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MSUS和X线检查对类风湿性关节炎膝关节病变的临床诊断价值
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作者 王佩瑶 岑阳 +3 位作者 秦杨阳 李军 邵丽萍 黄猛 《临床医学研究与实践》 2024年第12期73-76,共4页
目的 探讨肌骨超声(MSUS)和X线检查对类风湿性关节炎(RA)膝关节病变的临床诊断价值,以指导RA的诊断和治疗。方法 选取2020年11月至2023年11月安徽医科大学第一附属医院收治的49例RA患者,所有患者均接受双侧膝关节的MSUS和X线检查。通过... 目的 探讨肌骨超声(MSUS)和X线检查对类风湿性关节炎(RA)膝关节病变的临床诊断价值,以指导RA的诊断和治疗。方法 选取2020年11月至2023年11月安徽医科大学第一附属医院收治的49例RA患者,所有患者均接受双侧膝关节的MSUS和X线检查。通过回顾性分析,比较MSUS和X线在膝关节病变声像特征方面的差异。结果 MSUS检查对滑膜炎、关节腔/髌上囊积液、骨侵蚀、半月板损伤、腘窝囊肿的检出率高于X线检查,差异具有统计学意义(P<0.05);MSUS检查对骨赘/骨质增生、骨质疏松、周围软组织肿胀的检出率低于X线检查,差异具有统计学意义(P<0.05);MSUS和X线检查对关节间隙狭窄的检出率无明显差异(P>0.05)。结论 MSUS和X线检查在RA膝关节病变的诊断中各有优势。MSUS对软组织结构病变更敏感,而X线在骨性结构改变的检测上更为准确。两种检查方法在声像特征上互补,结合使用可以为RA的诊疗提供更全面、可靠的影像学依据。建议在临床实践中综合运用这两种检查手段,以获得更精确的诊断和更有效的治疗策略,通过这种多模态影像诊断方法,医生可以更好地评估RA患者的病情,制定个性化的治疗计划。 展开更多
关键词 肌骨超声 X线 类风湿性关节炎 膝关节
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Discovery and Tectonic Significance of Paleoproterozoic Ophiolite from North Huangling Dome, Yangtze Craton
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作者 HAN Qingsen PENG Songbai +1 位作者 cen yang JIANG Xingfu 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2015年第A02期25-25,共1页
Ophiolites represent fragments of ancient oceanic lithosphere, tectonically incorporated into continental margins during plate subduction or remained in the subduction-collisional orogenic belt. We report for the firs... Ophiolites represent fragments of ancient oceanic lithosphere, tectonically incorporated into continental margins during plate subduction or remained in the subduction-collisional orogenic belt. We report for the first time a Paleoproterozoic supra-subduction zone mafic- ultramafic complex from north Huangling dome, 展开更多
关键词 Yangtze Craton Huangling Dome PALEOPROTEROZOIC supra–subduction zone ophiolite Columbia supercontinent
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综合多维物探技术在岩溶堤防查漏中的应用研究 被引量:5
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作者 谭磊 李红文 +2 位作者 江晓益 岑洋 余斐 《湖南大学学报(自然科学版)》 EI CAS CSCD 北大核心 2018年第A01期128-132,共5页
以岩石岭水库总干渠三门头段渗漏调查为依托,考虑到渠道处于岩溶发育区,提出采用并行电法多维成像和地质雷达相结合的技术手段查明隐患的原因及分布.在分析综合物探技术探查可行性的基础之上,基于并行电法技术可快速收录海量的地电数据... 以岩石岭水库总干渠三门头段渗漏调查为依托,考虑到渠道处于岩溶发育区,提出采用并行电法多维成像和地质雷达相结合的技术手段查明隐患的原因及分布.在分析综合物探技术探查可行性的基础之上,基于并行电法技术可快速收录海量的地电数据体,为堤身二维渗漏探测和堤底隐伏缺陷提供数据支撑,结合雷达映像图可有效识别出溶洞的发育特征.现场应用表明,不同高程的二维电阻率图像反映出堤身渗漏隐患体的范围及埋深,并勾勒出隐患区在堤身上的空间连通性;并行电法的三维成果揭示出溶洞在渠底的立体结构形态,有效避开了常规伪三维电法布置的复杂问题;地质雷达法能有效高分辨识别出溶洞发育的范围;成果有效揭示了三门头段堤坝渗漏主要与该段存在隐伏型充填溶洞有关,并且溶洞在堤底以及堤坝上下游已形成渗漏通道.采用并行电法多维成像技术和地质雷达可有效查明岩溶区堤坝渗漏的病症,为堤防隐患的有的放矢治理提供依据. 展开更多
关键词 堤坝渗漏 并行电法 地质雷达 隐伏岩溶 多维电阻率
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基于碳交易的闭环供应链碳减排与定价策略研究 被引量:2
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作者 杨岑 张博卿 王道平 《经济数学》 2018年第3期8-14,共7页
在消费者对低碳产品存在偏好的碳交易市场中,研究两级闭环供应链中的减排与定价决策问题.对于制造商负责回收模式下的回收再制造过程,采用指数分布来刻画废旧产品质量水平的不确定性.假设新产品和再制造品存在竞争关系,建立制造商和零... 在消费者对低碳产品存在偏好的碳交易市场中,研究两级闭环供应链中的减排与定价决策问题.对于制造商负责回收模式下的回收再制造过程,采用指数分布来刻画废旧产品质量水平的不确定性.假设新产品和再制造品存在竞争关系,建立制造商和零售商间的Stackelberg博弈模型,给出制造商确定减排投资和回收参考价格以及零售商决定两种产品的差别定价策略,通过算例分析回收产品的残值和碳交易价格对最优策略和供应链成员利润的影响.研究表明,为了获得利润最大,当碳交易的市场价格升高时,制造商应加大减排投资,且零售商应采取提高产品零售价的策略. 展开更多
关键词 运筹学 定价策略 博弈模型 碳交易 闭环供应链 质量水平
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三维高密度电法在土石坝渗漏探测中的应用 被引量:3
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作者 岑洋 许孝臣 +1 位作者 江晓益 谭磊 《地质论评》 CAS CSCD 北大核心 2021年第S01期1-2,共2页
高密度电法是以地下空间内地质体之间的电阻率差异为研究对象,按照协定的观测系统进行供电与测量,把收录到的地电数据体进行去噪、计算、分析以及表达,从而揭示出地下介质的空间分布及变化特征(严加永等,2012)。目前,高密度二维电阻率... 高密度电法是以地下空间内地质体之间的电阻率差异为研究对象,按照协定的观测系统进行供电与测量,把收录到的地电数据体进行去噪、计算、分析以及表达,从而揭示出地下介质的空间分布及变化特征(严加永等,2012)。目前,高密度二维电阻率成像在水库大坝渗漏隐患探测中得到广泛的应用,为土石坝病害的治理及安全评价提供了有的放矢的靶区,但大坝渗漏病因复杂. 展开更多
关键词 三维高密度电法 土石坝 水库渗漏 电阻率成像
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塘坞水库大坝渗漏探测及定向处理技术的应用 被引量:1
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作者 岑洋 江树海 +1 位作者 王军强 谭磊 《小水电》 2021年第2期29-34,共6页
大坝渗漏是危害到水库安全运行的重要隐患,精准探测大坝渗漏的位置分布与定向高效的堵漏处理是治理隐患水库的关键。考虑单一探测手段在查明渗漏位置时存在误判、漏判等问题,运用并行电法、钻孔检验与钻孔电视试验相结合的探测方法,可... 大坝渗漏是危害到水库安全运行的重要隐患,精准探测大坝渗漏的位置分布与定向高效的堵漏处理是治理隐患水库的关键。考虑单一探测手段在查明渗漏位置时存在误判、漏判等问题,运用并行电法、钻孔检验与钻孔电视试验相结合的探测方法,可综合判断大坝渗漏的准确位置分布。为查明塘坞水库大坝的渗漏位置,首先利用并行电法获得大坝坝体不同高程下的二维视电阻率剖面图,初步判断大坝左坝肩、右坝肩和溢洪道堰基存在渗漏可能;结合钻孔检验与钻孔电视试验技术,进一步判定坝中部轻微渗漏,左坝头存在较大渗漏隐患。根据综合探测成果,对左坝头布置双排灌浆孔,其余位置布置单排灌浆孔,不同位置实施不同灌浆技术进行定向堵漏处理。灌浆完成后,检查孔检验数据表明灌浆质量达到要求,后期观测表明防渗透体稳定性较高。研究成果表明综合探测技术与定向灌浆处理互为补充与验证,实现了对大坝隐患渗漏区域的精确锁定与定向堵漏,显著提高了大坝渗漏治理的工程效益。图11幅,表2个。 展开更多
关键词 水库大坝 渗漏探测 隐患区域 并行电法 钻孔电视 定向堵漏 灌浆
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“全科-专科”分级诊疗协作管理模式对社区原发性高血压患者的效果研究 被引量:4
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作者 岑洋 黄玉梅 方惠 《基层医学论坛》 2021年第28期3997-3999,共3页
目的观察“全科-专科”分级诊疗协作管理模式在社区原发性高血压患者中的应用效果。方法选取2018年9月-2020年3月在梧州市大塘社区卫生服务中心就诊的150例原发性高血压患者,按随机数字表法分成观察组和对照组,每组各75例。对照组接受... 目的观察“全科-专科”分级诊疗协作管理模式在社区原发性高血压患者中的应用效果。方法选取2018年9月-2020年3月在梧州市大塘社区卫生服务中心就诊的150例原发性高血压患者,按随机数字表法分成观察组和对照组,每组各75例。对照组接受社区常规管理,观察组接受“全科-专科”分级诊疗协作管理,对比2组血压控制达标率、高血压并发症发生率及治疗依从性。结果观察组血压控制达标率及治疗依从率明显高于对照组(P<0.05);观察组高血压并发症发生率明显低于对照组(P<0.05)。结论“全科-专科”分级诊疗协作管理模式能有效提高社区原发性高血压患者的治疗依从性,并改善血压控制效果及降低并发症。 展开更多
关键词 社区 原发性高血压 “全科-专科”分级诊疗 协作管理
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Multiplex CRISPR/Cas9-mediated knockout of soybean LNK2 advances flowering time
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作者 Zhaobo Li Qun Cheng +20 位作者 Zhuoran Gan Zhihong Hou Yuhang Zhang Yongli Li Haiyang Li Haiyang Nan cen yang Linnan Chen Sijia Lu Wenqian Shi Liyu Chen Yanping Wang Chao Fang Liping Kong Tong Su Shichen Li Kun Kou Lingshuang Wang Fanjiang Kong Baohui Liu Lidong Dong 《The Crop Journal》 SCIE CSCD 2021年第4期767-776,共10页
Flowering time is an important agronomic trait for soybean yield and adaptation. However, the genetic basis of soybean adaptation to diverse latitudes is still not clear. Four NIGHT LIGHT-INDUCIBLE AND CLOCK-REGULATED... Flowering time is an important agronomic trait for soybean yield and adaptation. However, the genetic basis of soybean adaptation to diverse latitudes is still not clear. Four NIGHT LIGHT-INDUCIBLE AND CLOCK-REGULATED 2(LNK2) homeologs of Arabidopsis thaliana LNK2 were identified in soybean. Three single-guide RNAs were designed for editing the four LNK2 genes. A transgene-free homozygous quadruple mutant of the LNK2 genes was developed using the CRISPR(clustered regularly interspaced short palindromic repeats)/Cas9(CRISPR-associated protein 9). Under long-day(LD) conditions, the quadruple mutant flowered significantly earlier than the wild-type(WT). Quantitative real-time PCR(q RT-PCR)revealed that transcript levels of LNK2 were significantly lower in the quadruple mutant than in the WT under LD conditions. LNK2 promoted the expression of the legume-specific E1 gene and repressed the expression of FT2 a. Genetic markers were developed to identify LNK2 mutants for soybean breeding.These results indicate that CRISPR/Cas9-mediated targeted mutagenesis of four LNK2 genes shortens flowering time in soybean. Our findings identify novel components in flowering-time control in soybean and may be beneficial for further soybean breeding in high-latitude environments. 展开更多
关键词 SOYBEAN LNK2 CRISPR/Cas9 Genome editing Flowering time
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Effectiveness and Safety of a Novel Approach for Management of Patients with Potential Difficult Mask Ventilation and Tracheal Intubation: A Multi-center Randomized Trial 被引量:3
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作者 Ji-Ming Wang Er-Li Ma +11 位作者 Qing-Ping Wu Ming Tian Yan-Yan Sun Jing Lin Liang Peng Qiang Xu Wei Wei Hong Tan cen yang Xiao-Qiang Li Yun-Xia Zuo Jin Liu 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第6期631-637,共7页
Background: Patients with potential difficult mask ventilation (DV) and difficult intubation (Dl) are often managed with awake intubation, which can be stressful for patients and anesthesiologists. This prospecti... Background: Patients with potential difficult mask ventilation (DV) and difficult intubation (Dl) are often managed with awake intubation, which can be stressful for patients and anesthesiologists. This prospective randomized study evaluated a new approach, fast difficult airway evaluation (FDAE). We hypothesized that the FDAE approach would reduce the need for awake intubation. Methods: After obtaining informed consent, 302 patients with potential DV/DI undergoing elective surgeries were randomly assigned to the FDAE group (Group E) and the control group (Group C). In Group E, patients were gradually sedated, and adequacy of manual mask ventilation during spontaneous breathing was assessed at various sedation levels. Awake intubation was applied in those with inadequate mask ventilation. In Group C, DI was evaluated under local anesthesia. However, the care team could intubate under general anesthesia if the vocal cords were visible. The primary outcome was the rate of awake intubations in both groups and the induction efficiency assessed by the induction time. The secondary outcome was the incidence of serious complications. Results: The rate of awake intubation was significantly lower in Group E than that in Group C (5.81% vs. 36.05%,χ2 = 42.3, P 〈 0.001 ). The induction time was much shorter in Group E than in Group C (11.85 ± 4.82 min vs. 18.71± 7.85 min, t = 5.39, P 〈 0.001). There was no significant difl'erence in the incidence of intubation related complications between the two groups. Patients in Group E had a much lower incidence of recall (9.68% vs. 44.90%, χ2 = 47.68, P 〈 0.001) of the induction process and higher satisfaction levels than patients in Group C (t=15.36, P〈 0.001). Conclusions: The FDAE significantly reduces the need for awake intubation and improves the efficiency of the intubation process without comprising safety in patients with potential difficult mask ventilation and DI. 展开更多
关键词 Airway Evaluation Awake Intubation Difficult Airway SEVOFLURANE
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Sperm origins and concentration do not impact the clinical outcomes in intracytoplasmic sperm injection cycles 被引量:1
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作者 cen yang Ze-Hong Zhou +4 位作者 Dan-Ni Zheng Xiao-Fei XU Jin Huang Ying Lian Jie Qiao 《Asian Journal of Andrology》 SCIE CAS CSCD 2018年第5期454-458,共5页
In the present study, we evaluated the impact of sperm origins and concentration on the clinical outcomes of intracytoplasmic sperm injection (ICSI) cycles. A total of 1201 IC51 cycles were retrospectively analyzed ... In the present study, we evaluated the impact of sperm origins and concentration on the clinical outcomes of intracytoplasmic sperm injection (ICSI) cycles. A total of 1201 IC51 cycles were retrospectively analyzed for male azoospermia or oligozoospermia between January 2015 and December 2015 in the Peking University Third Hospital. Patients were divided into three groups (Group 1 vs Group 2/3; surgically extracted sperm vs ejaculated sperms): Group 1 included 343 ICSI cycles and Group 2 analyzed 388 cycles on semen with sperm concentration 〈5 × 10^6 m1-1 (severe oligozoospermia group). Group 3 included 470 cycles with sperm concentration between 5×10^6 m1-1 and 15 × 10^6 m1-1 (mild oligozoospermia group). Fertilization rates, clinical pregnancy rates, and live birth rates were analyzed and compared among groups of different semen origins and concentrations on the oocyte retrieval day. Group 2 showed a lower fertilization rate than Group 3 (62.9%± 21.6% vs 66.8% ± 22.1%, P 〈 0.05). There were no statistically significant differences in clinical pregnancy rate per transfer (51.3%, 46.7%, and 50.0%, respectively), live birth rate per transfer (44.4%, 40.9%, and 41.4%, respectively), accumulative live birth rate (58.3%, 51.0%, and 52.1%, respectively), twin birth rate (18.4%, 10.6%, and 12.6%, respectively), and birth defects rate (0, 0.3%, and 0.2%, respectively) among three groups. The results of this study indicated that sperm origins and concentration do not imDact the clinical outcomes in ICSI cycles. 展开更多
关键词 AZOOSPERMIA clinical outcomes intracytoplasmic sperm injection OLIGOZOOSPERMIA sperm concentration
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Numerical study of hydrodynamic behavior and conversion efficiency of a two-buoy wave energy converter 被引量:7
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作者 杨岑 张永良 《Journal of Hydrodynamics》 SCIE EI CSCD 2018年第2期235-248,共14页
In this paper we propose a two-buoy wave energy converter composed of a heaving semi-submerged cylindrical buoy, a fixed submerged cylindrical buoy and a power take-off(PTO) system, and investigate the effect of the... In this paper we propose a two-buoy wave energy converter composed of a heaving semi-submerged cylindrical buoy, a fixed submerged cylindrical buoy and a power take-off(PTO) system, and investigate the effect of the fixed submerged buoy on the hydrodynamics of the heaving semi-submerged buoy based on the three-dimensional potential theory. And the dynamic response of the semi-submerged buoy and the wave energy conversion efficiency of the converter are analyzed. The difference of the hydrodynamics and the wave energy conversion efficiency of a semi-submerged buoy converter with and without a fixed submerged buoy is discussed. It is revealed that the influence of the fixed submerged buoy on the exciting wave force, the added mass, the radiation damping coefficient and the wave energy conversion efficiency can be significant with a considerable variation, depending on the vertical distance between the heaving semi-submerged buoy and the fixed submerged buoy, the diameter ratio of the fixed submerged buoy to the heaving semi-submerged buoy and the water depth. 展开更多
关键词 Wave energy converter two-buoy HYDRODYNAMICS conversion efficiency fluid-structure interaction power take-off
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