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Single Tooth Segmentation on Panoramic X-Rays Using End-to-End Deep Neural Networks
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作者 yu sun Jing Feng +5 位作者 Huang Du Juan Liu Baochuan Pang Cheng Li Jinxian Li Dehua Cao 《Open Journal of Stomatology》 2024年第6期316-326,共11页
In dentistry, panoramic X-ray images are extensively used by dentists for tooth structure analysis and disease diagnosis. However, the manual analysis of these images is time-consuming and prone to misdiagnosis or ove... In dentistry, panoramic X-ray images are extensively used by dentists for tooth structure analysis and disease diagnosis. However, the manual analysis of these images is time-consuming and prone to misdiagnosis or overlooked. While deep learning techniques have been employed to segment teeth in panoramic X-ray images, accurate segmentation of individual teeth remains an underexplored area. In this study, we propose an end-to-end deep learning method that effectively addresses this challenge by employing an improved combinatorial loss function to separate the boundaries of adjacent teeth, enabling precise segmentation of individual teeth in panoramic X-ray images. We validate the feasibility of our approach using a challenging dataset. By training our segmentation network on 115 panoramic X-ray images, we achieve an intersection over union (IoU) of 86.56% for tooth segmentation and an accuracy of 65.52% in tooth counting on 87 test set images. Experimental results demonstrate the significant improvement of our proposed method in single tooth segmentation compared to existing methods. 展开更多
关键词 Single Tooth Segmentation Teeth Counting Panoramic X-Ray Combinatorial Loss
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Atherosis-associated lnc_000048 activates PKR to enhance STAT1-mediated polarization of THP-1 macrophages to M1 phenotype 被引量:1
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作者 yuanyuan Ding yu sun +5 位作者 Hongyan Wang Hongqin Zhao Ruihua Yin Meng Zhang Xudong Pan Xiaoyan Zhu 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第11期2488-2498,共11页
Our previous study has demonstrated that lnc_000048 is upregulated in large-artery atherosclerotic stroke and promotes atherosclerosis in ApoE^(-/-)mice.However,little is known about the role of lnc_000048 in classica... Our previous study has demonstrated that lnc_000048 is upregulated in large-artery atherosclerotic stroke and promotes atherosclerosis in ApoE^(-/-)mice.However,little is known about the role of lnc_000048 in classically activated macrophage(M1)polarization.In this study,we established THP-1-derived testing state macrophages(M0),M1 macrophages,and alternately activated macrophages(M2).Real-time fluorescence quantitative PCR was used to verify the expression of marker genes and the expression of lnc_000048 in macrophages.Flow cytometry was used to detect phenotypic proteins(CD11b,CD38,CD80).We generated cell lines with lentivirus-mediated upregulation or downregulation of lnc_000048.Flow cytometry,western blot,and real-time fluorescence quantitative PCR results showed that down-regulation of lnc_000048 reduced M1 macrophage polarization and the inflammation response,while over-expression of lnc_000048 led to the opposite effect.Western blot results indicated that lnc_000048 enhanced the activation of the STAT1 pathway and mediated the M1 macrophage polarization.Moreover,catRAPID prediction,RNA-pull down,and mass spectrometry were used to identify and screen the protein kinase RNA-activated(PKR),then catRAPID and RPIseq were used to predict the binding ability of lnc_000048 to PKR.Immunofluorescence(IF)-RNA fluorescence in situ hybridization(FISH)double labeling was performed to verify the subcellular colocalization of lnc_000048 and PKR in the cytoplasm of M1 macrophage.We speculate that lnc_000048 may form stem-loop structure-specific binding and activate PKR by inducing its phosphorylation,leading to activation of STAT1 phosphorylation and thereby enhancing STAT1 pathway-mediated polarization of THP-1 macrophages to M1 and inflammatory factor expression.Taken together,these results reveal that the lnc_000048/PKR/STAT1 axis plays a crucial role in the polarization of M1 macrophages and may be a novel therapeutic target for atherosclerosis alleviation in stroke. 展开更多
关键词 ATHEROSCLEROSIS inflammation lnc_000048 lncRNA MACROPHAGE POLARIZATION protein kinase RNA-activated(PKR) STAT1
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ROS Balance Autoregulating Core-Shell CeO_(2)@ZIF-8/Au Nanoplatform for Wound Repair 被引量:1
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作者 Xi Zhou Quan Zhou +12 位作者 Zhaozhi He Yi Xiao Yan Liu Zhuohang Huang Yaoji sun Jiawei Wang Zhengdong Zhao Xiaozhou Liu Bin Zhou Lei Ren yu sun Zhiwei Chen Xingcai Zhang 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第8期341-361,共21页
Reactive oxygen species(ROS)plays important roles in living organisms.While ROS is a double-edged sword,which can eliminate drug-resistant bacteria,but excessive levels can cause oxidative damage to cells.A core–shel... Reactive oxygen species(ROS)plays important roles in living organisms.While ROS is a double-edged sword,which can eliminate drug-resistant bacteria,but excessive levels can cause oxidative damage to cells.A core–shell nanozyme,Ce O_(2)@ZIF-8/Au,has been crafted,spontaneously activating both ROS generating and scavenging functions,achieving the multifaceted functions of eliminating bacteria,reducing inflammation,and promoting wound healing.The Au Nanoparticles(NPs)on the shell exhibit high-efficiency peroxidase-like activity,producing ROS to kill bacteria.Meanwhile,the encapsulation of Ce O_(2) core within ZIF-8 provides a seal for temporarily limiting the superoxide dismutase and catalase-like activities of Ce O_(2) nanoparticles.Subsequently,as the ZIF-8 structure decomposes in the acidic microenvironment,the Ce O_(2) core is gradually released,exerting its ROS scavenging activity to eliminate excess ROS produced by the Au NPs.These two functions automatically and continuously regulate the balance of ROS levels,ultimately achieving the function of killing bacteria,reducing inflammation,and promoting wound healing.Such innovative ROS spontaneous regulators hold immense potential for revolutionizing the field of antibacterial agents and therapies. 展开更多
关键词 Metal-organic framework(MOF) Reactive oxygen species(ROS) Cerium dioxide Au nanoparticles Wound healing
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床旁超声预测脓毒症休克合并机械通气患者容量反应性的临床价值
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作者 朱肇基 叶宏伟 +4 位作者 汪易岚 俞隼 范佳 沈耀亮 金钧 《临床超声医学杂志》 CSCD 2024年第1期59-64,共6页
目的 探讨床旁超声在预测脓毒症休克合并机械通气患者容量反应性中的临床价值。方法 前瞻性纳入2019年1月1日至2020年12月31日我院重症医学科收治的脓毒症休克患者,分别于容量负荷试验前后应用脉搏指示连续心排量监测获得心率、平均动... 目的 探讨床旁超声在预测脓毒症休克合并机械通气患者容量反应性中的临床价值。方法 前瞻性纳入2019年1月1日至2020年12月31日我院重症医学科收治的脓毒症休克患者,分别于容量负荷试验前后应用脉搏指示连续心排量监测获得心率、平均动脉压、中心静脉压、心脏指数(CI)、胸腔内血容积指数、每搏量变异度(SVV);应用床旁超声测量颈动脉血流动力学参数,计算下腔静脉内径变异度(ΔIVCd)、颈动脉峰流速变异度(ΔCDPV)、颈动脉血流量及颈动脉血流量变异度(ΔCBF)。将容量负荷试验后CI增加值(ΔCI)≥10%定义为容量反应阳性,根据患者有无容量反应性进行分组,比较两组容量负荷试验前后上述参数的差异;分析各血流动力学参数与ΔCI的相关性;绘制受试者工作特征(ROC)曲线分析各血流动力学参数对脓毒症休克合并机械通气患者容量反应性的预测价值。结果 最终纳入49例患者,其中有容量反应性者26例(有反应性组),无容量反应性者23例(无反应性组)。有反应性组容量负荷试验前SVV、ΔIVCd、ΔCDPV均高于无反应性组,ΔCBF高于无反应性组,差异均有统计学意义(均P<0.05)。相关性分析显示,容量负荷试验前SVV、ΔIVCd、ΔCDPV和ΔCBF均与ΔCI呈正相关(r=0.425、0.856、0.855、0.874,均P<0.05)。ROC曲线分析显示,SVV、ΔIVCd、ΔCDPV、ΔCBF预测脓毒症休克合并机械通气患者容量反应性的曲线下面积分别为0.696、0.713、0.725、0.734。结论 应用床旁超声监测颈动脉血流动力学参数可有效预测无自主呼吸、无心律失常的脓毒症休克合并机械通气患者的容量反应性,有一定的临床价值。 展开更多
关键词 超声检查 床旁 颈动脉血流动力学 脓毒症休克 机械通气 容量反应性
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Recent progress in thermodynamic and kinetics modification of magnesium hydride hydrogen storage materials 被引量:1
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作者 Yafei Liu yusang Guo +3 位作者 Yaru Jiang Lizhuang Feng yu sun Yijing Wang 《Materials Reports(Energy)》 EI 2024年第1期3-22,共20页
Hydrogen energy has emerged as a pivotal solution to address the global energy crisis and pave the way for a cleaner,low-carbon,secure,and efficient modern energy system.A key imperative in the utilization of hydrogen... Hydrogen energy has emerged as a pivotal solution to address the global energy crisis and pave the way for a cleaner,low-carbon,secure,and efficient modern energy system.A key imperative in the utilization of hydrogen energy lies in the development of high-performance hydrogen storage materials.Magnesium-based hydrogen storage materials exhibit remarkable advantages,including high hydrogen storage density,cost-effectiveness,and abundant magnesium resources,making them highly promising for the hydrogen energy sector.Nonetheless,practical applications of magnesium hydride for hydrogen storage face significant challenges,primarily due to their slow kinetics and stable thermodynamic properties.Herein,we briefly summarize the thermodynamic and kinetic properties of MgH2,encompassing strategies such as alloying,nanoscaling,catalyst doping,and composite system construction to enhance its hydrogen storage performance.Notably,nanoscaling and catalyst doping have emerged as more effective modification strategies.The discussion focuses on the thermodynamic changes induced by nanoscaling and the kinetic enhancements resulting from catalyst doping.Particular emphasis lies in the synergistic improvement strategy of incorporating nanocatalysts with confinement materials,and we revisit typical works on the multi-strategy optimization of MgH2.In conclusion,we conduct an analysis of outstanding challenges and issues,followed by presenting future research and development prospects for MgH2 as hydrogen storage materials. 展开更多
关键词 Magnesium hydride Thermodynamics and kinetics Catalyst doping NANOSTRUCTURES Hydrogenation and dehydrogenation
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中国影夜蛾属二新种和二新记录种记述(鳞翅目:目夜蛾科)
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作者 孙钰 韩辉林 《Entomotaxonomia》 CSCD 2024年第1期61-69,共9页
记述中国影夜蛾属2新种:太白山影夜蛾Lygephila taibaishanensis sp. nov.(陕西)和承德影夜蛾L. chengdeensis sp. nov.(河北),及2新记录种:L. vicioides (Hampson, 1926)(西藏)和L. emaculata(Graeser, 1892)(黑龙江),提供了新种和新... 记述中国影夜蛾属2新种:太白山影夜蛾Lygephila taibaishanensis sp. nov.(陕西)和承德影夜蛾L. chengdeensis sp. nov.(河北),及2新记录种:L. vicioides (Hampson, 1926)(西藏)和L. emaculata(Graeser, 1892)(黑龙江),提供了新种和新记录种的成虫和外生殖器特征图及分布信息。 展开更多
关键词 夜蛾总科 影夜蛾亚科 分类
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Hydrocarbon gas huff-n-puff optimization of multiple horizontal wells with complex fracture networks in the M unconventional reservoir
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作者 Hao-Chuan Zhang Yong Tang +5 位作者 You-Wei He Yong Qin Jian-Hong Luo yu sun Ning Wang De-Qiang Wang 《Petroleum Science》 SCIE EI CAS CSCD 2024年第2期1018-1031,共14页
The oil production of the multi-fractured horizontal wells(MFHWs) declines quickly in unconventional oil reservoirs due to the fast depletion of natural energy. Gas injection has been acknowledged as an effective meth... The oil production of the multi-fractured horizontal wells(MFHWs) declines quickly in unconventional oil reservoirs due to the fast depletion of natural energy. Gas injection has been acknowledged as an effective method to improve oil recovery factor from unconventional oil reservoirs. Hydrocarbon gas huff-n-puff becomes preferable when the CO_(2) source is limited. However, the impact of complex fracture networks and well interference on the EOR performance of multiple MFHWs is still unclear. The optimal gas huff-n-puff parameters are significant for enhancing oil recovery. This work aims to optimize the hydrocarbon gas injection and production parameters for multiple MFHWs with complex fracture networks in unconventional oil reservoirs. Firstly, the numerical model based on unstructured grids is developed to characterize the complex fracture networks and capture the dynamic fracture features.Secondly, the PVT phase behavior simulation was carried out to provide the fluid model for numerical simulation. Thirdly, the optimal parameters for hydrocarbon gas huff-n-puff were obtained. Finally, the dominant factors of hydrocarbon gas huff-n-puff under complex fracture networks are obtained by fuzzy mathematical method. Results reveal that the current pressure of hydrocarbon gas injection can achieve miscible displacement. The optimal injection and production parameters are obtained by single-factor analysis to analyze the effect of individual parameter. Gas injection time is the dominant factor of hydrocarbon gas huff-n-puff in unconventional oil reservoirs with complex fracture networks. This work can offer engineers guidance for hydrocarbon gas huff-n-puff of multiple MFHWs considering the complex fracture networks. 展开更多
关键词 Unconventional oil reservoir Complex fracture network Hydrocarbon gas huff-n-puff Parameter optimization Numerical simulation
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Systemic modulation of skeletal mineralization by magnesium implant promoting fracture healing: Radiological exploration enhanced with PCA-based machine learning in a rat femoral model
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作者 yu sun Heike Helmholz Regine Willumeit-Römer 《Journal of Magnesium and Alloys》 SCIE EI CAS CSCD 2024年第3期1009-1020,共12页
The clinical application of magnesium(Mg)and its alloys for bone fractures has been well supported by in vitro and in vivo trials.However,there were studies indicating negative effects of high dose Mg intake and susta... The clinical application of magnesium(Mg)and its alloys for bone fractures has been well supported by in vitro and in vivo trials.However,there were studies indicating negative effects of high dose Mg intake and sustained local release of Mg ions on bone metabolism or repair,which should not be ignored when developing Mg-based implants.Thus,it remains necessary to assess the biological effects of Mg implants in animal models relevant to clinical treatment modalities.The primary purpose of this study was to validate the beneficial effects of intramedullary Mg implants on the healing outcome of femoral fractures in a modified rat model.In addition,the mineralization parameters at multiple anatomical sites were evaluated,to investigate their association with healing outcome and potential clinical applications.Compared to the control group without Mg implantation,postoperative imaging at week 12 demonstrated better healing outcomes in the Mg group,with more stable unions in 3D analysis and high-mineralized bridging in 2D evaluation.The bone tissue mineral density(TMD)was higher in the Mg group at the non-operated femur and lumbar vertebra,while no differences between groups were identified regarding the bone tissue volume(TV),TMD and bone mineral content(BMC)in humerus.In the surgical femur,the Mg group presented higher TMD,but lower TV and BMC in the distal metaphyseal region,as well as reduced BMC at the osteotomy site.Principal component analysis(PCA)-based machine learning revealed that by selecting clinically relevant parameters,radiological markers could be constructed for differentiation of healing outcomes,with better performance than 2D scoring.The study provides insights and preclinical evidence for the rational investigation of bioactive materials,the identification of potential adverse effects,and the promotion of diagnostic capabilities for fracture healing. 展开更多
关键词 MAGNESIUM Implants Bone fracture MINERALIZATION Systemic modulation Principal component analysis.
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A gel polymer electrolyte based on IL@NH_(2)-MIL-53(Al)for high-performance all-solid-state lithium metal batteries
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作者 Sijia Wang Ye Liu +5 位作者 Liang He yu sun Qing Huang Shoudong Xu Xiangyun Qiu Tao Wei 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2024年第5期47-55,共9页
Solid polymer composite electrolytes possess the benefits of superior compatibility with electrodes and good thermal characteristics for more secure energy storage equipment.Herein,a new gel polymer electrolyte(GPE)co... Solid polymer composite electrolytes possess the benefits of superior compatibility with electrodes and good thermal characteristics for more secure energy storage equipment.Herein,a new gel polymer electrolyte(GPE)containing NH_(2)-MIL-53(Al),[PP_(13)][TFSI],LiTFSI,and PVDF-HFP was prepared using a simple method of solution casting.The effects of encapsulating different ratios of ionic liquid([PP_(13)][TFSI])into the micropores of functionalized metal-organic frameworks(NH_(2)-MIL-53(Al))on the electrochemical properties were compared.XRD,SEM,nitrogen adsorption-desorption isotherms,and electrochemical measurements were conducted.This GPE demonstrates a superior ionic conductivity of 8.08×10^(-4)S·cm^(-1)at 60℃and can sustain a discharge specific capacity of 156.6 mA·h·g^(-1)at 0.2 C for over 100 cycles.This work might offer a potential approach to alleviate the solid-solid contact with the solid-state electrolyte and electrodes and broaden a new window for the creation of all-solid-state batteries. 展开更多
关键词 Metal-organic frameworks(MOFs) All solid-state lithium batteries(ASSLBs) Ionic liquid NH_(2)-MIL-53(Al) Solid-state electrolytes(SSEs)
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An Opposition-Based Learning-Based Search Mechanism for Flying Foxes Optimization Algorithm
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作者 Chen Zhang Liming Liu +5 位作者 yufei Yang yu sun Jiaxu Ning yu Zhang Changsheng Zhang Ying Guo 《Computers, Materials & Continua》 SCIE EI 2024年第6期5201-5223,共23页
The flying foxes optimization(FFO)algorithm,as a newly introduced metaheuristic algorithm,is inspired by the survival tactics of flying foxes in heat wave environments.FFO preferentially selects the best-performing in... The flying foxes optimization(FFO)algorithm,as a newly introduced metaheuristic algorithm,is inspired by the survival tactics of flying foxes in heat wave environments.FFO preferentially selects the best-performing individuals.This tendency will cause the newly generated solution to remain closely tied to the candidate optimal in the search area.To address this issue,the paper introduces an opposition-based learning-based search mechanism for FFO algorithm(IFFO).Firstly,this paper introduces niching techniques to improve the survival list method,which not only focuses on the adaptability of individuals but also considers the population’s crowding degree to enhance the global search capability.Secondly,an initialization strategy of opposition-based learning is used to perturb the initial population and elevate its quality.Finally,to verify the superiority of the improved search mechanism,IFFO,FFO and the cutting-edge metaheuristic algorithms are compared and analyzed using a set of test functions.The results prove that compared with other algorithms,IFFO is characterized by its rapid convergence,precise results and robust stability. 展开更多
关键词 Flying foxes optimization(FFO)algorithm opposition-based learning niching techniques swarm intelligence metaheuristics evolutionary algorithms
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Peri-implant gas accumulation in response to magnesium-based musculoskeletal biomaterials:Reframing current evidence for preclinical research and clinical evaluation
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作者 yu sun Heike Helmholz Regine Willumeit-Römer 《Journal of Magnesium and Alloys》 SCIE EI CAS CSCD 2024年第1期59-71,共13页
Historically,the rapid degradation and massive gas release from magnesium(Mg)implants resulted in severe emphysema and mechanical failure.With the advent of new alloys and surface treatment methods,optimized Mg implan... Historically,the rapid degradation and massive gas release from magnesium(Mg)implants resulted in severe emphysema and mechanical failure.With the advent of new alloys and surface treatment methods,optimized Mg implants have re-entered clinics since last decade with reliable performance.However,the optimization aims at slowing down the degradation process,rather than exemption of the gas release.This study involved a systematic evaluation of current preclinical and clinical evidence,regarding the physical signs,symptoms,radiological features,pathological findings and complications potentially associated with peri±implant gas accumulation(PIGA)after musculoskeletal Mg implantation.The literature search identified 196 potentially relevant publications,and 51 papers were enrolled for further analysis,including 22 preclinical tests and 29 clinical studies published from 2005 to 2023.Various Mg-based materials have been evaluated in animal research,and the application of pure Mg and Mg alloys have been reported in clinical follow-ups involving multiple anatomical sites and musculoskeletal disorders.Soft tissue and intraosseous PIGA are common in both animal tests and clinical follow-ups,and potentially associated with certain adverse events.Radiological examinations especially micro-CT and clinical CT scans provide valuable information for quantitative and longitudinal analysis.While according to simulation tests involving Mg implantation and chemical processing,tissue fixation could lead to an increase in the volume of gas cavity,thus the results obtained from ex vivo imaging or histopathological evaluations should be interpreted with caution.There still lacks standardized procedures or consensus for both preclinical and clinical evaluation of PIGA.However,by providing focused insights into the topic,this evidence-based study will facilitate future animal tests and clinical evaluations,and support developing biocompatible Mg implants for the treatment of musculoskeletal disorders. 展开更多
关键词 Magnesium implant Degradation Hydrogen Gas release Postoperative follow-up
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Molecular features of gastroenteropancreatic neuroendocrine carcinoma: A comparative analysis with lung neuroendocrine carcinoma and digestive adenocarcinomas
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作者 Jianwei Zhang Hanxiao Chen +15 位作者 Junli Zhang Sha Wang Yanfang Guan Wenguang Gu Jie Li Xiaotian Zhang Jian Li Xicheng Wang Zhihao Lu Jun Zhou Zhi Peng yu sun Yang Shao Lin Shen Minglei Zhuo Ming Lu 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2024年第1期90-102,共13页
Objective: There is an ongoing debate about whether the management of gastroenteropancreatic(GEP)neuroendocrine carcinoma(NEC) should follow the guidelines of small-cell lung cancer(SCLC). We aim to identify the genet... Objective: There is an ongoing debate about whether the management of gastroenteropancreatic(GEP)neuroendocrine carcinoma(NEC) should follow the guidelines of small-cell lung cancer(SCLC). We aim to identify the genetic differences of GEPNEC and its counterpart.Methods: We recruited GEPNEC patients as the main cohort, with lung NEC and digestive adenocarcinomas as comparative cohorts. All patients undergone next-generation sequencing(NGS). Different gene alterations were compared and analyzed between GEPNEC and lung NEC(LNEC), GEPNEC and adenocarcinoma to yield the remarkable genes.Results: We recruited 257 patients, including 99 GEPNEC, 57 LNEC, and 101 digestive adenocarcinomas.Among the mutations, KRAS, RB1, TERT, IL7R, and CTNNB1 were found to have different gene alterations between GEPNEC and LNEC samples. Specific genes for each site were revealed: gastric NEC(TERT amplification),colorectal NEC(KRAS mutation), and bile tract NEC(ARID1A mutation). The gene disparities between small-cell NEC(SCNEC) and large-cell NEC(LCNEC) were KEAP1 and CDH1. Digestive adenocarcinoma was also compared with GEPNEC and suggested RB1, APC, and KRAS as significant genes. The TP53/RB1 mutation pattern was associated with first-line effectiveness. Putative targetable genes and biomarkers in GEPNEC were identified in22.2% of the patients, and they had longer progression-free survival(PFS) upon targetable treatment [12.5 months vs. 3.0 months, HR=0.40(0.21-0.75), P=0.006].Conclusions: This work demonstrated striking gene distinctions in GEPNEC compared with LNEC and adenocarcinoma and their clinical utility. 展开更多
关键词 Neuroendocrine carcinoma gastroenteropancreatic LUNG genetic alterations molecular markers
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重症监护病房自发性脑出血患者深静脉血栓危险因素分析及预测模型构建
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作者 张岩 许春阳 +2 位作者 俞隼 温顺 叶宏伟 《中国急救医学》 CAS CSCD 2024年第4期343-349,共7页
目的探讨重症监护病房(ICU)自发性脑出血(sICH)患者发生深静脉血栓(DVT)的危险因素,并构建DVT预测模型。方法回顾性分析2019年1月至2023年1月常熟市第一人民医院ICU收治的357例sICH患者资料,以7∶3比例随机分为训练集(n=254)和验证集(n=... 目的探讨重症监护病房(ICU)自发性脑出血(sICH)患者发生深静脉血栓(DVT)的危险因素,并构建DVT预测模型。方法回顾性分析2019年1月至2023年1月常熟市第一人民医院ICU收治的357例sICH患者资料,以7∶3比例随机分为训练集(n=254)和验证集(n=103),依据其住院期间是否超声证实发生DVT分为DVT组(n=27)与非DVT组(n=227)。基于训练集数据,采用Logistic单因素及多因素回归分析法筛选DVT的独立危险因素,构建列线图预测模型,采用受试者工作特征(ROC)曲线和校准曲线评估列线图模型的区分度和拟合优度,决策曲线分析(DCA)评价预测模型的临床实用性。结果①共纳入254例训练集患者,其中男157例,女97例,DVT组共27例,发生率为10.63%;②单因素及多因素Logistic回归分析显示,机械通气(OR=3.574,P=0.018)、血肿体积(OR=4.280,P=0.002)、股静脉置管(OR=3.892,P=0.012)及血栓弹力图(TEG)中的凝血因子反应时间(R)(OR=0.337,P=0.021)是重症sICH患者发生DVT的独立危险因素;③基于筛选出的4项独立危险因素建立预测DVT发生风险的列线图模型,经过验证,该模型ROC曲线下面积(AUC)为0.813(95%CI 0.730~0.896),其校准曲线趋近于理想曲线;DCA提示预测模型具有临床有效性。结论基于Logistic回归分析构建的重症sICH患者DVT风险预测列线图模型对重症sICH患者发生DVT有较好预测效能,可以实现量化、个体化、可视化预测,为临床早期干预决策重症sICH的抗凝方案提供参考。 展开更多
关键词 自发性脑出血 深静脉血栓 危险因素 预测模型 机械通气 血肿体积 股静脉置管 凝血因子反应时间
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Application value of indocyanine green fluorescence imaging in guiding sentinel lymph node biopsy diagnosis of gastric cancer: Meta-analysis
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作者 Qi-Jia Zhang Zhi-Cheng Cao +4 位作者 Qin Zhu yu sun Rong-Da Li Jin-Long Tong Qin Zheng 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第6期1883-1893,共11页
BACKGROUND Gastric cancer is a common malignant tumor of the digestive system worldwide,and its early diagnosis is crucial to improve the survival rate of patients.Indocyanine green fluorescence imaging(ICG-FI),as a n... BACKGROUND Gastric cancer is a common malignant tumor of the digestive system worldwide,and its early diagnosis is crucial to improve the survival rate of patients.Indocyanine green fluorescence imaging(ICG-FI),as a new imaging technology,has shown potential application prospects in oncology surgery.The meta-analysis to study the application value of ICG-FI in the diagnosis of gastric cancer sentinel lymph node biopsy is helpful to comprehensively evaluate the clinical effect of this technology and provide more reliable guidance for clinical practice.AIM To assess the diagnostic efficacy of optical imaging in conjunction with indocya-nine green(ICG)-guided sentinel lymph node(SLN)biopsy for gastric cancer.METHODS Electronic databases such as PubMed,Embase,Medline,Web of Science,and the Cochrane Library were searched for prospective diagnostic tests of optical imaging combined with ICG-guided SLN biopsy.Stata 12.0 software was used for analysis by combining the"bivariable mixed effect model"with the"midas"command.The true positive value,false positive value,false negative value,true negative value,and other information from the included literature were extracted.A literature quality assessment map was drawn to describe the overall quality of the included literature.A forest plot was used for heterogeneity analysis,and P<0.01 was considered to indicate statistical significance.A funnel plot was used to assess publication bias,and P<0.1 was considered to indicate statistical significance.The summary receiver operating characteristic(SROC)curve was used to calculate the area under the curve(AUC)to determine the diagnostic accuracy.If there was interstudy heterogeneity(I2>50%),meta-regression analysis and subgroup analysis were performed.analysis were performed.RESULTS Optical imaging involves two methods:Near-infrared(NIR)imaging and fluorescence imaging.A combination of optical imaging and ICG-guided SLN biopsy was useful for diagnosis.The positive likelihood ratio was 30.39(95%CI:0.92-1.00),the sensitivity was 0.95(95%CI:0.82-0.99),and the specificity was 1.00(95%CI:0.92-1.00).The negative likelihood ratio was 0.05(95%CI:0.01-0.20),the diagnostic odds ratio was 225.54(95%CI:88.81-572.77),and the SROC AUC was 1.00(95%CI:The crucial values were sensitivity=0.95(95%CI:0.82-0.99)and specificity=1.00(95%CI:0.92-1.00).The Deeks method revealed that the"diagnostic odds ratio"funnel plot of SLN biopsy for gastric cancer was significantly asymmetrical(P=0.01),suggesting significant publication bias.Further meta-subgroup analysis revealed that,compared with fluorescence imaging,NIR imaging had greater sensitivity(0.98 vs 0.73).Compared with optical imaging immediately after ICG injection,optical imaging after 20 minutes obtained greater sensitivity(0.98 vs 0.70).Compared with that of patients with an average SLN detection number<4,the sensitivity of patients with a SLN detection number≥4 was greater(0.96 vs 0.68).Compared with hematoxylin-eosin(HE)staining,immunohistochemical(+HE)staining showed greater sensitivity(0.99 vs 0.84).Compared with subserous injection of ICG,submucosal injection achieved greater sensitivity(0.98 vs 0.40).Compared with 5 g/L ICG,0.5 and 0.05 g/L ICG had greater sensitivity(0.98 vs 0.83),and cT1 stage had greater sensitivity(0.96 vs 0.72)than cT2 to cT3 clinical stage.Compared with that of patients≤26,the sensitivity of patients>26 was greater(0.96 vs 0.65).Compared with the literature published before 2010,the sensitivity of the literature published after 2010 was greater(0.97 vs 0.81),and the differences were statistically significant(all P<0.05).CONCLUSION For the diagnosis of stomach cancer,optical imaging in conjunction with ICG-guided SLN biopsy is a therapeut-ically viable approach,especially for early gastric cancer.The concentration of ICG used in the SLN biopsy of gastric cancer may be too high.Moreover,NIR imaging is better than fluorescence imaging and may obtain higher sensitivity. 展开更多
关键词 Gastric neoplasms Sentinel lymph nodes Near infrared imaging Fluorescence imaging Indocyanine green META-ANALYSIS
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Establishment of High-sensitivity Rapid Fluorescence Quantitative Detection Method for Antibody against Peste des Petits Ruminants Virus
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作者 Zhao LIU Bo LIU +3 位作者 Zhida LIN Hang sun yu sun Xiaohui SONG 《Agricultural Biotechnology》 2024年第5期22-27,共6页
[Objectives]This study was conducted to establish a rapid quantitative method for detecting antibody against Peste des Petits Ruminants Virus(PPR V)in sheep serum.[Methods]Soluble N protein and NH fusion protein were ... [Objectives]This study was conducted to establish a rapid quantitative method for detecting antibody against Peste des Petits Ruminants Virus(PPR V)in sheep serum.[Methods]Soluble N protein and NH fusion protein were obtained in Escherichia coli prokaryotic expression system by optimizing codons and expression conditions of E.coli.Furthermore,based on the purified soluble N protein and NH fusion protein,a high-sensitivity fluorescence immunoassay kit for detecting the antibody against PPR V was established.[Results]The method could quickly and quantitatively detect PPR V antibody in sheep serum,with high sensitivity and specificity,without any cross reaction to other related sheep pathogens.The intra-batch and inter-batch coefficients of variation were less than 10%and 15%,respectively,and the method had good repeatability.Through detection on 292 clinical serum samples,it was compared with the French IDVET competitive ELISA kit,and the coincidence rate of the two methods reached 93.84%.Compared with the serum neutralization test,the detected titer value of the high-sensitivity rapid fluorescence quantitative detection method was basically consistent with the tilter value obtained by the neutralization test on the standard positive serum(provided by the WOAH Brucellosis Reference Laboratory of France).[Conclusions]This method can realize rapid quantitative detection of PPR V antibody on site,and has high practical value and popularization value. 展开更多
关键词 Peste des Petits Ruminants N protein NH fusion protein Soluble expression and purification Rapid quantitative detection
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Establishment of Double-antigen Sandwich Time-resolved Fluorescence Immunoassay for Detection of Pest des Petits Ruminants Virus
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作者 Binglei CAO Zhongyuan GE +3 位作者 Qi YANG Hang sun yu sun Xiaohui SONG 《Agricultural Biotechnology》 2024年第4期21-27,共7页
[Objectives]This study was conducted to explore rapid and large-scale screening and detection of peste des petits ruminants(PPR),so as to provide important technical means for prevention,control and purification of PP... [Objectives]This study was conducted to explore rapid and large-scale screening and detection of peste des petits ruminants(PPR),so as to provide important technical means for prevention,control and purification of PPR.[Methods]Soluble N protein and NH fusion protein were successfully obtained in an Escherichia coli expression system by optimizing E.coli codon and expression conditions.Furthermore,based on purified soluble N protein and NH fusion protein,a double-antigen sandwich time-resolved fluorescence immunoassay method for detection of peste des petits ruminants virus(PPRV)was established.[Results]The method has high sensitivity and specificity and can specifically detect the antibody against PPRV in sheep serum,and it has no cross reaction with other related diseases.The method was used to detect 292 clinical samples,and compared with French IDVET competition ELISA kit.The coincidence rates of positive samples and negative samples from the two kinds of test kits were 92.47%and 97.26%,respectively,and the overall coincidence rate was 94.86%.The intra-group and inter-group coefficients of variation in the repeatability test were less than 10%.[Conclusions]Compared with the traditional ELISA method,the double-antigen sandwich time-resolved fluorescence immunoassay for detection of PPRV has equivalent sensitivity and specificity,and simple and rapid operation,and thus high application and popularization value. 展开更多
关键词 Peste des petits ruminants N active protein NH fusion protein Soluble expression and purification Time-resolved fluorescence immunoassay
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血清IL-6和TNF-α对重症急性胰腺炎的早期诊断价值分析 被引量:12
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作者 何健 俞隼 张静 《临床肝胆病杂志》 CAS 北大核心 2023年第7期1657-1664,共8页
目的 评估血清细胞因子在重症急性胰腺炎(SAP)早期诊断中的价值,并利用LASSO算法构建复合指标的数理模型以提高对SAP诊断的准确性。方法 纳入2019年1月-2022年6月在常熟市第一人民医院就诊的130例急性胰腺炎患者,其中SAP患者73例,非SAP... 目的 评估血清细胞因子在重症急性胰腺炎(SAP)早期诊断中的价值,并利用LASSO算法构建复合指标的数理模型以提高对SAP诊断的准确性。方法 纳入2019年1月-2022年6月在常熟市第一人民医院就诊的130例急性胰腺炎患者,其中SAP患者73例,非SAP患者57例。收集所有患者的外周血清样本并通过Luminex xMAP液相芯片技术完成13种血清细胞因子的精准检测。同时,所有患者均进行APACHEⅡ、BISAP和CTSI评分。使用Kolmogorov-Smirnov法进行正态性检验,对符合正态分布的计量资料两组间比较采用成组t检验;对非正态分布的计量资料两组间比较采用Mann-Whitney U检验。计数资料两组间比较采用χ^(2)检验。此外,通过二元Logistic回归分析评估细胞因子对SAP的影响,应用线性回归分析评估细胞因子与SAP疾病的严重程度之间的关联。偏相关分析在校正协变量(年龄、性别、BMI、高血压、糖尿病病史)后分析细胞因子与SAP疾病的严重程度评分的关联性。利用LASSO算法构建复合指标的数理模型,并采用受试者工作特征曲线(ROC曲线)分析血清细胞因子对SAP临床诊断的效能,计算曲线下面积(AUC)。结果 非SAP组APACHEⅡ、BISAP和CTSI评分、改良Marshall评分均低于SAP组,差异均有统计学意义(P值均<0.001)。SAP组患者IFN-γ、IL-1β、IL-6、IL-8、TNF-α水平均高于非SAP组,IL-12水平明显低于非SAP组,差异均有统计学意义(P值均<0.05)。Logistic回归分析结果显示,IFN-γ(OR=1.190,95%CI:1.036~1.367,P=0.014)、IL-6(OR=1.148,95%CI:1.070~1.231,P<0.001)和TNF-α(OR=1.100,95%CI:1.048~1.155,P<0.001)为SAP的独立影响因素。偏相关分析提示,在校正了性别、年龄、BMI、慢性疾病史(糖尿病、高血压)后,SAP患者IL-6和TNF-α的水平与APACHEⅡ评分均呈显著正相关(IL-6:r=0.503,P<0.001;TNF-α:r=0.557,P<0.001)。线性回归分析显示,SAP患者中IL-6和TNF-α水平均与APACHEⅡ评分有关(IL-6:β=0.049,P=0.044;TNF-α:β=0.054,P=0.046),且IL-6和TNF-α存在交互作用,影响APACHEⅡ评分。ROC曲线分析显示,LASSO算法联合IL-6和TNF-α构建的风险评分区分SAP和非SAP的AUC值最大(AUC=0.925),而IL-6和TNF-α的AUC分别为0.885、0.878;偏相关分析发现,在校正性别、年龄、BMI、慢性疾病史(糖尿病、高血压)后,SAP患者风险评分与APACHEⅡ评分呈显著正相关(r=0.565,P<0.001)。结论 血清IL-6和TNF-α水平可反映AP疾病严重程度。联合血清IL-6和TNF-α构建的风险评分可显著提高SAP早期诊断的准确性,对SAP的临床诊疗具有重要的临床价值。 展开更多
关键词 胰腺炎 白细胞介素6 肿瘤坏死因子Α LASSO算法
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固相萃取-超高效液相色谱串联质谱法测定化妆品中国标方法以外的42种糖皮质激素 被引量:2
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作者 马亮波 孙宇 +3 位作者 朱桂芳 卢嘉仪 徐燕 刘涛 《日用化学工业(中英文)》 CAS 北大核心 2023年第7期849-856,共8页
建立了针对化妆品中多种糖皮质激素的固相萃取-超高效液相色谱串联质谱检测法,除了可对化妆品中已有检测标准的50种糖皮质激素实现检测外,还可实现国标以外的42种糖皮质激素检测。样品经分散、提取及净化后,选用UPLC Shim-pack XR-ODSⅢ... 建立了针对化妆品中多种糖皮质激素的固相萃取-超高效液相色谱串联质谱检测法,除了可对化妆品中已有检测标准的50种糖皮质激素实现检测外,还可实现国标以外的42种糖皮质激素检测。样品经分散、提取及净化后,选用UPLC Shim-pack XR-ODSⅢC_(18)(2.0 mm×150 mm,2.2μm)的色谱柱,以0.1%(V/V)乙酸乙腈溶液和0.1%(V/V)乙酸水溶液为流动相,在电喷雾离子源(ESI)及多反应监测(MRM)模式下,对目前国标法以外的42种糖皮质激素进行同步测试。42种糖皮质激素均呈现良好线性响应,相关系数达到0.99以上。针对水剂、乳液、霜类基质样品,采用加标回收法测试,检出限可达0.03μg/g,定量限可达0.1μg/g,三基质三水平六平行试验的平均回收率在67.6%~112.5%范围内。采用所建立的方法,已筛查出实际样本中添加了这42种糖皮质激素成分的阳性样品2个。以固相萃取-超高效液相色谱串联质谱法测定可为监测化妆品中糖皮质激素的非法添加提供更为高效检测途径和方法。 展开更多
关键词 固相萃取-超高效液相色谱串联质谱法 化妆品 多种糖皮质激素检测
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急性中度呼吸衰竭经鼻高流量氧疗治疗失败患者的影响因素 被引量:2
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作者 黄晟 俞隼 +1 位作者 汪易岚 许春阳 《中国医药导报》 CAS 2023年第5期120-123,共4页
目的探究急性中度呼吸衰竭经鼻高流量氧疗(HFNC)治疗失败患者的影响因素。方法收集2021年1月至2021年9月江苏省常熟市第一人民医院收治的80例急性中度呼吸衰竭患者作为研究对象,按照是否转为无创或气管插管分为HFNC成功组(43例)和HFNC... 目的探究急性中度呼吸衰竭经鼻高流量氧疗(HFNC)治疗失败患者的影响因素。方法收集2021年1月至2021年9月江苏省常熟市第一人民医院收治的80例急性中度呼吸衰竭患者作为研究对象,按照是否转为无创或气管插管分为HFNC成功组(43例)和HFNC失败组(37例)。比较两组一般资料、预后、呼吸循环指标和肺部超声指标,并分析相应影响因素。结果HFNC成功组肺部超声评分(LUS)低于HFNC失败组,膈肌活动度(DE)高于HFNC失败组,差异有统计学意义(P<0.05)。HFNC成功组呼吸频率(RR)、平均动脉压(MAP)水平低于HFNC失败组,心率(HR)、ROX指数高于HFNC失败组,差异有统计学意义(P<0.05)。logistic回归分析结果显示,RR、MAP、LUS升高是HFNC治疗失败的独立危险因素(OR>1,P<0.05);DE、HR、ROX指数升高是HFNC治疗失败的保护因素(OR<1,P<0.05)。结论HFNC治疗失败的患者的肺部超声、呼吸循环相关指标较差,RR、MAP、LUS升高是HFNC治疗失败的危险因素,DE、HR、ROX指数升高是保护因素。 展开更多
关键词 肺部超声 呼吸循环 急性中度呼吸衰竭 经鼻高流量氧疗 危险因素
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Combinatorial co-expression of xanthine dehydrogenase and chaperone XdhC from Acinetobacter baumannii and Rhodobacter capsulatus and their applications in decreasing purine content in food 被引量:1
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作者 Chenghua Wang Ran Zhang +3 位作者 yu sun You Wen Xiaoling Liu Xinhui Xing 《Food Science and Human Wellness》 SCIE CSCD 2023年第4期1343-1350,共8页
This study investigated the combinatorial expression of xanthine dehydrogenase(XDH)and chaperone XdhC from Acinetobacter baumannii and Rhodobacter capsulatus and their applications in decreasing purine content in the ... This study investigated the combinatorial expression of xanthine dehydrogenase(XDH)and chaperone XdhC from Acinetobacter baumannii and Rhodobacter capsulatus and their applications in decreasing purine content in the beer,beef and yeast.Naturally occurring xdhABC gene clusters of A.baumannii CICC 10254 and R.capsulatus CGMCC 1.3366 as well as two refactored clusters constructed by exchanging their xdhC genes were overexpressed in Escherichia coli and purified to near homogeneity.RcXDH chaperoned by AbXdhC showed nearly the same catalytic performance as that by RcXdhC,except for the decreased substrate affinity.While the AbXDH co-expressed with RcXdhC displayed enhanced acidic adaptation but weakened catalytic activity.All the XDHs degraded purines in beer,beef and yeast extract effectively,indicating potential applications in low-purine foods to prevent hyperuricemia and gout.The study also presents a method for exploiting the better chaperone XdhC and novel XDHs by functional complement activity using existing XdhCs such as RcXdhC. 展开更多
关键词 CO-EXPRESSION Low purine food Uric acid Xanthine dehydrogenase XdhC
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