘤科收治的91例RMS患儿的临床病理资料。采用单因素χ~2检验或Fisher确切概率法和Logistic回归分... 目的:探讨横纹肌肉瘤(rhabdomyosarcoma,RMS)的复发及预后的影响因素。方法:回顾性分析2000年1月至2017年10月天津医科大学肿瘤医院儿童肿瘤科收治的91例RMS患儿的临床病理资料。采用单因素χ~2检验或Fisher确切概率法和Logistic回归分析影响RMS复发的危险因素,并采用Kaplan-Meier法及Cox风险模型对RMS复发患儿进行预后影响因素分析。结果:RMS复发率为41.8%,复发组38例患儿1、3、5年生存率分别为97.4%、52.9%、27.8%。患儿的临床分期、危险度分组、是否伴有转移及是否规范化疗是影响RMS患儿复发的危险因素,其中是否规范化疗是影响复发的独立危险因素(P<0.05)。生存分析表明复发时间及是否伴有转移与RMS复发患儿的预后相关,且均为独立影响因素(P<0.05)。结论:进行规范化疗有助于降低RMS的复发率,复发时间及是否伴有转移与复发患儿预后相关。 展开更多
关键词 儿童 横纹肌肉瘤 复发 疗效 预后因素
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Screening for metronidazole-resistance associated gene fragments of H pylori by suppression subtractive hybridization 被引量:3
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作者 Ai-Qing Li Ning Dai +1 位作者 jie yan Yong-Liang Zhu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第12期1847-1850,共4页
AIM: To screen for metronidazole (MTZ)-resistance associated gene fragments of H pylori by suppression subtractive hybridization (SSH). METHODS: Five MTZ-resistant (tester, T) and 1 MTZ-susceptible (driver, D) clinica... AIM: To screen for metronidazole (MTZ)-resistance associated gene fragments of H pylori by suppression subtractive hybridization (SSH). METHODS: Five MTZ-resistant (tester, T) and 1 MTZ-susceptible (driver, D) clinical H pylori isolates were selected. Genomic DNAs were prepared and submitted to RsaⅠdigestion. Then two different adaptors were ligated respectively to the 5'-end of two aliquots of the tester DNA fragments and SSH was made between the tester and driver DNAs. The specific inserts of tester strains were screened and MTZ-resistance related gene fragments were identified by dot blotting. RESULTS: Among the randomly selected 120 subtractive colonies, 37 DNA fragments had a different number of DNA copies (≥ 2 times) in resistant and susceptible strains and 17 of them had a significantly different number of DNA copies (≥ 3 times). Among the sequences obtained from the 17 DNA fragments, new sequences were found in 10 DNA fragments and duplicated sequences in 7 DNA fragments, representing respectively the sequences of depeptide ABC transporter periplasmic dipeptide-binding protein (dppA), permease protein (dppB), ribosomal protein S4 (rps4), ribonuclease Ⅲ (rnc), protease (pqqE), diaminopimelate epimerase (dapF), acetatekinase (ackA), H pylori plasmid pHP51 and H pylori gene 1334. CONCLUSION: Gene fragments specific to MTZ-resistant H pylori strains can be screened by SSH and may be associated with MTZ-resistant H pylori. 展开更多
关键词 抑制消减杂交法 幽门螺杆菌 灭滴灵 甲硝哒唑 耐药相关基因 筛查
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Quantitative method for evaluating detailed volatility of wind power at multiple temporal-spatial scales 被引量:5
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作者 Yongqian Liu Han Wang +3 位作者 Shuang Han jie yan Li Li Zixin Chen 《Global Energy Interconnection》 2019年第4期318-327,共10页
With the increasing proportion of wind power integration, the volatility of wind power brings huge challenges to the safe and stable operation of the electric power system. At present, the indexes commonly used to eva... With the increasing proportion of wind power integration, the volatility of wind power brings huge challenges to the safe and stable operation of the electric power system. At present, the indexes commonly used to evaluate the volatility of wind power only consider its overall characteristics, such as the standard deviation of wind power, the average of power variables, etc., while ignoring the detailed volatility of wind power, that is, the features of the frequency distribution of power variables. However, how to accurately describe the detailed volatility of wind power is the key foundation to reduce its adverse influences. To address this, a quantitative method for evaluating the detailed volatility of wind power at multiple temporal-spatial scales is proposed. First, the volatility indexes which can evaluate the detailed fluctuation characteristics of wind power are presented, including the upper confidence limit, lower confidence limit and confidence interval of power variables under the certain confidence level. Then, the actual wind power data from a location in northern China is used to illustrate the application of the proposed indexes at multiple temporal(year–season–month–day) and spatial scales(wind turbine–wind turbines–wind farm–wind farms) using the calculation time windows of 10 min, 30 min, 1 h, and 4 h. Finally, the relationships between wind power forecasting accuracy and its corresponding detailed volatility are analyzed to further verify the effectiveness of the proposed indexes. The results show that the proposed volatility indexes can effectively characterize the detailed fluctuations of wind power at multiple temporal-spatial scales. It is anticipated that the results of this study will serve as an important reference for the reserve capacity planning and optimization dispatch in the electric power system which with a high proportion of renewable energy. 展开更多
关键词 Wind power Detailed VOLATILITY Frequency distribution MULTIPLE temporal-spatial scales TYPICAL DAYS Forecasting accuracy
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长链非编码RNA 00682通过调节MYCN表达促进神经母细胞瘤的增殖和转移能力 被引量:3
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作者 刘赟 曹芳 +2 位作者 夏凡童 闫杰 赵强 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第22期1151-1157,共7页
目的:研究神经母细胞瘤中长链非编码RNA 00682(LINC00682)的表达与MYCN表达量之间的关系,以及LINC00682调节神经母细胞瘤功能的机制。方法:收集2009年12月至2019年12月天津医科大学肿瘤医院104例不同分期的神经母细胞瘤临床标本及其病... 目的:研究神经母细胞瘤中长链非编码RNA 00682(LINC00682)的表达与MYCN表达量之间的关系,以及LINC00682调节神经母细胞瘤功能的机制。方法:收集2009年12月至2019年12月天津医科大学肿瘤医院104例不同分期的神经母细胞瘤临床标本及其病理及预后信息,通过实时荧光定量PCR检测LINC00682在临床标本和神经母细胞瘤细胞系的表达并分析其表达量与临床病理特征及预后的关系。在SK-N-Be2和SK-N-AS细胞系中应用小干扰RNA抑制LINC00682表达,进一步利用CCK-8和生长曲线检测其增殖能力,利用划痕实验和侵袭实验检测其转移能力,并在SK-N-Be2细胞系中检测MYCN的表达。结果:实时定量PCR检测104例神经母细胞瘤临床标本发现LINC00682在高危组的表达量明显高于低危组和中危组,分析临床信息得出LINC00682的表达与肿瘤转移、病理类型,临床分期和患者预后相关。在5种神经母细胞瘤细胞系中,LINC00682在MYCN扩增细胞系SK-N-Be2和IMR-32的表达水平显著高于非MYCN扩增细胞系SK-N-AS、SK-N-SH和SH-SY5Y。应用实时荧光定量PCR检测48例神经母细胞瘤临床标本中LINC00682和MYCN的表达,两者呈正相关。应用小干扰RNA抑制LINC00682在SK-N-Be2和SK-N-AS中的表达后,神经母细胞瘤细胞的增殖和转移能力明显下降,同时在SK-N-Be2细胞系MYCN的mRNA和蛋白水平均受到抑制。结论:LINC00682的高表达与神经母细胞瘤的肿瘤转移、病理类型,临床分期和预后相关,并且LINC00682可能通过影响MYCN的表达促进神经母细胞瘤细胞的增殖和转移。 展开更多
关键词 神经母细胞瘤 长链非编码RNA 00682 MYCN蛋白 转移 增殖
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