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Cognitive impairment in cerebral small vessel disease induced by hypertension
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作者 Weipeng Wei Denglei Ma +1 位作者 Lin Li lan zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第7期1454-1462,共9页
Hypertension is a primary risk factor for the progression of cognitive impairment caused by cerebral small vessel disease,the most common cerebrovascular disease.Howeve r,the causal relationship between hypertension a... Hypertension is a primary risk factor for the progression of cognitive impairment caused by cerebral small vessel disease,the most common cerebrovascular disease.Howeve r,the causal relationship between hypertension and cerebral small vessel disease remains unclear.Hypertension has substantial negative impacts on brain health and is recognized as a risk factor for cerebrovascular disease.Chronic hypertension and lifestyle factors are associated with risks for stro ke and dementia,and cerebral small vessel disease can cause dementia and stroke.Hypertension is the main driver of cerebral small vessel disease,which changes the structure and function of cerebral vessels via various mechanisms and leads to lacunar infarction,leukoaraiosis,white matter lesions,and intracerebral hemorrhage,ultimately res ulting in cognitive decline and demonstrating that the brain is the to rget organ of hypertension.This review updates our understanding of the pathogenesis of hypertensioninduced cerebral small vessel disease and the res ulting changes in brain structure and function and declines in cognitive ability.We also discuss drugs to treat cerebral small vessel disease and cognitive impairment. 展开更多
关键词 blood-brain barrier cerebral small vessel disease cognitive impairment DEMENTIA endothelial dysfunction enlarged perivascular space HYPERTENSION lacunar infarction NEUROINFLAMMATION TREATMENT white matter high signal intensity
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Exosomes derived from microglia overexpressing miR-124-3p alleviate neuronal endoplasmic reticulum stress damage after repetitive mild traumatic brain injury
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作者 Yan Wang Dai Li +12 位作者 lan zhang Zhenyu Yin Zhaoli Han Xintong Ge Meimei Li Jing Zhao Shishuang zhang Yan Zuo Xiangyang Xiong Han Gao Qiang Liu Fanglian Chen Ping Lei 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第9期2010-2018,共9页
We previously reported that miR-124-3p is markedly upregulated in microglia-derived exosomes following repetitive mild traumatic brain injury.However,its impact on neuronal endoplasmic reticulum stress following repet... We previously reported that miR-124-3p is markedly upregulated in microglia-derived exosomes following repetitive mild traumatic brain injury.However,its impact on neuronal endoplasmic reticulum stress following repetitive mild traumatic brain injury remains unclear.In this study,we first used an HT22 scratch injury model to mimic traumatic brain injury,then co-cultured the HT22 cells with BV2 microglia expressing high levels of miR-124-3p.We found that exosomes containing high levels of miR-124-3p attenuated apoptosis and endoplasmic reticulum stress.Furthermore,luciferase reporter assay analysis confirmed that miR-124-3p bound specifically to the endoplasmic reticulum stress-related protein IRE1α,while an IRE1αfunctional salvage experiment confirmed that miR-124-3p targeted IRE1αand reduced its expression,thereby inhibiting endoplasmic reticulum stress in injured neurons.Finally,we delivered microglia-derived exosomes containing miR-124-3p intranasally to a mouse model of repetitive mild traumatic brain injury and found that endoplasmic reticulum stress and apoptosis levels in hippocampal neurons were significantly reduced.These findings suggest that,after repetitive mild traumatic brain injury,miR-124-3 can be transferred from microglia-derived exosomes to injured neurons,where it exerts a neuroprotective effect by inhibiting endoplasmic reticulum stress.Therefore,microglia-derived exosomes containing miR-124-3p may represent a novel therapeutic strategy for repetitive mild traumatic brain injury. 展开更多
关键词 apoptosis C/EBP homologous protein endoplasmic reticulum stress EXOSOME inositol-requiring enzyme MICROGLIA miR-124-3p neuron repetitive mild traumatic brain injury X-box binding protein 1
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Influence of Anteroposterior Symmetrical Aero-Wings on the Aerodynamic Performance of High-Speed Train
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作者 Peiheng He Jiye zhang +2 位作者 lan zhang Jiaqi Wang Yuzhe Ma 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第4期937-953,共17页
The running stability of high-speed train is largely constrained by the wheel-rail coupling relationship,and the continuous wear between the wheel and rail surfaces will profoundly affect the dynamic performance of th... The running stability of high-speed train is largely constrained by the wheel-rail coupling relationship,and the continuous wear between the wheel and rail surfaces will profoundly affect the dynamic performance of the train.In recent years,under the background of increasing train speed,some scientific researchers have proposed a new idea of using the lift force generated by the aerodynamic wings(aero-wing)installed on the roof to reduce the sprung load of the carriage in order to alleviate the wear and tear of the wheel and rail.Based on the bidirectional running characteristics of high-speed train,this paper proposes a scheme to apply aero-wings with anteroposterior symmetrical cross-sections on the roof of the train.After the verification of the wind tunnel experimental data,the relatively better airfoil section and extension formof anteroposterior symmetrical aero-wing is selected respectively in this paper,and the aero-wings are fixedly connected to the roof of the train through the mounting column to conduct aerodynamic simulation analysis.The research shows that:compared with the circular-arc and oval crosssections,this paper believes that the crescent cross-section can form greater aerodynamic lift force in a limited space.Considering factors such as aerodynamic parameters,ground effect,and manufacturing process,this paper proposes to adopt aero-wings with arc type extension form and connect them to the roof of the train through mounting columns with shuttle cross-section.When the roof of the train is covered with aero-wings and runs at high speed,the sprung load of the carriages can be effectively reduced.However,there are certain hidden dangers in the tail carriage due to the large amount of lift force,so,the intervention of the aero-wing lifting mechanism is required.At the same time,it is necessary to optimize the overall aerodynamic drag force reduction in the followup work. 展开更多
关键词 Anteroposterior symmetrical aero-wing wheel-rail wear aerodynamic lift force ground effect numerical simulation
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Allotetraploidization event of Coptis chinensis shared by all Ranunculales
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作者 Yan zhang Weina Ge +15 位作者 Jia Teng Yanmei Yang Jianyu Wang Zijian Yu Jiaqi Wang Qimeng Xiao Junxin Zhao Shaoqi Shen Yishan Feng Shoutong Bao Yu Li Yuxian Li Tianyu Lei Yuxin Pan lan zhang Jinpeng Wang 《Horticultural Plant Journal》 SCIE CAS CSCD 2024年第1期288-303,共16页
Coptis chinensis Franch.,also named Chinese goldthread is a member of Ranunculaceae in the order Ranunculales and represents an important lineage of early eudicots with traditional medicinal value.In our study,by usin... Coptis chinensis Franch.,also named Chinese goldthread is a member of Ranunculaceae in the order Ranunculales and represents an important lineage of early eudicots with traditional medicinal value.In our study,by using syntenic analysis combined with phylogenomic analysis of C.chinensis and four other representative genomes from basal and core eudicots,we confirmed that the WGD event in C.chinensis was shared by Aquilegia coerulea and Papaver somniferum L.and quickly occurred after Ranunculales diverged from other eudicots,likely a Ranunculales common tetraploidization(RCT).The synonymous nucleotide substitutions at synonymous sites distribution of syntenic blocks across these genomes showed that the evolutionary rate of the P.somniferum genome is faster than that of the C.chinensis genome by approximately 13.7%,possibly due to Papaveraceaes having an additional special tetraploidization event(PST).After Ks correction,the RCT dated to 115—130 million years ago(MYA),which was close to the divergence of Ranunculaceaes and Papaveraceaes approximately115.45—130.51 MYA.Moreover,we identified homologous genes related to polyploidization and speciation and constructed multiple sequence alignments with different reference genomes.Notably,the event-related subgenomes in the basal genomes all showed genomic fractionation bias,suggesting a likely allopolyploid nature of the RCT,PST and T-Alpha and T-Beta events in Tetracentron sinense.In addition,we detected that the sixteen P450 subfamilies were markedly expanded in the genomes of Ranunculales,and most of them were related to the RCT and PST events.We constructed a new platform for Early Eudicot Comparative Genomic Research(http://www.cgrpoee.top/index.html)to store more information.In summary,our findings support the WGD of C.chinensis shared by Ranunculales,which is likely an allotetraploidization event.This present effort offered new insights into the evolution of key polyploidization events and the genes related to secondary metabolites during the diversification of early eudicots. 展开更多
关键词 Coptis chinensis RANUNCULALES POLYPLOIDIZATION Genomic fractionation P450 genes
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Expert consensus on difficulty assessment of endodontic therapy
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作者 Dingming Huang Xiaoyan Wang +33 位作者 Jingping Liang Junqi Ling Zhuan Bian Qing Yu Benxiang Hou Xinmei Chen Jiyao Li Ling Ye Lei Cheng Xin Xu Tao Hu Hongkun Wu Bin Guo Qin Su Zhi Chen Lihong Qiu Wenxia Chen Xi Wei Zhengwei Huang Jinhua Yu Zhengmei Lin Qi zhang Deqin Yang Jin Zhao Shuang Pan Jian Yang Jiayuan Wu Yihuai Pan Xiaoli Xie Shuli Deng Xiaojing Huang lan zhang Lin Yue Xuedong Zhou 《International Journal of Oral Science》 SCIE CAS CSCD 2024年第1期15-25,共11页
Endodontic diseases are a kind of chronic infectious oral disease. Common endodontic treatment concepts are based on the removal of inflamed or necrotic pulp tissue and the replacement by gutta-percha. However, it is ... Endodontic diseases are a kind of chronic infectious oral disease. Common endodontic treatment concepts are based on the removal of inflamed or necrotic pulp tissue and the replacement by gutta-percha. However, it is very essential for endodontic treatment to debride the root canal system and prevent the root canal system from bacterial reinfection after root canal therapy(RCT). Recent research, encompassing bacterial etiology and advanced imaging techniques, contributes to our understanding of the root canal system’s anatomy intricacies and the technique sensitivity of RCT. Success in RCT hinges on factors like patients, infection severity, root canal anatomy, and treatment techniques. Therefore, improving disease management is a key issue to combat endodontic diseases and cure periapical lesions. The clinical difficulty assessment system of RCT is established based on patient conditions, tooth conditions, root canal configuration, and root canal needing retreatment, and emphasizes pre-treatment risk assessment for optimal outcomes. The findings suggest that the presence of risk factors may correlate with the challenge of achieving the high standard required for RCT. These insights contribute not only to improve education but also aid practitioners in treatment planning and referral decision-making within the field of endodontics. 展开更多
关键词 ANATOMY DIFFICULTY TREATMENT
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Crop growth inhibited by over-liming in tea plantations
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作者 Peng Yan Zhenhao Zou +9 位作者 Jingcheng zhang Lin Yuan Chen Shen Kang Ni Yeliang Sun Xin Li Liping zhang lan zhang Jianyu Fu Wenyan Han 《Beverage Plant Research》 2021年第1期69-75,共7页
Liming is a common strategy applied to attain optimal pH for tea growth in severely acidic soils.Tea however is a calciphobous plant,and the effects of liming on its growth and nutrient uptake remain poorly understand... Liming is a common strategy applied to attain optimal pH for tea growth in severely acidic soils.Tea however is a calciphobous plant,and the effects of liming on its growth and nutrient uptake remain poorly understand.Therefore,it is necessary to better understand the effects of liming on soil chemical properties and tea nutrient content.In this study,a tea plantation that had exhibited large variation in growth after liming was selected as a study site.We categorized plots into two growth condition groups:Plot 1(poor growth)and Plot 2(excellent growth).Tea nutrient levels,and soil chemical properties were then compared between the two groups.Normalized difference vegetation index(NDVI)and transformed vegetation index(TVI)values were significantly higher and lower,respectively,in Plot 2 than in Plot 1.Yield,number of buds per m2,and 100-bud weight were significantly higher in Plot 2.These results were attributed to higher N,K,and Al concentrations and lower Ca concentrations in leaves,and lower pH and available Ca and higher available Al in soil.Leaf concentrations of K and Al were significantly negatively correlated with leaf concentrations of Ca and soil pH.A positive relationship was observed between leaf concentrations of K and Al,indicating inhibited K and Al uptake due to over-liming,restricting tea growth.In conclusion,our results show that tea growth will be restricted by over-liming,as a result of the high soil pH and Ca concentration inhibiting the K and Al uptake. 展开更多
关键词 SOIL inhibited CROP
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Flap transplantation for treatment of pelvic fracture and defective hip
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作者 Bo Feng Kecheng Niu +2 位作者 Zhi zhang lan zhang Yunyan Tan 《Discussion of Clinical Cases》 2014年第1期33-39,共7页
A case of flap transplantation for treatment of pelvic fracture and defective hip in the Third Affiliated Hospital of Inner Mongolia Medical University was collected and analyzed on the basis of diagnosis,physical exa... A case of flap transplantation for treatment of pelvic fracture and defective hip in the Third Affiliated Hospital of Inner Mongolia Medical University was collected and analyzed on the basis of diagnosis,physical examination and treatment.The patient was in serious condition with large necrotic area and prone to lead to various complications.The paper aims to share experience and provide references for similar cases amongst surgeons. 展开更多
关键词 Pelvic fracture Soft tissue defect Skin flap transplantation
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幽门螺杆菌感染对内镜检出早期胃癌及癌前病变的影响
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作者 高聪聪 李晓明 +2 位作者 张兰 郑秀丽 李胜棉 《中国内镜杂志》 2023年第5期27-32,共6页
目的探讨幽门螺杆菌(Hp)感染对早期胃癌(EGC)及癌前病变部位、胃黏膜表现及内镜诊断的影响。方法回顾性分析2018年1月1日-2020年12月31日该院行白光内镜检查(WLE)和Hp检测的1107例患者的临床资料,分为Hp阴性组(608例)和Hp阳性组(499例)... 目的探讨幽门螺杆菌(Hp)感染对早期胃癌(EGC)及癌前病变部位、胃黏膜表现及内镜诊断的影响。方法回顾性分析2018年1月1日-2020年12月31日该院行白光内镜检查(WLE)和Hp检测的1107例患者的临床资料,分为Hp阴性组(608例)和Hp阳性组(499例)。以病理结果为诊断EGC及癌前病变的金标准,分析Hp感染对EGC及癌前病变部位、内镜下表现及诊断的影响。结果Hp阳性组中,检出EGC及癌前病变64例,病变以胃窦(45.31%)及胃体(26.56%)多见。Hp阴性组中,检出EGC及癌前病变62例,病变以胃窦(37.10%)及贲门(37.10%)多见。WLE下观察,存在结节或隆起、充血、糜烂及溃疡为Hp阴性EGC及癌前病变的独立危险因素,而存在结节或隆起、糜烂及溃疡为Hp阳性EGC及癌前病变的独立危险因素。虽溃疡为EGC及癌前病变的最强危险因素,但Hp阴性组OR值为26.86,高于Hp阳性组的14.43。进一步分析Hp感染对WLE诊断EGC及癌前病变的影响,Hp阳性组的灵敏度为78.13%,特异度为82.99%,均低于Hp阴性组的80.95%及87.91%。绘制WLE诊断不同Hp状态EGC及癌前病变的受试者操作特征曲线(ROC曲线),Hp阴性组的ROC曲线下面积(AUC)为0.79,高于Hp阳性组的0.74。结论Hp感染不仅可改变EGC及癌前病变的发病部位,亦可影响WLE下病变黏膜表现,进而增加诊断EGC及癌前病变的难度。 展开更多
关键词 早期胃癌 癌前病变 白光内镜 幽门螺杆菌
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Maraviroc promotes recovery from traumatic brain injury in mice by suppression of neuroinflammation and activation of neurotoxic reactive astrocytes 被引量:2
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作者 Xi-Lei Liu Dong-Dong Sun +13 位作者 Mu-Tian Zheng Xiao-Tian Li Han-Hong Niu lan zhang Zi-Wei Zhou Hong-Tao Rong Yi Wang Ji-Wei Wang Gui-Li Yang Xiao Liu Fang-Lian Chen Yuan Zhou Shu zhang Jian-Ning zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第1期141-149,共9页
Neuroinflammation and the NACHT,LRR,and PYD domains-containing protein 3 inflammasome play crucial roles in secondary tissue damage following an initial insult in patients with traumatic brain injury(TBI).Maraviroc,a ... Neuroinflammation and the NACHT,LRR,and PYD domains-containing protein 3 inflammasome play crucial roles in secondary tissue damage following an initial insult in patients with traumatic brain injury(TBI).Maraviroc,a C-C chemokine receptor type 5 antagonist,has been viewed as a new therapeutic strategy for many neuroinflammatory diseases.We studied the effect of maraviroc on TBI-induced neuroinflammation.A moderate-TBI mouse model was subjected to a controlled cortical impact device.Maraviroc or vehicle was injected intraperitoneally 1 hour after TBI and then once per day for 3 consecutive days.Western blot,immunohistochemistry,and TUNEL(terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling)analyses were performed to evaluate the molecular mechanisms of maraviroc at 3 days post-TBI.Our results suggest that maraviroc administration reduced NACHT,LRR,and PYD domains-containing protein 3 inflammasome activation,modulated microglial polarization from M1 to M2,decreased neutrophil and macrophage infiltration,and inhibited the release of inflammatory factors after TBI.Moreover,maraviroc treatment decreased the activation of neurotoxic reactive astrocytes,which,in turn,exacerbated neuronal cell death.Additionally,we confirmed the neuroprotective effect of maraviroc using the modified neurological severity score,rotarod test,Morris water maze test,and lesion volume measurements.In summary,our findings indicate that maraviroc might be a desirable pharmacotherapeutic strategy for TBI,and C-C chemokine receptor type 5 might be a promising pharmacotherapeutic target to improve recovery after TBI. 展开更多
关键词 C-C chemokine receptor type 5(CCR5)antagonist high mobility group protein B1(HMGB1) MARAVIROC M1 microglia nuclear factor-κB pathway NACHT LRR and PYD domains-containing protein 3(NLRP3)inflammasome NEUROINFLAMMATION neurological function neurotoxic reactive astrocytes traumatic brain injury
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两起发热伴血小板减少综合征聚集性疫情流行病学及病原学分析 被引量:1
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作者 杨鑫 武永祥 +7 位作者 冷昱 李佳宸 王超杰 袁义美 王震 张兰 黎浩 刘玮 《遗传》 CAS CSCD 北大核心 2023年第11期1062-1073,共12页
发热伴血小板减少综合征(severe fever with thrombocytopenia syndrome,SFTS)是一种新发传染病,主要通过蜱虫叮咬传播,其病原体为发热伴血小板减少综合征病毒(severe fever with thrombocytopenia syndrome virus,SFTSV)。人际传播引发... 发热伴血小板减少综合征(severe fever with thrombocytopenia syndrome,SFTS)是一种新发传染病,主要通过蜱虫叮咬传播,其病原体为发热伴血小板减少综合征病毒(severe fever with thrombocytopenia syndrome virus,SFTSV)。人际传播引发的SFTS聚集性疫情在国内外均有报道,人们重点关注了人际传播的感染途径,然而SFTS聚集性疫情和病毒基因型之间的相关性研究却未见报道。本文主要报道了2022~2023年河南省信阳市发生的两起SFTS聚集性疫情,探讨了SFTSV出现人际传播感染的可能途径,并对SFTS聚集性疫情与病毒基因型进行了关联分析。通过4例确诊患者的病毒序列分析,发现两起聚集性疫情中的2组SFTSV分别聚集在隶属于不同基因型的两个分支。将本研究病毒序列与GenBank中获得的SFTS聚集性疫情报道过的病毒序列进行系统发育分析,进一步发现人际传播病例报道的SFTSV涉及3种基因型,提示SFTS聚集性疫情的发生可能和病毒基因型无明显关联。本研究表明血液接触感染可能是SFTS聚集性疫情发生的主要传播途径,为揭示SFTS聚集性疫情的人际传播链提供了遗传学证据,为SFTS的人际传播防控提供了科学数据支撑。 展开更多
关键词 发热伴血小板减少综合征 蜱传疾病 人际传播 遗传分析
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角膜塑形镜联合0.01%阿托品滴眼液治疗青少年近视 被引量:1
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作者 刘颖 郭彦芳 +3 位作者 孙红双 尹丹 张兰 李跃峰 《国际眼科杂志》 CAS 北大核心 2023年第8期1279-1284,共6页
目的:探讨分析角膜塑形镜联合0.01%阿托品滴眼液在控制青少年近视过程中的疗效和安全性。方法:收集2019-01/2022-01在衡水市人民医院眼科诊治的100例100眼(均取右眼数据)青少年近视患者,根据患者意愿采用随机对照原则将患者分为试验组... 目的:探讨分析角膜塑形镜联合0.01%阿托品滴眼液在控制青少年近视过程中的疗效和安全性。方法:收集2019-01/2022-01在衡水市人民医院眼科诊治的100例100眼(均取右眼数据)青少年近视患者,根据患者意愿采用随机对照原则将患者分为试验组和对照组,每组各50例50眼。对照组患者采用单一角膜塑形镜治疗,试验组患者采用角膜塑形镜联合0.01%阿托品滴眼液治疗。记录两组患者持续治疗1、3、6、9、12mo后的治疗数据,对比两组患者在治疗前后的屈光度、角膜曲率、眼轴长度(AL)、中央角膜厚度(CCT)、瞳孔直径(PD)、泪膜脂质层厚度(LLT)和泪膜破裂时间(BUT)、角膜总高阶像差(RMSh)、黄斑中心凹下脉络膜厚度(SFCT)、角膜内皮细胞密度(CD)和六边形细胞比例(HEX)等参数。随访期间观察患者不良反应发生情况。结果:治疗后12mo,试验组患者屈光度、角膜曲率、AL分别为-2.42±0.17D、38.89±1.18D、25.44±0.23mm,均显著优于对照组(-2.56±0.19D、40.12±1.65D、25.54±0.19mm,均P<0.05);试验组患者CCT(538±33μm)低于对照组(545±41μm),而试验组患者PD高于对照组(6.38±0.38mm vs 6.12±0.37mm,P<0.05);试验组患者LLT和BUT分别为61.14±8.41nm、9.24±2.05s,均显著高于对照组(56.14±7.22nm、7.27±1.99s,均P<0.05);试验组患者RMSh低于对照组(0.73±0.21μm vs 0.85±0.12μm,P<0.05),而试验组患者SFCT显著高于对照组(289±55μm vs 282±59μm,P<0.05)。此外,治疗后12mo,试验组患者CD和HEX相比较对照组均无差异(均P>0.05)。治疗期间两组患者的主要不良反应为畏光、过敏反应、结膜炎和角膜炎,但两组比较无差异(均P>0.05)。结论:角膜塑形镜联合0.01%阿托品滴眼液相比较单用角膜塑形镜能更有效控制青少年近视发展,且不增加不良反应。 展开更多
关键词 0.01%阿托品 角膜塑形镜 近视 眼轴
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微脉冲激光联合雷珠单抗玻璃体腔内注射治疗非缺血型BRVO继发黄斑水肿
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作者 尹丹 孙红双 +3 位作者 刘颖 李跃峰 张兰 李勇 《国际眼科杂志》 CAS 北大核心 2023年第11期1870-1874,共5页
目的:探讨微脉冲激光联合雷珠单抗玻璃体腔内注射治疗非缺血型视网膜分支静脉阻塞(BRVO)继发黄斑水肿(ME)的疗效。方法:选取2020-01/2022-03在我院接受治疗的非缺血型BRVO继发ME患者200例200眼作为本次研究对象,按照随机数字表法分为对... 目的:探讨微脉冲激光联合雷珠单抗玻璃体腔内注射治疗非缺血型视网膜分支静脉阻塞(BRVO)继发黄斑水肿(ME)的疗效。方法:选取2020-01/2022-03在我院接受治疗的非缺血型BRVO继发ME患者200例200眼作为本次研究对象,按照随机数字表法分为对照组(100例100眼)和观察组(100例100眼)。其中对照组给予雷珠单抗玻璃体腔内注射治疗,观察组给予微脉冲激光联合雷珠单抗玻璃体腔内注射治疗。比较两组最佳矫正视力(BCVA)、黄斑中心凹视网膜厚度(CMT)、黄斑中心凹下脉络膜厚度(SFCT)、总注药次数、黄斑区渗漏以及并发症发生情况。结果:治疗后两组患者的BCVA均改善,且观察组治疗后1、3、6、12mo的BCVA优于对照组(均P<0.05)。治疗后两组患者的CMT、SFCT均降低,且观察组治疗后1、3、6、12mo的CMT、SFCT低于对照组(均P<0.05)。观察组治疗期间总注药次数明显少于对照组(4.06±1.12次vs 5.32±1.15次,t=5.852,P<0.001)。对照组和观察组治疗后12mo的渗漏率分别为69.0%、27.0%,两组比较有差异(χ^(2)=35.337,P<0.001)。对照组和观察组患者的并发症发生率分别为11.0%、5.0%,两组比较无差异(χ^(2)=2.446,P=0.118)。结论:微脉冲激光联合雷珠单抗玻璃体腔内注射治疗非缺血型BRVO继发ME的临床效果显著,能够提高患者的视力,改善ME,减少雷珠单抗总用药次数,且不会增加并发症发生率,安全系数高。 展开更多
关键词 微脉冲激光 雷珠单抗 玻璃体腔内注射 视网膜分支静脉阻塞(BRVO) 黄斑水肿
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Preliminary Exploration of Areal Density of Angular Momentum for Spiral Galaxies
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作者 lan zhang Feilu Wang +4 位作者 Xiangxiang Xue David Salzmann Baifei Shen Zehao Zhong Gang Zhao 《Research in Astronomy and Astrophysics》 SCIE CAS CSCD 2023年第8期1-4,共4页
The specific angular momenta(j_(t))of stars,baryons as a whole and dark matter halos contain clues of vital importance about how galaxies form and evolve.Using a sample of 70 spiral galaxies,we perform a preliminary a... The specific angular momenta(j_(t))of stars,baryons as a whole and dark matter halos contain clues of vital importance about how galaxies form and evolve.Using a sample of 70 spiral galaxies,we perform a preliminary analysis of j_t,and introduce a new quantity,e.g.,areal density of angular momentum(ADAM)(j_(t)M_(*)/(2R_(d))^(2))as an indication for the existence of jet(s)in spiral galaxies.The percentage of spiral galaxies having jet(s)shows a strong correlation with ADAM,although the present sample is incomplete. 展开更多
关键词 GALAXIES jets-galaxies spiral-galaxies STATISTICS
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Unveiling the spatial distribution and molecular mechanisms of terpenoid biosynthesis in Salvia miltiorrhiza and S. grandifolia using multi-omicsand DESI-MSI
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作者 Jie Xia Ganggui Lou +12 位作者 lan zhang Yanbo Huang Jian Yang Juan Guo Zhechen Qi Zhenhao Li Guoliang zhang Shengchun Xu Xijiao Song Xiaodan zhang Yukun Wei Zongsuo Liang Dongfeng Yang 《Horticulture Research》 SCIE CSCD 2023年第7期192-205,共14页
Salvia miltiorrhiza and S.grandifolia are rich in diterpenoids and have therapeutic effects on cardiovascular diseases.In this study,the spatial distribution of diterpenoids in both species was analyzed by a combinati... Salvia miltiorrhiza and S.grandifolia are rich in diterpenoids and have therapeutic effects on cardiovascular diseases.In this study,the spatial distribution of diterpenoids in both species was analyzed by a combination of metabolomics and mass spectrometry imaging techniques.The results indicated that diterpenoids in S.miltiorrhiza were mainly abietane-type norditerpenoid quinones with a furan or dihydrofuran D-ring and were mainly distributed in the periderm of the roots,e.g.cryptotanshinone and tanshinone IIA.The compounds in S.grandifolia were mainly phenolic abietane-type tricyclic diterpenoids with six-or seven-membered C-rings,and were widely distributed in the periderm,phloem,and xylem of the roots,e.g.11-hydroxy-sugiol,11,20-dihydroxy-sugiol,and 11,20-dihydroxy-ferruginol.In addition,the leaves of S.grandifolia were rich in tanshinone biosynthesis precursors,such as 11-hydroxy-sugiol,while those of S.miltiorrhiza were rich in phenolic acids.Genes in the upstream pathway of tanshinone biosynthesis were highly expressed in the root of S.grandifolia,and genes in the downstream pathway were highly expressed in the root of S.miltiorrhiza.Here,we describe the specific tissue distributions and mechanisms of diterpenoids in two Salvia species,which will facilitate further investigations of the biosynthesis of diterpenoids in plant synthetic biology. 展开更多
关键词 distribution PHENOLIC ROOTS
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多孔碳材料制备及其电容性能——绿色化学综合创新实验设计
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作者 高亚辉 李娟 +4 位作者 尹国杰 张拦 赵丹 常美佳 张少文 《大学化学》 CAS 2023年第8期108-117,共10页
基于高质量应用型人才的培养目标,设计了“多孔碳材料制备及其电容性能”综合性实验项目,提升学生实践和创新能力培养。在学生掌握基础理论和多孔碳材料制备原理的基础上,设计了方案制定、材料制备及表征、性能测定、数据处理及论文撰... 基于高质量应用型人才的培养目标,设计了“多孔碳材料制备及其电容性能”综合性实验项目,提升学生实践和创新能力培养。在学生掌握基础理论和多孔碳材料制备原理的基础上,设计了方案制定、材料制备及表征、性能测定、数据处理及论文撰写等多个环节。经过训练,使学生熟悉科学研究思路,掌握管式炉操作、扫描电子显微镜、X射线粉末衍射和拉曼光谱表征样品的制备,N_(2)吸附-脱附和电容性能测试过程测试方法及数据处理方法等的实验操作和技能。最终达到强化学生科研兴趣、可持续发展意识和创新精神培养目标。 展开更多
关键词 综合性实验 绿色化学 生物质 多孔碳 比电容
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Digital Filter Algorithm Based on Morphological Lifting Scheme and Median Filter 被引量:2
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作者 lan zhang 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2018年第5期1007-1011,共5页
When the circuits in which electronic products are fitted are disturbed by various interrupting signals, wave distortions occur to the normal voltage signals of these circuits.These wave distortions influence the norm... When the circuits in which electronic products are fitted are disturbed by various interrupting signals, wave distortions occur to the normal voltage signals of these circuits.These wave distortions influence the normal operation and life cycle of electronic products. To eliminate the harmful effects of interrupting signals on electronic products, in this paper, a digital filter algorithm based on morphological lifting scheme and median filter(MLS-MF), which will be used to filter various interrupting signals existing in the circuits in which electronic products are fitted, is proposed. A variety of interrupting signals have been included in simulation studies, and simulation results have demonstrated the effectiveness and feasibility of the proposed digital filter algorithm in high frequency continuous interference, random background noise and damped oscillatory transient interference filter. 展开更多
关键词 电子产品 电路 中断信号 自动化技术
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康柏西普联合手术及全视网膜光凝治疗NVG的临床研究 被引量:17
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作者 刘颖 葛翠洁 +2 位作者 谢丽丽 张兰 李跃峰 《中国现代医学杂志》 CAS 2018年第15期67-70,共4页
目的观察玻璃体腔注射康柏西普联合复合式小梁切除术及全视网膜光凝治疗新生血管性青光眼(NVG)的临床疗效。方法选取2014年1月-2017年1月该院就诊的200例NVG患者,共200只眼。入选患者屈光间质尚清晰,尚存部分视功能。按是否接受玻璃体... 目的观察玻璃体腔注射康柏西普联合复合式小梁切除术及全视网膜光凝治疗新生血管性青光眼(NVG)的临床疗效。方法选取2014年1月-2017年1月该院就诊的200例NVG患者,共200只眼。入选患者屈光间质尚清晰,尚存部分视功能。按是否接受玻璃体腔注射康柏西普药物分为对照组和观察组,每组各100例(100只眼)。观察组采用玻璃体腔注射康柏西普+复合式小梁切除术+全视网膜光凝治疗方案;对照组行复合式小梁切除术+超全视网膜光凝治疗方案。记录患者治疗前,治疗后1 d、1周、1个月及6个月眼压变化、视力变化、虹膜及房角新生血管消失情况和不良反应情况。结果治疗后1 d、1周、1个月及6个月两组眼压比较,采用重复测量设计的方差分析,结果 :(1)两组不同时间的眼压有差异(P<0.05);(2)两组间的眼压有差异(P<0.05);(3)两组眼压的变化趋势有差异(P<0.05)。进一步分析发现,在同一时间的两两比较,观察组治疗后1 d、1周、1个月及6个月的眼压水平均低于对照组(P<0.05)。治疗1周后,观察组虹膜和房角新生血管完全消退率高于对照组;观察组消退时间低于对照组。结论采用玻璃体腔注射康柏西普+复合小梁切除术+全视网膜光凝治疗NVG,能有效改善患者治疗效果,减少不良反应,增加治疗的安全性。 展开更多
关键词 康柏西普 手术 全视网膜光凝 新生血管性青光眼
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收肌管阻滞在膝关节镜术后早期镇痛中的临床应用 被引量:7
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作者 诸源江 张兰 +5 位作者 张宇 向继林 杨波 王文璨 于天雷 江雪 《中国内镜杂志》 2020年第3期1-6,共6页
目的分析膝关节镜术后采用收肌管阻滞早期镇痛的有效性与安全性,为未来膝关节镜术后镇痛方案的选择提供参考。方法选择该院择期接受初次单侧膝关节镜下半月板手术治疗的患者60例,根据随机数字表法将其分为收肌管阻滞组(ACB组)与浸润麻醉... 目的分析膝关节镜术后采用收肌管阻滞早期镇痛的有效性与安全性,为未来膝关节镜术后镇痛方案的选择提供参考。方法选择该院择期接受初次单侧膝关节镜下半月板手术治疗的患者60例,根据随机数字表法将其分为收肌管阻滞组(ACB组)与浸润麻醉组(IA组),每组30例,患者术中麻醉方式均为全身麻醉,麻醉诱导与麻醉维持方法一致。手术前30 min给予ACB组收肌管阻滞早期镇痛,给予IA组浸润麻醉早期镇痛,记录围手术期相关指标,并对比两组并发症发生情况。在术后1、2、4、8和12 h采用视觉模拟评分法(VAS)评估患者疼痛情况,用来评价其镇痛效果;分别于术后各时点,采用徒手肌力法评价患者股四头肌肌力;并对比两组镇痛有效率和肌力减弱发生率。结果术后1、2和4 h,两组患者VAS评分比较,差异无统计学意义(P>0.05);术后8和12 h,ACB组VAS评分较IA组降低,且曲马多使用量少于IA组,差异均有统计学意义(P<0.05);术后各时点,ACB组股四头肌肌力评分较IA组提高,差异均有统计学意义(P<0.05);ACB组镇痛有效率高于IA组,肌力减弱发生率低于IA组,差异有统计学意义(P<0.05);围手术期两组均未见穿刺部位出血、局麻药物中毒、血肿和苏醒延迟发生,组间恶心、呕吐发生率比较,差异无统计学意义(P>0.05)。结论术前超早期给予膝关节镜手术患者收肌管阻滞,患者术后早期镇痛效果较传统浸润麻醉好,可以减少曲马多的使用,且对患者股四头肌肌力无明显负面影响,肌力减弱情况少,无严重并发症发生,安全可靠,值得推广应用。 展开更多
关键词 收肌管阻滞 膝关节镜手术 镇痛效果 肌力 并发症
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普通白光联合窄带成像放大内镜对早期胃癌浸润深度的诊断价值 被引量:4
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作者 赵慧金 尔丽绵 +4 位作者 李晓明 郑秀丽 张兰 高聪聪 李胜棉 《中国肿瘤临床》 CAS CSCD 北大核心 2022年第19期994-1000,共7页
目的:建立普通白光内镜(conventional white light endoscopy,C-WLE)联合窄带成像放大内镜(magnifying endoscopy with narrow-band imaging,ME-NBI)诊断早期胃癌(early gastric cancer,EGC)浸润深度的模型,提高EGC深度诊断的准确性。方... 目的:建立普通白光内镜(conventional white light endoscopy,C-WLE)联合窄带成像放大内镜(magnifying endoscopy with narrow-band imaging,ME-NBI)诊断早期胃癌(early gastric cancer,EGC)浸润深度的模型,提高EGC深度诊断的准确性。方法:回顾性分析2018年1月至2020年10月河北医科大学第四医院行黏膜下剥离术(endoscopic submucosal dissection,ESD)或手术治疗的241例EGC患者,用χ^(2)检验分析EGC黏膜下深层浸润的危险因素,应用Logistic回归模型分析EGC黏膜下深层浸润内镜下表现的独立危险因素,构建预测EGC浸润深度模型。结果:χ2检验结果表明黏膜皱襞变化、易出血、溃疡、边缘隆起、无血管区、扩张血管、微血管结构缺失、表面结构缺失是EGC黏膜下深层浸润的危险因素。Logistic多因素回归分析表明溃疡(OR=5.696,95%CI:1.656~19.590;P=0.006),边缘隆起(OR=5.363,95%CI:1.469~19.573;P=0.011),无血管区(OR=8.990,95%CI:2.522~32.042;P=0.001),扩张血管(OR=8.435,95%CI:3.323~21.408;P<0.001)为EGC黏膜下深层浸润的独立危险因素。将上述独立危险因素分别赋分为4分、4分、5分、5分,构建预测浸润深度的模型,AUC为0.802,最佳临界点为8分,诊断敏感度为71.4%,特异度为85.6%,准确率为82.5%。结论:依据C-WLE联合ME-NBI诊断EGC黏膜下深层浸润的独立危险因素构建的诊断模型有助于术前准确诊断EGC的浸润深度。 展开更多
关键词 早期胃癌 黏膜下深层浸润 窄带成像放大内镜 预测模型
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县域内义务教育学校财政拨款充足性估算——基于B、J和S县所辖小学数据的包络分析 被引量:3
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作者 李祥云 张澜 童泽峰 《教育与经济》 CSSCI 北大核心 2021年第4期72-80,共9页
我国义务教育财政投入不足备受社会关注,但究竟什么是义务教育财政投入的充足性,国内已有研究基本上是描述性的,至今并没有给出明确的含义及标准。已有国外研究和实践表明,确立学校财政拨款充足标准,必须要与教育结果关联,且要考虑学校... 我国义务教育财政投入不足备受社会关注,但究竟什么是义务教育财政投入的充足性,国内已有研究基本上是描述性的,至今并没有给出明确的含义及标准。已有国外研究和实践表明,确立学校财政拨款充足标准,必须要与教育结果关联,且要考虑学校所处环境对教育结果的影响,同时还需要排除学校低效率行为。基于此,本文在明确我国义务教育学校财政拨款充足性含义及标准的基础上,构建了包含环境因素的学校拨款充足模型,运用拓展的线性包络分析方法排除学校低效率行为,以经济发展不同水平的B县、S县和J县所辖小学为典型案例,对各县所辖每一所学校达到该县设定教育结果水平所需最低成本进行估算。结果表明:达到各县确认的优秀教育结果水平,排除低效率行为,超过60%的学校无需追加财政拨款。今后在加大义务教育财政投入的同时,还应注重资金使用效率并建立相应的问责机制。 展开更多
关键词 义务教育学校 教育结果 财政拨款 充足性测算
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