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托珠单抗治疗COVID-19导致继发感染风险的Meta分析
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作者 罗娅 余彦廷 +1 位作者 张雪 王重娟 《昆明医科大学学报》 CAS 2024年第2期57-64,共8页
目的通过Meta分析评估托珠单抗(tocilizumab,TCZ)治疗新型冠状病毒感染(corona virus disease2019,COVID-19)导致的继发感染风险,为托珠单抗在COVID-19患者中应用的安全性提供循证依据。方法在The Cochrane Library、PubMed、Web of Sci... 目的通过Meta分析评估托珠单抗(tocilizumab,TCZ)治疗新型冠状病毒感染(corona virus disease2019,COVID-19)导致的继发感染风险,为托珠单抗在COVID-19患者中应用的安全性提供循证依据。方法在The Cochrane Library、PubMed、Web of Science、中国知网、中国生物医学文献数据库以及万方数据库中检索了2019年12月19日至2022年12月30日期间使用托珠单抗治疗COVID-19患者的相关研究,筛选并提取文献中发生继发感染的数据,利用RevMan 5.4.1进行Meta分析。结果共筛选了1691篇参考文献,纳入18项研究,涉及3933名患者。托珠单抗+标准治疗组继发感染发生率为19.14%(331/1729),标准治疗组继发感染发生率为12.11%(267/2204)。Meta分析结果显示,托珠单抗+标准治疗组继发感染发生率高于标准治疗组[RR=1.35,95%CI(1.05,1.74),P=0.02]。亚组分析显示,使用不同剂量的托珠单抗发生继发感染的风险不同。托珠单抗给药剂量为400~800 mg/d的亚组继发感染发生率明显高于标准治疗组,差异具有统计学意义[RR=1.48,95%CI(1.19,1.84),P=0.0004];≤400 mg/d继发感染发生率也显著高于标准治疗组,差异具有统计学意义[RR=1.87,95%CI(1.28,2.72),P=0.001];托珠单抗给药剂量为6~8 mg/kg亚组与标准治疗组比较差异无统计学意义。结论与标准治疗相比,托珠单抗可能增加COVID-19患者发生继发感染的风险,临床给药前应仔细评估使用托珠单抗治疗的利益和风险。但是,目前仍需要更多大样本、高质量的研究来进一步评估。 展开更多
关键词 托珠单抗 COVID-19 继发感染 META分析
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Nitrogen‑Doped Magnetic‑Dielectric‑Carbon Aerogel for High‑Efficiency Electromagnetic Wave Absorption
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作者 Shijie Wang xue zhang +5 位作者 Shuyan Hao Jing Qiao Zhou Wang Lili Wu Jiurong Liu Fenglong Wang 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第1期313-327,共15页
Carbonbased aerogels derived from biomass chitosan are encountering a flourishing moment in electromagnetic protection on account of lightweight,controllable fabrication and versatility.Nevertheless,developing a facil... Carbonbased aerogels derived from biomass chitosan are encountering a flourishing moment in electromagnetic protection on account of lightweight,controllable fabrication and versatility.Nevertheless,developing a facile construction method of component design with carbon-based aerogels for high-efficiency electromagnetic wave absorption(EWA)materials with a broad effective absorption bandwidth(EAB)and strong absorption yet hits some snags.Herein,the nitrogen-doped magnetic-dielectric-carbon aerogel was obtained via ice template method followed by carbonization treatment,homogeneous and abundant nickel(Ni)and manganese oxide(MnO)particles in situ grew on the carbon aerogels.Thanks to the optimization of impedance matching of dielectric/magnetic components to carbon aerogels,the nitrogen-doped magnetic-dielectric-carbon aerogel(Ni/MnO-CA)suggests a praiseworthy EWA performance,with an ultra-wide EAB of 7.36 GHz and a minimum reflection loss(RLmin)of−64.09 dB,while achieving a specific reflection loss of−253.32 dB mm−1.Furthermore,the aerogel reveals excellent radar stealth,infrared stealth,and thermal management capabilities.Hence,the high-performance,easy fabricated and multifunctional nickel/manganese oxide/carbon aerogels have broad application aspects for electromagnetic protection,electronic devices and aerospace. 展开更多
关键词 Electromagnetic wave absorption Wide bandwidth Dielectric-magnetic synergy MULTIFUNCTION
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Response optimization of a three-axis sensitive SERF magnetometer for closed-loop operation
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作者 周原锐 孙永泽 +3 位作者 汪茜茜 秦佳男 张雪 王言章 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第2期291-297,共7页
Most triaxial-vectorial magnetic field measurements with spin-exchange relaxation free(SERF)atomic magnetometer(AM)are based on the quasi-steady-state solution of the Bloch equation.However,the responding speed of the... Most triaxial-vectorial magnetic field measurements with spin-exchange relaxation free(SERF)atomic magnetometer(AM)are based on the quasi-steady-state solution of the Bloch equation.However,the responding speed of these methods is greatly limited because the frequency of the modulation signal should be slow enough to ensure the validity of the quasi-steady-state solution.In this work,a new model to describe the response of the three-axis sensitive SERF AM with high modulation frequency is presented and verified.The response of alkali-atomic spin to high-frequency modulation field is further investigated by solving the Bloch equation in a modulation-frequency-dependence manner.This solution is well verified by our experiments and can offer a reference for selection of modulation frequencies.The result shows a potential to achieve a SERF AM operating in a geomagnetic field without heavy aluminum shielding when the modulation frequencies are selected properly. 展开更多
关键词 triaxial-vectorial magnetic field measurement spin-exchange relaxation free atomic magnetometer
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Time-sequential color code division multiplexing holographic display with metasurface 被引量:5
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作者 Xin Li Qinmiao Chen +4 位作者 xue zhang Ruizhe Zhao Shumin Xiao Yongtian Wang Lingling Huang 《Opto-Electronic Advances》 SCIE EI CAS CSCD 2023年第8期8-16,共9页
Color metasurface holograms are powerful and versatile platforms for modulating the amplitude,phase,polarization,and other properties of light at multiple operating wavelengths.However,the current color metasurface ho... Color metasurface holograms are powerful and versatile platforms for modulating the amplitude,phase,polarization,and other properties of light at multiple operating wavelengths.However,the current color metasurface holography can only realize static manipulation.In this study,we propose and demonstrate a multiplexing metasurface technique combined with multiwavelength code-division multiplexing(CDM)to realize dynamic manipulation.Multicolor code references are utilized to record information within a single metasurface and increase the information capacity and security for anticracks.A total of 48 monochrome images consisting of pure color characters and multilevel color video frames were reconstructed in dual polarization channels of the birefringent metasurface to exhibit high information density,and a video was displayed via sequential illumination of the corresponding code patterns to verify the ability of dynamic manipulation.Our approach demonstrates significant application potential in optical data storage,optical encryption,multiwavelengthversatile diffractive optical elements,and stimulated emission depletion microscopy. 展开更多
关键词 metasurface color holography dynamic display code division multiplexing
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Defining honeybee subspecies in an evolutionary context warrants strategized conservation 被引量:1
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作者 Lifei Qiu Jiangxing Dong +12 位作者 Xingan Li Sajad HParey Ken Tan Michael Orr Aquib Majeed xue zhang Shiqi Luo Xuguo Zhou Chaodong Zhu Ting Ji Qingsheng Niu Shanlin Liu Xin Zhou 《Zoological Research》 SCIE CAS CSCD 2023年第3期483-493,共11页
Despite the urgent need for conservation consideration,strategic action plans for the preservation of the Asian honeybee,Apis cerana Fabricius,1793,remain lacking.Both the convergent and divergent adaptations of this ... Despite the urgent need for conservation consideration,strategic action plans for the preservation of the Asian honeybee,Apis cerana Fabricius,1793,remain lacking.Both the convergent and divergent adaptations of this widespread insect have led to confusing phenotypical traits and inconsistent infraspecific taxonomy.Unclear subspecies boundaries pose a significant challenge to honeybee conservation efforts,as it is difficult to effectively prioritize conservation targets without a clear understanding of subspecies identities.Here,we investigated genome variations in 362 worker bees representing almost all populations of mainland A.cerana to understand how evolution has shaped its population structure.Whole-genome single nucleotide polymorphisms(SNPs)based on nuclear sequences revealed eight putative subspecies,with all seven peripheral subspecies exhibiting mutually exclusive monophyly and distinct genetic divergence from the widespread central subspecies.Our results demonstrated that most classic morphological traits,including body size,were related to the climatic variables of the local habitats and did not reflect the true evolutionary history of the organism.Thus,such morphological traits were not suitable for subspecific delineation.Conversely,wing vein characters showed relative independence to the environment and supported the subspecies boundaries inferred from nuclear genomes.Mitochondrial phylogeny further indicated that the present subspecies structure was a result of multiple waves of population divergence from a common ancestor.Based on our findings,we propose that criteria for subspecies delineation should be based on evolutionary independence,trait distinction,and geographic isolation.We formally defined and described eight subspecies of mainland A.cerana.Elucidation of the evolutionary history and subspecies boundaries enables a customized conservation strategy for both widespread and endemic honeybee conservation units,guiding colony introduction and breeding. 展开更多
关键词 Apis cerana Integrative taxonomy Species concept Pollinator insect Centrifugal diversification Morphology Genomics
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Middle Eocene terrestrial paleoweathering and climate evolution in the midlatitude Bohai Bay Basin of eastern China
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作者 Di Chen Fu-jie Jiang +8 位作者 Xiong-Qi Pang Ling-Jian Meng Zheng-Jun Wang Zhi Xu xue zhang Li-Na Huo Jia-Hao Wen Ren-jie zhao Yuan Li 《Petroleum Science》 SCIE EI CAS CSCD 2023年第3期1471-1487,共17页
The middle Eocene climatic optimum(MECO,ca.-42 Ma)is a key time period for understanding Cenozoic cooling of the global climate.Still,midlatitude terrestrial records of climate evolution during MEcO epoch are rare.In ... The middle Eocene climatic optimum(MECO,ca.-42 Ma)is a key time period for understanding Cenozoic cooling of the global climate.Still,midlatitude terrestrial records of climate evolution during MEcO epoch are rare.In this study,continuous high-resolution record of shale sediments in mid-Eocene Shahejie Formation(MES shales)in the Bohai Bay Basin were performed with major-element and wavelet analysis.The midlatitude paleoweathering and paleoclimatic evolution during MEcO epoch were analyzed in this study.The MES shales experienced weak-moderate paleoweathering under a subtropical monsoon paleoclimate with mean annual temperature of 8.3-12.9℃ and mean annual precipitation of 685-1100 mm/yr.The MES shales record a mixed provenance involving intermediate igneous rocks,and low compositional maturity.The nutrient-rich environment led to enrichment in organic matter in the MES shales.Wavelet analysis revealed good periodicity about the paleoclimate and weathering during MECO epoch.In the stage I of MES shales depositional process,the paleolake was high in nutrients,and the MES shales experienced high chemical weathering due to a relatively warmer and more humid climate.In contrast,the climate in stage II was relatively cold and dry,and the maturity of the MES shales was relatively high during this stage,suggesting a relatively stable tectonic background.This work provides more terrestrial records of MEco epoch for midlatitude region,and is benefit for better understanding of the palaeoenvironment when MES shales formed.The implication of organic matters enrichment in this study is meaningful for the shale oil/gas exploration in Nanpu Sag. 展开更多
关键词 Middle Eocene PALEOCLIMATE WEATHERING MES shales Bohai Bay Basin
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Sarcopenia and gut microbiota alterations in patients with hematological diseases before and after hematopoietic stem cell transplantation
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作者 Boshi Wang Wei Hu +4 位作者 xue zhang Yanchao Cao Lin Shao Xiaodong Xu Peng Liu 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2023年第4期386-398,共13页
Objective: The aim of this study was to investigate the prevalence of sarcopenia(SP) and its relationship with gut microbiota alterations in patients with hematological diseases before and after hematopoietic stem cel... Objective: The aim of this study was to investigate the prevalence of sarcopenia(SP) and its relationship with gut microbiota alterations in patients with hematological diseases before and after hematopoietic stem cell transplantation(HSCT).Methods: A total of 108 patients with various hematological disorders were selected from Peking University People’s Hospital. SP was screened and diagnosed based on the 2019 Asian Sarcopenia Diagnosis Strategy. Physical measurements and fecal samples were collected, and 16S rRNA gene sequencing was conducted. Alpha and beta diversity analyses were performed to evaluate gut microbiota composition and diversity.Results: After HSCT, significant decreases in calf circumference and body mass index(BMI) were observed,accompanied by a decline in physical function. Gut microbiota analyses revealed significant differences in the relative abundance of Enterococcus, Bacteroides, Blautia and Dorea species before and after HSCT(P<0.05). Before HSCT, sarcopenic patients had lower Dorea levels and higher Phascolarctobacterium levels than non-sarcopenia patients(P<0.01). After HSCT, no significant differences in species abundance were observed. Alpha diversity analysis showed significant differences in species diversity among the groups, with the highest diversity in the postHSCT 90-day group and the lowest in the post-HSCT 30-day group. Beta diversity analysis revealed significant differences in species composition between pre-and post-HSCT time points but not between SP groups. Linear discriminant analysis effect size(LEfSe) identified Alistipes, Rikenellaceae, Alistipes putredinis, Prevotellaceae defectiva and Blautia coccoides as biomarkers for the pre-HSCT sarcopenia group. Functional predictions showed significant differences in anaerobic, biofilm-forming and oxidative stress-tolerant functions among the groups(P<0.05).Conclusions: This study demonstrated a significant decline in physical function after HSCT and identified potential gut microbiota biomarkers and functional alterations associated with SP in patients with hematological disorders. Further research is needed to explore the underlying mechanisms and potential therapeutic targets. 展开更多
关键词 SARCOPENIA hematological diseases hematopoietic stem cell transplantation gut microbiota 16S rRNA gene sequencing
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Tumor microenvironment-responsive artesunate loaded Z-scheme heterostructures for synergistic photo-chemodynamic therapy of hypoxic tumor
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作者 Jie Lv Xiaoyu Wang +4 位作者 xue zhang Runpei Xu Shuyang Hu Shuangling Wang Meng Li 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2023年第3期37-48,共12页
Tumor microenvironment(TME)with the particular features of severe hypoxia,insufficient endogenous H2O2,and overexpression of glutathione(GSH)markedly reduced the antitumor efficacy of monotherapy.Herein,a TME-responsi... Tumor microenvironment(TME)with the particular features of severe hypoxia,insufficient endogenous H2O2,and overexpression of glutathione(GSH)markedly reduced the antitumor efficacy of monotherapy.Herein,a TME-responsive multifunctional nanoplatform(Bi2S3@Bi@PDA-HA/Art NRs)was presented for synergistic photothermal therapy(PTT),chemodynamic therapy(CDT),and photodynamic therapy(PDT)to achieve better therapeutic outcomes.The Z-scheme heterostructured bismuth sulfide@bismuth nanorods(Bi2S3@Bi NRs)guaranteed excellent photothermal performance of the nanoplatform.Moreover,its ability to produce O2 and reactive oxygen species(ROS)synchronously could relieve tumor hypoxia and improve PDT outcomes.The densely coated polydopamine/ammonium bicarbonate(PDA/ABC)and hyaluronic acid(HA)layers on the surface of the nanoplatform enhanced the cancer-targeting capacity and induced the acidic TME-triggered in situ“bomb-like”release of Art.The CDT treatment was achieved by activating the released Art through intracellular Fe2+ions in an H2O2-independent manner.Furthermore,decreasing the glutathione peroxidase 4(GPX4)levels by Art could also increase the PDT efficiency of Bi2S3@Bi NRs.Owing to the synergistic effect,this nanoplatform displayed improved antitumor efficacy with minimal toxicity both in vitro and in vivo.Our design sheds light on the application of phototherapy combined with the traditional Chinese medicine monomer-artesunate in treating the hypoxic tumor. 展开更多
关键词 Hypoxia Z-scheme heterostructure ARTESUNATE Tumor microenvironment Glutathione peroxidase 4 Synergistic therapy
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Interaction between MAPKs and MKPs in hexaploid chrysanthemum illuminates functional paralogue diversification in polyploids
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作者 Qi Yu Luyao zhang +9 位作者 Daojin Sun Yueheng Hu Peiling Li xue zhang Lian Ding Lijie Zhou Zhiyong Guan Weimin Fang Fadi Chen Aiping Song 《Horticultural Plant Journal》 SCIE CAS CSCD 2023年第1期158-168,共11页
Mitogen-activated protein kinases(MAPKs,also known as MPKs)regulate diverse cellular and physiological functions,and dual-specificity MAPK phosphatases(MKPs)modulate MAPK signalling through MAPK dephosphorylation and ... Mitogen-activated protein kinases(MAPKs,also known as MPKs)regulate diverse cellular and physiological functions,and dual-specificity MAPK phosphatases(MKPs)modulate MAPK signalling through MAPK dephosphorylation and inactivation.Due to lacking of overall understanding for the regulatory networks between Chrysanthemum morifolium MKPs(CmMKPs)and C.morifolium MAPKs(CmMPKs),we systematically studied the interactions between four groups of CmMPKs and eight identified CmMKPs in chrysanthemum and found that the interaction between the specific CmMKP and the specific CmMPK differed from those in other plants.Furthermore,the expression of CmMKP1 and CmMKP1-LIKE1showed opposite trends during the development of chrysanthemum flower buds under salt treatment and Alternaria alternata inoculation,but these genes could interact with the same CmMPKs,providing insight into the subfunctionalization of paralogues.Amino acid variations(M87V,T277P and V6L)in dual-specificity protein phosphatases(DsPTP1)-LIKE1/2/3 changed the interactions of these proteins with the four CmMPK groups in chrysanthemum,providing evidence for the de/neofunctionalization of paralogues in polyploids,suggesting that we can identify the key functional sites of proteins by studying polyploid paralogues. 展开更多
关键词 CHRYSANTHEMUM Evolution MAPK MKP Protein structure Yeast two-hybrid
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Comparative analysis of physicochemical properties,ginsenosides content andα-amylase inhibitory effects in white ginseng and red ginsen
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作者 Huairui Wang Yao Cheng +2 位作者 xue zhang Yingping Wang Hui Zhao 《Food Science and Human Wellness》 SCIE CSCD 2023年第1期14-27,共14页
Ginseng(Panax ginseng C.A.Meyer)as a common dietary adjunct is widely applied in Traditional Chinese Medicine due to its health-promoting properties,but the differences between white ginseng and red ginseng was rarely... Ginseng(Panax ginseng C.A.Meyer)as a common dietary adjunct is widely applied in Traditional Chinese Medicine due to its health-promoting properties,but the differences between white ginseng and red ginseng was rarely studied.In the present study,color parameters and scanning electron microscope(SEM)were determined to evaluate the differences of ginseng color and microstructure induced by processing procedure.Quantitative analysis of multi-components by a single-marker(QAMS)method and anti-α-amylase activity test were used to assess variations of chemical ingredients and pharmacological activity between white and red ginseng.Finally,molecular docking studies were carried out to screen out the most effective compound againstα-amylase.Results indicated that processing had a significant impact on the physicochemical properties and pharmacological activity of white and red ginseng.After processing,the color value of L*declined significantly.Red ginseng sample displayed a compact structure and presented of a gel layer on the surface compared to white ginseng.Additionally,the content of ginsenosides and the activity of anti-α-amylase decreased.The contents of total ginsenosides were positively correlated with the anti-α-amylase activities of ginseng,and ginsenoside Rb1 might be the most effective compound to inhibit the activity ofα-amylase. 展开更多
关键词 GINSENG Color Microstructure GINSENOSIDES Α-AMYLASE
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Recurrence risk factors of intravitreal ranibizumab monotherapy in retinopathy of prematurity:a retrospective study at one center
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作者 Feng-Yue Wu Wen-Ting Yu +3 位作者 Dai-Xin Zhao Wei Pu xue zhang Chun-Liu Gai 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第1期95-101,共7页
AIM:To identify risk factors of recurrence of this disorder after intravitreal ranibizumab(IVR)monotherapy.METHODS:Totally 33 eyes of 19 patients who underwent initial IVR treatments for type 1 retinopathy of prematur... AIM:To identify risk factors of recurrence of this disorder after intravitreal ranibizumab(IVR)monotherapy.METHODS:Totally 33 eyes of 19 patients who underwent initial IVR treatments for type 1 retinopathy of prematurity(ROP)at our center were retrospectively reviewed between April 1,2016 and December 31,2017.Patient demographics,the side of ROP,multiple gestations,Apgar scores,zone,stage,plus disease,postmenstrual age at injection,surfactant therapy,blood transfusion therapy,hemorrhage before IVR,hemorrhage after IVR,gestational diabetes mellitus,pregnancy-induced hypertension,anemia,intraventricular hemorrhage,sepsis,respiratory distress syndrome,carbohemia,and congenital heart defects were recorded.Adjusted hazard ratios(HRs)and 95%confidence intervals were determined after adjusting for potential confounders using multivariate proportional Cox regression.RESULTS:Of the 33 eyes,12(36.4%)had ROP recurrences 45.3(5.1,50.9)mo after initial IVR treatments.The independent risk factors for ROP recurrences were zone(ⅡvsⅠ,HR:0.056,P=0.003)and gestational diabetes mellitus(no vs yes,HR:0.095,P<0.001).The mean uncorrected visual acuity for four recurrence eyes was 0.46 logMAR(0.13,0.70)at 55.0(51.0,58.9)mo after the initial IVR treatment.The mean uncorrected visual acuity for 10 eyes without recurrence was 0.46 logMAR(0.19,0.63)at 48.0(43.8,58.4)mo after the initial IVR treatment.CONCLUSION:Two independent risk factors for type 1 ROP recurrence after IVR treatment involving zoneⅠand gestational diabetes mellitus are identified,and the mean uncorrected visual acuity is 0.46 logMAR at 51.0(44.0,58.9)mo.The findings of this study are important for followup management and for improving the visual function of ROP patients. 展开更多
关键词 retinopathy of prematurity RANIBIZUMAB RECURRENCE visual acuity refractive error
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B Class Floral Homeotic Genes are Involved in the Petal Identity and Flower Meristem Determinations in Chrysanthemum morifolium
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作者 Jiayou Liu Lian Ding +6 位作者 xue zhang Song Li Yunxiao Guan Diwen Jia Aiping Song Jiafu Jiang Fadi Chen 《Phyton-International Journal of Experimental Botany》 SCIE 2023年第2期311-331,共21页
Chrysanthemum morifolium,an ornamental crop with diverse forms of inflorescence,is a good model for studying flower development in Asteraceae.However,the genetic background is complex and the mechanisms of regulating ... Chrysanthemum morifolium,an ornamental crop with diverse forms of inflorescence,is a good model for studying flower development in Asteraceae.However,the genetic background is complex and the mechanisms of regulating flower development are still unclear.Here,we identified two natural mutant lines of chrysanthemum and named them M1 and M2 according to the severity of the phenotype.Both lines showed defects in petal identity,and the petals of the M1 line had a mild phenotype:partially loss of petal identity and conversion of petals into green,leaf-like organs.The M2 line had severe phenotypes:in addition to severe petal defects,secondary inflorescences were produced in the capitulum to replace the normal ray and disc florets,which indicated a transformation of a flower meristem into an inflorescence meristem.Transcriptome sequencing of WT and M2 inflorescences was performed and found altered expression of floral organ development A,B and E class genes,where B and E class genes were significantly down-regulated.qRT-PCR analysis in both M1 and M2 lines revealed that the expression of three chrysanthemum class B genes CmAP3.1,CmAP3.2 and CmPI,was negatively correlated with phenotypic severity.This suggests that class B genes in chrysanthemum not only have conserved functions in determining petal identity but also were involved in the determinacy of the flower meristem.This study provides insights into the functions of class B genes in flower development,and is informative for dissecting the molecular mechanisms of flower development in chrysanthemum. 展开更多
关键词 Chrysanthemum morifolium flower development RNA-SEQ ABCE model B function determinacy of flower meristem
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Polyneuropathy organomegaly endocrinopathy M-protein and skin changes syndrome with ascites as an early-stage manifestation:A case report
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作者 Xiao-Lei Zhou Ying-Hao Chang +5 位作者 Lan Li Juan Ren Xiao-Ling Wu xue zhang Peng Wu Shan-Hong Tang 《World Journal of Clinical Cases》 SCIE 2023年第1期135-142,共8页
BACKGROUND Polyneuropathy organomegaly endocrinopathy M-protein and skin changes(POEMS)syndrome is a rare paraneoplastic syndrome caused by a potential plasma cell tumor.The clinical manifestations of POEMS syndrome a... BACKGROUND Polyneuropathy organomegaly endocrinopathy M-protein and skin changes(POEMS)syndrome is a rare paraneoplastic syndrome caused by a potential plasma cell tumor.The clinical manifestations of POEMS syndrome are diverse.Due to the insidious onset and lack of specific early-stage manifestations,POEMS syndrome is easily misdiagnosed or never diagnosed,leading to delayed treatment.Neurological symptoms are usually the first clinical manifestation,while ascites is a rare symptom in patients with POEMS syndrome.CASE SUMMARY A female patient presented with unexplained ascites as an initial symptom,which is a rare early-stage manifestation of the condition.After 1 year,the patient gradually developed progressive renal impairment,anemia,polyserosal effusion,edema,swollen lymph nodes on the neck,armpits,and groin,and decreased muscle strength of the lower extremities.The patient was eventually diagnosed with POEMS syndrome after multidisciplinary team discussion.Treatment comprised bortezomib+dexamethasone,continuous renal replacement therapy,chest and abdominal closed drainage,transfusions of erythrocytes and platelets,and other symptomatic and supportive treatments.The patient’s condition initially improved after treatment.However,then her symptoms worsened,and she succumbed to the illness and died.CONCLUSION Ascites is a potential early manifestation of POEMS syndrome,and this diagnosis should be considered for patients with unexplained ascites.Furthermore,multidisciplinary team discussion is helpful in diagnosing POEMS syndrome. 展开更多
关键词 Polyneuropathy organomegaly endocrinopathy M-protein and skin changes syndrome ASCITES Early-stage manifestation Neurogenic damage Vascular endothelial growth factor Case report
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Power-law Distribution and Scale-invariant Structure from the First CHIME/FRB Fast Radio Burst Catalog
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作者 Zi-Han Wang Yu Sang xue zhang 《Research in Astronomy and Astrophysics》 SCIE CAS CSCD 2023年第2期42-46,共5页
We study the statistical property of fast radio bursts(FRBs) based on a selected sample of 190 one-off FRBs in the first CHIME/FRB catalog.Three power law models are used in the analysis,and we find the cumulative dis... We study the statistical property of fast radio bursts(FRBs) based on a selected sample of 190 one-off FRBs in the first CHIME/FRB catalog.Three power law models are used in the analysis,and we find the cumulative distribution functions of energy can be well fitted by bent power law and thresholded power law models.The distribution functions of fluctuations of energy well follow the Tsallis q-Gaussian distribution.The q values in the Tsallis q-Gaussian distribution are constant with small fluctuations for different temporal scale intervals,indicating a scale-invariant structure of the bursts.The earthquakes and soft gamma repeaters show similar properties,which are consistent with the predictions of self-organized criticality systems. 展开更多
关键词 METHODS statistical-radio continuum galaxies-catalogs
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Myeloperoxidase-antineutrophil cytoplasmic antibody-associated vasculitis with headache and kidney involvement at presentation and with arthralgia at relapse:A case report
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作者 xue zhang Guang-Ben Zhao +3 位作者 Long-Kai Li Wei-Dong Wang Hong-Li Lin Ning Yang 《World Journal of Clinical Cases》 SCIE 2023年第21期5167-5172,共6页
BACKGROUND Patients with proteinase 3-antineutrophil cytoplasmic antibody associated vasculitis(AAV)experience different manifestations at the initial onset and relapse.However,such cases of different initial and rela... BACKGROUND Patients with proteinase 3-antineutrophil cytoplasmic antibody associated vasculitis(AAV)experience different manifestations at the initial onset and relapse.However,such cases of different initial and relapse manifestations have not been reported in myeloperoxidase(MPO)-AAV patients.CASE SUMMARY A 52-year-old woman was admitted to our hospital because of headache.Laboratory findings indicated nephrotic range proteinuria and microscopic hematuria,serum creatinine of 243μmol/L,anti-MPO antibody titer of>400 RU/mL,and positive perinuclearantineutrophil cytoplasmic antibody.Renal biopsy showed pauci-immune crescentic glomerulonephritis.The cerebrospinal fluid examination and brain magnetic resonance imaging did not show any abnormality.Therefore,MPO-AAV was diagnosed.Corticosteroids,plasmapheresis,and cyclophosphamide as induction therapy and mycophenolate mofetil(MMF)as maintenance therapy were administered.The patient’s headache disappeared;serum creatinine returned to normal;complete remission of microscopic hematuria and proteinuria was observed.Anti-MPO antibody titer reached normal limits after immunosuppressive treatment.Twenty-five months after stopping the immunosuppressive treatment,the patient relapsed with arthralgia,without neurological or renal involvement.The patient’s arthralgia improved after treatment with prednisone and MMF.CONCLUSION We have reported a rare case of MPO-AAV who initially presented with headache and kidney involvement.However,relapse presented with only arthralgia,which was completely different from the initial manifestations.This case suggests that AAV relapse should be highly suspected in MPO-AAV patients after remission,when clinical manifestations at relapse are different from those at onset.Prednisone and MMF may provide a good choice for refractory arthralgia during relapse in MPO-AAV patients. 展开更多
关键词 Antineutrophil cytoplasmic antibody associated vasculitis HEADACHE KIDNEY ARTHRALGIA RELAPSE Case report
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Effects of Astragalus membranaceus on Energy Metabolism and Expression of CNTF Protein in Skeletal Muscle of Exercise-induced Fatigue Rats
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作者 Yueqi ZHOU xue zhang +6 位作者 Zelin ZHAO Yuanxia SHEN Li YANG Song WANG Junying TIAN Sibu MA Shiyan HUANG 《Agricultural Biotechnology》 2023年第6期19-24,29,共7页
[Objectives]This study was conducted to investigate the effects of Astragalus membranaceus in different groups on energy metabolism and CNTF protein expression in skeletal muscle of exercise-induced fatigue rats.[Meth... [Objectives]This study was conducted to investigate the effects of Astragalus membranaceus in different groups on energy metabolism and CNTF protein expression in skeletal muscle of exercise-induced fatigue rats.[Methods]Thirty-five clean male SD rats were randomly divided into a normal group,and low-,meddle-and high-dose groups of A.membranaceus aqueous solution,with 7 rats in each group.The low-dose,medium-dose and high-dose groups were given by gavage at 0.65,1.3 and 2.6 g/kg,respectively,while the normal group and the model group were given normal food and water.The weight of rats was observed.The contents of serum urea,lactate,muscle glycogen,liver glycogen and CNTF expression were detected.[Results]After modeling,compared with the normal group,the serum lactate and urea contents of rats in the model group significantly increased(P<0.01),while the muscle glycogen content(P<0.01)and liver glycogen content(P<0.05)of the skeletal muscle significantly decreased.Compared with the model group,the low-,meddle-and high-dose groups of A.membranaceus significantly reduced the levels of lactate and urea in serum(P<0.01),while the levels of muscle glycogen and liver glycogen in the skeletal muscle significantly increased(P<0.01,P<0.05).[Conclusions]This study provides a good research foundation for the treatment of exercise-induced fatigue using traditional Chinese herb A.membranaceus in modern clinical practice. 展开更多
关键词 Astragalus membranaceus Exercise fatigue Energy metabolism Skeletal muscle Expression of CNTF protein
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小强度运动康复训练对肩关节镜术后关节功能障碍的影响 被引量:18
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作者 王清华 黄德刚 +6 位作者 许业松 孙爱萍 贺华正 赵丽 张雪 罗强强 李玲 《中国现代医学杂志》 CAS 2019年第11期84-88,共5页
目的探讨小强度运动康复训练对肩关节镜术后关节功能障碍的影响。方法选取皖南医学院弋矶山医院肩关节损伤关节镜术后患者32例进行运动康复训练,随机分成小强度组(16例)和大强度组(16例)。两组患者均根据常规康复训练流程进行运动康复,... 目的探讨小强度运动康复训练对肩关节镜术后关节功能障碍的影响。方法选取皖南医学院弋矶山医院肩关节损伤关节镜术后患者32例进行运动康复训练,随机分成小强度组(16例)和大强度组(16例)。两组患者均根据常规康复训练流程进行运动康复,并分别在治疗前、治疗第3次、治疗第10次及出院后3个月采用视觉模拟疼痛量表(VAS)评定肩关节的疼痛程度,采用Constant肩关节评分系统(简称CS评分)评定肩关节整体功能。分析小强度运动康复训练对肩关节镜术后关节功能障碍的影响。结果小强度组患者CS评分量表中疼痛评分、日常生活及肌力评分高于大强度组患者,而小强度组患者VAS评分低于大强度组患者(P <0.05)。小强度组患者与大强度患者组各项指标在不同时间点比较,差异均有统计学意义(P<0.05)。治疗后不同时间VAS评分与CS评分均呈负相关(P <0.05),治疗前后肩关节前屈、外展评分与CS评分始终呈正相关(P <0.05)。结论小强度运动康复训练在肩关节镜术后关节整体功能修复中效果更佳。小强度运动康复训练无创伤,无需特殊设备,患者容易掌握运用,值得临床广泛推广。 展开更多
关键词 关节功能障碍 肩关节镜术后 小强度 运动康复
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个体化诊疗模式在胃肠道恶性肿瘤中预防中度致吐性化疗方案的临床观察 被引量:3
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作者 王龙 吴朝君 +7 位作者 王丽曼 洪雷 胡新彦 刘志敏 范志松 张雪 刘嘉寅 刘巍 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第5期235-242,共8页
目的:分析真实世界中化疗引起的恶心和呕吐(chemotherapy-induced nausea and vomiting,CINV)的个体化诊疗模式对胃肠道恶性肿瘤患者的CINV控制效果及对生存质量的影响。方法:选取2018年10月至2020年10月就诊于河北医科大学第四医院接... 目的:分析真实世界中化疗引起的恶心和呕吐(chemotherapy-induced nausea and vomiting,CINV)的个体化诊疗模式对胃肠道恶性肿瘤患者的CINV控制效果及对生存质量的影响。方法:选取2018年10月至2020年10月就诊于河北医科大学第四医院接受中度致吐风险化疗方案的289例胃肠道恶性肿瘤患者,按照CINV评估治疗方法分为CINV个体化诊疗组(A组)和医师选择诊疗组(B组),分析比较两组CINV控制效果及对生存质量的影响。结果:289例患者中A组146例,B组143例。A组全程恶心(74.66%vs.34.27%,P<0.001)、呕吐(87.67%vs.55.94%,P<0.001)完全控制率均明显优于B组,A组急性期及延迟期恶心、呕吐完全控制率优于B组。同时,A组患者在生存质量的功能领域(躯体功能、角色功能、社会功能),症状领域(恶心呕吐、疲倦、失眠、厌食),以及总体健康状况方面均表现出显著的优势。结论:个体化CINV诊疗模式可显著改善真实世界中胃肠道恶性肿瘤患者的CINV控制率和生存质量。 展开更多
关键词 化学治疗 恶心 呕吐 个体化 生存质量 胃癌 结直肠癌
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以CaCl_2为模板合成的高活性和高稳定性铁、氮、硫共掺杂多孔碳氧还原电催化剂(英文) 被引量:3
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作者 陈驰 周志有 +4 位作者 王宇成 张雪 杨晓冬 张新胜 孙世刚 《Chinese Journal of Catalysis》 SCIE EI CAS CSCD 北大核心 2017年第4期673-682,共10页
燃料电池是一种可将化学能通过电催化反应直接转化成电能的装置,具有能量密度高和清洁无污染等优点.燃料电池阴极氧还原反应(ORR)的动力学较迟缓,是电池能量效率损失的主要原因.目前ORR催化活性最高的是铂基催化剂,但由于贵金属铂价格昂... 燃料电池是一种可将化学能通过电催化反应直接转化成电能的装置,具有能量密度高和清洁无污染等优点.燃料电池阴极氧还原反应(ORR)的动力学较迟缓,是电池能量效率损失的主要原因.目前ORR催化活性最高的是铂基催化剂,但由于贵金属铂价格昂贵,储量稀少,且对燃料小分子渗透的抗性较差,严重制约了燃料电池的大规模应用.因此,高性能、低成本的非贵金属催化剂成为燃料电池领域的研究热点.本文选用含氮量高达45%的三聚氰胺-甲醛树脂为碳源和氮源,Fe(SCN)_3为铁源和硫源,以CaCl_2为模板,在高温和铁的催化作用下将树脂碳化,经酸洗和二次热处理工艺,制备出铁、氮、硫共掺杂的多孔碳(FeNS-PC).干燥后的CaCl_2颗粒可防止树脂在高温下交联形成块状碳颗粒,同时起到造孔模板的作用.CaCl_2颗粒在温和条件下即可除去,无需强腐蚀性条件,因此不会对催化活性中心造成破坏.在Fe/N/C催化剂中掺杂S可进一步提高催化活性,不添加碳载体可避免低活性的碳载体降低质量活性,多孔结构可促进传质,充分利用活性位点.我们优化了热处理温度,并对催化剂的结构、组分及催化性能等进行了表征分析.结果表明,热处理温度为900℃时,可将树脂完全转化成多孔碳,并获得较高的杂原子掺杂量,可达到最优活性.CaCl_2为模板剂可避免使用强腐蚀性试剂去除模板,有利于保留活性位,并得到多孔结构.FeNS-PC-900的比表面积可达775 m^2/g.得益于原位掺杂的合成工艺,各掺杂元素在多孔碳表面均匀分布.在酸性介质中,FeNS-PC-900的半波电位可达到0.811V,仅比商业Pt/C催化剂低78mV;在0.8V电位下的质量活性为10.2A/g,表现出优异的催化活性.经过10000圈加速衰减测试后,其半波电位仅下降了20mV,在0.75V电位下持续放电10000s后,其ORR电流仍保持初始电流的84.4%,具有比Pt/C更加优异的稳定性.以FeNS-PC-900为阴极催化剂的质子交换膜燃料电池的最大功率密度可达到0.49 W/cm^2,并在0.6 V电压下持续放电10h后,其电流仍可保持初始电流的65%,表现出良好的应用潜力.FeNS-PC-900具有高掺杂含量、高比表面积和多孔结构,并且杂原子在催化剂表面均匀分散,在半电池和燃料电池测试中都表现出优异的催化活性和稳定性,表明其是一种非常有潜力应用于燃料电池的非贵金属氧还原催化剂. 展开更多
关键词 非贵金属催化剂 氧还原反应 质子交换膜燃料电池 铁、氮、硫共掺杂多孔碳 三聚氰胺-甲醛树脂
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视神经脊髓炎谱系疾病合并疼痛抑郁共病综述 被引量:3
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作者 张雪 徐雁 裴丽坚 《Chinese Medical Sciences Journal》 CAS CSCD 2021年第4期316-322,共7页
视神经脊髓炎谱系疾病是一种中枢神经系统炎性疾病,主要累及视神经及脊髓,在亚洲人群中发病率显著高于世界其他地区。80%以上视神经脊髓炎谱系疾病患者合并疼痛症状,其中痛性痉挛及神经病理性疼痛最具特点。抑郁常与疼痛共存,严重影响... 视神经脊髓炎谱系疾病是一种中枢神经系统炎性疾病,主要累及视神经及脊髓,在亚洲人群中发病率显著高于世界其他地区。80%以上视神经脊髓炎谱系疾病患者合并疼痛症状,其中痛性痉挛及神经病理性疼痛最具特点。抑郁常与疼痛共存,严重影响患者生活质量。近年来,很多研究发现疼痛与抑郁在机制上存在重叠,然而两者之间的联系仍不明确。本文对视神经脊髓炎谱系疾病患者合并疼痛抑郁共病的流行病学特征、发病机制及诊断治疗进行综述。 展开更多
关键词 视神经脊髓炎谱系疾病 疼痛 抑郁 共病
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