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Molecular phylogenetic relationships based on mitochondrial genomes of novel deep-sea corals(Octocorallia:Alcyonacea):Insights into slow evolution and adaptation to extreme deep-sea environments
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作者 Zhan-Fei Wei Kai-Wen Ta +6 位作者 nan-nan zhang Shan-Shan Liu Liang Meng Kai-Qiang Liu Chong-Yang Cai Xiao-Tong Peng Chang-Wei Shao 《Zoological Research》 SCIE CSCD 2024年第1期215-225,共11页
A total of 10 specimens of Alcyonacea corals were collected at depths ranging from 905 m to 1633 m by the manned submersible Shenhai Yongshi during two cruises in the South China Sea(SCS).Based on mitochondrial genomi... A total of 10 specimens of Alcyonacea corals were collected at depths ranging from 905 m to 1633 m by the manned submersible Shenhai Yongshi during two cruises in the South China Sea(SCS).Based on mitochondrial genomic characteristics,morphological examination,and sclerite scanning electron microscopy,the samples were categorized into four suborders(Calcaxonia,Holaxonia,Scleraxonia,and Stolonifera),and identified as 9 possible new cold-water coral species.Assessments of GC-skew dissimilarity,phylogenetic distance,and average nucleotide identity(ANI)revealed a slow evolutionary rate for the octocoral mitochondrial sequences.The nonsynonymous(Ka)to synonymous(Ks)substitution ratio(Ka/Ks)suggested that the 14 protein-coding genes(PCGs)were under purifying selection,likely due to specific deep-sea environmental pressures.Correlation analysis of the median Ka/Ks values of five gene families and environmental factors indicated that the genes encoding cytochrome b(cyt b)and DNA mismatch repair protein(mutS)may be influenced by environmental factors in the context of deep-sea species formation.This study highlights the slow evolutionary pace and adaptive mechanisms of deep-sea corals. 展开更多
关键词 Mitochondrial genome Alcyonacea Ka/Ks evolution Environmental factors
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Value of ultrasound and magnetic resonance imaging combined with tumor markers in the diagnosis of ovarian tumors
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作者 Qian Yang Hui zhang +4 位作者 Pei-Qi Ma Bin Peng Gui-Tao Yin nan-nan zhang Hai-Bao Wang 《World Journal of Clinical Cases》 SCIE 2023年第31期7553-7561,共9页
BACKGROUND Compare the diagnostic performance of ultrasound(US),magnetic resonance imaging(MRI),and serum tumor markers alone or in combination for detecting ovarian tumors.AIM To investigate the diagnostic value of U... BACKGROUND Compare the diagnostic performance of ultrasound(US),magnetic resonance imaging(MRI),and serum tumor markers alone or in combination for detecting ovarian tumors.AIM To investigate the diagnostic value of US,MRI combined with tumor markers in ovarian tumors.METHODS The data of 110 patients with ovarian tumors,confirmed by surgery and pathology,were collected in our hospital from February 2018 to May 2023.The dataset included 60 cases of benign tumors and 50 cases of malignant tumors.Prior to surgery,all patients underwent preoperative US and MRI examinations,as well as serum tumor marker tests[carbohydrate antigen 125(CA125),human epididymis protein 4(HE4)].The aim of the study was to compare the diagnostic performance of these three methods individually and in combination for ovarian tumors.RESULTS This study found statistically significant differences in the ultrasonic imaging characteristics between benign and malignant tumors.These differences include echo characteristics,presence or absence of a capsule,blood flow resistance index,clear tumor shape,and blood flow signal display rate(P<0.05).The apparent diffusion coefficient values of the solid and cystic parts in benign tumors were found to be higher compared to malignant tumors(P<0.05).Additionally,the time-intensity curve image features of benign and malignant tumors showed significant statistical differences(P<0.05).The levels of serum CA125 and HE4 in benign tumors were lower than those in malignant tumors(P<0.05).The combined use of US,MRI,and tumor markers in the diagnosis of ovarian tumors demonstrates higher accuracy,sensitivity,and specificity compared to using each method individually(P<0.05).CONCLUSION US,MRI,and tumor markers each have their own advantages and disadvantages when it comes to diagnosing ovarian tumors.However,by combining these three methods,we can significantly enhance the accuracy of ovarian tumor diagnosis,enabling early detection and identification of the tumor’s nature,and providing valuable guidance for clinical treatment. 展开更多
关键词 Ovarian tumors ULTRASOUND Magnetic resonance imaging Tumor markers Differential diagnosis
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经阴道子宫输卵管四维超声造影联合抗HCG抗体评估不孕症输卵管通畅程度的临床研究 被引量:28
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作者 苏果 车会会 +2 位作者 武林松 张楠楠 张宁芝 《中国现代医学杂志》 CAS 北大核心 2021年第18期5-9,共5页
目的分析经阴道子宫输卵管四维超声造影(TVS4D-HyCoSy)联合抗人绒膜促性腺激素(HCG)抗体评估不孕症输卵管通畅程度的效果。方法选取2019年1月—2021年3月就诊于阜阳市人民医院的98例不孕症患者。患者接受TVS4D-HyCoSy检查,造影3个月后... 目的分析经阴道子宫输卵管四维超声造影(TVS4D-HyCoSy)联合抗人绒膜促性腺激素(HCG)抗体评估不孕症输卵管通畅程度的效果。方法选取2019年1月—2021年3月就诊于阜阳市人民医院的98例不孕症患者。患者接受TVS4D-HyCoSy检查,造影3个月后接受腹腔镜通液术,使用酶联免疫吸附试验测定血清抗HCG抗体水平。不同输卵管系统检测患者血清抗HCG抗体阳性率,将腹腔镜通液术结果作为金标准,评估TVS4D-HyCoSy、抗HCG抗体及两者联合检测不孕症输卵管通畅的诊断效能。结果不同输卵管系统评分患者血清抗HCG抗体阳性率比较,差异有统计学意义(P<0.05),Ⅲ度抗HCG抗体阳性率高于Ⅱ度,Ⅰ度最低。98例不孕症患者共检查193条输卵管(其中1例单角子宫,2例一侧输卵管切除),其中通畅40条,通而不畅73条,阻塞80条。联合诊断的敏感性、特异性、准确率高于TVS4D-HyCoSy、抗HCG抗体(P<0.05)。结论TVS4D-HyCoSy联合抗HCG抗体在评估不孕症输卵管通畅程度中具有较高的敏感性、特异度及准确率,可指导临床诊治。 展开更多
关键词 不孕症 子宫输卵管造影术 抗人绒毛膜促性腺激素抗体 输卵管
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2016年-2020年天津市胃肠道内镜再处理评估效果的多因素分析 被引量:6
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作者 纪学悦 宁培勇 +4 位作者 费春楠 张楠楠 宋佳 刘军 刘贺 《中国内镜杂志》 2021年第9期1-7,共7页
目的对2016年-2020年天津市胃肠道内镜再处理评估效果进行并多因素分析。方法2016年采用泵辅助法与普通冲洗采样法、2017年采用普通冲洗采样法、2018年-2020年采用刷辅助采样法和普通冲洗采样法采集内镜管腔冲洗水。2017年与2020年采样... 目的对2016年-2020年天津市胃肠道内镜再处理评估效果进行并多因素分析。方法2016年采用泵辅助法与普通冲洗采样法、2017年采用普通冲洗采样法、2018年-2020年采用刷辅助采样法和普通冲洗采样法采集内镜管腔冲洗水。2017年与2020年采样覆盖全市所有内镜中心并做信息调查。结果2020年全市16个区有57家内镜诊疗中心,共有胃镜297条、肠镜214条、170名洗消人员,33家(57.9%)医疗机构有≤2名洗消人员;5年共采集内镜再处理后管腔冲洗水349份,总体合格率为86.2%,最高细菌菌落总数为7.00×10^(5)CFU/件;除2017年,其余4年共采集终末漂洗水292份,总体合格率为72.9%,最高细菌菌落总数为9.1×10^(4)CFU/100 mL。多因素分析显示,开展ERCP、人工清洗和使用合格的终末漂洗水是保护性因素(OR=33.365,95%CI:3.255~342.010;OR=19.111,95%CI:1.904~191.779;OR=4.078,95%CI:1.750~9.501);采用泵辅助采样和刷辅助采样法可使检测到再处理合格的概率下降26.704倍(2.555~279.102)和2.710倍(1.088~6.757)。结论内镜再处理及终末漂洗水合格率较低,需增加清洗消毒人员数量、加强自动清洗消毒机维护保养,泵辅助法或刷辅助法灵敏度高,推荐使用泵辅助法或刷辅助法开展采样监测。 展开更多
关键词 胃肠道内镜 再处理 医院感染 影响因素
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盐酸羟考酮用于无痛结肠镜检查的随机、双盲、对照研究 被引量:20
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作者 张楠楠 侯东男 《中国内镜杂志》 2018年第7期41-45,共5页
目的比较丙泊酚分别复合羟考酮、芬太尼、舒芬太尼、地佐辛在结肠镜下息肉电切术中的麻醉效果及副作用。方法选择无痛肠镜检查患者400例,随机分为4组:羟考酮组(O组)、芬太尼组(F组)、舒芬太尼组(S组)、地佐辛组(D组),每组100例。患者行... 目的比较丙泊酚分别复合羟考酮、芬太尼、舒芬太尼、地佐辛在结肠镜下息肉电切术中的麻醉效果及副作用。方法选择无痛肠镜检查患者400例,随机分为4组:羟考酮组(O组)、芬太尼组(F组)、舒芬太尼组(S组)、地佐辛组(D组),每组100例。患者行检查前由护士随机给予4种实验药物的一种,体积均为0.1 ml/kg,5 min后给予丙泊酚2 mg/kg缓慢静脉推注。记录麻醉诱导时(T_0)、肠镜进入肛门时(T_1)、肠镜经过肝曲时(T_2)、肠镜到达回盲部时(T_3)、息肉电切时(T_4)的脉搏血氧饱和度(SpO_2)、心率(HR)和平均动脉压(MAP);记录患者术中的体动例数、苏醒时间、恶心呕吐、头晕头痛和腹痛等不良反应的发生例数以及苏醒后视觉模拟评分(VAS)。结果 MAP比较:T_1时所有患者较T_0时均明显下降(P<0.05);T_2、T_3、T_4时O组、F组、S组较T_1时无明显变化(P>0.05),D组较T_1时明显升高(P<0.05)。HR比较:T_1时所有患者较T_0时均明显下降(P<0.05);T_2时O组、F组、S组较T_1时无明显变化(P>0.05),D组较T_1时明显升高(P<0.05);T_3时F组、S组、D组较T_1时明显降低(P<0.05);T_4时O组、F组、S组较T_1时无明显变化(P>0.05),D组较T_1时明显升高(P<0.05)。SpO_2比较:所有患者各时间点组内比较差异无统计学意义。患者体动例数,D组较其他组明显升高,O组分别与F组和S组比较差异无统计学意义;呼吸抑制例数,F组、S组较其他组均有明显升高;苏醒时间,4组患者比较差异无统计学意义;术后恶心呕吐例数,O组明显低于其他3组;VAS评分,O组、F组、S组比较差异无统计学意义,D组明显高于其他组。结论羟考酮、芬太尼、舒芬太尼、地佐辛分别复合丙泊酚应用于无痛肠镜检查均安全有效;羟考酮的呼吸抑制作用明显弱于芬太尼和舒芬太尼;应用羟考酮术后恶心呕吐发生率明显低于其他3组。 展开更多
关键词 盐酸羟考酮 地佐辛 丙泊酚 无痛肠镜
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肺部高频超声评分对新生儿呼吸窘迫综合征预测及预后评估的价值 被引量:7
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作者 高敏 张楠楠 +1 位作者 荣辉 毛国顺 《中国现代医学杂志》 CAS 北大核心 2022年第17期81-87,共7页
目的探讨肺部高频超声评分对新生儿呼吸窘迫综合征预测及预后评估的价值。方法选取2020年2月—2022年1月阜阳市人民医院收治的107例新生儿呼吸窘迫综合征患儿为研究对象(研究组),另选取该院同期收治的无肺部疾病的48例新生儿为对照组。... 目的探讨肺部高频超声评分对新生儿呼吸窘迫综合征预测及预后评估的价值。方法选取2020年2月—2022年1月阜阳市人民医院收治的107例新生儿呼吸窘迫综合征患儿为研究对象(研究组),另选取该院同期收治的无肺部疾病的48例新生儿为对照组。两组新生儿均行肺部高频超声检查。收集研究组患儿的基本资料,观察患儿治疗后7 d的预后;比较研究组、对照组肺部高频超声评分,比较研究组不同病情患儿的肺部高频超声评分;采用多因素Logistic回归分析影响新生儿呼吸窘迫综合征预后的因素;绘制ROC曲线分析肺部高频超声评分对新生儿呼吸窘迫综合征预后的预测价值。结果研究组肺部高频超声评分高于对照组(P<0.05)。重度病情组肺部高频超声评分高于轻度、中度病情组(P<0.05),中度病情组肺部高频超声评分高于轻度病情组(P<0.05)。多因素Logistic回归分析显示,胎龄[OR=4.968(95%CI:2.044,12.074)]、Δ肺部高频超声评分(治疗前与治疗后3 d评分差值)[OR=4.468(95%CI:1.839,10.859)]、机械通气时间[OR=5.540(95%CI:2.280,13.464)]是新生儿呼吸窘迫综合征预后的影响因素(P<0.05)。ROC曲线分析结果显示,肺部高频超声评分预测新生儿呼吸窘迫综合征预后的敏感性为73.33%(95%CI:0.448,0.911),特异性为84.78%(95%CI:0.754,0.911),AUC为0.820(95%CI:0.725,0.915)。结论新生儿呼吸窘迫综合征患儿肺部高频超声评分异常升高,并且肺部高频超声评分与新生儿呼吸窘迫综合征患儿的病情、预后有关,肺部高频超声评分评估新生儿呼吸窘迫综合征预后的效能良好。 展开更多
关键词 新生儿呼吸窘迫综合征 肺部超声 预测 预后
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输尿管导管及锥形导丝在输尿管中上段碎石术中的临床应用 被引量:2
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作者 种丽强 陈艳杰 +2 位作者 陈强 张楠楠 杨彬 《中国内镜杂志》 2020年第11期56-60,共5页
目的探讨输尿管导管及锥形导丝在输尿管中上段碎石术中的临床应用效果。方法选取于该院就诊的输尿管中上段结石患者150例,随机分为对照组(锥形导丝组)和观察组(输尿管导管组),每组各75例。比较两组患者的手术时间、住院天数、总费用、... 目的探讨输尿管导管及锥形导丝在输尿管中上段碎石术中的临床应用效果。方法选取于该院就诊的输尿管中上段结石患者150例,随机分为对照组(锥形导丝组)和观察组(输尿管导管组),每组各75例。比较两组患者的手术时间、住院天数、总费用、术中结石逃逸情况、术后血尿、发热、肾绞痛等并发症发生情况和术后1个月结石排净率。结果两组患者手术时间和治疗费用比较,差异均有统计学意义;住院天数、术中结石逃逸情况、术后并发症发生率和术后1个月结石排净率比较,差异均无统计学意义。结论应用锥形导丝及输尿管导管治疗输尿管中上段结石,治疗效果明确且并发症少。输尿管导管较锥形导丝手术时间长,但锥形导丝治疗费用相对较高。 展开更多
关键词 输尿管结石 锥形导丝 输尿管导管 钬激光碎石 临床效果
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Prognostic value of modified Lauren classification in gastric cancer 被引量:1
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作者 Fei-Long Ning nan-nan zhang +7 位作者 Jun Wang Yi-Feng Jin Hong-Guang Quan Jun-Peng Pei Yan Zhao Xian-Tao Zeng Masanobu Abe Chun-Dong zhang 《World Journal of Gastrointestinal Oncology》 SCIE 2021年第9期1184-1195,共12页
BACKGROUND It remains controversial as to which pathological classification is most valuable in predicting the overall survival(OS)of patients with gastric cancer(GC).AIM To assess the prognostic performances of three... BACKGROUND It remains controversial as to which pathological classification is most valuable in predicting the overall survival(OS)of patients with gastric cancer(GC).AIM To assess the prognostic performances of three pathological classifications in GC and develop a novel prognostic nomogram for individually predicting OS.METHODS Patients were identified from the Surveillance,Epidemiology,and End Results program.Univariate and multivariate analyses were performed to identify the independent prognostic factors.Model discrimination and model fitting were evaluated by receiver operating characteristic curves and Akaike information criteria.Decision curve analysis was performed to assess clinical usefulness.The independent prognostic factors identified by multivariate analysis were further applied to develop a novel prognostic nomogram.RESULTS A total of 2718 eligible GC patients were identified.The modified Lauren classification was identified as one of the independent prognostic factors for OS.It showed superior model discriminative ability and model-fitting performance over the other pathological classifications,and similar results were obtained in various patient settings.In addition,it showed superior net benefits over the Lauren classification and tumor differentiation grade in predicting 3-and 5-year OS.A novel prognostic nomogram incorporating the modified Lauren classification showed superior model discriminative ability,model-fitting performance,and net benefits over the American Joint Committee on Cancer 8th edition tumor-nodemetastasis classification.CONCLUSION The modified Lauren classification shows superior net benefits over the Lauren classification and tumor differentiation grade in predicting OS.A novel prognostic nomogram incorporating the modified Lauren classification shows good model discriminative ability,model-fitting performance,and net benefits. 展开更多
关键词 Gastric cancer Pathological classification Prognostic model Tumor-nodemetastasis classification Survival outcome
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Zebrafish imaging and two-photon fluorescence imaging using ZnSe quantum dots
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作者 nan-nan zhang Li-Ya Zhou +5 位作者 Xiao Liu Zhong-Chao Wei Hai-Ying Liu Sheng Lan Zhao Meng Hai-Hua Fan 《Chinese Physics B》 SCIE EI CAS CSCD 2021年第4期247-251,共5页
This study is to report a ZnSe quantum dot with a large two-photon absorption cross section and good biocompatibility,which can be used in bioimaging.Fluorescence emission at 410 nm is observed in the quantum dot unde... This study is to report a ZnSe quantum dot with a large two-photon absorption cross section and good biocompatibility,which can be used in bioimaging.Fluorescence emission at 410 nm is observed in the quantum dot under 760-nm laser excitation.These biocompatible quantum dots exhibit a two-photon cross-section of 9.1×105 GM(1 GM=10-50 cm4·s/photon).Two-photon excited laser scanning microscopic images show that cells co-cultured with ZnSe quantum dots are found in the blue channel at a fluorescence intensity that is 14.5 times that of control cells not cocultured with quantum dots.After incubating zebrafish larvae with ZnSe quantum dots for 24 h,the fluorescence intensity of the yolk sac stimulated by ultraviolet light is 2.9 times that of the control group.The proposed material shows a great potential application in biological imaging. 展开更多
关键词 ZnSe quantum dots two-photon absorption biological imaging ZEBRAFISH
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Effects of resveratrol on cellular pyrolysis of rat brain during ischemia-reperfusion and on NLRP3 inflammatory bodies, Caspase-1 and ZO-1 in microglia
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作者 Yu-Jie Sun nan-nan zhang Meng Zhao 《Journal of Hainan Medical University》 2019年第17期11-14,共4页
Objective: To study the effects of resveratrol on apoptosis of rat brain during ischemia-reperfusion and on NLRP3 inflammatory bodies, Caspase-1 and ZO-1 in microglia. Methods:According to the random digital table met... Objective: To study the effects of resveratrol on apoptosis of rat brain during ischemia-reperfusion and on NLRP3 inflammatory bodies, Caspase-1 and ZO-1 in microglia. Methods:According to the random digital table method, forty-five male Sprague-Dawley rats were divided into the sham-operated group (blank control group), cerebral ischemia-reperfusion group (IR control group) and resveratrol treatment group, with 15 rats in each group. After the establishment of cerebral ischemia-reperfusion model by suture method, the effects of different methods on the expression of apoptosis-related molecules (promoters, suppressors) in brain tissue, microglial NLRP3 inflammatory bodies, Caspase-1 and ZO-1 in SD rats were compared. Results: The content of apoptosis-related molecules (CytC, AIF, Caspase-8, Caspase-9, Fas, FasL) in the sham-operated group was significantly lower than that in IR control group and resveratrol group, and the content in IR control group was significantly higher than that in resveratrol group (P<0.05). The content of anti-apoptosis-related molecules (Livin, Survivin, XIAP) in sham-operated group was significantly higher than that in IR control group and resveratrol group, while the content of pro-apoptosis-related molecules in IR control group was significantly lower than that in resveratrol group (P<0. 05). The levels of IL-10, IL-6,TNF-α of brain tissue in resveratrol group were significantly higher than those in the control group and significantly lower than those in IR group (P<0. 05). The content of NLRP3 inflammatory body in microglia was the lowest in the sham-operated group, followed by resveratrol group, IR control group. ZO-1 content was the highest in the sham-operated group, followed by resveratrol group and IR control group. Conclusion: Resveratrol can effectively inhibit cellular pyrolysis, increase the level of NLRP3 inflammatory body and Caspase-1 and decrease the level of ZO-1 in rat brain tissue during ischemia-reperfusion, so as to play a protective role in the brain. 展开更多
关键词 Ischemia reperfusion CELLULAR PYROLYSIS MICROGLIA RESVERATROL
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Computational Prediction of Graphdiyne-Supported Three-Atom Single-Cluster Catalysts 被引量:3
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作者 Jin-Cheng Liu Hai Xiao +6 位作者 Xiao-Kun Zhao nan-nan zhang Yuan Liu Deng-Hui Xing Xiaohu Yu Han-Shi Hu Jun Li 《CCS Chemistry》 CAS CSCD 2023年第1期152-163,共12页
While heterogeneous single-atom catalysts(SACs)have achieved great success in the past decade,their application is potentially limited by their simplistic single-atom active centers,which make single-cluster catalysts... While heterogeneous single-atom catalysts(SACs)have achieved great success in the past decade,their application is potentially limited by their simplistic single-atom active centers,which make single-cluster catalysts(SCCs)a natural extension in the domain of heterogeneous catalysis.SCCs with precise numbers of atoms and structural configurations possess SAC merits,yet have greater potential for catalyzing complex reactions and/or bulky reactants.Through systematic quantum-chemical studies and computational screening,we report here the rational design of transition metal three-atom clusters anchored on graphdiyne(GDY)as a novel kind of stable SCC with great promise for efficient and atomically precise heterogenous catalysis.By investigating their structure and catalytic performance for the oxygen reduction reaction,the hydrogen evolution reaction,and the CO_(2)reduction reaction,we have provided theoretical guidelines for their potential applications as heterogeneous catalysts.These GDY-supported three-atom SCCs provide an ideal benchmark scaffold for rational design of atomically precise heterogeneous catalysts for industrially important chemical reactions. 展开更多
关键词 single-cluster catalyst single-atom catalyst graphdiyne atomically precise heterogenous catalysis
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Antibacterial and anti-biofilm activity of the lipid extract from Mantidis ootheca on Pseudomonas aeruginosa 被引量:6
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作者 Wen-dong WANG nan-nan zhang +10 位作者 Warren CHANDA Min LIU Syed Riaz ud DIN Yun-peng DIAO Lei LIU Jing CAO Xiao-li WANG Xing-yun LI An-hong NING Min HUANG Min-tao ZHONG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2018年第5期364-371,共8页
The aim of this study is to assess the antibacterial and anti-biofilm properties of the lipid extract from Man- tidis ootheca against the gentamycin resistant Pseudomonas aeruginosa. The chemical composition of the li... The aim of this study is to assess the antibacterial and anti-biofilm properties of the lipid extract from Man- tidis ootheca against the gentamycin resistant Pseudomonas aeruginosa. The chemical composition of the lipid extract and its relative proportion were determined using the technique of gas chromatography coupled with mass spec- trometry (GC-MS). Antibacterial susceptibility tests were performed using a disc diffusion assay and the minimum inhibition concentration (MIC) was determined by way of the agar dilution method. The anti-biofilm test was carried out with crystal violet staining and scanning electron microscopy (SEM). There were 16 compounds detected, and the most abundant components were sesquiterpenoids, monoterpenes, and trace aromatic compounds. The MIC for P. aeruginosa was 4 mg/ml and the eradication effect on preformed biofilms was established and compared with a ciprofloxacin control. The results of our study indicated that a lipid extract from M. ootheca could be used as a topical and antibacterial agent with anti-biofilm activity in the future. 展开更多
关键词 ANTIBACTERIAL Lipid extract Manfidis ootheca Pseudomonas aeruginosa
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Clinical significance of skip lymph-node metastasis in pN1 gastric-cancer patients after curative surgery 被引量:5
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作者 Jin-Yuan Liu Jing-Yu Deng +6 位作者 nan-nan zhang Hui-Fang Liu Wei-Lin Sun Wen-Ting He Yan Wang Li zhang Han Liang 《Gastroenterology Report》 SCIE EI 2019年第3期193-198,I0002,共7页
Background:In addition to the stepwise manner of lymph-node metastasis from the primary tumour,the skip lymph-node metastasis(SLNM)was identified as a low-incidence metastasis of gastric cancer(GC).So far,both the mec... Background:In addition to the stepwise manner of lymph-node metastasis from the primary tumour,the skip lymph-node metastasis(SLNM)was identified as a low-incidence metastasis of gastric cancer(GC).So far,both the mechanism and outcome of SLNM have not been elucidated completely.The purpose of this study was to analyse the clinical significance and the potential mechanism of SLNM in GC patients who had lymph-node metastasis.Methods:Clinicopathological data and follow-up information of 505 GC patients who had lymph-node metastasis were analysed to demonstrate the significance of SLNM in evaluating the prognostic outcome.According to the pathological results,all GC patients who had lymph-node metastasis were categorized into three groups:patients with the perigastric lymphnode metastasis,patients with the perigastric and extragastric lymph-node metastasis and patients with SLNM.Results:Among the 505 GC patients who had lymph-node metastasis,24(4.8%)had pathologically identified SLNM.The location of lymph-node metastasis was not significantly associated with 5-year survival rate and overall survival(OS)(P=0.194).The stratified survival analysis results showed that the status of SLNM was significantly associated with the OS in patients with pN1 GC(P=0.001).The median OS was significantly shorter in 19 pN1 GC patients with SLNM than in 100 patients with perigastric lymph-node metastasis(P<0.001).The case–control matched logistic regression analysis results showed that tumour size(P=0.002)was the only clinicopathological factor that may predict SLNM in pN1 GC patients undergoing curative surgery.Among the 19 pN1 GC patients with SLNM,17(89.5%)had metastatic lymph nodes along the common hepatic artery,around the celiac artery or in the hepatoduodenal ligament.Conclusions:SLNM may be considered a potentially practicable indicator for prognosis among various subgroups of pN1 GC patients. 展开更多
关键词 STOMACH NEOPLASM METASTASIS PROGNOSIS multivariate analysis
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Microstructure,phase composition and wear resistance of low valence electron concentration Al_(x)CoCrFeNiSi high-entropy alloys prepared by vacuum arc melting 被引量:3
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作者 Bing-qian Jin nan-nan zhang +1 位作者 Yue zhang De-yuan Li 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2021年第2期181-189,共9页
The low valence electron concentration(VEC)Al_(x)CoCrFeNiSi(x=0.5,1.0,1.5 and 2.0)high-entropy alloys(HEAs)were designed by the fundamental properties of the constituent elements and prepared by vacuum arc melting met... The low valence electron concentration(VEC)Al_(x)CoCrFeNiSi(x=0.5,1.0,1.5 and 2.0)high-entropy alloys(HEAs)were designed by the fundamental properties of the constituent elements and prepared by vacuum arc melting method.The effects of Al addition on the crystal structure and microstructure were investigated.The microhardness and wear property were also researched.The results showed that the microstructure transformed from dendritic crystal to equiaxed crystal.It was found that FCC phase gradually decreased with the increasing Al content and disappeared until in a composition of 1.0 in Al_(x)CoCrFeNiSi HEAs.Little FCC phase was found with continuously adding Al,while the phase fraction of BCC increased from 85.0% to 91.8%,and VEC decreased from 7.00 to 6.14.The microhardness was increased gradually from 598 up to 909 HV with addition of Al from 0.5 to 2.0.It was the same of the compressive strength results,which improved from 1200 to 1920 MPa.The wear coefficient and mass loss were in line with mechanical properties evolution,which was attributed to the microstructure transformation into equiaxed crystal and the increase in BCC phase. 展开更多
关键词 High-entropy alloy Valence electron concentration MICROSTRUCTURE Phase assemblage Wear resistance
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Tribological properties of FeCoCrNiAlB_x high-entropy alloys coating prepared by laser cladding 被引量:25
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作者 Dan-yang Lin nan-nan zhang +3 位作者 Bin He Guang-wei zhang Yue zhang De-yuan Li 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2017年第2期184-189,共6页
FeCoCrNiA1Bx(x=0, 0.25, 0.50, 0.75) coatings were prepared by laser cladding to study the effects of boron on the structure and properties of high-entropy alloys coatings. The microstructure, microhardness, and wear... FeCoCrNiA1Bx(x=0, 0.25, 0.50, 0.75) coatings were prepared by laser cladding to study the effects of boron on the structure and properties of high-entropy alloys coatings. The microstructure, microhardness, and wear resistance properties of the samples were investigated by scanning electron microscopy, X-ray diffraction, metallographic micro-hardness test, and friction wear test, respectively, and the mechanism of the wear behavior was also analyzed. The results showed that the high-entropy alloys consisted of BCC phase and eutectic structure, which contained FCC phase and M2B. With boron addition, the content of BCC phase increased while that of eutectic structure decreased. The wear resistance of the high-entropy coatings was considerably improved with increasing addition of horon, and accordingly, the FeCoCrNiAlB0.75 coating showed the best wear resistance. 展开更多
关键词 Laser cladding High-entropy alloys coating Tribological property FeCoCrNiAlBx
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Programmed death ligand 1 is overexpressed by neutrophils in the blood of immunocompromised human immunodeficiency virus-negative patients with Pneumocystis jirovecii pneumonia 被引量:3
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作者 nan-nan zhang Xu Huang +5 位作者 Yi zhang Jin-Gen Xia Min Li Zhi-Zhi Wang Wei Cui Qing-Yuan Zhan 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第10期1237-1240,共4页
Despite recent advances in antibiotic use, in creasing numbers of human immunodeficiency virus (HIV)- negative patients with Pneumocystis jirovecii pneumonia (PCP) are being admitted to intensive care units (ICUs), an... Despite recent advances in antibiotic use, in creasing numbers of human immunodeficiency virus (HIV)- negative patients with Pneumocystis jirovecii pneumonia (PCP) are being admitted to intensive care units (ICUs), and show a mortality rate of over 50%.[1] A high neutrophil count in bronchoalveolar lavage (BAL) fluid is a predictor of poor prognosis in HIV-negative patients with PCP. 展开更多
关键词 PNEUMONIA NEUTROPHILS IMMUNOCOMPROMISED
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In-flight particle characterization and coating formation under low pressure plasma spray condition 被引量:2
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作者 nan-nan zhang Dan-yang Lin +5 位作者 Ya-li Li Yue zhang Marie-pierre Planche Han-lin Liao Christian Coddet Fu-yu Dong 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2017年第3期306-312,共7页
Yttria-stabilized zirconia( YSZ) coatings were deposited by low pressure plasma spray( LPPS) in 1.0× 10^4 Pa,1.5 × 10^4 Pa,and 2.5 × 10^4 Pa. Both in-flight particle diagnostic detected by DPV-2000 ... Yttria-stabilized zirconia( YSZ) coatings were deposited by low pressure plasma spray( LPPS) in 1.0× 10^4 Pa,1.5 × 10^4 Pa,and 2.5 × 10^4 Pa. Both in-flight particle diagnostic detected by DPV-2000 system and ANSYS-FLUENT software were used to study the connection between the parameters of flying particles and the coating formation,which might help to recognize the relationship between the operation parameters and the coatings quality. The results of simulation showed that particles in a lower spray pressure could achieve a higher velocity. The particle velocity was around 380 m/s at a distance of 35 cm from the nozzle at 1.0 × 10^4 Pa while only 300 m/s at 2.5 × 10^4 Pa in actual measurement.The results showed that the velocity of particles increased with decreasing the spray pressure,which might enhance the flattening rate of coatings and thereby decreased the porosity. The deposited YSZ coating with the lowest porosity can be gained under 1.0 × 10^4 Pa condition. 展开更多
关键词 In-flight particle detection Low pressure plasma spray Yttria-stabilized zirconia coating Flame simulation
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Influence of laser re-melting and vacuum heat treatment on plasma-sprayed FeCoCrNiAl alloy coatings 被引量:6
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作者 Dan-yang Lin nan-nan zhang +4 位作者 Bin He Bing-qian Jin Yue zhang De-yuan Li Fu-yu Dong 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2017年第12期1199-1205,共7页
FeCoCrNiAl high entropy alloy coatings were prepared by supersonic air-plasma spraying.The coatings were post-treated by vacuum heat treatment at 600 and 900°C,and laser re-melting with 300 W,respectively,to stud... FeCoCrNiAl high entropy alloy coatings were prepared by supersonic air-plasma spraying.The coatings were post-treated by vacuum heat treatment at 600 and 900°C,and laser re-melting with 300 W,respectively,to study the influence of different treatments on the structure and properties of the coatings.The phase constitution,microstructure and microhardness of the coatings after treatments were investigated using X-ray diffraction,scanning electron microscopy and energy dispersive spectrometry.Results showed that the as-sprayed coatings consisted of pure metal and Fe-Cr.The AlNi;phase was obtained after the vacuum heat treatment process.A body-centered cubic structure with less AlNi;could be found in the coating after the laser re-melting process.The average hardness values of the as-sprayed coating and the coatings with two different temperature vacuum heat treatments and with laser re-melting were 177,227,266 and 682 HV,respectively.This suggests that the vacuum heat treatment promoted the alloying process of the coatings,and contributed to the enhancement of the coating wear resistance.The laser re-melted coating showed the best wear resistance. 展开更多
关键词 Plasma spray High entropy alloy Vacuum heat treatment Laser re-melting FeCoCrNiAl alloy coating
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Severe Lymphopenia and Related T-cell Immunity in an Avian Influenza A (H7N9)-Infected Patient 被引量:1
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作者 nan-nan zhang Yi zhang +4 位作者 Jin-Gen Xia Min Li Xu Huang Ruo-Yang zhang Qing-Yuan Zhan 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第22期2765-2766,共2页
To the Editor:Following H7N9infection,the host lymphocyte immunity plays an antiviral role.[l] Furthermore,low frequencies of T-cells correlate with disease severity.[2]Herein,we present a H7N9-infected patient with l... To the Editor:Following H7N9infection,the host lymphocyte immunity plays an antiviral role.[l] Furthermore,low frequencies of T-cells correlate with disease severity.[2]Herein,we present a H7N9-infected patient with life-threatening lymphopenia (only 0.06× 10^9/L in the peripheral blood),which we have barely ever seen before.We also measured the proportidns of T-cell subpopulations in the blood and bronchoalveolar lavage fluid (BALF). 展开更多
关键词 SEVERE LYMPHOPENIA RELATED T-CELL Immunity
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Effect of Mg addition on temper embrittlement in 2.25Cr–1Mo steel doped with 0.056% P–Mg segregation behavior at grain boundary 被引量:1
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作者 Xiao-bing Li Xin Dong +5 位作者 Peng-xiang Zhao Wei-wei Xing Lei-lei Ding nan-nan zhang Ying-che Ma Kui Liu 《Journal of Iron and Steel Research International》 SCIE EI CSCD 2021年第10期1259-1267,共9页
To verify the microalloying function and segregation behavior of trace Mg at grain boundary in steel,the 2.25Cr–1Mo steel doped with 0.056%P containing different Mg contents was refined with a vacuum-induction furnac... To verify the microalloying function and segregation behavior of trace Mg at grain boundary in steel,the 2.25Cr–1Mo steel doped with 0.056%P containing different Mg contents was refined with a vacuum-induction furnace.The effects of trace Mg addition on the temper embrittlement susceptibility of 2.25Cr–1Mo steel were studied by step-cooling test and the segregation behavior of Mg at grain boundary was explored by Auger electron spectroscopy.It is shown that P-induced temper embrittlement susceptibility can be reduced after subjecting to step-cooling treatment with trace Mg addition,mainly benefited from the segregation of Mg at grain boundary.This segregation can decrease the segregation amounts of P and S,especially for P,and increase the grain boundary cohesion,reducing the adverse effect on temper embrittlement caused by P and S. 展开更多
关键词 2.25Cr-1Mo steel Temper embrittlement Mg P SEGREGATION Auger electron spectroscopy
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