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Left bundle branch pacing set to outshine biventricular pacing for cardiac resynchronization therapy?
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作者 Akash Batta Juniali Hatwal 《World Journal of Cardiology》 2024年第4期186-190,共5页
The deleterious effects of long-term right ventricular pacing necessitated the search for alternative pacing sites which could prevent or alleviate pacinginduced cardiomyopathy.Until recently,biventricular pacing(BiVP... The deleterious effects of long-term right ventricular pacing necessitated the search for alternative pacing sites which could prevent or alleviate pacinginduced cardiomyopathy.Until recently,biventricular pacing(BiVP)was the only modality which could mitigate or prevent pacing induced dysfunction.Further,BiVP could resynchronize the baseline electromechanical dssynchrony in heart failure and improve outcomes.However,the high non-response rate of around 20%-30%remains a major limitation.This non-response has been largely attributable to the direct non-physiological stimulation of the left ventricular myocardium bypassing the conduction system.To overcome this limitation,the concept of conduction system pacing(CSP)came up.Despite initial success of the first CSP via His bundle pacing(HBP),certain drawbacks including lead instability and dislodgements,steep learning curve and rapid battery depletion on many occasions prevented its widespread use for cardiac resynchronization therapy(CRT).Subsequently,CSP via left bundle branch-area pacing(LBBP)was developed in 2018,which over the last few years has shown efficacy comparable to BiVP-CRT in small observational studies.Further,its safety has also been well established and is largely free of the pitfalls of the HBP-CRT.In the recent metanalysis by Yasmin et al,comprising of 6 studies with 389 participants,LBBPCRT was superior to BiVP-CRT in terms of QRS duration,left ventricular ejection fraction,cardiac chamber dimensions,lead thresholds,and functional status amongst heart failure patients with left bundle branch block.However,there are important limitations of the study including the small overall numbers,inclusion of only a single small randomized controlled trial(RCT)and a small follow-up duration.Further,the entire study population analyzed was from China which makes generalizability a concern.Despite the concerns,the meta-analysis adds to the growing body of evidence demonstrating the efficacy of LBBP-CRT.At this stage,one must acknowledge that the fact that still our opinions on this technique are largely based on observational data and there is a dire need for larger RCTs to ascertain the position of LBBPCRT in management of heart failure patients with left bundle branch block. 展开更多
关键词 Biventricular pacing Cardiac resynchronization therapy Conduction system pacing Left bundle branch-area pacing Left bundle branch block Electromechanical dssynchrony
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Attribute Reduction Method Based on Sequential Three-Branch Decision Model
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作者 Peiyu Su Fu Li 《Applied Mathematics》 2024年第4期257-266,共10页
Attribute reduction is a research hotspot in rough set theory. Traditional heuristic attribute reduction methods add the most important attribute to the decision attribute set each time, resulting in multiple redundan... Attribute reduction is a research hotspot in rough set theory. Traditional heuristic attribute reduction methods add the most important attribute to the decision attribute set each time, resulting in multiple redundant attribute calculations, high time consumption, and low reduction efficiency. In this paper, based on the idea of sequential three-branch decision classification domain, attributes are treated as objects of three-branch division, and attributes are divided into core attributes, relatively necessary attributes, and unnecessary attributes using attribute importance and thresholds. Core attributes are added to the decision attribute set, unnecessary attributes are rejected from being added, and relatively necessary attributes are repeatedly divided until the reduction result is obtained. Experiments were conducted on 8 groups of UCI datasets, and the results show that, compared to traditional reduction methods, the method proposed in this paper can effectively reduce time consumption while ensuring classification performance. 展开更多
关键词 Attribute Reduction Three-branch Decision Sequential Three-branch Decision
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DCFNet:An Effective Dual-Branch Cross-Attention Fusion Network for Medical Image Segmentation
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作者 Chengzhang Zhu Renmao Zhang +5 位作者 Yalong Xiao Beiji Zou Xian Chai Zhangzheng Yang Rong Hu Xuanchu Duan 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第7期1103-1128,共26页
Automatic segmentation of medical images provides a reliable scientific basis for disease diagnosis and analysis.Notably,most existing methods that combine the strengths of convolutional neural networks(CNNs)and Trans... Automatic segmentation of medical images provides a reliable scientific basis for disease diagnosis and analysis.Notably,most existing methods that combine the strengths of convolutional neural networks(CNNs)and Transformers have made significant progress.However,there are some limitations in the current integration of CNN and Transformer technology in two key aspects.Firstly,most methods either overlook or fail to fully incorporate the complementary nature between local and global features.Secondly,the significance of integrating the multiscale encoder features from the dual-branch network to enhance the decoding features is often disregarded in methods that combine CNN and Transformer.To address this issue,we present a groundbreaking dual-branch cross-attention fusion network(DCFNet),which efficiently combines the power of Swin Transformer and CNN to generate complementary global and local features.We then designed the Feature Cross-Fusion(FCF)module to efficiently fuse local and global features.In the FCF,the utilization of the Channel-wise Cross-fusion Transformer(CCT)serves the purpose of aggregatingmulti-scale features,and the Feature FusionModule(FFM)is employed to effectively aggregate dual-branch prominent feature regions from the spatial perspective.Furthermore,within the decoding phase of the dual-branch network,our proposed Channel Attention Block(CAB)aims to emphasize the significance of the channel features between the up-sampled features and the features generated by the FCFmodule to enhance the details of the decoding.Experimental results demonstrate that DCFNet exhibits enhanced accuracy in segmentation performance.Compared to other state-of-the-art(SOTA)methods,our segmentation framework exhibits a superior level of competitiveness.DCFNet’s accurate segmentation of medical images can greatly assist medical professionals in making crucial diagnoses of lesion areas in advance. 展开更多
关键词 Convolutional neural networks Swin Transformer dual branch medical image segmentation feature cross fusion
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Left bundle branch pacing vs biventricular pacing in heart failure patients with left bundle branch block:A systematic review and meta-analysis
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作者 Farah Yasmin Abdul Moeed +7 位作者 Rohan Kumar Ochani Hamna Raheel Malik Ali Ehtsham Awan Ayesha Liaquat Arisha Saleem Muhammad Aamir Nael Hawwa Salim Surani 《World Journal of Cardiology》 2024年第1期40-48,共9页
BACKGROUND Left bundle branch pacing(LBBP)is a novel pacing modality of cardiac resynchronization therapy(CRT)that achieves more physiologic native ventricular activation than biventricular pacing(BiVP).AIM To explore... BACKGROUND Left bundle branch pacing(LBBP)is a novel pacing modality of cardiac resynchronization therapy(CRT)that achieves more physiologic native ventricular activation than biventricular pacing(BiVP).AIM To explore the validity of electromechanical resynchronization,clinical and echocardiographic response of LBBP-CRT.METHODS Systematic review and Meta-analysis were conducted in accordance with the standard guidelines as mentioned in detail in the methodology section.RESULTS In our analysis,the success rate of LBBP-CRT was determined to be 91.1%.LBBP CRT significantly shortened QRS duration,with significant improvement in echocardiographic parameters,including left ventricular ejection fraction,left ventricular end-diastolic diameter and left ventricular end-systolic diameter in comparison with BiVP-CRT.CONCLUSION A significant reduction in New York Heart Association class and B-type natriuretic peptide levels was also observed in the LBBP-CRT group vs BiVP-CRT group.Lastly,the LBBP-CRT cohort had a reduced pacing threshold at follow-up as compared to BiVP-CRT. 展开更多
关键词 Left bundle branch pacing Biventricular pacing QRS duration Left ventricular ejection fraction Heart failure
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A Light and Simplified Branch Bending Method for Young Pear Trees
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作者 Jintao XU Longfei LI +3 位作者 Minghui JI Huan LIU Lijuan GAO Baofeng HAO 《Plant Diseases and Pests》 2024年第2期19-21,共3页
Aiming at high cost and low efficiency of conventional branch bending method in the modern intensive planting and labor-saving cultivation mode of young pear trees,this paper provides a new branch bending method with ... Aiming at high cost and low efficiency of conventional branch bending method in the modern intensive planting and labor-saving cultivation mode of young pear trees,this paper provides a new branch bending method with wide source of raw materials,cheap price and simple operation,which is also suitable for the management of low-age branches in the process of high grafting and upgrading of traditional big trees. 展开更多
关键词 Pear tree Light and simplified branch bending METHOD
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Adsorption Effect of Phosphate Modified Grape Branch Biochar on Cd2
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作者 Yu Han Yuming Yin +4 位作者 Hao Zhang Sijing Sun Zuzhi Huang Yishu Deng Li Bao 《Journal of Geoscience and Environment Protection》 2024年第4期59-77,共19页
Two major problems facing agriculture at present are soil pollution and the disposal of solid wastes generated during plant growth. The method of preparing biochar from solid wastes produced by plants is a means of ma... Two major problems facing agriculture at present are soil pollution and the disposal of solid wastes generated during plant growth. The method of preparing biochar from solid wastes produced by plants is a means of maximizing the use of resources to combat the problem of soil pollution. In this study, we did not choose straw in the traditional sense but the waste branches from grape pruning, which has higher lignin cellulose, as the raw material. The biochar derived from grape branches pyrolyzed at 300˚C for two hours was utilized as a raw material to prepare modified biochar with varying concentrations of phosphoric acid. The adsorption performance and mechanism of Cd<sup>2 </sup> were explored through experiments involving different concentrations, addition amounts, reaction times, kinetic analyses, and isothermal adsorption tests. The findings indicated that the optimal adsorption of Cd<sup>2 </sup> occurred with a 20% phosphoric acid concentration, achieving the highest adsorption rate of 84.62%. At a dosage of 10 g/L, the maximum adsorption capacity reached 7.02 mg/g. The adsorption kinetics and isothermal adsorption of Cd<sup>2 </sup> on biochar modified with 0.2% phosphoric acid (0.2 PB) closely followed the pseudo-first-order kinetics model (R<sup>2</sup> > 0.98) and the Freundlich model (R<sup>2</sup> > 0.97), respectively. This suggests that the adsorption process involves both physical and chemical mechanisms. SEM and FTIR analyses revealed that phosphoric acid modification primarily increased the biochar’s specific surface area and enhanced certain original functional groups. The adsorption process predominantly involved rapid ion diffusion and chemical adsorption, as confirmed by kinetic analysis and isothermal adsorption model analysis. In summary, the adsorption efficiency of 0.2 PB significantly improved, showing potential and feasibility for heavy metal remediation in soil. This supports the environmentally friendly concept of “treating waste with waste”. 展开更多
关键词 Phosphate Modified Grape branch Biochar Adsorbs CD
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PpTCP18 is upregulated by lncRNA5 and controls branch number in peach (Prunus persica) through positive feedback regulation of strigolactone biosynthesis 被引量:2
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作者 Xiaobei Wang Qiuping Wang +11 位作者 Lixia Yan Yuhang Hao Xiaodong Lian Haipeng Zhang Xianbo Zheng Jun Cheng Wei Wang Langlang Zhang Xia Ye Jidong Li Bin Tan Jiancan Feng 《Horticulture Research》 SCIE CSCD 2023年第1期21-30,共10页
Branch number is an important agronomic trait in peach(Prunus persica)trees because plant architecture affects fruit yield and quality.Although breeders can select varieties with different tree architecture,the biolog... Branch number is an important agronomic trait in peach(Prunus persica)trees because plant architecture affects fruit yield and quality.Although breeders can select varieties with different tree architecture,the biological mechanisms underlying architecture remain largely unclear.In this study,a pillar peach(‘Zhaoshouhong’)and a standard peach(‘Okubo’)were compared.‘Zhaoshouhong’was found to have significantly fewer secondary branches than‘Okubo’.Treatment with the synthetic strigolactone(SL)GR24 decreased branch number.Transcriptome analysis indicated that PpTCP18(a homologous gene of Arabidopsis thaliana BRC1)expression was negatively correlated with strigolactone synthesis gene expression,indicating that PpTCP18 may play an important role in peach branching.Yeast one-hybrid,electrophoretic mobility shift,dual-luciferase assays and PpTCP18-knockdown in peach leaf buds indicated that PpTCP18 could increase expression of PpLBO1,PpMAX1,and PpMAX4.Furthermore,transgenic Arabidopsis plants overexpressing PpTCP18 clearly exhibited reduced primary rosette-leaf branches.Moreover,lncRNA sequencing and transient expression analysis revealed that lncRNA5 targeted PpTCP18,significantly increasing PpTCP18 expression.These results provide insights into the mRNA and lncRNA network in the peach SL signaling pathway and indicate that PpTCP18,a transcription factor downstream of SL signaling,is involved in positive feedback regulation of SL biosynthesis.This role of PpTCP18 may represent a novel mechanism in peach branching regulation.Our study improves current understanding of the mechanisms underlying peach branching and provides theoretical support for genetic improvement of peach tree architecture. 展开更多
关键词 branch branching NUMBER
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Research Progress and Application of Plant Branching
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作者 Yaru Yang Yulan Hu +2 位作者 Ping Li John T.Hancock Xiangyang Hu 《Phyton-International Journal of Experimental Botany》 SCIE 2023年第3期679-689,共11页
Plant branching development plays an important role in plant morphogenesis(aboveground plant type),the number and angle of branches are important agronomic characters that determine crop plant type.Effective branches ... Plant branching development plays an important role in plant morphogenesis(aboveground plant type),the number and angle of branches are important agronomic characters that determine crop plant type.Effective branches determine the number of panicles or pods of crops and then control the yield of crops.With the rapid development of plant genomics and molecular genetics,great progress has been made in the study of branching development.In recent years,a series of important branching-related genes have been validated from Arabidopsis thaliana,rice,pea,tomato and maize mutants.It is reviewed that plant branching development is controlled by genetic elements and plant hormones,such as auxin,cytokinin and lactones(or lactone derivatives),as well as by environment and genetic elements.Meanwhile,shoot architecture in crop breeding was discussed in order to provide theoretical basis for the study of crop branching regulation. 展开更多
关键词 Plant branching branching development genes HORMONE ENVIRONMENT crop breeding
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Proppant transport law in multi-branched fractures induced by volume fracturing
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作者 GUO Tiankui LYU Mingkun +6 位作者 CHEN Ming XU Yun WENG Dingwei QU Zhanqing DAI Caili HOU Jian LIU Xiaoqiang 《Petroleum Exploration and Development》 SCIE 2023年第4期955-970,共16页
To further clarify the proppant transport and placement law in multi-branched fractures induced by volume fracturing, proppant transport simulation experiments were performed with different fracture shapes, sand ratio... To further clarify the proppant transport and placement law in multi-branched fractures induced by volume fracturing, proppant transport simulation experiments were performed with different fracture shapes, sand ratios, branched fracture opening time and injection sequence of proppants in varied particle sizes. The results show that the settled proppant height increases and the placement length decreases in main fractures as the fracturing fluid diverts gradually to the branched fractures at different positions. The flow rate in branched fractures is the main factor affecting their filling. The diverion to branched fractures leads to low flow rate and poor filling of far-wellbore branched fractures. The inclined fracture wall exerts a frictional force on the proppant to slow its settlement, thus enhancing the vertical proppant distribution in the fracture. The increase of sand ratio can improve the filling of near-wellbore main fracture and far-wellbore branched fracture and also increase the settled proppant height in main fracture. Due to the limitation of fracture height, when the sand ratio increases to a certain level, the increment of fracture filling decreases. When branched fracture is always open(or extends continuously), the supporting effect on the branched fractures is the best, but the proppant placement length within the main fractures is shorter. The fractures support effect is better when it is first closed and then opened(or extends in late stage) than when it is first opened and then closed(or extends in early stage). Injecting proppants with different particle sizes in a specific sequence can improve the placement lengths of main fracture and branched fracture. Injection of proppants in an ascending order of particle size improves the near-wellbore fracture filling, to a better extent than that in a descending order of particle size. 展开更多
关键词 volume fracturing proppant transport complex fracture support multi-branched fracture fracture inclination opening time of branched fracture
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FixBranchPHT:一种针对BranchScope攻击的软件防御方法 被引量:1
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作者 李永波 唐明 《密码学报》 CSCD 2023年第2期342-359,共18页
BranchScope是一种基于分支预测机制的时间侧信道攻击,攻击者利用受害者分支在intel双模态分支方向预测器的执行痕迹推断分支方向.现有大多数防护分支预测攻击和时间侧信道攻击的方案无法阻止分支在方向预测器中留下痕迹,因此不能抵御Br... BranchScope是一种基于分支预测机制的时间侧信道攻击,攻击者利用受害者分支在intel双模态分支方向预测器的执行痕迹推断分支方向.现有大多数防护分支预测攻击和时间侧信道攻击的方案无法阻止分支在方向预测器中留下痕迹,因此不能抵御BranchScope攻击;少数有效方案建议移除分支或消除秘密信息对分支方向的依赖,但需要复杂的数据流和控制流转换.本文提出一种可有效抵御BranchScope攻击的软件防护方案FixBranchPHT,详细分析了所提方案的安全性、实用性和效率.与现有方案相比, FixBranchPHT首次通过重复执行分支,刷新分支在双模态方向预测器的秘密痕迹,修改代码的量更少,程序转换难度更低.本文首先系统分析了BranchScope攻击原理和分支方向预测机制.其次,将不同的分支结构转换为统一形式,利用循环结构实现分支的重复执行;同时利用硬件事务内存的中止回滚机制,保证关键代码不被恶意中断.再次,对方案的安全性进行了理论验证.最后,选取了四个公开的BranchScope攻击目标实验验证方案的有效性,基于nbench基准测试套件评估了防护添加后的性能.实验结果表明FixBranchPHT方案可有效抵御BranchScope攻击,平均仅产生34%的性能损耗. 展开更多
关键词 branchScope攻击 软件防御 分支预测 时间侧信道攻击
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Enhanced adsorption of target branched compounds including antibiotic norfloxacin frameworks on mild steel surface for efficient protection: An experimental and molecular modelling study
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作者 Lingli Chen Yueting Shi +4 位作者 Sijun Xu Junle Xiong Fang Gao Shengtao Zhang Hongru Li 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2023年第8期212-227,共16页
In this study, an approach was proposed to employ new target branched compounds(TBCs) including multiple antibiotic norfloxacin frameworks for intensified adsorption films to achieve super protection of mild steel in ... In this study, an approach was proposed to employ new target branched compounds(TBCs) including multiple antibiotic norfloxacin frameworks for intensified adsorption films to achieve super protection of mild steel in HCl medium. Thus, the TBCs containing bis/tri norfloxacin skeletons were synthesized by multi-step preparation route. In addition, the reference linear compound(RLC) including a single norfloxacin part was also synthesized. The chemical structures of these compounds were confirmed by various means. It was demonstrated that the TBCs could form the tough adsorption films on the surface of mild steel, which could be processed mainly through chemisorption effect. The electrochemical analysis suggested that the TBCs displayed superior corrosion inhibition performance for low carbon steel in1.0 mol·L^(-1) HCl solution over the RLC(RLC, 87.80%;TBC1, 97.63%;TBC2, 98.35%), which was further understood by the molecular modelling. The isotherm adsorption plots were employed to analyze the spontaneous adsorption process of the TBCs on low carbon steel surface, and a prominent chemisorption could be inferred by the standard Gibbs free energy changes of the adsorption. 展开更多
关键词 branched compounds Norfloxacin part ADSORPTION ANTICORROSION Mild steel
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Repair and regeneration of peripheral nerve injuries that ablate branch points
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作者 JuliAnne E.Allgood George D.Bittner Jared S.Bushman 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第12期2564-2568,共5页
The peripheral nervous system has an extensive branching organization, and peripheral nerve injuries that ablate branch points present a complex challenge for clinical repair. Ablations of linear segments of the PNS h... The peripheral nervous system has an extensive branching organization, and peripheral nerve injuries that ablate branch points present a complex challenge for clinical repair. Ablations of linear segments of the PNS have been extensively studied and routinely treated with autografts, acellular nerve allografts, conduits, wraps, and nerve transfers. In contrast, segmental-loss peripheral nerve injuries, in which one or more branch points are ablated so that there are three or more nerve endings, present additional complications that have not been rigorously studied or documented. This review discusses:(1) the branched anatomy of the peripheral nervous system,(2) case reports describing how peripheral nerve injuries with branched ablations have been surgically managed,(3) factors known to influence regeneration through branched nerve structures,(4) techniques and models of branched peripheral nerve injuries in animal models, and(5) conclusions regarding outcome measures and studies needed to improve understanding of regeneration through ablated branched structures of the peripheral nervous system. 展开更多
关键词 ALLOGRAFT animal model branched injuries femoral nerve peripheral nerve injury peripheral nervous system REGENERATION REPAIR sciatic nerve surgical repair
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Branched fibrous amidoxime adsorbent with ultrafast adsorption rate and high amidoxime utilization for uranium extraction from seawater
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作者 Wan-Ning Ren Xin-Xin Feng +5 位作者 Yu-Long He Ming-Lei Wang Wan-Feng Hong Hong-Wei Han Jiang-Tao Hu Guo-Zhong Wu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2023年第6期79-90,共12页
Direct collection of uranium from low uranium systems via adsorption remains challenging.Fibrous sorbent materials with amidoxime(AO)groups are promising adsorbents for uranium extraction from seawater.However,low AO ... Direct collection of uranium from low uranium systems via adsorption remains challenging.Fibrous sorbent materials with amidoxime(AO)groups are promising adsorbents for uranium extraction from seawater.However,low AO adsorption group utilization remains an issue.We herein fabricated a branched structure containing AO groups on polypropylene/polyethylene spun-laced nonwoven(PP/PE SNW)fibers using grafting polymerization induced by radiation(RIGP)to improve AO utilization.The chemical structures,thermal properties,and surface morphologies of the raw and treated PP/PE SNW fibers were studied.The results show that an adsorptive functional layer with a branching structure was successfully anchored to the fiber surface.The adsorption properties were investigated using batch adsorption experiments in simulated seawater with an initial uranium concentration of 500μg·L^(−1)(pH 4,25℃).The maximum adsorption capacity of the adsorbent material was 137.3 mg·g^(−1)within 24 h;moreover,the uranyl removal reached 96%within 240 min.The adsorbent had an AO utilization rate of 1/3.5 and was stable over a pH range of 4–10,with good selectivity and reusability,demonstrating its potential for seawater uranium extraction. 展开更多
关键词 Radiation graft technology branching structure High amidoxime utilization Seawater uranium extraction Ultrafast adsorption
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Anomalous diffusion in branched elliptical structure
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作者 Kheder Suleiman 张雪岚 +2 位作者 王二辉 刘圣娜 郑连存 《Chinese Physics B》 SCIE EI CAS CSCD 2023年第1期137-144,共8页
Diffusion in narrow curved channels with dead-ends as in extracellular space in the biological tissues,e.g.,brain,tumors,muscles,etc.is a geometrically induced complex diffusion and is relevant to different kinds of b... Diffusion in narrow curved channels with dead-ends as in extracellular space in the biological tissues,e.g.,brain,tumors,muscles,etc.is a geometrically induced complex diffusion and is relevant to different kinds of biological,physical,and chemical systems.In this paper,we study the effects of geometry and confinement on the diffusion process in an elliptical comb-like structure and analyze its statistical properties.The ellipse domain whose boundary has the polar equationρ(θ)=b/√1−e^(2)cos^(2)θ with 0<e<1,θ∈[0,2π],and b as a constant,can be obtained through stretched radius r such that Υ=rρ(θ)with r∈[0,1].We suppose that,for fixed radius r=R,an elliptical motion takes place and is interspersed with a radial motion inward and outward of the ellipse.The probability distribution function(PDF)in the structure and the marginal PDF and mean square displacement(MSD)along the backbone are obtained numerically.The results show that a transient sub-diffusion behavior dominates the process for a time followed by a saturating state.The sub-diffusion regime and saturation threshold are affected by the length of the elliptical channel lateral branch and its curvature. 展开更多
关键词 anomalous diffusion Fokker–Planck equation branched elliptical structure
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Diagnostic value of methylated branched chain amino acid transaminase 1/IKAROS family zinc finger 1 for colorectal cancer
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作者 Ke Xu Ai-Ru Yu +1 位作者 Shen-Bin Pan Jie He 《World Journal of Gastroenterology》 SCIE CAS 2023年第36期5240-5253,共14页
BACKGROUND The diagnostic value of combined methylated branched chain amino acid transaminase 1(BCAT1)/IKAROS family zinc finger 1(IKZF1)in plasma for colorectal cancer(CRC)has been explored since 2015.Recently,severa... BACKGROUND The diagnostic value of combined methylated branched chain amino acid transaminase 1(BCAT1)/IKAROS family zinc finger 1(IKZF1)in plasma for colorectal cancer(CRC)has been explored since 2015.Recently,several related studies have published their results and showed its diagnostic efficacy.AIM To analyze the diagnostic value of methylated BCAT1/IKZF1 in plasma for screening and postoperative follow-up of CRC.METHODS The candidate studies were identified by searching the PubMed,Embase,Cochrane Library,CNKI,and Wanfang databases from May 31,2003 to June 1,2023.Sensitivity,specificity,and diagnostic accuracy were calculated by merging ratios or means.RESULTS Twelve eligible studies were included in the analysis,involving 6561 participants.The sensitivity of methylated BCAT1/IKZF1 in plasma for CRC diagnosis was 60%[95%confidence interval(CI)53-67]and specificity was 92%(95%CI:90-94).The positive and negative likelihood ratios were 8.0(95%CI:5.8-11.0)and 0.43(95%CI:0.36-0.52),respectively.Diagnostic odds ratio was 19(95%CI:11-30)and area under the curve was 0.88(95%CI:0.85-0.91).The sensitivity and specificity for CRC screening were 64%(95%CI:59-69)and 92%(95%CI:91-93),respectively.The sensitivity and specificity for recurrence detection during follow-up were 54%CONCLUSION The detection of methylated BCAT1/IKZF1 in plasma,as a non-invasive detection method of circulating tumor DNA,has potential CRC diagnosis,but the clinical application prospect needs to be further explored. 展开更多
关键词 branched chain amino acid transaminase 1 IKAROS family zinc finger 1 METHYLATION Liquid biopsy Colorectal cancer
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Masquerading bundle branch block with intermittent right ventricular pacing in a patient with acute coronary syndrome
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作者 Vsevolod Tabachnikov Yuval Avidan 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2023年第10期762-766,共5页
The relatively uncommon masquerading bundle branch block(MBBB),a concept initially introduced in 1958 by UNGER,et al.[1]and colleagues,refers to a conduction abnormality that consists of the right bundle branch block(... The relatively uncommon masquerading bundle branch block(MBBB),a concept initially introduced in 1958 by UNGER,et al.[1]and colleagues,refers to a conduction abnormality that consists of the right bundle branch block(RBBB)pattern in the precordial leads,whereas in the limb leads it resembles a left bundle branch block(LBBB). 展开更多
关键词 BUNDLE branch
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Optical coherence tomography angiography for macular microvessels in ischemic branch retinal vein occlusion treated with conbercept:predictive factors for the prognosis
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作者 Li Tang Guang-Li Sun +2 位作者 Yue Zhao Ting-Ting Yang Jin Yao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第12期2049-2055,共7页
AIM:To evaluate the predicative factors of visual prognosis using optical coherence tomography angiography(OCTA)in ischemic branch retinal vein occlusion(BRVO)patients with macular edema(ME)after anti-vascular endothe... AIM:To evaluate the predicative factors of visual prognosis using optical coherence tomography angiography(OCTA)in ischemic branch retinal vein occlusion(BRVO)patients with macular edema(ME)after anti-vascular endothelial growth factor(VEGF)treatment.METHODS:In this retrospective analysis,data from 60 patients(60 eyes)with a definite diagnosis of ischemic BRVO with ME by fundus fluorescein angiography(FFA)were studied.The eyes with ME according to spectral domain optical coherence tomography(SD-OCT)underwent intravitreal conbercept(IVC)and 3+pro re nata(PRN)regimen.The injection times were recorded.Two weeks after injection,fundus laser photocoagulation was performed in the non-perfusion area of the retina.The patients were followed up once a month for 6mo.The bestcorrected visual acuity(BCVA),foveal avascular zone(FAZ),and A-circularity index(AI),at 6mo and the baseline were compared.RESULTS:All patients showed significant improvement in BCVA from 0.82±0.32 to 0.39±0.11 logMAR(P<0.001).The mean central macular thickness(CMT)significantly decreased from 476.22±163.54 to 298.66±109.23μm.Both the FAZ area and AI at 6mo were significantly higher than those at the baseline:the FAZ area increased(0.38±0.02 vs 0.39±0.02 mm^(2),P<0.05);the AI increased(1.27±0.02 vs 1.31±0.01,P=0.000).The baseline BCVA showed a significantly positive correlation with the baseline FAZ area,FAZ perimeter(PERIM)and AI,final visual gain(FVG)and injection times,respectively(P<0.001).FVG showed a significantly negative correlation with the FAZ area,PERIM,AI and injection times,but a significantly positive correlation with vessel densities(VDs)300μm area around FAZ(FD-300;P<0.001).Injection times was positively correlated with the baseline FAZ area,and AI,but inversely correlated with the baseline FD-300(P<0.001).However macular ischemia was noted in 5 cases during follow-up.CONCLUSION:Using OCTA to observe macular ischemia and quantify parameters can better predict the final visual prognosis of patients before treatment.The changes in FAZ parameters may influence the visual prognosis and injection times. 展开更多
关键词 optical coherence tomography angiography branch retinal vein occlusion macular edema foveal avascular zone conbercept
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In-Situ Growing of Branched CNFs on Reusable RCFs to Construct Hierarchical Cross-Linked Composite for Enhanced Microwave Absorption
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作者 Lei Liu Shenao Pang Zhuhui Luo 《Journal of Renewable Materials》 EI 2023年第11期3891-3906,共16页
The recycling of carbon fibers and protection from unwanted microwave radiation are two important environmental issues that need to be addressed in modern society.Herein,branched carbon nanofibers(CNFs)were grown in-s... The recycling of carbon fibers and protection from unwanted microwave radiation are two important environmental issues that need to be addressed in modern society.Herein,branched carbon nanofibers(CNFs)were grown in-situ on recycled carbon fibers(RCFs)through the chemical vapor deposition method using nickel as catalysts and thiophene as aided-catalysts.The effect of thiophene on the growth morphology of CNFs was investigated.Correspondingly,branched CNFs-RCFs and straight CNFs-RCFs were respectively obtained in the presence and absence of thiophene.The microstructure and electromagnetic behaviour investigations have shown that the branched CNFs possess a typical multi-branched structure,with more defects,pores and a larger specific surface area than the straight CNFs,which lead to better impedance matching and adequate dielectric loss ability for the branched CNFs-RCFs.The reflection loss(RL)results show that the branched CNFs-RCFs exhibit an optimum RL of -23.6 dB at 1.5 mm and a best effective absorption bandwidth(EAB)of 7.5 GHz at 2.0 mm.This research provides an innovative microwave absorbing material with adequate absorbing strength and outstanding EAB,while also promoting the sustainable reuse of the RCFs resources. 展开更多
关键词 branched carbon nanofibers recycled carbon fibers in-situ growing microwave absorption
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Non-arteritic anterior ischemic optic neuropathy combined with branch retinal vein obstruction:A case report
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作者 Hong-Xia Gong Shi-Yong Xie 《World Journal of Clinical Cases》 SCIE 2023年第26期6189-6193,共5页
BACKGROUND Non-arteritic anterior ischemic optic neuropathy(NAION)is an independent disease characterized by edematous optic discs.In eyes with branch retinal vein occlusion(BRVO),the arteries and veins in the ethmoid... BACKGROUND Non-arteritic anterior ischemic optic neuropathy(NAION)is an independent disease characterized by edematous optic discs.In eyes with branch retinal vein occlusion(BRVO),the arteries and veins in the ethmoid plate of the optic disc are relatively crowded;however,a combination of the two is clinically uncommon.Herein,we reported a patient with NAION and concealed BRVO,for which the treatment and prognosis were not similar to those for NAION alone.CASE SUMMARY Herein,we report a case of NAION with concealed BRVO that did not improve with oral medication.A week later,we switched to intravenous drug administration to improve circulation,and the patient’s visual acuity and visual field recovered.Hormonal therapy was not administered throughout the study.This case suggested that:(1)Fundus fluorescein angiography(FFA)can help detect hidden BRVO along with the NAION diagnosis;(2)intravenous infusion of drugs to improve circulation has positive effects in treating such patients;and(3)NAION with concealed BRVO may not require systemic hormonal therapy,in contrast with the known treatment for simple NAION.CONCLUSION NAION may be associated with hidden BRVO,which can only be observed on FFA;intravenous therapy has proven effectiveness. 展开更多
关键词 Non-arteritic anterior ischemic optic neuropathy branch retinal vein occlusion Fundus fluorescein angiography Field VISION PROGNOSIS Case report
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Quality Standard of Barberry Branches
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作者 Dongmei SHA Liniu SHAMA +5 位作者 Wenbing LI Xiaoyong HE Bin HE Yanfei HUANG Xinjia YAN Yuan LIU 《Medicinal Plant》 CAS 2023年第4期41-45,共5页
[Objectives] To establish the quality standard of barberry branches. [Methods] Microscopic identification and thin layer identification were used to qualitatively identify barberry branches. Berberine content was dete... [Objectives] To establish the quality standard of barberry branches. [Methods] Microscopic identification and thin layer identification were used to qualitatively identify barberry branches. Berberine content was determined by HPLC method, and the content of water, total ash, acid insoluble ash and extract was detected according to the method of the Chinese Pharmacopoeia (2020 edition). [Results] The microscopic identification showed that the features were obvious, and stone cells, cork cells, epidermal cells, stomata, fibers and catheter with reticulated pores could be found. Berberine was detected in barberry branches by thin layer chromatography, and the characteristic spots were separated clearly. Moisture, total ash, and acid insoluble ash content shall not exceed 13%, 6%, and 3%, respectively, and extract content shall not be less than 10%. Berberine hydrochloride (C_(20)H_(18)ClNO_(4)) should be calculated in the branches of Berberis wilsonae Hemsley and Berberis aggregata C. K. Schneid., and berberine (C_(20)H_(17)NO_(4)) content should not be less than 0.05%. The linear relationship was good in the range of 0.002-0.240 mg/mL ( R^(2)=0.999 5). The average recovery was 89.63%, and RSD was 5.28%. [Conclusions] The method was simple, accurate and reproducible, and can be used for the quality control of barberry branches. 展开更多
关键词 Barberry branches BERBERINE BERBERIS Berberis wilsonae Hemsley Berberis aggregata C.K.Schneid. TLC HPLC
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