Irritable bowel syndrome(IBS)is a chronic and debilitating functional gastrointestinal disorder that affects9%-23%of the population across the world.The percentage of patients seeking health care related to IBS approa...Irritable bowel syndrome(IBS)is a chronic and debilitating functional gastrointestinal disorder that affects9%-23%of the population across the world.The percentage of patients seeking health care related to IBS approaches 12%in primary care practices and is by far the largest subgroup seen in gastroenterology clinics.It has been well documented that these patients exhibit a poorer quality of life and utilize the health care system to a greater degree than patients without this diagnosis.The pathophysiology of IBS is not clear.Many theories have been put forward,but the exact cause of IBS is still uncertain.According to the updated ROMEⅢcriteria,IBS is a clinical diagnosis and presents as one of the three predominant subtypes:(1)IBS with constipation(IBS-C);(2)IBS with diarrhea(IBS-D);and(3)mixed IBS(IBS-M);former ROME definitions refer to IBS-M as alternating IBS(IBS-A).Across the IBS subtypes,the presentation of symptoms may vary among patients and change over time.Patients report the most distressing symptoms to be abdominal pain,straining,myalgias,urgency,bloating and feelings of serious illness.The complexity and diversity of IBS presentation makes treatment difficult.Although there are reviews and guidelines for treating IBS,they focus on the efficacy of medications for IBS symptoms usinghigh-priority endpoints,leaving those of lower priority largely unreported.Therefore,the aim of this review is to provide a comprehensive evidence-based review of the diagnosis,pathogenesis and treatment to guide clinicians diagnosing and treating their patients.展开更多
Liver transplant candidates and recipients with hepatitis C virus(HCV)-related liver disease greatly benefit from an effective antiviral therapy. The achievement of a sustained virological response before transplantat...Liver transplant candidates and recipients with hepatitis C virus(HCV)-related liver disease greatly benefit from an effective antiviral therapy. The achievement of a sustained virological response before transplantation can prevent the recurrence of post-transplant HCV disease that occurs universally and correlates with enhanced progression to graft cirrhosis. Previous standard-of-care regimens(e.g.,pegylated-interferon plus ribavirin with or without first generation protease inhibitors,boceprevir and telaprevir) displayed suboptimal results and poor tolerance in liver transplant recipients. A new class of potent direct-acting antiviral agents(DAA) characterized by all-oral regimens with minimal side effects has been approved and included in the recent guidelines for the treatment of liver transplant recipients with recurrent HCV disease. Association of sofosbuvir with ribavirin and/or ledipasvir is recommended in liver transplant recipients and patients with decompensated cirrhosis. Other regimens include simeprevir,daclatasvir,and combination of other DAA. Possible interactions should be monitored,especially in coinfected human immunodeficiency virus/HCV patients receiving antiretrovirals.展开更多
Objective.To describe the effects of surgical treatment a nd complications in46patients with carotid body tumor.Method.Retrospe ctive study on surgical treatment and complications was carried out in46case s of CBT whi...Objective.To describe the effects of surgical treatment a nd complications in46patients with carotid body tumor.Method.Retrospe ctive study on surgical treatment and complications was carried out in46case s of CBT which were surgically treated with different kind of procedures.Resul t.All procedures performed successfully except that the CBT was not excised in 4cases.No operative mortality was observed.There were2postoperative hemiple gia,4hypoglossal nerve impairment ,2glossopharyngeal nerve impairment ,1va gus nerve impairment ,and1accessory nerve impairment.One patient presented p ostoperative cranial nerve impairment in glossopharyngeal,vagus and hypoglossa l nerves.Two patients developed local recurrence during the long-term follow-up.Conclusion.Complete surgical excision was possible in each patient if th e diagnosis had been cor-rectly made through selective preoperative angiography ,vessel ultrasound Doppler and other examinations.Reasonable surgical procedur e and Matas training were necessary to the successful surgical treatment and t hus decrease the complicative incidence rate of carotid chemodectomas.展开更多
提出一种基于Faster RCNN(Faster Region with Convolutional Neural Networks)的电路板缺陷图像自动检测方法。该方法首先应用ResNet50网络作为主干网络以提取缺陷图像特征;然后针对电路板图像中缺陷的极端长宽比特点,提出基于特征金...提出一种基于Faster RCNN(Faster Region with Convolutional Neural Networks)的电路板缺陷图像自动检测方法。该方法首先应用ResNet50网络作为主干网络以提取缺陷图像特征;然后针对电路板图像中缺陷的极端长宽比特点,提出基于特征金字塔的区域推荐网络,得到多尺度特征融合图并生成建议框;最后,通过对感兴趣区域进行池化处理,并结合后续网络实现对电路板图像上缺陷的快速检测。试验证明,所提算法能够快速定位出电路板图像中的各种缺陷,并能实现准确的自动分类识别。展开更多
植物光合作用是吸收光能,把CO_(2)和水转化成富能有机物,同时释放氧气的过程.受此启发,利用太阳光将CO_(2)转化为碳氢燃料的人工碳中和技术引起了广泛关注.人工光合作用能否成功实施取决于光催化剂的设计制备.无机半导体已被广泛研究用...植物光合作用是吸收光能,把CO_(2)和水转化成富能有机物,同时释放氧气的过程.受此启发,利用太阳光将CO_(2)转化为碳氢燃料的人工碳中和技术引起了广泛关注.人工光合作用能否成功实施取决于光催化剂的设计制备.无机半导体已被广泛研究用于CO_(2)光还原反应(CO_(2)PRR),但其存在金属氧化物的带隙较宽且难以调节、导致光吸收较差和金属硫化物的光腐蚀问题严重等明显的缺点.此外,高载流子复合率和低比表面积会影响光催化效率,从而限制光子利用.因此,基于有机聚合物的无金属催化剂因其突出的可设计调控性而被提出,其中,具有超高比表面积的材料—多孔芳香骨架(PAFs)聚合物是研究热点之一,但是传统PAFs材料多为二维平面结构,用于光催化的无金属三维PAFs报道较少.此外,具有孤对电子的杂原子(N,B,F)修饰的材料可以与CO_(2)分子产生特定的偶极-四极相互作用,提高材料对CO_(2)的吸附和活化能力,是提升有机聚合物光催化剂性能的有效策略.本文采用Sonogashira-Hagihara偶联将具有不同共轭程度的芳香炔烃(2,2’,7,7‘-四乙炔基-9,9’-螺二芴,SPF-T;四(4-乙炔基苯基)甲烷,TEPM-T;1,1,2,2-四(4-乙炔基苯基)乙烯,TEPE-T)与含有N杂原子的Tröger碱聚合制备了具有三维结构的多孔芳香骨架聚合物X-TB-PAFs(X=TEPE,TEPM,SPF).通过X-射线衍射、红外光谱、13C核磁共振(NMR)以及1H NMR等表征手段验证了目标聚合物的成功合成.通过紫外-可见光谱和Mott-Schottky曲线测试研究了聚合物具体的能带结构,发现三种PAFs聚合物材料在热力学上同时满足光催化CO_(2)-CO的还原反应条件(Eθ=-0.51 Vvs.NHE,pH=7)和光催化H2O-O_(2)的氧化条件(Eθ=0.82 V vs.NHE,pH=7).V形骨架结构的Tröger碱(TB)单元和芳炔的结合赋予了聚合物刚性稳定的孔隙率以及较高的比表面积,材料中的多孔结构可以使其暴露更多的活性位点,三维框架结构为反应物接近活性位点提供了丰富的开放式空腔,这些都有利于材料对CO_(2)的捕获,增强催化剂对CO_(2)的吸附/活化能力.此外,炔基充当连接通道还可以增强体系的载流子迁移率,提升材料的光催化性能.密度泛函理论计算和光电性能测试结果表明,TB官能团引入带来的分子内极化和电子陷阱位点的优势,其与三维共轭网络结构一起协同调节了光生载流子的分离和反应位点分布.三种三维PAFs中,基于全共轭结构TEPE-T的TEPE-TB-PAF表现出最高效的光生载流子传输与分离效率,在没有助催化剂和牺牲剂的情况下表现出较好的光催化CO产率(194.50μmolg^(-1)h^(-1))和近乎单一的选择性(99.74%).全共轭TEPE-T的引入和分子内极化的存在可以促进框架内载流子的分离和迁移.材料中的电偶极矩(从负电荷到正电荷)指向TB中含有叔氮官能团的桥接位点,使其成为明确的催化反应位点.光电流和阻抗测试结果表明,TEPE-TB-PAF具有更好的电子-空穴分离能力和更小的电荷迁移位阻.三维框架构建产生的多重散射截面可以促进材料中的光子吸收,从而提高其光催化性能.理论计算和原位漫反射傅立叶变换红外光谱结果表明,材料中CO解吸的低能垒和*CHO形成的高能垒是TEPE-TB-PAF高CO产率和选择性的根本机制.综上,本文为多功能高效有机聚合物光催化剂的合成提供了有效途径,并为同时改善光催化剂的转化率和选择性提供了借鉴.展开更多
[Objective]The paper was to understand the field resistance performance of different banana varieties and the prevention and control ef-fect of different fertilizers,so as to provide technical reference for the preven...[Objective]The paper was to understand the field resistance performance of different banana varieties and the prevention and control ef-fect of different fertilizers,so as to provide technical reference for the prevention and control of Fusarium wilt.[Method]Field trials were set up with three treatments:shrimp peptide organic fertilizer+shrimp peptide special protection+shrimp peptide fruit Yekang(simplified as shrimp peptide organic fertilizer treatment),conventional organic fertilizer+microbial preparations(simplified as microbial treatment),and conventional or-ganic fertilizer(simplified as control).Four different banana varieties of Brazilian banana,Guijiao No.1,Nantianhuang,and Yunjiao No.1 were se-lected for the field trial.The disease incidence of Fusarium wilt and the control effects of three fertilizers were investigated during four time periods.[Result]The disease incidence of four varieties in three treatments varied.The disease incidence of Nantianhuang and Yunjiao No.1 were signifi-cantly lower than that of other two varieties.There was also significant difference in disease incidence of three treatments.The disease incidence from high to low was control>shrimp peptide organic fertilizer treatment>microbial treatment.The average monthly TR4 pathogen content in heavily infected banana plantation was more than 2000 copies,while the highest one reached 15148.9 copies.[Conclusion]Microbial agents reduced the disease incidence of Fusarium wilt to some content.Nantianhuang and Yunjiao No.1 showed the highest disease resistance compared with other varieties.However,their resistance needs to be further improved before practical application.展开更多
文摘针对合成孔径雷达(Synthetic Aperture Radar,SAR)图像目标识别算法识别准确率极易受到斑点噪声影响,且模型容易出现过拟合的问题,提出了一种基于Frost滤波和改进的卷积神经网络的目标识别方法。利用Frost滤波算法对SAR图像进行了滤波处理,减少了相干斑噪声;对CNN网络进行改进,建立了一个SAR图像目标识别模型,在网络中引入L2正则化和Dropout结构,抑制过拟合现象的发生;采用Adam优化算法,提高模型的收敛效率;最后采用组合的数据增强方法,扩充SAR图像数据集,进一步提高识别的准确率。利用美国运动和静止目标获取与识别(Moving and Stationary Target Acquisition and Recognition,MSTAR)SAR图像数据进行实验,综合识别准确率可以达到98.06%,结果表明本文所提的方法具有更好的识别效果。
文摘Irritable bowel syndrome(IBS)is a chronic and debilitating functional gastrointestinal disorder that affects9%-23%of the population across the world.The percentage of patients seeking health care related to IBS approaches 12%in primary care practices and is by far the largest subgroup seen in gastroenterology clinics.It has been well documented that these patients exhibit a poorer quality of life and utilize the health care system to a greater degree than patients without this diagnosis.The pathophysiology of IBS is not clear.Many theories have been put forward,but the exact cause of IBS is still uncertain.According to the updated ROMEⅢcriteria,IBS is a clinical diagnosis and presents as one of the three predominant subtypes:(1)IBS with constipation(IBS-C);(2)IBS with diarrhea(IBS-D);and(3)mixed IBS(IBS-M);former ROME definitions refer to IBS-M as alternating IBS(IBS-A).Across the IBS subtypes,the presentation of symptoms may vary among patients and change over time.Patients report the most distressing symptoms to be abdominal pain,straining,myalgias,urgency,bloating and feelings of serious illness.The complexity and diversity of IBS presentation makes treatment difficult.Although there are reviews and guidelines for treating IBS,they focus on the efficacy of medications for IBS symptoms usinghigh-priority endpoints,leaving those of lower priority largely unreported.Therefore,the aim of this review is to provide a comprehensive evidence-based review of the diagnosis,pathogenesis and treatment to guide clinicians diagnosing and treating their patients.
文摘Liver transplant candidates and recipients with hepatitis C virus(HCV)-related liver disease greatly benefit from an effective antiviral therapy. The achievement of a sustained virological response before transplantation can prevent the recurrence of post-transplant HCV disease that occurs universally and correlates with enhanced progression to graft cirrhosis. Previous standard-of-care regimens(e.g.,pegylated-interferon plus ribavirin with or without first generation protease inhibitors,boceprevir and telaprevir) displayed suboptimal results and poor tolerance in liver transplant recipients. A new class of potent direct-acting antiviral agents(DAA) characterized by all-oral regimens with minimal side effects has been approved and included in the recent guidelines for the treatment of liver transplant recipients with recurrent HCV disease. Association of sofosbuvir with ribavirin and/or ledipasvir is recommended in liver transplant recipients and patients with decompensated cirrhosis. Other regimens include simeprevir,daclatasvir,and combination of other DAA. Possible interactions should be monitored,especially in coinfected human immunodeficiency virus/HCV patients receiving antiretrovirals.
文摘Objective.To describe the effects of surgical treatment a nd complications in46patients with carotid body tumor.Method.Retrospe ctive study on surgical treatment and complications was carried out in46case s of CBT which were surgically treated with different kind of procedures.Resul t.All procedures performed successfully except that the CBT was not excised in 4cases.No operative mortality was observed.There were2postoperative hemiple gia,4hypoglossal nerve impairment ,2glossopharyngeal nerve impairment ,1va gus nerve impairment ,and1accessory nerve impairment.One patient presented p ostoperative cranial nerve impairment in glossopharyngeal,vagus and hypoglossa l nerves.Two patients developed local recurrence during the long-term follow-up.Conclusion.Complete surgical excision was possible in each patient if th e diagnosis had been cor-rectly made through selective preoperative angiography ,vessel ultrasound Doppler and other examinations.Reasonable surgical procedur e and Matas training were necessary to the successful surgical treatment and t hus decrease the complicative incidence rate of carotid chemodectomas.
文摘提出一种基于Faster RCNN(Faster Region with Convolutional Neural Networks)的电路板缺陷图像自动检测方法。该方法首先应用ResNet50网络作为主干网络以提取缺陷图像特征;然后针对电路板图像中缺陷的极端长宽比特点,提出基于特征金字塔的区域推荐网络,得到多尺度特征融合图并生成建议框;最后,通过对感兴趣区域进行池化处理,并结合后续网络实现对电路板图像上缺陷的快速检测。试验证明,所提算法能够快速定位出电路板图像中的各种缺陷,并能实现准确的自动分类识别。
文摘植物光合作用是吸收光能,把CO_(2)和水转化成富能有机物,同时释放氧气的过程.受此启发,利用太阳光将CO_(2)转化为碳氢燃料的人工碳中和技术引起了广泛关注.人工光合作用能否成功实施取决于光催化剂的设计制备.无机半导体已被广泛研究用于CO_(2)光还原反应(CO_(2)PRR),但其存在金属氧化物的带隙较宽且难以调节、导致光吸收较差和金属硫化物的光腐蚀问题严重等明显的缺点.此外,高载流子复合率和低比表面积会影响光催化效率,从而限制光子利用.因此,基于有机聚合物的无金属催化剂因其突出的可设计调控性而被提出,其中,具有超高比表面积的材料—多孔芳香骨架(PAFs)聚合物是研究热点之一,但是传统PAFs材料多为二维平面结构,用于光催化的无金属三维PAFs报道较少.此外,具有孤对电子的杂原子(N,B,F)修饰的材料可以与CO_(2)分子产生特定的偶极-四极相互作用,提高材料对CO_(2)的吸附和活化能力,是提升有机聚合物光催化剂性能的有效策略.本文采用Sonogashira-Hagihara偶联将具有不同共轭程度的芳香炔烃(2,2’,7,7‘-四乙炔基-9,9’-螺二芴,SPF-T;四(4-乙炔基苯基)甲烷,TEPM-T;1,1,2,2-四(4-乙炔基苯基)乙烯,TEPE-T)与含有N杂原子的Tröger碱聚合制备了具有三维结构的多孔芳香骨架聚合物X-TB-PAFs(X=TEPE,TEPM,SPF).通过X-射线衍射、红外光谱、13C核磁共振(NMR)以及1H NMR等表征手段验证了目标聚合物的成功合成.通过紫外-可见光谱和Mott-Schottky曲线测试研究了聚合物具体的能带结构,发现三种PAFs聚合物材料在热力学上同时满足光催化CO_(2)-CO的还原反应条件(Eθ=-0.51 Vvs.NHE,pH=7)和光催化H2O-O_(2)的氧化条件(Eθ=0.82 V vs.NHE,pH=7).V形骨架结构的Tröger碱(TB)单元和芳炔的结合赋予了聚合物刚性稳定的孔隙率以及较高的比表面积,材料中的多孔结构可以使其暴露更多的活性位点,三维框架结构为反应物接近活性位点提供了丰富的开放式空腔,这些都有利于材料对CO_(2)的捕获,增强催化剂对CO_(2)的吸附/活化能力.此外,炔基充当连接通道还可以增强体系的载流子迁移率,提升材料的光催化性能.密度泛函理论计算和光电性能测试结果表明,TB官能团引入带来的分子内极化和电子陷阱位点的优势,其与三维共轭网络结构一起协同调节了光生载流子的分离和反应位点分布.三种三维PAFs中,基于全共轭结构TEPE-T的TEPE-TB-PAF表现出最高效的光生载流子传输与分离效率,在没有助催化剂和牺牲剂的情况下表现出较好的光催化CO产率(194.50μmolg^(-1)h^(-1))和近乎单一的选择性(99.74%).全共轭TEPE-T的引入和分子内极化的存在可以促进框架内载流子的分离和迁移.材料中的电偶极矩(从负电荷到正电荷)指向TB中含有叔氮官能团的桥接位点,使其成为明确的催化反应位点.光电流和阻抗测试结果表明,TEPE-TB-PAF具有更好的电子-空穴分离能力和更小的电荷迁移位阻.三维框架构建产生的多重散射截面可以促进材料中的光子吸收,从而提高其光催化性能.理论计算和原位漫反射傅立叶变换红外光谱结果表明,材料中CO解吸的低能垒和*CHO形成的高能垒是TEPE-TB-PAF高CO产率和选择性的根本机制.综上,本文为多功能高效有机聚合物光催化剂的合成提供了有效途径,并为同时改善光催化剂的转化率和选择性提供了借鉴.
基金Supported by Major Crop Pests Monitoring,Disaster Regulation and Prevention and Control Mecha-nism Project in Yunnan Province(2018BB016)Yunling Scholar Programme of Yunnan Provincial Government,Science and Technology Innovation Talents Program in Yunnan Province(2015HA034)+1 种基金Special Project of National Banana Industry Technical System(CARS-31-08)Key Laboratory of Green Prevention and Control of Agricultural Transboundary Pests of Yunnan Province&the CGIAR Research Program on Roots,Tubers and Bananas(RTB)。
文摘[Objective]The paper was to understand the field resistance performance of different banana varieties and the prevention and control ef-fect of different fertilizers,so as to provide technical reference for the prevention and control of Fusarium wilt.[Method]Field trials were set up with three treatments:shrimp peptide organic fertilizer+shrimp peptide special protection+shrimp peptide fruit Yekang(simplified as shrimp peptide organic fertilizer treatment),conventional organic fertilizer+microbial preparations(simplified as microbial treatment),and conventional or-ganic fertilizer(simplified as control).Four different banana varieties of Brazilian banana,Guijiao No.1,Nantianhuang,and Yunjiao No.1 were se-lected for the field trial.The disease incidence of Fusarium wilt and the control effects of three fertilizers were investigated during four time periods.[Result]The disease incidence of four varieties in three treatments varied.The disease incidence of Nantianhuang and Yunjiao No.1 were signifi-cantly lower than that of other two varieties.There was also significant difference in disease incidence of three treatments.The disease incidence from high to low was control>shrimp peptide organic fertilizer treatment>microbial treatment.The average monthly TR4 pathogen content in heavily infected banana plantation was more than 2000 copies,while the highest one reached 15148.9 copies.[Conclusion]Microbial agents reduced the disease incidence of Fusarium wilt to some content.Nantianhuang and Yunjiao No.1 showed the highest disease resistance compared with other varieties.However,their resistance needs to be further improved before practical application.
