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Double-nylon purse-string suture in closing postoperative wounds following endoscopic resection of large(≥3 cm)gastric submucosal tumors
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作者 shan-shan wang Meng-Yao Ji +4 位作者 Xu Huang Yan-Xia Li Shi-Jie Yu Yu Zhao Lei Shen 《World Journal of Gastroenterology》 SCIE CAS 2024年第9期1143-1153,共11页
BACKGROUND Endoscopic full-thickness resection(EFTR)of gastric submucosal tumors(SMTs)is safe and effective;however,postoperative wound management is equally important.Literature on suturing following EFTR for large(... BACKGROUND Endoscopic full-thickness resection(EFTR)of gastric submucosal tumors(SMTs)is safe and effective;however,postoperative wound management is equally important.Literature on suturing following EFTR for large(≥3 cm)SMTs is scarce and limited.AIM To evaluate the efficacy and clinical value of double-nylon purse-string suture in closing postoperative wounds following EFTR of large(≥3 cm)SMTs.METHODS We retrospectively analyzed the data of 85 patients with gastric SMTs in the fundus of the stomach or in the lesser curvature of the gastric body whose wounds were treated with double-nylon purse-string sutures after successful tumor resection at the Endoscopy Center of Renmin Hospital of Wuhan University.The operative,postoperative,and follow-up conditions of the patients were evaluated.RESULTS All tumors were completely resected using EFTR.36(42.35%)patients had tumors located in the fundus of the stomach,and 49(57.65%)had tumors located in the body of the stomach.All patients underwent suturing with double-nylon sutures after EFTR without laparoscopic assistance or further surgical treatment.Postoperative fever and stomach pain were reported in 13(15.29%)and 14(16.47%)patients,respectively.No serious adverse events occurred during the intraoperative or postoperative periods.A postoperative review of all patients revealed no residual or recurrent lesions.CONCLUSION Double-nylon purse-string sutures can be used to successfully close wounds that cannot be completely closed with a single nylon suture,especially for large(≥3 cm)EFTR wounds in SMTs. 展开更多
关键词 Endoscopic full-thickness resection Purse-string suture Postoperative wounds Submucosal tumors
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Fatal hemophagocytic lymphohistiocytosis-induced multiorgan dysfunction secondary to Burkholderia pseudomallei sepsis: A case report
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作者 Ming-Ze Sui Ke-Cheng Wan +3 位作者 Yuan-Lu Chen Huan-Long Li shan-shan wang Ze-Fu Chen 《World Journal of Clinical Cases》 SCIE 2023年第30期7372-7379,共8页
BACKGROUND Burkholderia pseudomallei(B.pseudomallei)is a short,straight,medium-sized Gramnegative bacterium that mostly exists alone,without a capsule or spores,has more than three flagella at one end,and actively mov... BACKGROUND Burkholderia pseudomallei(B.pseudomallei)is a short,straight,medium-sized Gramnegative bacterium that mostly exists alone,without a capsule or spores,has more than three flagella at one end,and actively moves.B.pseudomallei confers high morbidity and mortality,with frequent granulocytopenia in B.pseudomallei sepsisrelated deaths.However,mortality may be related to hemophagocytic lymphohistiocytosis(HLH)secondary to B.pseudomallei infection.CASE SUMMARY A 12-year-old female was referred from a local hospital to the pediatric intensive care unit with suspected septic shock and fever,cough,dyspnea,and malaise.After admission,supportive symptomatic treatments including fluid resuscitation,anti-infective therapy,mechanical ventilation,and a vasoactive drug maintenance cycle were carefully initiated.The patient became unconscious,her blood pressure could not be maintained even under the exposure of vasoactive drugs,and she experienced cardiorespiratory arrest.The patient died due to ineffective high-quality in-hospital cardiopulmonary resuscitation.A subsequent bone marrow smear examination revealed extensive phagocytosis,and the blood culture was positive for B.pseudomallei.Family history revealed a sibling death from B.pseudomallei sepsis 5 years earlier.CONCLUSION The higher mortality rate in patients with B.pseudomallei sepsis may be related to secondary HLH after infection,wherein multiorgan dysfunction syndrome may be directly related to infection or immune damage caused by secondary HLH.Patients with B.pseudomallei can be asymptomatic and can become an infective source. 展开更多
关键词 Burkholderia pseudomallei SEPSIS Septic shock Hemophagocytic lymphohistiocytosis Asymptomatic carrier Case report
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Chinese nursing postgraduates'views on implementing outcome-oriented academic English course:a descriptive study
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作者 Jing-Jing wang Qin Chen +4 位作者 Yan-Dan Duan Bei-Lei Lin shan-shan wang Yong-Xia Mei Pan-Pan wang 《Frontiers of Nursing》 2023年第1期73-79,共7页
Background:According to previous studies on professional English course teaching,the evaluation of course teaching was positive,but the vast majorities focus on medical English literature reading,professional English ... Background:According to previous studies on professional English course teaching,the evaluation of course teaching was positive,but the vast majorities focus on medical English literature reading,professional English vocabulary,and professional English translation.As an alternative,the course design based on academic learning needs under the outcome-oriented education/model emphasizes the improvement of students'comprehensive ability in oral expression,literature reading,writing,and academic communication.Objectives:The objective of this study was to analyze nursing postgraduates'opinions on learning the outcome-oriented academic English course.Methods:This is a cross-sectional descriptive study.A total of 150 first-year nursing postgraduates enrolled in the“Academic Professional English for Nursing Postgraduates”course.After completing the course learning,students scanned QR codes generated by the online questionnaire and completed it anonymously within 48 h.Results:The students who participated in this course strongly believed that it“helped them strengthen their English speakability”(4.8 points),“made them more confident to participate in international academic conferences and exchanges in the future”(4.8 points),and“helped them apply English more in the nursing professional field in the future”(4.7 points).Conclusions:The implementation of outcome-oriented course teaching helps students to understand the research of foreign scholars and effectively express their own research content with English as a tool.It motivates them to continuously use English for professional and academic communication. 展开更多
关键词 course outcome CURRICULUM English for specific purpose outcome-oriented model postgraduate nursing education teaching
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糖尿病黄斑水肿诊治规范——2018欧洲视网膜专家协会指南解读 被引量:22
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作者 邵毅 王珊珊 袁晴 《国际眼科杂志》 CAS 北大核心 2020年第1期1-3,共3页
糖尿病视网膜疾病是一种在视网膜疾病中占比急剧增加的疾病,其中糖尿病黄斑水肿是导致视力丧失的首要原因。一直以来,糖尿病黄斑水肿的治疗是医学研究的热点问题,糖尿病黄斑水肿诊治规范是由欧洲视网膜专家协会发布的最新糖尿病黄斑水... 糖尿病视网膜疾病是一种在视网膜疾病中占比急剧增加的疾病,其中糖尿病黄斑水肿是导致视力丧失的首要原因。一直以来,糖尿病黄斑水肿的治疗是医学研究的热点问题,糖尿病黄斑水肿诊治规范是由欧洲视网膜专家协会发布的最新糖尿病黄斑水肿的治疗指南,被认为是目前最具代表性的指南,本文将其进行详细解读,以期为广大眼科医师对糖尿病黄斑水肿的诊疗树立新的认识提供参考。 展开更多
关键词 糖尿病黄斑水肿 欧洲视网膜专家协会指南 激光光凝 血管内皮生长因子 玻璃体切割手术
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维生素E对大剂量蓝光诱导损伤视网膜色素上皮细胞的影响 被引量:5
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作者 王珊珊 李泳宁 +2 位作者 张月芬 陈鸿娇 张文贤 《国际眼科杂志》 CAS 北大核心 2022年第2期189-193,共5页
目的:研究维生素E(Vit E)对大剂量蓝光诱导人视网膜色素上皮(hRPE)细胞损伤的影响,为减少蓝光损伤hRPE细胞的预后方案提供思路。方法:用3000±150Lx蓝光建立hRPE细胞损伤模型;利用流式细胞术检测照射时间分别为0、3、6、9、12、24h... 目的:研究维生素E(Vit E)对大剂量蓝光诱导人视网膜色素上皮(hRPE)细胞损伤的影响,为减少蓝光损伤hRPE细胞的预后方案提供思路。方法:用3000±150Lx蓝光建立hRPE细胞损伤模型;利用流式细胞术检测照射时间分别为0、3、6、9、12、24h的6组hRPE细胞凋亡率及活性氧相对量;利用流式细胞术检测照射0h组、照射6h组、照射6h前或后加不同浓度Vit E组(Vit E的浓度分别为10、50、100μmol/L)的hRPE细胞凋亡情况和活性氧相对量,并采用Hoechst 33258试剂染色在荧光显微镜下观察hRPE细胞的荧光强度。结果:与照射0h组相比,照射3、6、9、12、24h组的hRPE细胞活性氧相对量明显增加(均P<0.01),照射6、9、12、24h组的hRPE细胞凋亡率也明显增加(均P<0.01),但照射3h组的hRPE细胞凋亡率无明显增加,差异无统计学意义(P=0.46)。与照射6h组相比,除照射6h前加入10μmol/L的hRPE细胞凋亡率(P=0.66)外,其他加Vit E的实验组hRPE细胞活性氧相对量和凋亡率明显减少、细胞中Hoechst 33258释放蓝色荧光逐渐减弱,且呈浓度依赖(均P<0.01)。与照射0h组相比,加Vit E的6组hRPE细胞活性氧相对量和凋亡率有差异(均P<0.01)。同一浓度的Vit E,除10μmol/L Vit E的hRPE细胞凋亡率在照射前或后加无差异(P=0.08)外,照射后加Vit E组比照射前加Vit E组的hRPE细胞活性氧相对量、凋亡率明显减少(均P<0.01)。结论:hRPE细胞经蓝光照射后出现胞内活性氧相对量增多的现象早于细胞凋亡,清除胞内活性氧是减少大剂量蓝光诱导hRPE细胞损伤的思路。Vit E可保护由大剂量蓝光诱导的RPE细胞损伤,这种效应随Vit E浓度增加而增强,且照射后加入比照射前加入的效果更好。但需要一定剂量的Vit E才能显效,而且无法完全修复损伤。 展开更多
关键词 大剂量蓝光 维生素E 人视网膜色素上皮细胞 体外培养 影响
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双钳道胃镜在治疗贲门-胃底黏膜下肿瘤中的临床应用评价 被引量:2
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作者 王珊珊 沈磊 《中国内镜杂志》 2018年第12期95-98,共4页
目的评价双钳道内镜在治疗贲门-胃底部黏膜下肿瘤(SMT)中的安全性及疗效性。方法回顾性分析28例贲门-胃底部SMT患者在双钳道胃镜下行内镜治疗的资料,包括基本情况、病变大小、治疗经过及病理结果等,并统计并发症及术后随访结果。结果 2... 目的评价双钳道内镜在治疗贲门-胃底部黏膜下肿瘤(SMT)中的安全性及疗效性。方法回顾性分析28例贲门-胃底部SMT患者在双钳道胃镜下行内镜治疗的资料,包括基本情况、病变大小、治疗经过及病理结果等,并统计并发症及术后随访结果。结果 28例患者均顺利完成内镜治疗,病变最大径在0.6~4.0 cm,平均2.3 cm,内镜下病灶完整取出,手术时间35~120 min,平均65 min,术后住院5~10 d,平均7.5 d,无转外科继续治疗者。目前正在随访的患者胃镜复查均未见病变残留及复发。结论双钳道内镜在治疗贲门-胃底部SMT时能够达到完整切除的目标并具有较好的临床疗效。 展开更多
关键词 双钳道胃镜 贲门-胃底部 消化道黏膜下肿瘤
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Elevated serum alpha fetoprotein levels promote pathological progression of hepatocellular carcinoma 被引量:23
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作者 Peng Li shan-shan wang +4 位作者 Hui Liu Ning Li Michael A McNutt Gang Li Hui-Guo Ding 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第41期4563-4571,共9页
AIM:To investigate the biological role of alpha fetoprotein (AFP) and its clinical signif icance in carcinogenesis of hepatocellular carcinoma (HCC).METHODS:Clinical analysis of HCC patients and im-munohistochemical e... AIM:To investigate the biological role of alpha fetoprotein (AFP) and its clinical signif icance in carcinogenesis of hepatocellular carcinoma (HCC).METHODS:Clinical analysis of HCC patients and im-munohistochemical examination were conducted to evaluate the relationship between serum AFP level and patient mortality. Confocal microscopy,Western blotting, dimethylthiahzolyl-2,5-diphenyl-tetrazolium bromide,Cell Counting Kit-8 assays and flow cytometry were performed to explore the possible mechanism.RESULTS: Among the 160 HCC patients enrolled in this study,130 patients survived 2 years (81.25%),with a survival rate of 86.8% in AFP < 2 0 μg/L group,88.9% in AFP 20-250 μg/L group,and 69.6% in AFP > 250 μg/L group, demonstrating a higher mortality rate in HCC patients with higher AFP levels. Surgical treatment was benef icial only in patients with low AFP levels.The mortality rate of HCC patients with high AFP levels who were treated surgically was apparently higher than those treated with conservative management.The results of immunohistochemistry showed that AFP and AFP receptor were merely expressed in tissues of HCC patients with positive serum AFP.Consistently,in vitro analysis showed that AFP and AFPS were expressed in HepG2 but not in HLE cells. AFP showed a capability to promote cell growth,and this was more apparent in HepG2 cells,in which the proliferation was increased by 3.5 folds. Cell cycle analysis showed that the percent-age of HepG2 cells in S phase after exposure to AFP was modestly increased.CONCLUSION:HCC patients with higher AFP levels show a higher mortality rate,which appears to be attributable to the growth promoting properties of AFP. 展开更多
关键词 肝癌细胞 蛋白水平 阳性血清 HepG2细胞 病理 肝细胞癌 共聚焦显微镜 手术治疗
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Multiple methods of surgical treatment combined with primary IOL implantation on traumatic lens subluxation/dislocation in patients with secondary glaucoma 被引量:26
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作者 Rui wang Chun-Chao Bi +3 位作者 Chun-Ling Lei Wen-Tao Sun shan-shan wang Xiao-Juan Dong 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2014年第2期264-272,共9页
AIM:To describe clinical findings and complications from cases of traumatic lens subluxation/dislocation in patients with secondary glaucoma,and discuss the multiple treating methods of operation combined with primary... AIM:To describe clinical findings and complications from cases of traumatic lens subluxation/dislocation in patients with secondary glaucoma,and discuss the multiple treating methods of operation combined with primary intraocular lens(IOL)implantation.METHODS:Non-comparativeretrospectiveobservational case series.Participants:30 cases(30 eyes)of lens subluxation/dislocation in patients with secondary glaucoma were investigated which accepted the surgical treatment by author in the Ophthalmology of Xi'an No.4Hospital from 2007 to 2011.According to the different situations of lens subluxation/dislocation,various surgical procedures were performed such as crystalline lens phacoemulsification,crystalline lens phacoemulsification combined anterior vitrectomy,intracapsular cataract extraction combined anterior vitrectomy,lensectomy combined anterior vitrectomy though peripheral transparent cornea incision,pars plana lensectomy combined pars plana vitrectomy,and intravitreal cavity crystalline lens phacofragmentation combined pars plana vitrectomy.And whether to implement trabeculectomy depended on the different situations of secondary glaucoma.The posterior chamber intraocular lenses(PC-IOLs)were implanted in the capsular-bag or trassclerally sutured in the sulus decided by whether the capsular were present.Main outcome measures:visual acuity,intraocular pressure,the situation of intraocular lens and complications after the operations.RESULTS:The follow-up time was 11-36mo(21.4±7.13).Postoperative visual acuity of all eyes were improved;28 cases maintained IOP below 21 mm Hg;2cases had slightly IOL subluxation,4 cases had slightlytilted lens optical area;1 case had postoperative choroidal detachment;4 cases had postoperative corneal edema more than 1wk,but eventually recovered transparent;2 cases had mild postoperative vitreous hemorrhage,and absorbed 4wk later.There was no postoperative retinal detachment,IOL dislocation,and endophthalmitis.CONCLUSION:To take early treatment of traumatic lens subluxation/dislocation in patients with secondary glaucoma by individual surgical plan based on the different eye conditions would be safe and effective,which can effectively control the intraocular pressure and restore some vision. 展开更多
关键词 CRYSTALLINE lens SUBLUXATION DISLOCATION secondary GLAUCOMA surgical treatment
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Combined hepatocellular cholangiocarcinoma: Controversies to be addressed 被引量:11
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作者 An-Qiang wang Yong-Chang Zheng +9 位作者 Juan Du Cheng-Pei Zhu Han-Chun Huang shan-shan wang Liang-Cai Wu Xue-Shuai Wan Hao-Hai Zhang Ruo-Yu Miao Xin-Ting Sang Hai-Tao Zhao 《World Journal of Gastroenterology》 SCIE CAS 2016年第18期4459-4465,共7页
Combined hepatocellular cholangiocarcinoma(CHC) accounts for 0.4%-14.2% of primary liver cancer cases and possesses pathological features of both hepatocellular carcinoma and cholangiocarcinoma. Since this disease was... Combined hepatocellular cholangiocarcinoma(CHC) accounts for 0.4%-14.2% of primary liver cancer cases and possesses pathological features of both hepatocellular carcinoma and cholangiocarcinoma. Since this disease was first described and classified in 1949, the classification of CHC has continuously evolved. The latest definition and classification of CHC by the World Health Organization is based on the speculation that CHC arises from hepatic progenitor cells. However, there is no evidence demonstrating the common origin of different components of CHC. Furthermore, the definition of CHC subtypes is still ambiguous and the identification of CHC subtype when a single tumor contains many components has remained unresolved. In addition, there is no summary on the newly recognized histopathology features or the contribution of CHC components to prognosis and outcome of this disease. Here we provide a review of the current literature to address these questions. 展开更多
关键词 PROGENITOR cell origin PATHOLOGY classification COMBINED HEPATOCELLULAR CHOLANGIOCARCINOMA
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Novel miRNA, miR-sc14, promotes Schwann cell proliferation and migration 被引量:6
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作者 Xi-Meng Ji shan-shan wang +5 位作者 Xiao-Dong Cai Xing-Hui wang Qian-Yan Liu Pan wang Zhang-Chun Cheng Tian-Mei Qian 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第9期1651-1656,共6页
MicroRNAs refer to a class of endogenous,short non-coding RNAs that mediate numerous biological functions.MicroRNAs regulate various physiological and pathological activities of peripheral nerves,including peripheral ... MicroRNAs refer to a class of endogenous,short non-coding RNAs that mediate numerous biological functions.MicroRNAs regulate various physiological and pathological activities of peripheral nerves,including peripheral nerve repair and regeneration.Previously,using a rat sciatic nerve injury model,we identified many functionally annotated novel microRNAs,including miR-sc14.Here,we used real-time reverse transcription-polymerase chain reaction to examine miR-sc14 expression in rat sciatic nerve stumps.Our results show that miRsc14 is noticeably altered following sciatic nerve injury,being up-regulated at 1 day and diminished at 7 days.EdU and transwell chamber assay results showed that miR-sc14 mimic promoted proliferation and migration of Schwann cells,while miR-sc14 inhiThe study was approved by the Jiangsu Provincial Laboratory Animal Management Committee,China on March 4,2015(approval No.20150304-004).bitor suppressed their proliferation and migration.Additionally,bioinformatic analysis examined potential target genes of miR-sc14,and found that fibroblast growth factor receptor 2 might be a potential target gene.Specifically,our results show changes of miR-sc14 expression in the sciatic nerve of rats at different time points after nerve injury.Appropriately,up-regulation of miR-sc14 promoted proliferation and migration of Schwann cells.Consequently,miR-sc14 may be an intervention target to promote repair of peripheral nerve injury.The study was approved by the Jiangsu Provincial Laboratory Animal Management Committee,China on March 4,2015(approval No.20150304-004). 展开更多
关键词 NERVE REGENERATION novel microRNAs miR-sc14 PERIPHERAL NERVE injury cell PROLIFERATION cell MIGRATION Schwann cells fibroblast growth factor receptor 2 biological functions PERIPHERAL NERVE REGENERATION regulatory mechanisms neural REGENERATION
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有晶状体眼后房型人工晶状体水平或垂直植入术后前房角与拱高的变化 被引量:11
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作者 张可 王姗姗 +3 位作者 宋小翠 李雅心 李青云 李康寯 《国际眼科杂志》 CAS 北大核心 2021年第6期1091-1095,共5页
目的:对比水平和垂直两种方式有晶状体眼人工晶状体(ICL)植入术后前房角(ACA)及拱高参数的变化差异。方法:前瞻性随机对照研究。选取2018-01/2019-06于我院眼科行ICL植入术的屈光不正患者83例154眼,采用随机数字表法为水平组(79眼)和垂... 目的:对比水平和垂直两种方式有晶状体眼人工晶状体(ICL)植入术后前房角(ACA)及拱高参数的变化差异。方法:前瞻性随机对照研究。选取2018-01/2019-06于我院眼科行ICL植入术的屈光不正患者83例154眼,采用随机数字表法为水平组(79眼)和垂直组(75眼)。应用Pentacam眼前节分析系统测量并比较两组患者手术前后0°、90°、180°、270°位点ACA并计算其变化量,记录术后拱高值。结果:术后12mo,水平组ACA在0°、90°、180°、270°方位变化量分别为15.3°±6.1°、13.9°±6.3°、16.5°±5.5°、12.9°±6.0°,垂直组ACA相应方位变化量分别为12.9°±3.7°、14.5°±6.8°、14.3°±5.4°、13.2°±5.9°,两组患者ACA变化量在0°~180°方位有差异(P<0.05),在90°~270°方位无明显差异(P>0.05)。术后1、3、6、12mo,水平组拱高分别为486±183、422±203、393±198、345±165μm,垂直组拱高分别为432±163、418±138、379±133、328±142μm,两组间不同时间点拱高均无差异(P>0.05),两组患者术后6、12mo拱高均与同组术后1mo有差异(P<0.05)。结论:ICL植入水平放置较垂直放置引起0°~180°方位ACA变化更为显著,术后1a拱高具有动态性降低趋势。 展开更多
关键词 有晶状体眼后房型人工晶状体植入术 前房角 拱高 眼内压 屈光手术
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区域折射型多焦点人工晶状体SBL-3植入术后视觉质量分析
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作者 廖星 王珊珊 +3 位作者 徐仙珍 仇晶晶 刘菲 付书华 《国际眼科杂志》 CAS 北大核心 2021年第10期1702-1706,共5页
目的:观察区域折射型多焦点人工晶状体(MIOL)SBL-3植入术后视觉质量。方法:回顾性对照研究南昌大学第二附属医院2019-09/2020-07收治的57例68眼白内障患者。其中植入区域折射型MIOL SBL-3者33例36眼(SBL-3组),植入非球面单焦点人工晶状... 目的:观察区域折射型多焦点人工晶状体(MIOL)SBL-3植入术后视觉质量。方法:回顾性对照研究南昌大学第二附属医院2019-09/2020-07收治的57例68眼白内障患者。其中植入区域折射型MIOL SBL-3者33例36眼(SBL-3组),植入非球面单焦点人工晶状体(SIOL)ZCB00者24例32眼(ZCB00组),对比两组术后3mo裸眼和矫正远、中、近视力、离焦曲线、OPDIII客观视觉质量、QoV问卷调查、患者满意度及术后脱镜率。结果:术后3mo SBL-3组和ZCB00组裸眼和矫正远视力LogMAR值(0.13±0.09 vs 0.10±0.08,0.06±0.06 vs 0.08±0.08,均P>0.05)无显著差异,裸眼远视力均较术前有显著改善(P<0.05)。SBL-3组裸眼及最佳矫正远视力下的中、近视力明显优于ZCB00组(0.10±0.14 vs 0.27±0.10,0.05±0.16 vs 0.35±0.17,0.11±0.14 vs 0.26±0.11,0.03±0.17 vs 0.35±0.17,均P<0.05)。在所评估的各个空间频率上患者对比敏感度的比较中ZCB00组均优于SBL-3组(P<0.05)。SBL-3组总像差、总高阶像差、彗差、三叶草差均大于ZCB00组且有显著差异(P<0.05),SBL-3组平均SR值小于ZCB00组(P<0.05)。术后3mo SBL-3组出现眩光1例,光晕1例,视远模糊4例。SBL-3组和ZCB00组患者表示非常满意者分别占82%、88%。两组间满意度比较无显著差异(P>0.05),脱镜率(94%vs 67%)比较有显著差异(P<0.05),且SBL-3组脱镜率更高。结论:新型区域折射型MIOL SBL-3提供了良好的全程视力,术后不良视觉症状少,满意度和脱镜率高。 展开更多
关键词 多焦点人工晶状体 区域折射 白内障 超声乳化 视觉质量
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Hydrogen sulfide attenuates gastric mucosal injury induced by restraint water-immersion stress via activation of KATPchannel and NF-κB dependent pathway 被引量:7
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作者 Hong-Zhao Sun Shan Zheng +4 位作者 Kai Lu Feng-Tian Hou Jie-Xue Bi Xue-Lian Liu shan-shan wang 《World Journal of Gastroenterology》 SCIE CAS 2017年第1期87-92,共6页
AIM To explore the effect of hydrogen sulfide(H2S)on restraint water-immersion stress(RWIS)-induced gastric lesions in rats and the influence of adenosine triphosphate(ATP)-sensitive potassium(KATP)channels and nuclea... AIM To explore the effect of hydrogen sulfide(H2S)on restraint water-immersion stress(RWIS)-induced gastric lesions in rats and the influence of adenosine triphosphate(ATP)-sensitive potassium(KATP)channels and nuclear factor kappa-light-chain-enhancer of activated B cells(NF-κB)pathway on such an effect.METHODS Male Wistar rats were randomly divided into a control group,a physiological saline(PS)group,a sodium hydrosulfide(Na HS)group,a glibenclamide(Gl)group,Gl plus Na HS group,a pyrrolidine dithiocarbamate(PDTC)group,and a PDTC plus Na HS group.Gastric mucosal injury was induced by RWIS for 3 h in rats,and gastric mucosal damage was analyzed after that.The PS,Na HS(100μmol/kg body weight),Gl(100μmol/kg body weight),Gl(100μmol/kg or 150μmol/kg body weight)plus Na HS(100μmol/kg body weight),PDTC(100μmol/kg body weight),and PDTC(100μmol/kg body weight)plus Na HS(100μmol/kg bodyweight)were respectively injected intravenously before RWIS.RESULTS RWIS induced serious gastric lesions in the rats in the PS pretreatment group.The pretreatment of Na HS(a H2S donor)significantly reduced the damage induced by RWIS.The gastric protective effect of the Na HS during RWIS was attenuated by PDTC,an NF-κB inhibitor,and also by glibenclamide,an ATP-sensitive potassium channel blocker,in a dose-dependent manner.CONCLUSION These results suggest that exogenous H2S plays a protective role against RWIS injury in rats,possibly through modulation of KATP channel opening and the NF-κB dependent pathway. 展开更多
关键词 氢硫化物 原子因素 kappa B 胃的 mucosal 损害 抑制水沉浸应力 腺苷 triphosphate 敏感的钾
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Analysis of vibration and frequency transmission of high speed EMU with flexible model 被引量:4
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作者 Zun-Song Ren Guang Yang +1 位作者 shan-shan wang Shou-Guang Sun 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2014年第6期876-883,共8页
When the operation speed of the high-speed train increases and the weight of the carbody becomes lighter,not only does the sensitivity of the wheel/rail contact get higher,but also the vibration frequency range of the... When the operation speed of the high-speed train increases and the weight of the carbody becomes lighter,not only does the sensitivity of the wheel/rail contact get higher,but also the vibration frequency range of the vehicle system gets enlarged and more frequencies are transmitted from the wheelset to the carbody.It is important to investigate the vibration characteristics and the dynamic frequency transmission from the wheel/rail interface to the carbody of the high-speed electric multi-uint(EMU).An elastic highspeed vehicle dynamics model is established in which the carbody,bogieframes,and wheelsets are all dealt with as flexible body.A rigid high-speed vehicle dynamics model is set up to compare with the simulation results of the elastic model.In the rigid vehicle model,the carbody,bogieframes and wheelsets are treated as rigid component while the suspension and structure parameters are the same as used in the elastic model.The dynamic characteristic of the elastic high speed vehicle is investigated in time and frequency domains and the di ff erence of the acceleration,frequency distribution and transmission of the two types of models are presented.The results show that the spectrum power density of the vehicle decreases from the wheelset to the carbody and the acceleration transmission ratio is approximately from 1%to 10%for each suspension system.The frequency of the wheelset rotation is evident in the vibration of the flexible model and is transmitted from the wheelset to the bogieframe and to thecarbody.The results of the flexible model are more reasonable than that of the rigid model.A field test data of the high speed train are presented to verify the simulation results.It shows that the simulation results are coincident with the field test data. 展开更多
关键词 振动频率 模型分析 传输率 高速动车组 车辆动力学模型 弹性模型 刚性模型 高速列车
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miR-103-3p targets Ndel1 to regulate neural stem cell proliferation and differentiation 被引量:4
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作者 Wen Li shan-shan wang +7 位作者 Bo-Quan Shan Jian-Bing Qin He-Yan Zhao Mei-Ling Tian Hui He Xiang Cheng Xin-Hua Zhang Guo-Hua Jin 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第2期401-408,共8页
The regulation of adult neural stem cells(NSCs) is critical for lifelong neurogenesis. MicroRNAs(miRNAs) are a type of small, endogenous RNAs that regulate gene expression post-transcriptionally and influence signalin... The regulation of adult neural stem cells(NSCs) is critical for lifelong neurogenesis. MicroRNAs(miRNAs) are a type of small, endogenous RNAs that regulate gene expression post-transcriptionally and influence signaling networks responsible for several cellular processes. In this study, mi R-103-3 p was transfected into neural stem cells derived from embryonic hippocampal neural stem cells. The results showed that mi R-103-3 p suppressed neural stem cell proliferation and differentiation, and promoted apoptosis. In addition, mi R-103-3 p negatively regulated Nud E neurodevelopment protein 1-like 1(Ndel1) expression by binding to the 3′ untranslated region of Ndel1. Transduction of neural stem cells with a lentiviral vector overexpressing Ndel1 significantly increased cell proliferation and differentiation, decreased neural stem cell apoptosis, and decreased protein expression levels of Wnt3 a, β-catenin, phosphor-GSK-3β, LEF1, c-myc, c-Jun, and cyclin D1, all members of the Wnt/β-catenin signaling pathway. These findings suggest that Ndel1 is a novel mi R-103-3 p target and that mi R-103-3 p acts by suppressing neural stem cell proliferation and promoting apoptosis and differentiation. This study was approved by the Animal Ethics Committee of Nantong University, China(approval No. 20200826-003) on August 26, 2020. 展开更多
关键词 apoptosis canonical Wnt pathway DIFFERENTIATION MiR-103-3p Ndel1 neural stem cells NEUROGENESIS proliferation
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A novel multifunctional electronic calibration kit integrated by MEMS SPDT switches 被引量:3
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作者 王姗姗 吴倩楠 +4 位作者 高跃升 余建刚 曹钎龙 韩路路 李孟委 《Chinese Physics B》 SCIE EI CAS CSCD 2021年第11期644-649,共6页
Design and simulation results of a novel multifunctional electronic calibration kit based on microelectromechanical system(MEMS)single-pole double-throw(SPDT)switches are presented in this paper.The short-open-load-th... Design and simulation results of a novel multifunctional electronic calibration kit based on microelectromechanical system(MEMS)single-pole double-throw(SPDT)switches are presented in this paper.The short-open-load-through(SOLT)calibration states can be completed simultaneously by using the MEMS electronic calibration,and the electronic calibrator can be reused 10^(6) times.The simulation results show that this novel electronic calibration can be used in a frequency range of 0.1 GHz–20 GHz,the return loss is less than 0.18 dB and 0.035 dB in short-circuit and open-circuit states,respectively,and the insertion loss in through(thru)state is less than 0.27 dB.On the other hand,the size of this novel calibration kit is only 6 mm×2.8 mm×0.8 mm.Our results demonstrate that the calibrator with integrated radiofrequency microelectromechanical system(RF MEMS)switches can not only provide reduced size,loss,and calibration cost compared with traditional calibration kit but also improves the calibration accuracy and efficiency.It has great potential applications in millimeter-wave measurement and testing technologies,such as device testing,vector network analyzers,and RF probe stations. 展开更多
关键词 microelectromechanical system(MEMS) electronic calibration kit single-pole double-throw(SPDT)switch short-open-load-through(SOLT)calibration
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Geology and mineralization of the Dayin’gezhuang supergiant gold deposit(180 t)in the Jiaodong Peninsula,China:A review 被引量:2
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作者 Xiang-dong Liu Zheng-jiang Ding +12 位作者 Ming-chun Song Ming-ling Zhou Shao-hui Xu Zhen-liangYang Tian-ci Xie Tao Cui Ying-xin Song Xue-kan Gao Rui-xiang Li Liang-liang Zhang Qi-bin Zhang shan-shan wang Bin wang 《China Geology》 CAS 2022年第4期696-721,共26页
The Dayin’gezhuang gold deposit is located in the central part of the Zhaoping Fault metallogenic belt in the Jiaodong gold province-the world’s third-largest gold metallogenic area.It is a typical successful case o... The Dayin’gezhuang gold deposit is located in the central part of the Zhaoping Fault metallogenic belt in the Jiaodong gold province-the world’s third-largest gold metallogenic area.It is a typical successful case of prospecting at a depth of 500-2000 m in recent years,with cumulative proven gold resources exceeding 180 t.The main orebodies(No.1 and No.2 orebody)generally have a pitch direction of NNE and a plunge direction of NEE.As the ore-controlling fault,the Zhaoping Fault is a shovel-shaped stepped fault,with its dip angle presenting stepped high-to-low transitions at the elevation of -2000-0 m.The gold mineralization enrichment area is mainly distributed in the step parts where the fault plane changes from steeply to gently,forming a stepped metallogenic pattern from shallow to deep.It can be concluded from previous studies that the gold mineralization of the Dayin’gezhuang gold deposit occurred at about 120 Ma.The ore-forming fluids were H_(2)O-CO_(2)-NaCl-type hydrothermal solutions with a medium-low temperature and medium-low salinity.The H-O isotopic characteristics indicate that the fluids in the early ore-forming stage were possibly magmatic water or mantle water and that meteoric water gradually entered the ore-forming fluids in the late ore-forming stage.The S and Pb isotopes indicate that the ore-forming materials mainly originate from the lower crust and contain a small quantity of mantle-derived components.The comprehensive analysis shows that the Dayin’gezhuang gold deposit was formed by thermal uplifting-extensional tectonism.The strong crust-mantle interactions,large-scale magmatism,and the material exchange arising from the transformation from adakitic granites to arc granites and from the ancient lower crust to the juvenile lower crust during the Early Cretaceous provided abundant fluids and material sources for mineralization.Moreover,the detachment faults formed by the rapid magmatic uplift and the extensional tectonism created favorable temperature and pressure conditions and space for fluid accumulation and gold precipitation and mineralization. 展开更多
关键词 Stepped metallogenic model Thermal uplifting-extension mineralization Geological characteristics Supergiant gold deposit Zhaoping metallogenic belt Jiaodong gold province Mineral exploration engineering Dayin’gezhuang Shandong Province China
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A new handheld fundus camera combined with visual artificial intelligence facilitates diabetic retinopathy screening 被引量:1
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作者 Shang Ruan Yang Liu +7 位作者 Wei-Ting Hu Hui-Xun Jia shan-shan wang Min-Lu Song Meng-Xi Shen Da-Wei Luo Tao Ye Feng-Hua wang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第4期620-627,共8页
AIM: To explore the performance in diabetic retinopathy(DR) screening of artificial intelligence(AI) system by evaluating the image quality of a handheld Optomed Aurora fundus camera in comparison to traditional table... AIM: To explore the performance in diabetic retinopathy(DR) screening of artificial intelligence(AI) system by evaluating the image quality of a handheld Optomed Aurora fundus camera in comparison to traditional tabletop fundus cameras and the diagnostic accuracy of DR of the two modalities. METHODS: Overall, 630 eyes were included from three centers and screened by a handheld camera(Aurora, Optomed, Oulu, Finland) and a table-top camera. Image quality was graded by three masked and experienced ophthalmologists. The diagnostic accuracy of the handheld camera and AI system was evaluated in assessing DR lesions and referable DR.RESULTS: Under nonmydriasis status, the handheld fundus camera had better image quality in centration, clarity, and visible range(1.47, 1.48, and 1.40) than conventional tabletop cameras(1.30, 1.28, and 1.18;P<0.001). Detection of retinal hemorrhage, hard exudation,and macular edema were comparable between the two modalities, in principle, with the area under the curve of the handheld fundus camera slightly lower. The sensitivity and specificity for the detection of referable DR with the handheld camera were 82.1%(95%CI: 72.1%-92.2%) and 97.4%(95%CI: 95.4%-99.5%), respectively. The performance of AI detection of DR using the Phoebus Algorithm was satisfactory;however, Phoebus showed a high sensitivity(88.2%, 95%CI: 79.4%-97.1%) and low specificity(40.7%, 95%CI: 34.1%-47.2%) when detecting referable DR.CONCLUSION: The handheld Aurora fundus camera combined with autonomous AI system is well-suited in DR screening without mydriasis because of its high sensitivity of DR detection as well as its image quality, but its specificity needs to be improved with better modeling of the data. Use of this new system is safe and effective in the detection of referable DR in real world practice. 展开更多
关键词 diabetic retinopathy image quality handheld camera artificial intelligence
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HepG2 cells recovered from apoptosis show altered drug responses and invasiveness
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作者 shan-shan wang Xin Xie +2 位作者 Chung Sing Timothy Wong Pui Ying Choi Ming Chiu Fung 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2014年第3期293-300,共8页
BACKGROUND: Cancer relapse, associated with increased drug resistance and rate of metastasis, often follows completion of chemotherapy but the cancer escape mechanisms are still incompletely understood. Percutaneous e... BACKGROUND: Cancer relapse, associated with increased drug resistance and rate of metastasis, often follows completion of chemotherapy but the cancer escape mechanisms are still incompletely understood. Percutaneous ethanol injection(PEI)has been used for treating hepatocellular carcinoma(HCC)for decades, while the recurrence after PEI treatment remains a major limitation. Recent evidence mounted that cancer cells could survive from chemical induced apoptosis, suggesting a potential route through which cancer relapse may occur. This study focuses on the consequence of HepG2 recovery from ethanol-induced apoptotic event.METHODS: The model of HepG2 recovery from ethanolinduced apoptotic event was established by live cell imaging,BrdU assay and Western blotting. MTT assay, wound healing assay and invasion assay were used to investigate the behavior of HepG2 after recovery.RESULTS: HepG2 cells could recover from ethanol-induced apoptosis. These cells changed their behaviors such as drug resistance, mobility and invasiveness. On average, the recovered HepG2 cell clones were found to be 46% more resistant to ethanol and 84% higher in mobility. The recovered clones became 58.2% more sensitive to 5-fluorouracil.CONCLUSIONS: HepG2 cells can recover from ethanolinduced apoptotic event. These cells became more resistant to ethanol and more invasive. Although the recovered cell clones were more resistant to ethanol, they became more sensitive to5-fluorouracil treatment. 展开更多
关键词 癌症复发 APOPTOSIS 恢复 肝癌症 经皮的乙醇注射 5 氟尿嘧啶
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Complete genome sequence of a Rodent Torque teno virus in Hainan Island, China and establishment of a real-time PCR for detecting Rodent Torque teno virus 3
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作者 Yue Wu shan-shan wang +12 位作者 Wen-Qi wang Huan-Huan Zhou Jin-Long Chen Yu-Fang Yi Tian-Ming Ma Xiu-Ji Cui Yi Huang Gao-Yu wang Ruo-Yan Peng Xiao-Yuan Hu Chang-Hua He Gang Lu Fei-Fei Yin 《Journal of Hainan Medical University》 2019年第4期1-6,共6页
Objective:To perform whole-genome sequencing and phylogenetic analysis of the local endemic strain of Rodent Torque teno virus (RoTTV), RoTTV3-HMU1, found in Rattus norvegicus, Haikou City, Hainan Province, and establ... Objective:To perform whole-genome sequencing and phylogenetic analysis of the local endemic strain of Rodent Torque teno virus (RoTTV), RoTTV3-HMU1, found in Rattus norvegicus, Haikou City, Hainan Province, and establish a SYBR Green I based real-time PCR detection assay for RoTTV3.Methods: Based on the high-throughput genome sequencing analysis, specific primers were designed and the whole genome sequence was amplified by PCR and Sanger sequencing. Specific detection primers were designed based on the conserved sequences of RoTTV3. The recombinant plasmid contained the whole genome of RoTTV3-HMU1 was constructed as a standard control. The experimental conditions were optimized and the real-time PCR detection assay of RoTTV3 was established.Results: The genomic sequence of RoTTV carried by Rattus norvegicus in Haikou City was successfully sequenced. Phylogenetic analysis indicated that the virus belongs to the RoTTV3 genotype. In this experiment, the real-time PCR detection method of RoTTV3 was established. The standard curve generated had a wide dynamic range from 1×(102-108) copies/μL, with a linear correlation (R2=1.000). The melting curve analysis using SYBR Green showed only one specific melting peak and no primer-dimmers represented. The detection limit was 100 copies/reaction.Discussion: This study was the first report of the RoTTV in Hainan Islands, and its phylogenetic analysis was of great significance to the origin and evolution of RoTTV. The RoTTV3 real-time PCR detection method established in this experiment has a high sensitivity and good specificity, which lays a technical foundation for the epidemiological investigation of RoTTV3. 展开更多
关键词 RODENT TORQUE teno virus WHOLE-GENOME SEQUENCING Real-time PCR detection ASSAY
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