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粒细胞样髓源性抑制细胞在非小细胞肺癌中的研究进展
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作者 杨朝丹 朱蕊 +4 位作者 张煜婷 应莉莎 王佳敏 刘盼 苏丹 《中国肺癌杂志》 CAS CSCD 2024年第1期65-72,共8页
粒细胞样髓源性抑制细胞(granulocytic myeloid-derived suppressor cells,G-MDSCs)是MDSCs的主要亚群之一,在多数癌症中广泛富集,通过表达精氨酸酶1(arginase-1,Arg-1)及活性氧(reactive oxygen species,ROS)等机制抑制淋巴T细胞杀伤功... 粒细胞样髓源性抑制细胞(granulocytic myeloid-derived suppressor cells,G-MDSCs)是MDSCs的主要亚群之一,在多数癌症中广泛富集,通过表达精氨酸酶1(arginase-1,Arg-1)及活性氧(reactive oxygen species,ROS)等机制抑制淋巴T细胞杀伤功能,重塑肿瘤免疫微环境,促进肿瘤的发生发展。近年来,越来越多的研究发现G-MDSCs与非小细胞肺癌患者的预后和免疫治疗疗效具有显著相关性,使用特异性靶向G-MDSCs的募集、分化和功能的药物能够有效抑制肿瘤的进展。本文主要就G-MDSCs在非小细胞肺癌中的免疫抑制作用及其相关通路靶向药物的研究进展进行综述。 展开更多
关键词 肺肿瘤 粒细胞样髓源性抑制细胞 免疫微环境 免疫治疗 靶向治疗
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Process and performance of DAAF microspheres prepared by continuous integration from synthesis to spherical coating based on microfluidic system
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作者 Bidong Wu Jiahui Shi +5 位作者 Mengsen Wei rui zhu Yi Liu Jinqiang Zhou Chongwei An Jingyu Wang 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第2期629-643,共15页
In order to improve the energy output consistency of 3, 3’-diamino-4, 4’-azoxyfurazan(DAAF) in the new insensitive booster and the safety and efficiency in the preparation process, a continuous preparation system of... In order to improve the energy output consistency of 3, 3’-diamino-4, 4’-azoxyfurazan(DAAF) in the new insensitive booster and the safety and efficiency in the preparation process, a continuous preparation system of DAAF from synthesis to spherical coating was designed and established in this paper, which combined ultrasonic micromixing reaction with microdroplet globular template. In the rapid micromixing stage, the microfluidic mixing technology with ultrasonic was used to synergistically strengthen the uniform and rapid mass transfer mixing reaction between raw materials to ensure the uniformity of DAAF particle nucleation-growth, and to prepare high-quality DAAF crystals with uniform structure and morphology and concentrated particle size distribution. In the microdroplet globular template stage, the microfluidic droplet technology was used to form a droplet globular template with uniform size under the shear action of the continuous phase of the dispersed phase solution containing DAAF particles and binder. The size of the droplet template was controlled by adjusting the flow rate ratio between the continuous phase and the dispersed phase. In the droplet globular template, with the diffusion of the solvent in the dispersed phase droplets, the binder precipitates to coat the DAAF into a ball, forming a DAAF microsphere with high sphericity, narrow particle size distribution and good monodispersity. The problem of discontinuity and DAAF particle suspension in the process was solved, and the coating theory under this process was studied. DAAF was coated with different binder formulations of fluororubber(F2604), nitrocellulose(NC) and NC/glycidyl azide polymer(GAP), and the process verification and evaluation of the system were carried out. The balling effects of large, medium and small droplet templates under different binder formulations were studied. The scanning electron microscope(SEM) results show that the three droplet templates under the three binder formulations exhibit good balling effect and narrow particle size distribution. The DAAF microspheres were characterized by powder X-ray diffraction(XRD), differential scanning calorimetry(DSC), thermo-gravimetric(TG) and sensitivity analyzer. The results showed that the crystal structure of DAAF did not change during the process, and the prepared DAAF microspheres had lower decomposition temperature and lower mechanical sensitivity than raw DAAF. The results of detonation parameters show that the coating of DAAF by using the above three binder formulations will not greatly reduce the energy output of DAAF, and has comparable detonation performance to raw DAAF. This study proves an efficient and safe continuous system from synthesis to spherical coating modification of explosives, which provides a new way for the continuous, safe and efficient preparation of spherical explosives. 展开更多
关键词 DAAF Micromixing technology Microdroplet technology SYNTHESIS Spherical coating Continuousization
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Nanoscale cathodoluminescence spectroscopy probing the nitride quantum wells in an electron microscope
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作者 刘哲彤 刘秉尧 +8 位作者 梁冬冬 李晓梅 李晓敏 陈莉 朱瑞 徐军 魏同波 白雪冬 高鹏 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第3期144-149,共6页
To gain further understanding of the luminescence properties of multiquantum wells and the factors affecting them on a microscopic level,cathodoluminescence combined with scanning transmission electron microscopy and ... To gain further understanding of the luminescence properties of multiquantum wells and the factors affecting them on a microscopic level,cathodoluminescence combined with scanning transmission electron microscopy and spectroscopy was used to measure the luminescence of In_(0.15)Ga_(0.85)N five-period multiquantum wells.The lattice-composition-energy relationship was established with the help of energy-dispersive x-ray spectroscopy,and the bandgaps of In_(0.15)Ga_(0.85)N and GaN in multiple quantum wells were extracted by electron energy loss spectroscopy to understand the features of cathodoluminescence spectra.The luminescence differences between different periods of multiquantum wells and the effects of defects such as composition fluctuation and dislocations on the luminescence of multiple quantum wells were revealed.Our study establishing the direct relationship between the atomic structure of In_(x)Ga_(1-x)N multiquantum wells and photoelectric properties provides useful information for nitride applications. 展开更多
关键词 nitride multiquantum wells defect CATHODOLUMINESCENCE scanning transmission electron microscopy
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Advanced cervix cancer patient with chemotherapy-induced grade IV myelosuppression achieved complete remission with cadonilimab:A case report
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作者 rui zhu Tian-Ze Chen +1 位作者 Meng-Ting Sun Chun-Rong zhu 《World Journal of Clinical Cases》 SCIE 2024年第8期1510-1516,共7页
BACKGROUND The prognosis for patients with advanced metastatic cervix cancer(MCC)is poor,and this disease continues to pose a considerable therapeutic challenge.Despite the administration of first-line regimens consis... BACKGROUND The prognosis for patients with advanced metastatic cervix cancer(MCC)is poor,and this disease continues to pose a considerable therapeutic challenge.Despite the administration of first-line regimens consisting of cisplatin,paclitaxel,and bevacizumab,survival rates for patients with metastasis remain poor.The emergence of bispecific antibodies(BsAbs)offers a novel treatment option for patients diagnosed with MCC.CASE SUMMARY In this report,we present a patient with MCC who was treated with cadonilimab monotherapy at a dose of 6 mg/kg every two weeks after chemotherapy was proven to be intolerable.The patient exhibited a sustained complete response for a duration of 6 months,demonstrating an optimistic outlook.CONCLUSION This case illustrates the considerable efficacy of cadonilimab for treating advanced MCC.Therefore,BsAb therapy is a promising strategy for effectively treating patients with advanced MCC and should be considered as an option when patients are intolerant to standard chemotherapy. 展开更多
关键词 Cadonilimab Complete response Bispecific antibodies Recurrent or metastatic cervical cancer Programmed death protein 1 Cytotoxic T-lymphocyteassociated antigen-4 Case report
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EGFR-TKIs与二甲双胍联合治疗在非小细胞肺癌EGFR-TKIs获得性耐药中的研究进展
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作者 王佳敏 刘盼 +4 位作者 应莉莎 朱蕊 杨朝丹 杨莹 苏丹 《中国肺癌杂志》 CAS CSCD 北大核心 2023年第11期874-880,共7页
靶向表皮生长因子受体(epidermal growth factor receptor, EGFR)的EGFR酪氨酸激酶抑制剂(EGFR-tyrosine kinase inhibitors, EGFR-TKIs)对EGFR突变阳性的非小细胞肺癌(non-small cell lung cancer, NSCLC)患者具有较好的疗效,但是会不... 靶向表皮生长因子受体(epidermal growth factor receptor, EGFR)的EGFR酪氨酸激酶抑制剂(EGFR-tyrosine kinase inhibitors, EGFR-TKIs)对EGFR突变阳性的非小细胞肺癌(non-small cell lung cancer, NSCLC)患者具有较好的疗效,但是会不可避免地出现耐药问题。随着个体化和联合治疗的应用和拓展,越来越多的研究显示二甲双胍联合给药在临床治疗中有效解决了EGFR-TKIs获得性耐药的难题,并延长了NSCLC患者的生存期。EGFR-TKIs联合二甲双胍有望成为NSCLC患者出现EGFR-TKIs耐药后可选择的治疗方法,本文拟对EGFR-TKIs与二甲双胍联合治疗NSCLC EGFR-TKIs获得性耐药中的研究进展进行总结,以期为出现EGFR-TKIs获得性耐药的NSCLC患者的治疗提供新的思路。 展开更多
关键词 表皮生长因子受体酪氨酸激酶抑制剂 二甲双胍 靶向治疗 肺肿瘤 联合治疗
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Preparation of HMX/TATB spherical composite explosive by droplet microfluidic technology 被引量:3
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作者 Bidong Wu Jinqiang Zhou +4 位作者 Yunyan Guo rui zhu Dong Wang Chongwei An Jingyu Wang 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2023年第3期62-72,共11页
Polymer bonded explosives(PBXs)have high energy density,excellent mechanical properties and better thermal stability.In this study,droplet microfluidic technology was used to successfully prepare HMX/TATB microspheres... Polymer bonded explosives(PBXs)have high energy density,excellent mechanical properties and better thermal stability.In this study,droplet microfluidic technology was used to successfully prepare HMX/TATB microspheres.The effects of different binder types and binder concentrations on the morphology of the microspheres were studied,and results proved that NC/GAP(1:4)provides particles a regular spherical morphology and good dispersion.Subsequently,the influence of the concentration of the dispersed phase and the flow rate of the continuous phase on the particle size distribution of the microspheres was fully studied.The microspheres had narrow particle size distribution and high spherical shape.Under optimized process conditions,HMX/TATB microspheres were prepared and compared with the physical mixtures.The X-ray diffraction,differential scanning calorimetry,flow properties,bulk density,and mechanical sensitivity of the samples were also studied.Results showed that the crystal form of the microspheres remains unchanged,and the binder maintains good compatibility with explosives.In addition,the fluidity,bulk density,real density and safety performance of the microspheres are remarkably better than the physical mixture.This study provides a new method for preparing PBX with narrow particle size distribution,high spherical shape,excellent dispersion and high bulk density. 展开更多
关键词 TATB NARROW composite
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Erythropoietin inhibits ferroptosis and ameliorates neurological function after spinal cord injury 被引量:1
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作者 Yu Kang rui zhu +4 位作者 Shuang Li Kun-Peng Qin Hao Tang Wen-Shan Shan Zong-Sheng Yin 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第4期881-888,共8页
Ferroptosis is one of the critical pathological events in spinal cord injury.Erythropoietin has been reported to improve the recovery of spinal cord injury.However,whether ferroptosis is involved in the neuroprotectiv... Ferroptosis is one of the critical pathological events in spinal cord injury.Erythropoietin has been reported to improve the recovery of spinal cord injury.However,whether ferroptosis is involved in the neuroprotective effects of erythropoietin on spinal cord injury has not been examined.In this study,we established rat models of spinal cord injury by modified Allen’s method and intraperitoneally administered 1000 and 5000 IU/kg erythropoietin once a week for 2 successive weeks.Both low and high doses of erythropoietin promoted recovery of hindlimb function,and the high dose of erythropoietin led to better outcome.High dose of erythropoietin exhibited a stronger suppressive effect on ferroptosis relative to the low dose of erythropoietin.The effects of erythropoietin on inhibiting ferroptosis-related protein expression and restoring mitochondrial morphology were similar to those of Fer-1(a ferroptosis suppressor),and the effects of erythropoietin were largely diminished by RSL3(ferroptosis activator).In vitro experiments showed that erythropoietin inhibited RSL3-induced ferroptosis in PC12 cells and increased the expression of xCT and Gpx4.This suggests that xCT and Gpx4 are involved in the neuroprotective effects of erythropoietin on spinal cord injury.Our findings reveal the underlying anti-ferroptosis role of erythropoietin and provide a potential therapeutic strategy for treating spinal cord injury. 展开更多
关键词 ERYTHROPOIETIN ferroptosis Gpx4 iron overload lipid peroxidation mechanism neurological function recovery spinal cord injury spinal neuron xCT
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Risk factors for stroke recurrence in young patients with first-ever ischemic stroke:A meta-analysis 被引量:1
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作者 Yu Xia Han Liu rui zhu 《World Journal of Clinical Cases》 SCIE 2023年第26期6122-6131,共10页
BACKGROUND At present,the incidence rate of ischemic stroke in young people is increasing yearly,and the age of onset is increasingly young.Therefore,primary and secondary prevention of ischemic stroke in young people... BACKGROUND At present,the incidence rate of ischemic stroke in young people is increasing yearly,and the age of onset is increasingly young.Therefore,primary and secondary prevention of ischemic stroke in young people,especially secondary prevention,is particularly crucial.AIM We aimed to comprehensively evaluate risk factors for stroke recurrence in firstever young ischemic stroke(YIS)patients.METHODS The meta-analysis was used to quantitatively analyze the research results on risk factors for stroke recurrence in first-ever YIS patients both domestically and internationally.Stata12.0 software was used for heterogeneity testing,publication bias analysis,sensitivity analysis,and the calculation of combined odds ratios and 95%confidence intervals.RESULTS The odds ratio(OR)values of the relationship between hypertension and hyperlipidemia and recurrence of first-ever YIS were 1.54(1.05-2.26)and 1.12(1.00-1.25),respectively.The OR values of male sex,type 2 diabetes,smoking,drinking and YIS recurrence were 1.66(0.98-2.79),1.01(0.64-1.59),1.21(0.83-1.76),and 1.28(0.82-2.53),respectively.The relationship between male sex,type 2 diabetes,smoking,drinking and YIS recurrence was ambiguous.CONCLUSION Hypertension and hyperlipidemia are important risk factors for stroke recurrence in first-ever YIS patients,and active intervention should be taken. 展开更多
关键词 Young ischemic stroke First-ever Risk factors RECURRENCE META-ANALYSIS
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Analysis of differentially expressed genes related to cerebral ischaemia in young rats based on the Gene Expression Omnibus database
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作者 Yu Xia Han Liu rui zhu 《World Journal of Clinical Cases》 SCIE 2023年第7期1467-1476,共10页
BACKGROUND The incidence rate of cerebral infarction in young people is increasing day by day,the age of onset tends to be younger,and its internal pathogenesis and mechanism are very complicated,which leads to greate... BACKGROUND The incidence rate of cerebral infarction in young people is increasing day by day,the age of onset tends to be younger,and its internal pathogenesis and mechanism are very complicated,which leads to greater difficulties in treatment.Therefore,it is essential to analyze the key pathway that affects the onset of cerebral infarction in young people from the perspective of genetics.AIM To compare the differentially expressed genes in the brain tissue of young and aged rats with middle cerebral artery occlusion and to analyse their effect on the key signalling pathway involved in the development of cerebral ischaemia in young rats.METHODS The Gene Expression Omnibus 2R online analysis tool was used to analyse the differentially expressed genes in the GSE166162 dataset regarding the development of cerebral ischaemia in young and aged groups of rats.DAVID 6.8 software was further used to filter the differentially expressed genes.These genes were subjected to Gene Ontology(GO)function analysis and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment analysis to determine the key gene pathway that affects the occurrence of cerebral ischaemia in young rats.RESULTS Thirty-five differentially expressed genes(such as Igf2,Col1a2,and Sfrp1)were obtained;73 GO enrichment analysis pathways are mainly involved in biological processes such as drug response,amino acid stimulation response,blood vessel development,various signalling pathways,and enzyme regulation.They are involved in molecular functions such as drug binding,protein binding,dopamine binding,metal ion binding,and dopamine neurotransmitter receptor activity.KEGG pathway enrichment analysis showed a significantly enriched pathway:The cyclic adenosine monophosphate(c-AMP)signalling pathway.CONCLUSION The c-AMP signalling pathway might be the key pathway in the intervention of cerebral infarction in young people. 展开更多
关键词 Gene Expression Omnibus database Cerebral infarction in young people RATS Differential gene enrichment analysis PATHWAY
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角接触球轴承接触状态分析
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作者 王镇 沈新航 +2 位作者 韩清鹏 朱瑞 吕杭原 《风机技术》 2023年第1期72-77,共6页
本文考虑角接触球轴承所处的高温环境和不同的轴向预紧量条件,分别采用拟静力学方法和力热耦合分析方法对其进行力学特性计算分析。基于角接触轴承拟静力学,在给定径向力条件下,轴承轴向力在40~170N范围内变化时,轴承的接触应力先下降... 本文考虑角接触球轴承所处的高温环境和不同的轴向预紧量条件,分别采用拟静力学方法和力热耦合分析方法对其进行力学特性计算分析。基于角接触轴承拟静力学,在给定径向力条件下,轴承轴向力在40~170N范围内变化时,轴承的接触应力先下降再上升,在轴向力为70N处出现最低接触应力,即轴承的预紧力合理值应在30N左右。采用力热耦合分析方法,对采用预紧力40N即轴向力为80N时的轴承接触状态进行有限元分析,获得了相应的考虑较高环境温度和转速影响的内部接触应力分布情况。结果表明,采用力热耦合的分析方法,考虑高温度环境和轴承的大负载特点,低的接触应力状态对避免轴承提前失效和保障轴承寿命更有利。 展开更多
关键词 角接触球轴承 高温环境 接触状态 有限元分析
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输尿管软镜治疗上尿路结石十年经验总结:单中心10413例临床分析 被引量:9
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作者 徐桂彬 李协照 +7 位作者 何永忠 杨炜青 赵海波 赖德辉 陈金兰 陈双星 朱锐 李逊 《中国内镜杂志》 2020年第6期64-68,共5页
目的对应用输尿管软镜(RIRS)治疗上尿路结石的经验进行总结,以评价该技术的安全性及临床疗效。方法选取2007年6月-2017年6月该院采用RIRS治疗的上尿路结石患者10413例。回顾性分析可拆卸输尿管软镜(n=774)、纤维输尿管软镜(n=2293)和电... 目的对应用输尿管软镜(RIRS)治疗上尿路结石的经验进行总结,以评价该技术的安全性及临床疗效。方法选取2007年6月-2017年6月该院采用RIRS治疗的上尿路结石患者10413例。回顾性分析可拆卸输尿管软镜(n=774)、纤维输尿管软镜(n=2293)和电子输尿管软镜(n=7346)3种软镜治疗上尿路结石的成功率、结石清除率、手术时间、住院时间和手术并发症等差异。结果可拆卸输尿管软镜、纤维输尿管软镜和电子输尿管软镜一期手术成功率分别为73.00%、82.99%和91.00%。二期手术(一期放置输尿管内支架管)分别为27.00%、17.01%和9.00%。结石清除率分别为87.00%、89.00%和93.00%。平均手术时间分别为(112.0±32.5)、(90.0±24.0)和(75.5±20.5)min。平均住院时间分别为(9.0±1.5)、(7.0±1.0)和(5.0±1.5)d。手术并发症发生率分别为3.62%、1.30%和0.99%。结论采用RIRS技术治疗上尿路结石安全、有效。随着RIRS技术的不断提高,以及输尿管软镜相关设备的不断优化,提高了该项技术的手术成功率及结石清除率、降低了并发症发生率和缩短了住院天数,RIRS治疗的临床适应证将逐步扩大。 展开更多
关键词 上尿路结石 输尿管软镜 经验总结 安全性 临床疗效
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急性冠状动脉综合征患者外周血β2整合素和Fractalkine的表达水平及机制研究 被引量:5
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作者 朱锐 吴校林 +2 位作者 周青 李彬 李宸宇 《中国现代医学杂志》 CAS 2019年第10期100-104,共5页
目的观察急性冠状动脉综合征(ACS)患者外周血中β2整合素和Fractalkine的表达水平并探讨其作用机制。方法选取襄阳市中心医院收治的86例ACS患者,其中不稳定型心绞痛(UA)32例,急性心肌梗死(AMI)54例,并以20例冠状动脉造影正常的患者和28... 目的观察急性冠状动脉综合征(ACS)患者外周血中β2整合素和Fractalkine的表达水平并探讨其作用机制。方法选取襄阳市中心医院收治的86例ACS患者,其中不稳定型心绞痛(UA)32例,急性心肌梗死(AMI)54例,并以20例冠状动脉造影正常的患者和28例稳定型心绞痛(SAP)作为对照。采用流式细胞技术检测外周血白细胞中的β2整合素[LFA-1(CD11a/CD18)和Mac-1(CD11b/CD18)]阳性细胞百分率,酶联免疫吸附法检测血清中Fractalkine、ICAM-1的水平,Western blotting检测外周血白细胞中FAK、PKB蛋白表达水平。结果 AMI组和UA组患者外周血白细胞中LFA-1、Mac-1阳性细胞百分率和FAK、PKB蛋白水平高于正常组和SAP组患者(P<0.05)。冠状动脉粥样硬化性心脏病患者血清中Fractalkine、ICAM-1水平较冠状动脉造影正常的患者升高(P<0.05)。AMI组患者血清中Fractalkine、ICAM-1的水平高于正常组、UA组及SAP组患者(P <0.05)。结论 ACS时外周循环中Fractalkine释放增加,与白细胞表面的受体结合促进β2整合素及黏附分子活化,激活FAK-PI3K/PKB信号通路参与ACS的炎症反应。 展开更多
关键词 急性冠状动脉综合征 整合素类 趋化因子CX3CL1 炎症
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Preparation and Properties of the Composite Enhancement Layer of Bearing Ring 被引量:1
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作者 Xiaochu Liu Jianfeng Huang +4 位作者 Zhongwei Liang Weifeng Huang rui zhu Weilin Gao Jinrui Xiao 《World Journal of Mechanics》 2020年第10期139-153,共15页
In this paper, the NU308 bearing rings were subjected to strengthen grinding treatment (SGT) at ambient temperature. And the running reliabilities of specimens that subjected to SGT and conventional treatment (CT) wer... In this paper, the NU308 bearing rings were subjected to strengthen grinding treatment (SGT) at ambient temperature. And the running reliabilities of specimens that subjected to SGT and conventional treatment (CT) were respectively investigated by testing dynamic properties including the running temperature, vibrations, and surface burning. Moreover, the residual stress, microtopography, and microstructures on the cross-section were respectively tested with residual stress analyzer and field-emission scanning electron microscopy. The results showed that the running reliabilities of the specimen after SGT had been significantly improved with the reduction of running temperature, vibration, and surface burning. Further study showed that the specimen’s surface was filled with disordered micropores after SGT compared to the regular strip texture on the CT specimen’s surface, and the maximum residual compressive stress induced by SGT was about −900 MPa. Moreover, the thickness of the residual compressive stress layer was over 180 µm, while the thickness of severe plastic deformation layer was about 50 µm. 展开更多
关键词 Strengthen Grinding Treatment Conventional Treatment Composite Enhancement Layer Running Reliability
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A Nomogram for Predicting the Severity of COVID-19 Using Laboratory Examination and CT Findings
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作者 Yani Kuang Susu He +8 位作者 Shuangxiang Lin rui zhu Rongzhen Zhou Jian Wang Renzhan Li Haiyong Lin Zhibang Zhang Peipei Pang Wenbin Ji 《International Journal of Clinical Medicine》 2020年第12期786-809,共24页
<strong>Background:</strong> The outbreak of COVID-19 has a significant impact on the health of people around the world. In the clinical condition of COVID-19, the condition of critical cases changes rapid... <strong>Background:</strong> The outbreak of COVID-19 has a significant impact on the health of people around the world. In the clinical condition of COVID-19, the condition of critical cases changes rapidly with a high mortality rate. Therefore, early prediction of disease severity and active intervention play an important role in the prognosis of severe patients. <strong>Methods:</strong> All the patients with COVID-19 in Taizhou city were retrospectively included and segregated into the non-severe and severe group according to the severity of the disease. The clinical manifestations, laboratory examination results, and imaging findings of the 2 groups were analyzed for comparing the differences between the 2 groups. Univariate and multivariate logistic regression were used for screening the factors that could predict the disease, and the nomogram was constructed.<strong> Results:</strong> A total of 143 laboratory-confirmed cases were included in the study, including 110 non-severe patients and 33 severe patients. The median age of patients was 47 years (range, 4 - 86 years). Fever (73.4%) and cough (63.6%) were the most common initial clinical symptoms. By using the method of multivariate logistic regression, the variables to construct nomogram include age (OR: 1.052, 95% CI: 1.020 - 1.086, <em>P </em>= 0.001), body temperature (OR: 2.252, 95% CI: 1.139 - 4.450, <em>P</em> = 0.020), lymphocyte count (OR: 1.128, 95% CI: 1.000 - 1.272, <em>P </em>= 0.049), ADA (OR: 1.163, 95% CI: 1.023 - 1.323, <em>P </em>= 0.021), PaO<sub>2</sub> (OR: 0.972, 95% CI: 0.953 - 0.992, P = 0.007), IL-10 (OR: 1.184, 95% CI: 1.037 - 1.351, <em>P</em> = 0.012), and bronchiectasis (OR: 3.818, 95% CI: 1.694 - 8.605, <em>P</em> = 0.001). The AUC of the established nomogram was 0.877. <strong>Conclusions: </strong>This study analyzed the cases of patients with COVID-19 in Taizhou city and constructed a model to predict the illness severity. When patients showed the features including older age, high body temperature, low lymphocyte count, low ADA value, low PaO<sub>2</sub>, high IL-10, and bronchiectasis sign in CT predicts a greater likelihood of severe COVID-19. 展开更多
关键词 COVID-19 SARS-CoV-2 Clinical Characteristics Severity Prediction
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移植肾输尿管狭窄的腔内治疗(附43例报告) 被引量:4
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作者 李协照 朱锐 +6 位作者 赵海波 杨炜青 陈金兰 盛明 刘兴 李逊 徐桂彬 《中国内镜杂志》 2020年第5期43-47,共5页
目的探讨经皮肾穿刺顺行输尿管镜技术及经尿道逆行输尿管镜技术在腔内治疗移植肾输尿管狭窄中的安全性及有效性。方法回顾性分析2007年5月-2017年12月于该院治疗的43例移植肾输尿管狭窄患者的临床资料。平均年龄35.7岁,输尿管膀胱吻合... 目的探讨经皮肾穿刺顺行输尿管镜技术及经尿道逆行输尿管镜技术在腔内治疗移植肾输尿管狭窄中的安全性及有效性。方法回顾性分析2007年5月-2017年12月于该院治疗的43例移植肾输尿管狭窄患者的临床资料。平均年龄35.7岁,输尿管膀胱吻合口狭窄平均长度0.75 cm,输尿管行程段狭窄平均长度0.70 cm。术中采用经皮肾穿刺顺行输尿管镜技术及经尿道逆行输尿管镜技术对移植肾输尿管狭窄或闭锁段行电刀内切开和球囊扩张术,术后留置输尿管内支架管或金属支架。结果43例移植肾输尿管狭窄患者中,经尿道逆行输尿管镜治疗组20例,联合经皮肾穿刺顺行输尿管镜技术治疗23例,平均手术时间为(53.3±10.5)min,30例经腔内治疗痊愈,其中一期治疗成功13例,17例行2或3次腔内球囊扩张后治愈;13例反复狭窄复发予以留置镍钛形状记忆合金支架,其中5例留置新型金属覆膜支架,术后随访时间为3~36个月,实验室复查血清肌酐(Scr)(143.4±28.0)μmol/L。结论采用经皮肾穿刺顺行输尿管镜技术及经尿道逆行输尿管镜技术等腔内治疗途径,处理移植肾输尿管狭窄是安全、有效及可靠的。 展开更多
关键词 输尿管狭窄 移植肾 腔内治疗 球囊扩张 金属支架
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Simulation of hydrological processes of mountainous watersheds in inland river basins: taking the Heihe Mainstream River as an example 被引量:7
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作者 ZhenLiang YIN HongLang XIAO +4 位作者 SongBing ZOU rui zhu ZhiXiang LU YongChao LAN YongPing SHEN 《Journal of Arid Land》 SCIE CSCD 2014年第1期16-26,共11页
The hydrological processes of mountainous watersheds in inland river basins are complicated.It is absolutely significant to quantify mountainous runoff for social,economic and ecological purposes.This paper takes the ... The hydrological processes of mountainous watersheds in inland river basins are complicated.It is absolutely significant to quantify mountainous runoff for social,economic and ecological purposes.This paper takes the mountainous watershed of the Heihe Mainstream River as a study area to simulate the hydrological processes of mountainous watersheds in inland river basins by using the soil and water assessment tool(SWAT)model.SWAT simulation results show that both the Nash–Sutcliffe efficiency and the determination coefficient values of the calibration period(January 1995 to December 2002)and validation period(January 2002 to December 2009)are higher than 0.90,and the percent bias is controlled within±5%,indicating that the simulation results are satisfactory.According to the SWAT performance,we discussed the yearly and monthly variation trends of the mountainous runoff and the runoff components.The results show that from 1996 to 2009,an indistinctive rising trend was observed for the yearly mountainous runoff,which is mainly recharged by lateral flow,and followed by shallow groundwater runoff and surface runoff.The monthly variation demonstrates that the mountainous runoff decreases slightly from May to July,contrary to other months.The mountainous runoff is mainly recharged by shallow groundwater runoff in January,February,and from October to December,by surface runoff in March and April,and by lateral flow from May to September. 展开更多
关键词 HYDROLOGICAL process mountainous RUNOFF INLAND RIVER BASIN soil and water assessment tool the Heihe MAINSTREAM RIVER
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Influences of Tibetan Plateau uplift on provenance evolution of the paleo-Pearl River 被引量:2
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作者 Ye Yu Changmin Zhang +4 位作者 Shaohua Li rui zhu Jiangyan Liu Chenggang Qin Zhongtao Zhang 《Chinese Journal Of Geochemistry》 EI CAS CSCD 2015年第2期208-218,共11页
A comparative analysis of the geochemical characteristics of sediments from the Oligocene Zhuhai Formation(32-23.8 Ma),the Miocene Zhujiang Formation(23.8-16.5 Ma),and the Hanjiang Formation(16.5—10.5 Ma) and a compr... A comparative analysis of the geochemical characteristics of sediments from the Oligocene Zhuhai Formation(32-23.8 Ma),the Miocene Zhujiang Formation(23.8-16.5 Ma),and the Hanjiang Formation(16.5—10.5 Ma) and a comprehensive analysis of the geochemical characteristics of rocks surrounding the paleo-Pearl River drainage contribute to understanding the influences of the Tibetan Plateau uplift on provenance evolution of the paleo-Pearl River.The results show that the geochemical characteristics of sediments from the Oligocene Zhuhai Formation are very different from the geochemical characteristics of sediments from the Miocene Zhujiang and Hanjiang Formations.The ∑ rare earth elements(REE) of mudstone is relatively high in the Zhuhai Formation,204.07-293.88 ppm(average 240.46 ppm),and low in the Zhujiang and Hanjiang Formations,181.32-236.73 ppm(average 203.83 ppm) and 166.84-236.65 ppm(average199.04 ppm),respectively.The chemical index of alteration(CIA) for these samples has a similar trend to the∑ REE:the CIA of the Zhuhai Formation is relatively high and the CIA of the Zhujiang and Hanjiang Formations is relatively low.The uplift of the Tibetan Plateau is crucial to the westward expansion of the paleo-Pearl River drainage. 展开更多
关键词 青藏高原隆升 珠江源 岩石地球化学特征 演变 珠江流域 稀土元素 PPM 珠海组
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Sedimentary characteristics and internal architecture of a river-dominated delta controlled by autogenic process:implications from a flume tank experiment 被引量:2
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作者 Wen-Jie Feng Chang-Min Zhang +5 位作者 Tai-Ju Yin Yan-Shu Yin Jun-Ling Liu rui zhu Qing-Hai Xu Zhe Chen 《Petroleum Science》 SCIE CAS CSCD 2019年第6期1237-1254,共18页
Autogenic processes are widely found in various sedimentary systems and they play an important role in the depositional evolution and corresponding sedimentary architecture.However,autogenic processes are often affect... Autogenic processes are widely found in various sedimentary systems and they play an important role in the depositional evolution and corresponding sedimentary architecture.However,autogenic processes are often affected by changing allogenic factors and are difficult to be identified and analyzed from modern and ancient records.Through the flume tank experiment under constant boundary conditions,the depositional process,evolution principles,and the sedimentary architecture of a river-dominated delta was presented,and a corresponding sedimentary architecture model was constructed.The evolution of river-dominated delta controlled only by autogenic process is obviously periodic,and each autogenic cycle can be divided into an initial progradational stage,a middle retrogratational stage,and a late aggradational–progradational stage.In the initial progradational stage,one feeder channel incised into the delta plain,mouth bar(s)was formed in front of the channel mouth,and small-scale crevasse splays were formed on the delta plain.In the middle retrogradational stage,the feeder channel was blocked by the mouth bar(s)which grew out of water at the end of the initial stage,and a set of large-scale distributary splay complexes were formed on the delta plain.These distributary splay complexes were retrogradationally overlapped due to the continuous migration of the bifurcation point of the feeder channel.In the late aggradational–progradational stage,the feeder channel branched into several radial distributary channels,overlapped distributary channels were formed on the delta plain,and terminal lobe complexes were formed at the end of distributary channels.The three sedimentary layers formed in the three stages constituted an autogenic succession.The experimental delta consisted of six autogenic depositional successions.Dynamic allocation of accommodation space and the following adaptive sediments filling were the two main driving factors of the autogenic evolution of deltas. 展开更多
关键词 River-dominated delta Autogenic process Depositional process Sedimentary architecture Flume tank experiment
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Surface-deformation monitoring in the permafrost regions over the Tibetan Plateau,using Sentinel-1 data 被引量:2
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作者 ZhenMing Wu Lin Zhao +6 位作者 Lin Liu rui zhu ZeShen Gao YongPing Qiao LiMing Tian HuaYun Zhou MeiZhen Xie 《Research in Cold and Arid Regions》 CSCD 2018年第2期114-125,共12页
Differential Interferometric Synthetic Aperture Radar(D-In SAR) has been widely used to measure surface deformation over the Tibetan Plateau. However, the accuracy and applicability of the D-In SAR method are not well... Differential Interferometric Synthetic Aperture Radar(D-In SAR) has been widely used to measure surface deformation over the Tibetan Plateau. However, the accuracy and applicability of the D-In SAR method are not well estimated due to the lack of in-situ validation. In this paper, we mapped the seasonal and long-term displacement of Tanggula(TGL) and Liangdaohe(LDH) permafrost regions with a stack of Sentinel-1 acquisitions using the Small Baseline Subset In SAR(SBAS-In SAR) method. In the TGL region, with its dry soils and sparse vegetation, the In SAR-derived surface-deformation trend was consistent with ground-based leveling results; long-term changes of the active layer showed a settlement rate of around 1 to 3 mm/a due to the melting of ground ice, indicating a degrading permafrost in this area. Around half of the deformation was picked up on monitoring, in contrast with in-situ measurements in LDH, implying that the D-In SAR method remarkably underestimated the surface-deformation. This phenomenon may be induced by the large soil-water content, high vegetation coverage, or a combination of these two factors in this region. This study demonstrates that surface deformation could be mapped accurately for a specific region with Sentinel-1 C-band data, such as in the TGL region.Moreover, although the D-In SAR technology provides an efficient solution for broad surface-deformation monitoring in permafrost regions, it shows a poor performance in the region with high soil-water content and dense vegetation coverage. 展开更多
关键词 deformation PERMAFROST SBAS-InSAR LEVELING Sentinel-1 TIBETAN PLATEAU
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Pencil-beam scanning catheter for intracoronary optical coherence tomography 被引量:2
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作者 Jiqiang Kang rui zhu +2 位作者 Yunxu Sun Jianan Li Kenneth K.Y.Wong 《Opto-Electronic Advances》 SCIE EI 2022年第3期69-75,共7页
Current gradient-index(GRIN)lens based proximal-driven intracoronary optical coherence tomography(ICOCT)probes consist of a spacer and a GRIN lens with large gradient constant.This design provides great flexibility to... Current gradient-index(GRIN)lens based proximal-driven intracoronary optical coherence tomography(ICOCT)probes consist of a spacer and a GRIN lens with large gradient constant.This design provides great flexibility to control beam profiles,but the spacer length should be well controlled to obtain desired beam profiles and thus it sets an obstacle in mass catheter fabrication.Besides,although GRIN lens with large gradient constant can provide tight focus spot,it has short depth of focus and fast-expanded beam which leads to poor lateral resolution for deep tissue.In this paper,a type of spacer-removed probe is demonstrated with a small gradient constant GRIN lens.This design simplifies the fabrica-tion process and is suitable for mass production.The output beam of the catheter is a narrow nearly collimated light beam,referred to as pencil beam here.The full width at half maximum beam size varies from 35.1μm to 75.3μm in air over 3-mm range.Probe design principles are elaborated with probe/catheter fabrication and performance test.The in vivo imaging of the catheter was verified by a clinical ICOCT system.Those results prove that this novel pencil-beam scanning catheter is potentially a good choice for ICOCT systems. 展开更多
关键词 optical coherence tomography endoscopic imaging intravascular imaging fiber optics imaging
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