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Estimation of the actual disease burden of human H7N9 infection in Jiangsu of eastern China from March 2013 to September 2017
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作者 Haodi Huang wang ma +6 位作者 Ke Xu Keith Dear Huiyan Yu Xian Qi Changjun Bao Minghao Zhou Xiang Huo 《The Journal of Biomedical Research》 CAS CSCD 2019年第5期325-332,共8页
The actual incidence of human H7N9 infection is supposed to be much higher than the documented laboratoryconfirmed cases.In this study,we estimated the number of the actual H7N9 cases in Jiangsu,China using a probabil... The actual incidence of human H7N9 infection is supposed to be much higher than the documented laboratoryconfirmed cases.In this study,we estimated the number of the actual H7N9 cases in Jiangsu,China using a probabilistic multiplier model.Then,disability adjusted life years(DALYs),direct and indirect economic loss caused by this disease were calculated and analyzed.Till September 2017,the estimated total number of H7N9 cases was 2952[median,90%probability range(PR):1487-22094],which was 11.8 times(5.9-88.4)as large as the reported number.The median morbidity was estimated to be 4(90%PR:2-29)per 100000 population.The total DALYs loss was 16548 years,and the total economic loss(direct and indirect)was estimated to be RMB 1044618758(US$16.7 M).The average economic loss for per case and for per year was RMB 353868(US$56440)and RMB 232137502(US$37.0 M),respectively.The actual burden of human H7N9 infections was much heavier than what was documented.Our study provided an approach to estimate actual burden of infectious diseases using laboratory-confirmation. 展开更多
关键词 AVIAN INFLUENZA H7N9 DISABILITY adjusted life years BURDEN of disease probabilistic MULTIPLIER model
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一期支架外固定联合二期髓内钉固定治疗胫骨干开放性骨折的疗效分析 被引量:9
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作者 万马 高田田 徐苏洋 《临床外科杂志》 2018年第1期54-57,共4页
目的探讨一期支架外固定联合二期髓内钉固定在胫骨干开放性骨折中的应用效果。方法胫骨干开放性骨折病人80例。根据治疗方式不同分为观察组和对照组,每组各40例。观察组一期采用支架外固定,二期采用髓内钉固定;对照组一期采用髓内钉固... 目的探讨一期支架外固定联合二期髓内钉固定在胫骨干开放性骨折中的应用效果。方法胫骨干开放性骨折病人80例。根据治疗方式不同分为观察组和对照组,每组各40例。观察组一期采用支架外固定,二期采用髓内钉固定;对照组一期采用髓内钉固定。比较两组病人手术一般情况、骨折复位、愈合情况和Rasmussen评分,比较两组病人术后第1天和7天时的周径差和疼痛程度。结果观察组、对照组手术优良率分别为95.0%和80.0%,两组比较差异有统计学意义(P<0.05);术后1天两组周径差分别为(5.41±1.02)cm和(5.38±0.97)cm,疼痛程度分别为(7.47±1.23)和(7.44±1.08),两组比较差异均无统计学意义(P>0.05);观察组、对照组术后7天周径差分别为(1.13±0.35)cm和(2.54±0.67)cm,疼痛程度分别为(2.34±0.76)和3.59±0.88,两组比较差异均有统计学意义(P<0.05);两组病人术后1个月的Rasmussen评分分别为(15.25±2.03和(15.28±2.11,两组比较差异无统计学意义(P>0.05),观察组术后3个月和术后6个月的Rasmussen评分分别为(20.75±3.05)和(27.35±3.78),对照组分别为(18.34±3.02)和(23.71±3.64),两组比较差异均有统计学意义(P<0.05);观察组切口愈合时间和骨痂出现时间分别为(15.67±3.08)天和(4.15±0.98)周,对照组分别为(18.25±3.13)天和(5.82±1.01)周,两组比较差异均有统计学意义(P<0.05)。结论一期支架外固定联合二期髓内钉固定在胫骨干开放性骨折中有较好的治疗效果。 展开更多
关键词 胫骨干骨折 支架外固定髓内钉固定 疼痛 膝关节
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腹腔热灌注化疗对胃癌腹膜转移患者的临床疗效及免疫功能和预后的影响 被引量:2
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作者 张永玺 马望 吴志宏 《世界华人消化杂志》 CAS 2018年第32期1893-1900,共8页
目的探讨腹腔热灌注化疗对胃癌(gastric cancer, GC)腹膜转移患者的临床疗效及免疫功能和预后的影响.方法回顾性分析2010-06/2013-03期间郑州大学第一附属医院收治的113例GC腹膜转移患者,按治疗方法不同分为观察组和对照组,观察组54例,... 目的探讨腹腔热灌注化疗对胃癌(gastric cancer, GC)腹膜转移患者的临床疗效及免疫功能和预后的影响.方法回顾性分析2010-06/2013-03期间郑州大学第一附属医院收治的113例GC腹膜转移患者,按治疗方法不同分为观察组和对照组,观察组54例,对照组59例.对照组患者采用常规静脉化疗进行治疗,观察组患者采用腹腔热灌注化疗进行治疗.比较治疗6 mo后两组患者的临床疗效、复发转移相关指标、肿瘤标志物、T淋巴细胞亚群、生存质量及化疗后不良反应发生的情况.结果观察组总有效率和疾病控制率均显著高于对照组,差异有统计学意义(P <0.05).血清糖链抗原199(carbohydrateantigen199,CA199)、CA724和癌胚抗原(carcino embryonic antigen, CEA)的水平均明显低于对照组患者,差异具有统计学意义(P <0.05).治疗后观察组患者血清血管内皮生长因子(vascular endothelial growth factor, VEGF)、骨桥蛋白(osteopontin, OPN)、可溶性凋亡因子(soluble apoptoticfactor,sFas)和基质金属蛋白酶-9(matrix metalloproteinase-9,MMP-9)水平均显著低于对照组,差异有统计学意义(P <0.05).治疗后观察组外周血CD3^+、CD4^+、CD4^+/CD8^+、B细胞均显著高于对照组,而CD8^+和NK细胞显著低于对照组,差异均有统计学意义(P<0.05).观察组患者治疗后的KPS评分改善情况、2年复发率、3年生存率和5年生存率均显著优于对照组患者,差异均有统计学意义(P <0.05).两组患者化疗后的不良反应发生率无统计学差异(P>0.05).结论腹腔热灌注化疗能提高GC患者化疗的临床疗效,更好地控制肿瘤标志物和复发转移相关指标,改善患者的免疫功能和患者生存质量,而不增加不良反应的发生,值得在临床上进一步推广应用. 展开更多
关键词 腹腔热灌注化疗 疗效 胃癌 复发转移 免疫功能
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Relationship between expression of EGFR in gastric cancer tissue and clinicopathological features 被引量:20
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作者 Ming Gao Xiu-Ju Liang +3 位作者 Zi-Sen Zhang wang ma Zhi-Wei Chang Ming-Zhi Zhang 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2013年第4期260-264,共5页
Objective:To investigate the relationship between the expression of epidermal growth factor receptor(ECFR) in gastric cancer and the clinicopalhological features and prognosis. Methods:A total of 78 paraffin specimens... Objective:To investigate the relationship between the expression of epidermal growth factor receptor(ECFR) in gastric cancer and the clinicopalhological features and prognosis. Methods:A total of 78 paraffin specimens of gastric cancer operation were collected.The immunohistochemical method was used to detect the expression of ECFR in 78 cases of gastric cancer and 20 cases of adjacent normal tissue.The relationship between the high expression of ECFR and clinicopathological features was analyzed.Results:ECFR positive expression rate in the 78 cases of gastric cancer tissue was 57.7%(43/78),while ECFR was not expressed in 20 cases of adjacent normal tissue.The high ECFR expression was positively correlated with the position of gastric cancer,tumor size,cell differentiation,invasive depth,lymph node metastasis and TNM staging,yet having no obvious relation with gender or age.Conclusions:ECFR expression level in gastric cancer is closely related to the incidence and development of gastric cancer,which can provide a theoretical basis for the targeted therapy for gastric cancer with ECFR as the target. 展开更多
关键词 GASTRIC cancer EGFR TARGETED THERAPY CLINICOPATHOLOGICAL features
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蝙蝠声音信号功能研究进展 被引量:1
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作者 李成容 罗波 +1 位作者 王漫 冯江 《四川动物》 北大核心 2018年第6期710-720,共11页
声音信号介导动物的资源竞争、配偶选择及反捕食等系列生活史事件,对维持动物种群稳定与群落平衡至关重要。蝙蝠占据夜空生态位,视觉退化,听觉发达,一直被视为声学研究的模式生物。本文围绕蝙蝠回声定位声波与交流声波的功能,综述当前... 声音信号介导动物的资源竞争、配偶选择及反捕食等系列生活史事件,对维持动物种群稳定与群落平衡至关重要。蝙蝠占据夜空生态位,视觉退化,听觉发达,一直被视为声学研究的模式生物。本文围绕蝙蝠回声定位声波与交流声波的功能,综述当前研究现状,展望未来发展方向。纵观已有研究,蝙蝠回声定位声波具有多重功能,包括空间导航与猎物探测、水体与植被识别、协调觅食活动及传递交流信息。蝙蝠利用交流声波从事社群活动,包括社群联系、资源防御、繁殖活动及求救呼叫。绝大多数研究关注蝙蝠回声定位声波的功能,有关蝙蝠交流声波的功能近年才引起重视。未来工作有待进一步探究蝙蝠声音信号产生的影响机制。 展开更多
关键词 蝙蝠 回声定位声波 交流声波 功能 生态适应
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中国沉积岩容矿铅锌矿床中的关键金属 被引量:11
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作者 刘英超 侯增谦 +2 位作者 岳龙龙 马旺 唐波浪 《科学通报》 EI CAS CSCD 北大核心 2022年第4期406-424,共19页
沉积岩容矿铅锌矿床主要包括碎屑岩赋矿(clastic-dominated,CD)矿床和密西西比河谷型(Mississippi-Valley type,MVT)矿床两种,它是世界上Cd、Ga、Ge等关键金属的重要来源,并具有In、Co、Tl的资源潜力.中国沉积岩容矿铅锌矿床主要分布在... 沉积岩容矿铅锌矿床主要包括碎屑岩赋矿(clastic-dominated,CD)矿床和密西西比河谷型(Mississippi-Valley type,MVT)矿床两种,它是世界上Cd、Ga、Ge等关键金属的重要来源,并具有In、Co、Tl的资源潜力.中国沉积岩容矿铅锌矿床主要分布在5个成矿区/带,提供了全国54%的铅锌用量,但其伴生关键金属的资源潜力和成矿机制尚不清楚.本文在综述沉积岩容矿铅锌矿床中伴生的主要关键金属和中国沉积岩容矿铅锌矿床的基础上,详细总结了中国沉积岩容矿铅锌矿床中关键金属的分布特征和富集机制.各类关键金属元素在中国沉积岩容矿铅锌矿床中分布不均,相对地壳丰度,Cd、Ge、In最为富集,Tl、Co有一定富集,Ga的富集程度较低;从矿床类型上来看,Cd、Ga、Ge、Tl在中国MVT矿床中相对富集,In、Co在CD矿床中相对富集;从区域分布上来看,不同元素的富集区带差异很大,除Cd在5个成矿区/带都有较好富集外,其他金属在三江带、扬子地台、厂坝成矿带出现不同程度富集.总结发现,沉积岩容矿铅锌矿床对所富集关键金属的种类具选择性,而关键金属在该类矿床中的富集程度也具差异性.前者主要由关键金属元素同矿床中相关矿物组成元素(主要为Zn和Fe)的地球化学相似性导致,后者则由关键金属进入赋存矿物的替代形式、成矿流体的物理化学条件、成矿背景导致.目前,中国沉积岩容矿铅锌矿床伴生关键金属的研究尚处于起步阶段,建立相关资源数据库,深入开展富集成矿机制研究,厘定不同铅锌成矿区/带关键金属的区域成矿规律是亟须开展的工作. 展开更多
关键词 沉积岩容矿铅锌矿床 密西西比河谷型(MVT)铅锌矿床 碎屑岩赋矿(CD)铅锌矿床 关键金属
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Palynological constraints on the age of the Mississippi Valley-type Changdong Pb-Zn deposit,Sanjiang belt,West China 被引量:2
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作者 Yingchao LIU Yucai SONG +5 位作者 Zengqian HOU Dangpeng XI Suping LI Longlong YUE wang ma Bolang TANG 《Science China Earth Sciences》 SCIE EI CSCD 2022年第1期167-181,共15页
Mississippi Valley-type(MVT)Pb-Zn deposits serve as the world’s major supply of Pb-Zn resources.However,the age constraint of MVT Pb-Zn deposits has long been a big challenge,due to the lack of minerals that are uneq... Mississippi Valley-type(MVT)Pb-Zn deposits serve as the world’s major supply of Pb-Zn resources.However,the age constraint of MVT Pb-Zn deposits has long been a big challenge,due to the lack of minerals that are unequivocally related to ore deposition and that can be used for radioisotopic dating.Here we show sporopollens can provide useful chronological information on the Changdong MVT Pb-Zn deposit in the Simao basin,Sanjiang belt,West China.The Pb-Zn ores in the Changdong deposit are hosted by internal sediments in paleo-karst caves of meteoric origin.Sphalerite and galena occur as replacements of carbonate minerals and void infillings in the internal sediments.The relations suggest that the Pb-Zn mineralization occurred after the deposition of the internal sediments.A palynological assemblage mainly composed of angiosperm pollen dominated by Castanea,Quercus,and Carya and fern spores dominated by Polypodiaceae,Pteris,and Athyriaceae was identified.These pollen and spores place the ore-hosting internal sediments and the Changdong paleo-karst at early to middle Oligocene.Consequently,the Changdong Pb-Zn deposit must have formed after the early Oligocene(~34 Ma).These age constraints,together with the geological characteristics,indicate that the Changdong Pb-Zn deposit is a paleo-karst-controlled MVT deposit related to fold-thrust systems in the Sanjiang belt.The Changdong deposit is similar to other MVT Pb-Zn deposits in the northern part of the Sanjiang belt,making it possible to extend this Pb-Zn belt 500 km further to the South.Results presented here highlights the potential of sporopollens in dating the age of MVT deposits related to paleo-karst formation in young orogenic belts. 展开更多
关键词 Mississippi Valley-type(MVT)Pb-Zn deposits Age constraint PALYNOMORPHS Internal sediments Paleo-karst Changdong deposit Sanjiang fold-thrust belt
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Multi-objective Dynamic Reconfiguration for Urban Distribution Network Considering Multi-level Switching Modes 被引量:2
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作者 Hongjun Gao wang ma +5 位作者 Yingmeng Xiang Zao Tang Xiandong Xu Hongjin Pan Fan Zhang Junyong Liu 《Journal of Modern Power Systems and Clean Energy》 SCIE EI CSCD 2022年第5期1241-1255,共15页
The increasing integration of photovoltaic generators(PVGs) and the uneven economic development in different regions may cause the unbalanced spatial-temporal distribution of load demands in an urban distribution netw... The increasing integration of photovoltaic generators(PVGs) and the uneven economic development in different regions may cause the unbalanced spatial-temporal distribution of load demands in an urban distribution network(UDN). This may lead to undesired consequences, including PVG curtailment, load shedding, and equipment inefficiency, etc. Global dynamic reconfiguration provides a promising method to solve those challenges. However, the power flow transfer capabilities for different kinds of switches are diverse, and the willingness of distribution system operators(DSOs) to select them is also different. In this paper, we formulate a multi-objective dynamic reconfiguration optimization model suitable for multi-level switching modes to minimize the operation cost, load imbalance, and the PVG curtailment. The multi-level switching includes feeder-level switching, transformer-level switching, and substation-level switching. A novel load balancing index is devised to quantify the global load balancing degree at different levels. Then, a stochastic programming model based on selected scenarios is established to address the uncertainties of PVGs and loads. Afterward, the fuzzy c-means(FCMs) clustering is applied to divide the time periods of reconfiguration. Furthermore, the modified binary particle swarm optimization(BPSO)and Cplex solver are combined to solve the proposed mixed-integer second-order cone programming(MISOCP) model. Numerical results based on the 148-node and 297-node systems are obtained to validate the effectiveness of the proposed method. 展开更多
关键词 Binary particle swarm optimization(BPSO) dynamic reconfiguration multi-level switching mixed-integer second-order cone programming(MISOCP) urban distribution network(UDN)
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