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Ti−6Al−4V合金板材在电脉冲辅助弯曲过程中的显微组织演变及成形性能
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作者 孟令健 殷宏亮 +2 位作者 朱岩 崔晓磊 林鹏 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2024年第2期519-532,共14页
在有效电流密度为0~3.2 A/mm^(2)、占空比为10%~70%条件下对Ti−6Al−4V合金板材进行电脉冲辅助弯曲实验。结果表明:当有效电流密度从0增加到2.4 A/mm^(2)时,弯曲成形位移从9.15 mm增加到15.60 mm;同时,裂纹的尺寸和宽度减小。此外,当弯... 在有效电流密度为0~3.2 A/mm^(2)、占空比为10%~70%条件下对Ti−6Al−4V合金板材进行电脉冲辅助弯曲实验。结果表明:当有效电流密度从0增加到2.4 A/mm^(2)时,弯曲成形位移从9.15 mm增加到15.60 mm;同时,裂纹的尺寸和宽度减小。此外,当弯曲位移为8 mm时,回弹角随着有效电流密度的增加而减小。占空比同样影响弯曲角,在30%占空比条件下能获得最小的弯曲角135.0°。板材的热稳定温度随着有效电流密度的增加而增加,但是与占空比呈非线性关系。此外,在电脉冲辅助弯曲过程中出现了晶粒粗化、{0001}织构强度增加和亚晶粒发展。电脉冲使位错密度降低且加速位错的重排,促进α晶粒内亚晶粒的形成,从而改善合金的成形性。电脉冲的非热效应提高了Ti−6Al−4V合金板材的低温成形性,使其与高温下的成形效果类似。 展开更多
关键词 Ti−6Al−4V合金板材 显微组织演变 成形性 电脉冲辅助弯曲 回弹 位错 非热效应
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Endoscopic features and treatments of gastric cystica profunda 被引量:2
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作者 Zi-Han Geng yan zhu +5 位作者 Pei-Yao Fu Yi-Fan Qu Wei-Feng Chen Xia yang Ping-Hong Zhou Quan-Lin Li 《World Journal of Gastroenterology》 SCIE CAS 2024年第7期673-684,共12页
BACKGROUND Gastric cystica profunda(GCP)represents a rare condition characterized by cystic dilation of gastric glands within the mucosal and/or submucosal layers.GCP is often linked to,or may progress into,early gast... BACKGROUND Gastric cystica profunda(GCP)represents a rare condition characterized by cystic dilation of gastric glands within the mucosal and/or submucosal layers.GCP is often linked to,or may progress into,early gastric cancer(EGC).AIM To provide a comprehensive evaluation of the endoscopic features of GCP while assessing the efficacy of endoscopic treatment,thereby offering guidance for diagnosis and treatment.METHODS This retrospective study involved 104 patients with GCP who underwent endoscopic resection.Alongside demographic and clinical data,regular patient followups were conducted to assess local recurrence.RESULTS Among the 104 patients diagnosed with GCP who underwent endoscopic resection,12.5%had a history of previous gastric procedures.The primary site predominantly affected was the cardia(38.5%,n=40).GCP commonly exhibited intraluminal growth(99%),regular presentation(74.0%),and ulcerative mucosa(61.5%).The leading endoscopic feature was the mucosal lesion type(59.6%,n=62).The average maximum diameter was 20.9±15.3 mm,with mucosal involvement in 60.6%(n=63).Procedures lasted 73.9±57.5 min,achieving complete resection in 91.3%(n=95).Recurrence(4.8%)was managed via either surgical intervention(n=1)or through endoscopic resection(n=4).Final pathology confirmed that 59.6%of GCP cases were associated with EGC.Univariate analysis indicated that elderly males were more susceptible to GCP associated with EGC.Conversely,multivariate analysis identified lesion morphology and endoscopic features as significant risk factors.Survival analysis demonstrated no statistically significant difference in recurrence between GCP with and without EGC(P=0.72).CONCLUSION The findings suggested that endoscopic resection might serve as an effective and minimally invasive treatment for GCP with or without EGC. 展开更多
关键词 Gastric cystica profunda Early gastric cancer Endoscopic features Endoscopic resection ENDOSCOPY
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大城市主城区公共服务设施适老化评价及其布局优化——以南京市秦淮区为例
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作者 严铸 李红波 胡晓亮 《地理与地理信息科学》 CSCD 北大核心 2024年第5期98-105,共8页
在快速老龄化背景下,公共服务设施是影响社区养老品质的关键因素,需进行针对性的空间布局改善与优化。该文基于社区公共服务设施兴趣点和老年人口空间分布数据开展南京市秦淮区公共服务设施布局适老化评价,运用网络分析与高斯两步移动... 在快速老龄化背景下,公共服务设施是影响社区养老品质的关键因素,需进行针对性的空间布局改善与优化。该文基于社区公共服务设施兴趣点和老年人口空间分布数据开展南京市秦淮区公共服务设施布局适老化评价,运用网络分析与高斯两步移动搜寻法对公共服务设施的覆盖度与可达性进行评价,发现南京市秦淮区部分公共服务设施覆盖度尚不能满足适老化需求,不同公共服务设施的可达性存在空间差异。基于此,提出“差异性社区优化策略”与“多样化邻里中心建设”的布局优化思路,探索将公共服务设施空间覆盖度和可达性测算结果运用于社区基础设施布局优化和适老化改造的可能路径。 展开更多
关键词 公共服务设施 适老化 布局优化 空间可达性 老年人口
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基于脑电探索阿尔茨海默病识别的智能路径
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作者 何润洋 姜林 +3 位作者 朱颜 尧德中 李发礼 徐鹏 《阿尔茨海默病及相关病杂志》 2024年第2期129-133,共5页
阿尔茨海默病(Alzheimer'sdisease,AD)是一种不可逆的神经变性疾病。近年来,脑电图(electroencephalogram,EEG)信号分析和处理技术的发展使得EEG成为提取AD有价值信息的工具。系统地评述了基于脑电的AD识别与诊断,包括脑电信号采集... 阿尔茨海默病(Alzheimer'sdisease,AD)是一种不可逆的神经变性疾病。近年来,脑电图(electroencephalogram,EEG)信号分析和处理技术的发展使得EEG成为提取AD有价值信息的工具。系统地评述了基于脑电的AD识别与诊断,包括脑电信号采集、生物标志物提取以及识别模型的选择。研究旨在探索个体化特征的诊断和治疗策略,为提高AD诊断的准确性和个体化治疗方案的制定提供参考。 展开更多
关键词 阿尔茨海默病 脑电图 生物标志物 识别模型
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Butterfly taxonomic and functional diversity in the urban green spaces of Hefei city
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作者 Haicong Zeng yan zhu +5 位作者 Junyao Zhang Chenliang Li Jian Zhang Hui Liu Jianan Wang Dexian Zhao 《Journal of Forestry Research》 SCIE EI CAS CSCD 2024年第5期47-62,共16页
Urbanization has profound impacts on ecological environments. Green spaces are a vital component of urban ecosystems and play a crucial role in maintaining ecological balance and enhancing sustainability. This study a... Urbanization has profound impacts on ecological environments. Green spaces are a vital component of urban ecosystems and play a crucial role in maintaining ecological balance and enhancing sustainability. This study aimed to investigate the community composition characteristics of butterflies in urban green spaces within the context of rapid urbanization. Simultaneously, it explored the status and differences in butterfly taxonomic diversity, functional diversity, and functional traits among different types of urban green spaces, regions, and urban gradients to provide relevant insights for further improving urban green space quality and promoting biodiversity conservation. We conducted a year-long survey of 80 green spaces across different urban regions and ring roads within Hefei City, Anhui Province, with monthly sampling intervals over 187 transects. A total of 4822 butterflies, belonging to 5 families, 17 subfamilies, 40 genera, and 55 species were identified. The species richness, Shannon, Simpson, functional richness, and Rao's quadratic entropy indices of butterflies in urban park green spaces were all significantly higher than those in residential and street green spaces(P < 0.05). Differences in butterfly diversity and functional traits among different urban regions and ring roads were relatively minor, and small-sized, multivoltine, and long flying duration butterflies dominated urban green spaces. Overall, these spaces offer more favorable habitats for butterflies. However, some residential green spaces and street green spaces demonstrate potential for butterfly conservation. 展开更多
关键词 Urban green space planning Rapid urbanization Butterfly functional traits Green space types Urban biodiversity
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Effects of dense planting patterns on photosynthetic traits of different vertical layers and yield of wheat under different nitrogen rates
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作者 Cuicun Wang Ke Zhang +9 位作者 Qing Liu Xiufeng Zhang Zhikuan Shi Xue Wang Caili Guo Qiang Cao Yongchao Tian yan zhu Xiaojun Liu Weixing Cao 《The Crop Journal》 SCIE CSCD 2024年第2期594-604,共11页
A two-year field experiment was conducted to measure the effects of densification methods on photosynthesis and yield of densely planted wheat.Inter-plant and inter-row distances were used to define ratefixed pattern(... A two-year field experiment was conducted to measure the effects of densification methods on photosynthesis and yield of densely planted wheat.Inter-plant and inter-row distances were used to define ratefixed pattern(RR)and row-fixed pattern(RS)density treatments.Meanwhile,four nitrogen(N)rates(0,144,192,and 240 kg N ha-1,termed N0,N144,N192,and N240)were applied with three densities(225,292.5,and 360×10^(4)plants ha^(-1),termed D225,D292.5,and D360).The wheat canopy was clipped into three equal vertical layers(top,middle,and bottom layers),and their chlorophyll density(Ch D)and photosynthetically active radiation interception(FIPAR)were measured.Results showed that the response of Ch D and FIPAR to N rate,density,and pattern varied with different layers.N rate,density,and pattern had significant interaction effects on Ch D.The maximum values of whole-canopy Ch D in the two seasons appeared in N240 combined with D292.5 and D360 under RR,respectively.Across two growing seasons,FIPAR values of RR were higher than those of RS by 29.37%for the top layer and 5.68%for the middle layer,while lower than those of RS by 20.62%for the bottom layer on average.With a low N supply(N0),grain yield was not significantly affected by density for both patterns.At N240,increasing density significantly increased yield under RR,but D360 of RS significantly decreased yield by 3.72%and 9.00%versus D225 in two seasons,respectively.With an appropriate and sufficient N application,RR increased the yield of densely planted wheat more than RS.Additionally,the maximum yield in two seasons appeared in the combination of D360 with N144 or N192 rather than of D225 with N240 under both patterns,suggesting that dense planting combined with an appropriate N-reduction application is feasible to increase photosynthesis capacity and yield. 展开更多
关键词 Chlorophyll density Densification method Nitrogen Photosynthetically active radiation INTERCEPTION WHEAT
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Methanol steam reforming for hydrogen production driven by an atomically precise Cu catalyst
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作者 Weigang Hu Haoqi Liu +7 位作者 Yuankun Zhang Jiawei Ji Guangjun Li Xiao Cai Xu Liu Wen Wu Xu Weiping Ding yan zhu 《Green Energy & Environment》 SCIE EI CAS CSCD 2024年第7期1079-1084,共6页
Plasmon-induced hot-electron transfer from metal nanostructures is being intensely pursed in current photocatalytic research,however it remains elusive whether molecular-like metal clusters with excitonic behavior can... Plasmon-induced hot-electron transfer from metal nanostructures is being intensely pursed in current photocatalytic research,however it remains elusive whether molecular-like metal clusters with excitonic behavior can be used as light-harvesting materials in solar energy utilization such as photocatalytic methanol steam reforming.In this work,we report an atomically precise Cu_(13)cluster protected by dual ligands of thiolate and phosphine that can be viewed as the assembly of one top Cu atom and three Cu_(4)tetrahedra.The Cu_(13)H_(10)(SR)_(3)(PR’_(3))_(7)(SR=2,4-dichlorobenzenethiol,PR’_(3)=P(4-FC_(6)H_(4))_(3))cluster can give rise to highly efficient light-driven activity for methanol steam reforming toward H_(2)production. 展开更多
关键词 NANOCLUSTER PHOTOCATALYSIS Methanol steam reforming Atomically precise Copper catalyst
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Development of a novel critical nitrogen concentration-cumulative transpiration curve for optimizing nitrogen management under varying irrigation conditions in winter wheat
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作者 Tianyang Ye Yu Zhang +9 位作者 Jingyan Xuan Xintian Wang yang Li Junhao Xu Liujun Xiao Leilei Liu Liang Tang Weixing Cao Bing Liu yan zhu 《The Crop Journal》 SCIE CSCD 2024年第4期1242-1251,共10页
Accurate nitrogen(N)nutrition diagnosis is essential for improving N use efficiency in crop production.The widely used critical N(Nc)dilution curve traditionally depends solely on agronomic variables,neglecting crop w... Accurate nitrogen(N)nutrition diagnosis is essential for improving N use efficiency in crop production.The widely used critical N(Nc)dilution curve traditionally depends solely on agronomic variables,neglecting crop water status.With three-year field experiments with winter wheat,encompassing two irrigation levels(rainfed and irrigation at jointing and anthesis)and three N levels(0,180,and 270 kg ha1),this study aims to establish a novel approach for determining the Nc dilution curve based on crop cumulative transpiration(T),providing a comprehensive analysis of the interaction between N and water availability.The Nc curves derived from both crop dry matter(DM)and T demonstrated N concentration dilution under different conditions with different parameters.The equation Nc=6.43T0.24 established a consistent relationship across varying irrigation regimes.Independent test results indicated that the nitrogen nutrition index(NNI),calculated from this curve,effectively identifies and quantifies the two sources of N deficiency:insufficient N supply in the soil and insufficient soil water concentration leading to decreased N availability for root absorption.Additionally,the NNI calculated from the Nc-DM and Nc-T curves exhibited a strong negative correlation with accumulated N deficit(Nand)and a positive correlation with relative grain yield(RGY).The NNI derived from the Nc-T curve outperformed the NNI derived from the Nc-DM curve concerning its relationship with Nand and RGY,as indicated by larger R2 values and smaller AIC.The novel Nc curve based on T serves as an effective diagnostic tool for assessing winter wheat N status,predicting grain yield,and optimizing N fertilizer management across varying irrigation conditions.These findings would provide new insights and methods to improve the simulations of water-N interaction relationship in crop growth models. 展开更多
关键词 Crop dry matter Crop cumulative transpiration Bayesian statistical model Critical nitrogen dilution curve Nitrogen nutrition index
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Estimating wheat spike-leaf composite indicator(SLI)dynamics by coupling spectral indices and machine learning
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作者 Haiyu Tao Ruiheng Zhou +6 位作者 Yining Tang Wanyu Li Xia Yao Tao Cheng yan zhu Weixing Cao Yongchao Tian 《The Crop Journal》 SCIE CSCD 2024年第3期927-937,共11页
The contribution of spike photosynthesis to grain yield(GY)has been overlooked in the accurate spectral prediction of yield.Thus,it’s essential to construct and estimate a yield-related phenotypic trait considering s... The contribution of spike photosynthesis to grain yield(GY)has been overlooked in the accurate spectral prediction of yield.Thus,it’s essential to construct and estimate a yield-related phenotypic trait considering spike photosynthesis.Based on field and spectral reflectance data from 19 wheat cultivars under two nitrogen fertilization conditions in two years,our objectives were to(i)construct a yield-related phenotypic trait(spike–leaf composite indicator,SLI)accounting for the contribution of the spike to photosynthesis,(ii)develop a novel spectral index(enhanced triangle vegetation index,ETVI3)sensitive to SLI,and(iii)establish and evaluate SLI estimation models by integrating spectral indices and machine learning algorithms.The results showed that SLI was sensitive to nitrogen fertilizer and wheat cultivar variation as well as a better predictor of yield than the leaf area index.ETVI3 maintained a strong correlation with SLI throughout the growth stage,whereas the correlations of other spectral indices with SLI were poor after spike emergence.Integrating spectral indices and machine learning algorithms improved the estimation accuracy of SLI,with the most accurate estimates of SLI showing coefficient of determination,root mean square error(RMSE),and relative RMSE values of 0.71,0.047,and 26.93%,respectively.These results provide new insights into the role of fruiting organs for the accurate spectral prediction of GY.This high-throughput SLI estimation approach can be applied for wheat yield prediction at whole growth stages and may be assisted with agronomical practices and variety selection. 展开更多
关键词 Wheat spike photosynthesis Yield-related phenotypic trait Spectral indices Machine learning Estimation
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Single cell analysis unveils B cell-dominated immune subtypes in HNSCC for enhanced prognostic and therapeutic stratification
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作者 Kang Li Caihua Zhang +9 位作者 Ruoxing Zhou Maosheng Cheng Rongsong Ling Gan Xiong Jieyi Ma yan zhu Shuang Chen Jie Chen Demeng Chen Liang Peng 《International Journal of Oral Science》 SCIE CAS CSCD 2024年第3期448-459,共12页
Head and neck squamous cell carcinoma(HNSCC)is characterized by high recurrence or distant metastases rate and the prognosis is challenging.There is mounting evidence that tumor-infiltrating B cells(TIL-Bs)have a cruc... Head and neck squamous cell carcinoma(HNSCC)is characterized by high recurrence or distant metastases rate and the prognosis is challenging.There is mounting evidence that tumor-infiltrating B cells(TIL-Bs)have a crucial,synergistic role in tumor control.However,little is known about the role TIL-Bs play in immune microenvironment and the way TIL-Bs affect the outcome of immune checkpoint blockade.Using single-cell RNA sequencing(scRNA-seq)data from the Gene Expression Omnibus(GEO)database,the study identified distinct gene expression patterns in TIL-Bs.HNSCC samples were categorized into TIL-Bs inhibition and TIL-Bs activation groups using unsupervised clustering.This classification was further validated with TCGA HNSCC data,correlating with patient prognosis,immune cell infiltration,and response to immunotherapy.We found that the B cells activation group exhibited a better prognosis,higher immune cell infiltration,and distinct immune checkpoint levels,including elevated PD-L1.A prognostic model was also developed and validated,highlighting four genes as potential biomarkers for predicting survival outcomes in HNSCC patients.Overall,this study provides a foundational approach for B cells-based tumor classification in HNSCC,offering insights into targeted treatment and immunotherapy strategies. 展开更多
关键词 prognosis elevated offering
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投资者短视影响基金投资收益吗——基于公募基金个人投资者调查数据
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作者 闫竹 王正位 佀佳欣 《金融经济学研究》 CSSCI 北大核心 2024年第5期113-132,共20页
“基金赚钱、基民不赚钱”现象反映出基金投资者的实现收益率远低于公募基金的长期持有收益率。现实中,投资者并不总是具备长期投资视野,常常出现短视倾向。基于行为金融学框架,利用中国公募基金个人投资者的调查数据,实证检验投资者短... “基金赚钱、基民不赚钱”现象反映出基金投资者的实现收益率远低于公募基金的长期持有收益率。现实中,投资者并不总是具备长期投资视野,常常出现短视倾向。基于行为金融学框架,利用中国公募基金个人投资者的调查数据,实证检验投资者短视与其投资收益之间的关系,发现短视会降低投资者基金投资收益。利用个人税收递延养老政策出台的外生冲击构造工具变量解决内生性问题后,上述结论仍然显著成立。机制分析表明,投资者的技术面信息依赖、损失容忍度低和追涨杀跌行为是投资者短视影响其基金投资收益的重要机制。异质性分析表明,短视在投资者投资高风险基金、未接受专业建议时对投资收益的影响更大,加强投资者教育有助于缓解短视的负向影响。 展开更多
关键词 投资者短视 投资视野 追涨杀跌行为 投资收益
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Successful rescue of disseminated Nocardia infection with multiple abscesses in a patient with membranous nephropathy after cardiopulmonary resuscitation:A three-year follow-up
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作者 Yili Xu Hanyang Qian +13 位作者 Wen Qian Li Dong Weiying Liu yan zhu yaning Mei Yi Xu Ling Wang Yi Xia Xu Qi Huanping Mei Xueqiang Xu Huijuan Mao Changying Xing Ningning Wang 《Journal of Biomedical Research》 CAS CSCD 2024年第2期189-194,I0019,I0020,共8页
Nocardiosis manifests as an opportunistic infection,primarily affecting individuals who are immunocompromised and susceptible to the infection.We present a case study of one patient with nephrotic syndrome and membran... Nocardiosis manifests as an opportunistic infection,primarily affecting individuals who are immunocompromised and susceptible to the infection.We present a case study of one patient with nephrotic syndrome and membranous nephropathy,who underwent treatment with prednisone and cyclosporine in 2016.In early 2017,the patient was diagnosed with a"fungal infection"and discontinued the use of cyclosporine.After one month of anti-infection therapy,a cranial magnetic resonance imaging scan showed multiple abscesses in the right temporal region.The diagnosis of nocardiosis was confirmed based on the presence of metastatic abscess masses,multiple lung and brain lesions,and a positive culture of Nocardia in the drainage.We changed the anti-infection therapy to a combination of trimethoprim-sulfamethoxazole(TMP-SMX),minocycline,and voriconazole.However,the patient experienced a sudden cardiac arrest and subsequently recovered after cardiopulmonary resuscitation.During the five-month follow-up period following the discharge,the patient displayed an enhanced nutritional status and stable renal function.The focal infection ultimately resolved during the subsequent three years.Neuro-infection caused by Nocardia should be considered in immunocompromised patients,and TMP-SMX is the preferred initial therapy;however,because of the high mortality rate,a long-term combination therapy with imipenem,cefotaxime,amikacin,and TMP-SMX is suggested. 展开更多
关键词 Nocardia infection GLOMERULONEPHRITIS membranous nephrology cardiopulmonary resuscitation
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Identification of Mulberry Bacterial Blight Caused by Klebsiella oxytoca in Bazhong,Sichuan,China
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作者 Yuan Huang Jia Wei +8 位作者 Peigang Liu yan zhu Tianbao Lin Zhiqiang Lv Yijun Li Mei Zong Yun Zhou Junshan Gao Zilong Xu 《Phyton-International Journal of Experimental Botany》 SCIE 2024年第8期1995-2008,共14页
To provide a scientific basis for controlling mulberry bacterial blight in Bazhong,Sichuan,China(BSC),this study aimed to isolate and purify pathogenic bacteria from diseased branches of mulberry trees in the region a... To provide a scientific basis for controlling mulberry bacterial blight in Bazhong,Sichuan,China(BSC),this study aimed to isolate and purify pathogenic bacteria from diseased branches of mulberry trees in the region and to clarify their taxonomic status using morphological observation,physiological and biochemical detection,molecular-level identification,and the construction of a phylogenetic tree.A total of 218 bacterial strains were isolated from samples of diseased mulberry branches.Of these,7 strains were identified as pathogenic bacteria based on pathogenicity tests conducted in accordance with Koch’s postulates.Preliminary findings from the analysis of the 16S rRNA sequence indicated that the 7 pathogenic bacteria are members of Klebsiella spp.Morphological observation revealed that the pathogenic bacteria were oval-shaped and had capsules but no spores.They could secrete pectinase,cellulase,and protease and were able to utilize D-glucose,D-mannose,D-maltose,and D-Cellobiose.The 7 strains of pathogenic bacteria exhibited the highest homology with Klebsiella oxytoca.This study identifies Klebsiella oxytoca as the causative agent of mulberry bacterial blight in BSC,laying the foundation for the prevention and control of this pathogen and further investigation into its pathogenic mechanism. 展开更多
关键词 MULBERRY bacterial blight pathogenic identification Klebsiella spp. Klebsiella oxytoca
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基于CT影像特征鉴别小肾嫌色细胞癌及小乏脂型肾血管平滑肌脂肪瘤
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作者 林杉莎 颜竹 +1 位作者 杜佳衡 何晓鹏 《中国医学计算机成像杂志》 CSCD 北大核心 2024年第4期464-468,共5页
目的:探讨小肾嫌色细胞癌(CRCC)及小乏脂型肾血管平滑肌脂肪瘤(fpAML)的CT影像学特征及其鉴别诊断要点。方法:回顾性纳入经手术病理证实的小fpAML(n=20)及小CRCC(n=26)患者的临床及影像资料,所有患者均接受CT平扫及增强检查。对2组患者... 目的:探讨小肾嫌色细胞癌(CRCC)及小乏脂型肾血管平滑肌脂肪瘤(fpAML)的CT影像学特征及其鉴别诊断要点。方法:回顾性纳入经手术病理证实的小fpAML(n=20)及小CRCC(n=26)患者的临床及影像资料,所有患者均接受CT平扫及增强检查。对2组患者的影像学特征进行分类整理,并进行统计学分析,对组间存在统计学差异的指标采用受试者工作特征(ROC)曲线法分析其鉴别小CRCC和小fpAML的价值。结果:20例小fpAML及26例小CRCC的肿瘤主体生长位置、平扫期CT值、假包膜、“冰淇凌蛋筒征”等特征均具有统计学差异,且平扫期CT值ROC曲线下面积最大为0.823,当平扫期CT值选择为39 HU时,鉴别小fpAML和小CRCC的灵敏度为85%,特异度为77%。2组病例增强扫描的强化程度及强化方式均无统计学差异,皮质期均以明显强化为主,且2组中大多数病例均表现为持续强化。结论:小fpAML和小CRCC在CT图像上平扫期CT值、肿瘤主体生长位置、“冰淇凌蛋筒征”及假包膜等特点对两者的鉴别诊断具有重要价值,再结合患者的性别、年龄等特点综合分析能在一定程度上提高其术前诊断准确率。 展开更多
关键词 乏脂肪肾血管平滑肌脂肪瘤 肾嫌色细胞癌 计算机体层成像 肾脏肿瘤
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Impact of thoracic paravertebral block and sufentanil on outcomes and postoperative cognitive dysfunction in thoracoscopic lung cancer surgery
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作者 Dan-Dan Wang Hong-Yu Wang +1 位作者 yan zhu Xi-Hua Lu 《World Journal of Psychiatry》 SCIE 2024年第6期894-903,共10页
BACKGROUND Postoperative pain management and cognitive function preservation are crucial for patients undergoing thoracoscopic surgery for lung cancer(LC).This is achieved using either a thoracic paravertebral block(T... BACKGROUND Postoperative pain management and cognitive function preservation are crucial for patients undergoing thoracoscopic surgery for lung cancer(LC).This is achieved using either a thoracic paravertebral block(TPVB)or sufentanil(SUF)-based multimodal analgesia.However,the efficacy and impact of their combined use on postoperative pain and postoperative cognitive dysfunction(POCD)remain unclear.AIM To explore the analgesic effect and the influence on POCD of TPVB combined with SUF-based multimodal analgesia in patients undergoing thoracoscopic radical resection for LC to help optimize postoperative pain management and improve patient outcomes.METHODS This retrospective analysis included 107 patients undergoing thoracoscopic radical resection for LC at The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital between May 2021 and January 2023.Patients receiving SUF-based multimodal analgesia(n=50)and patients receiving TPVB+SUF-based multimodal analgesia(n=57)were assigned to the control group and TPVB group,respectively.We compared the Ramsay Sedation Scale and visual analog scale(VAS)scores at rest and with cough between the two groups at 2,12,and 24 h after surgery.Serum levels of epinephrine(E),angio-tensin Ⅱ(Ang Ⅱ),norepinephrine(NE),superoxide dismutase(SOD),vascular endothelial growth factor(VEGF),transforming growth factor-β1(TGF-β1),tumor necrosis factor-α(TNF-α),and S-100 calcium-binding proteinβ(S-100β)were measured before and 24 h after surgery.The Mini-Mental State Examination(MMSE)was administered 1 day before surgery and at 3 and 5 days after surgery,and the occurrence of POCD was monitored for 5 days after surgery.Adverse reactions were also recorded.RESULTS There were no significant time point,between-group,and interaction effects in Ramsay sedation scores between the two groups(P>0.05).Significantly,there were notable time point effects,between-group differences,and interaction effects observed in VAS scores both at rest and with cough(P<0.05).The VAS scores at rest and with cough at 12 and 24 h after surgery were lower than those at 2 h after surgery and gradually decreased as postoperative time increased(P<0.05).The TPVB group had lower VAS scores than the control group at 2,12,and 24 h after surgery(P<0.05).The MMSE scores at postoperative days 1 and 3 were markedly higher in the TPVB group than in the control group(P<0.05).The incidence of POCD was significantly lower in the TPVB group than in the control group within 5 days after surgery(P<0.05).Both groups had elevated serum E,Ang Ⅱ,and NE and decreased serum SOD levels at 24 h after surgery compared with the preoperative levels,with better indices in the TPVB group(P<0.05).Marked elevations in serum levels of VEGF,TGF-β1,TNF-α,and S-100β were observed in both groups at 24 h after surgery,with lower levels in the TPVB group than in the control group(P<0.05).CONCLUSION TPVB combined with SUF-based multimodal analgesia further relieves pain in patients undergoing thoracoscopic radical surgery for LC,enhances analgesic effects,reduces postoperative stress response,and inhibits postoperative increases in serum VEGF,TGF-β1,TNF-α,and S-100β levels.This scheme also reduced POCD and had a high safety profile. 展开更多
关键词 Thoracic paravertebral block SUFENTANIL Thoracoscope Radical resection of lung cancer Postoperative cognitive dysfunction
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2020—2022年济南市章丘区各级医疗机构消毒效果监测报告分析
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作者 车瑛 颜柱 宁霞 《中国卫生标准管理》 2024年第15期153-156,共4页
目的了解济南市章丘区各级医疗机构消毒灭菌效果,为提高医疗机构消毒质量和管理水平提供科学依据。方法采用现场抽样法及细菌定量检验方法,对2020年1月—2022年12月济南市章丘区各级医疗机构的消毒灭菌效果进行评价。结果共采集2649份,... 目的了解济南市章丘区各级医疗机构消毒灭菌效果,为提高医疗机构消毒质量和管理水平提供科学依据。方法采用现场抽样法及细菌定量检验方法,对2020年1月—2022年12月济南市章丘区各级医疗机构的消毒灭菌效果进行评价。结果共采集2649份,其中合格2059份,总合格率为77.73%(2059/2649)。合格率呈逐年上升趋势(P<0.001);不同级别医疗机构比较,差异有统计学意义(P<0.001)。医护人员手、物体表面、使用中消毒液合格率在不同级别医疗机构间比较,差异有统计学意义(P<0.05)。结论2020—2022年济南市章丘区各级医疗机构消毒效果合格率逐年提高,压力蒸汽灭菌器、无菌器械消毒液合格率较高,医护人员手和物体表面合格率较低,市属医院的合格率高于乡镇(街道办事处)卫生院、村卫生室及个体诊所,要重点加强基层医疗机构消毒质量督导和技术性指导工作。 展开更多
关键词 章丘区 医疗机构 消毒效果 监测 消毒质量 细菌检测
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Endoscopic resection for calcifying fibrous tumors of the gastrointestinal tract
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作者 Zi-Han Geng yan zhu +11 位作者 Pei-Yao Fu Yi-Fan Qu Shi-Yao Chen Yun-Shi Zhong Yi-Qun Zhang Wei-Feng Chen Wen-Zheng Qin Jian-Wei Hu Ming-yan Cai Li-Qing Yao Quan-Lin Li Ping-Hong Zhou 《World Journal of Clinical Oncology》 2024年第2期282-289,共8页
BACKGROUND Calcifying fibrous tumors(CFTs)are rare mesenchymal lesions that can occur in various sites throughout the body,including the tubular gastrointestinal(GI)tract.AIM To analyze the clinical findings of 36 pat... BACKGROUND Calcifying fibrous tumors(CFTs)are rare mesenchymal lesions that can occur in various sites throughout the body,including the tubular gastrointestinal(GI)tract.AIM To analyze the clinical findings of 36 patients with GI tract CFTs to provide guidance for diagnosis and treatment.METHODS This retrospective study included 36 patients diagnosed with CFTs of the GI tract.We collected demographic and clinical information and conducted regular follow-ups to assess for local recurrence.RESULTS The stomach was the most commonly involved site,accounting for 72.2%of the 36 CFTs.Endoscopic mucosal resection(n=1,2.8%),endoscopic submucosal dissection(n=14,38.9%),endoscopic full-thickness resection(n=16,44.4%),and submucosal tunneling endoscopic resection(n=5,13.9%)were used to resect calcifying fibrous tumors.Overall,34(94.4%)CFTs underwent complete endoscopic resections with a mean procedure time of 39.8±29.8 min.The average maximum diameter of the tumors was 10.6±4.3 cm.No complications,such as bleeding or perforation,occurred during an average hospital stay of 2.9±1.2 d.In addition,two patients developed new growth of CFTs near the primary tumor sites,and none of the patients developed distant metastases during the follow-up period.CONCLUSION GI tract CFTs are rare and typically benign tumors that can be effectively managed with endoscopic procedures. 展开更多
关键词 Endoscopic resection Calcifying fibrous tumor Gastrointestinal tract
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Analysis of the Effect of Intensive Nursing Care on Improving Sleep Quality During the Perioperative Period of Severed Finger Reimplantation
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作者 yan zhu Chao Huang 《Journal of Clinical and Nursing Research》 2024年第6期322-327,共6页
Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed fing... Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed finger reimplantation between January 2023 and December 2023 were included.They were divided into two groups:the observation group(n=31)and the control group(n=31).The control group received basic nursing interventions,while the observation group received intensive nursing care.The comparison parameters included visual analog pain score(VAS),incidence of vascular crises,length of hospitalization,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Score(HAM-D),Hamilton Anxiety Score(HAM-A),and patient satisfaction.Results:Postoperative VAS score,incidence of vascular crisis,hospitalization time,PSQI score,and HAM-A and HAM-D scores of the observation group were lower than those of the control group(P<0.05).Meanwhile,the patient satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Perioperative intensive nursing care for patients undergoing severed finger reimplantation demonstrates significant benefits.It reduces postoperative pain,lowers the incidence of vascular crises,shortens hospitalization durations,enhances sleep quality,alleviates negative emotions,and improves nursing satisfaction.These findings underscore the importance and applicability of such care practices. 展开更多
关键词 Intensive nursing care Replantation of severed fingers Perioperative period Sleep quality
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The Maximum and Minimum Value of Exponential RandićIndices of Quasi-Tree Graph
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作者 Lei Qiu Xijie Ruan yan zhu 《Journal of Applied Mathematics and Physics》 2024年第5期1804-1818,共15页
The exponential Randić index has important applications in the fields of biology and chemistry. The exponential Randić index of a graph G is defined as the sum of the weights e 1 d( u )d( v ) of all edges uv of G, whe... The exponential Randić index has important applications in the fields of biology and chemistry. The exponential Randić index of a graph G is defined as the sum of the weights e 1 d( u )d( v ) of all edges uv of G, where d( u ) denotes the degree of a vertex u in G. The paper mainly provides the upper and lower bounds of the exponential Randić index in quasi-tree graphs, and characterizes the extremal graphs when the bounds are achieved. 展开更多
关键词 Exponential Randić Index Quasi-Tree Graph Extremal Value Extremal Graphs
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Determination of toluene diisocyanate in synthetic-rubber track by ion chromatography with ultraviolet detection after alkaline suppressor 被引量:1
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作者 Mei Lan Chen Yun Chang Fan +2 位作者 Chang An Li Dong Fei yan zhu 《Chinese Chemical Letters》 SCIE CAS CSCD 2009年第2期207-209,共3页
In the present work, a novel analytical method was proposed for the determination of toluene diisocyanate (TDI) in syntheticrubber track by ion chromatography (IC) coupled with an ultraviolet detector setting at 2... In the present work, a novel analytical method was proposed for the determination of toluene diisocyanate (TDI) in syntheticrubber track by ion chromatography (IC) coupled with an ultraviolet detector setting at 212 nm. TDI can be hydrolyzed to toluene diamine (TDA) which can be separated by cation-exchange IC easily. The optimum IC separation was performed on an IonPac CS12A column (150 mm ×4.0 mm) using 20 mmol L^-1 sodium sulfate, 10 mmol L^-1 sulfuric acid and 10% acetonitrile as eluent. It was found that a higher signal response of TDA could be obtained under alkaline condition. A suppressor was used to change the acidic eluent into alkaline one. 0.8 mol L^-1 potassium hydroxide was chosen as the optimum regeneration eluent. With the added suppressor and regenerant, signal response was magnified by about 16 times and lower limit of detection (LOD, 0.13 μg L^-1) was obtained. Within-day relative standard deviation (R.S.D.) was less than 3.6%. The recoveries of TDI spiked in synthetic-rubber track samoles were 96.4-110.6%. 展开更多
关键词 Ion chromatography (IC) Ultraviolet detection Toluene diisocyanate (TDI)
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