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肺部结节及肺癌患者新型冠状病毒感染后肺部手术时机的初步建议 被引量:1
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作者 李昕 董明 +11 位作者 徐嵩 赵洪林 韦森 宋作庆 刘明辉 任典 任凡 赵青春 刘仁旺 夏春秋 陈钢 陈军 《中国肺癌杂志》 CAS CSCD 北大核心 2023年第2期148-150,共3页
近年来,新型冠状病毒感染疫情给全球医疗、政治、经济领域带来了巨大的影响。自新型冠状病毒感染疫情流行开始以来,我们对新型冠状病毒感染影响的了解有了几何数级的增长,近期国内新型冠状病毒感染疫情变化迅速,对于肺部发现肿瘤性病变... 近年来,新型冠状病毒感染疫情给全球医疗、政治、经济领域带来了巨大的影响。自新型冠状病毒感染疫情流行开始以来,我们对新型冠状病毒感染影响的了解有了几何数级的增长,近期国内新型冠状病毒感染疫情变化迅速,对于肺部发现肿瘤性病变患者的外科手术如何开展也因近期疫情的变化而出现了争议。一些研究表明,接受肺癌手术的患者感染新型冠状病毒后较普通患者更易发生呼吸衰竭和围术期死亡事件,然而,癌症治疗的推迟也与患者死亡率的上升有关。特别是新型冠状病毒奥密克戎变异株具有更高的传播性,并有可能逃避通过以前的新型冠状病毒感染、疫苗接种获得的免疫力,为了将手术患者发生新型冠状病毒感染的风险降至最低,有必要制定新的治疗指南、专家共识和预防措施,但目前疫情的快速变化导致我们没有充足的时间和证据来制定指南和共识。胸外科医生急需在术前评估发生严重并发症风险较高的特定患者人群的标准,权衡外科治疗的获益与新型冠状病毒感染的风险孰轻孰重。因此,我们尝试结合在新型冠状病毒感染流行情况下不同地区肿瘤学及胸外科学组织对于肺癌手术的指南及共识,给出一些目前国内疫情期间肺部结节及肺癌患者新型冠状病毒感染后肺部手术时机的初步建议,并希望能引发更深入的讨论和建议。 展开更多
关键词 新型冠状病毒感染 肺肿瘤 肺部手术
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肺原发性韦格纳肉芽肿1例:附文献综述 被引量:1
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作者 任典 李昕 +5 位作者 刘明辉 刘京豪 陈钢 夏春秋 贾超翼 陈军 《中国肺癌杂志》 CAS CSCD 北大核心 2021年第12期881-884,共4页
韦格纳肉芽肿(Wegener’granulomatosis,WG)是一种病情发展迅速的自身免疫性疾病,可累及肺、肾脏等全身各个器官,未得到早期诊疗的患者死亡率较高。由于WG发病率极低且缺乏特异性影像学特征,常导致临床漏诊、误诊和治疗延误。本文报道1... 韦格纳肉芽肿(Wegener’granulomatosis,WG)是一种病情发展迅速的自身免疫性疾病,可累及肺、肾脏等全身各个器官,未得到早期诊疗的患者死亡率较高。由于WG发病率极低且缺乏特异性影像学特征,常导致临床漏诊、误诊和治疗延误。本文报道1例55岁女性患者,因肺部结节经皮肺穿刺活检确诊为肺原发性WG的诊疗经过,并对相关文献进行了综述。 展开更多
关键词 韦格纳肉芽肿 肺肿瘤 经皮肺穿刺 自身免疫性疾病 病例报告
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Abrasive-assisted Nickel Electroforming Process with Moving Cathode 被引量:4
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作者 Jianhua REN Zengwei ZHU +2 位作者 chunqiu xia Ningsong QU Di ZHU 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2017年第2期294-300,共7页
In traditional electroforming process for revolving parts with complex profiles, the drawbacks on surface of deposits, such as pinholes and nodules, will lead to varying physical and mechanical properties on different... In traditional electroforming process for revolving parts with complex profiles, the drawbacks on surface of deposits, such as pinholes and nodules, will lead to varying physical and mechanical properties on different parts of electroformed components. To solve the problem, compositely moving cathode is employed in abrasive-assisted electroforming of revolving parts with complicated profiles. The cathode translates and rotates simultaneously to achieve uniform friction effect on deposits without drawbacks. The influences of current density and transla- tion speed on the microstructure and properties of the electroformed nickel layers are investigated. It is found that abrasive-assisted electroforming with compound cathode motion can effectively remove the pinholes and nodules, positively affect the crystal nucleation, and refine the grains of layer. The increase of current density will lead to coarse microstructure and lower micro hardness, from 325 HV down to 189 HV. While, faster translational linear speed produces better surface quality and higher micro hardness, from 236 HV up to 283 HV. The weld-ability of the electroformed layers are also studied through the metallurgical analysis of welded joints between nickel layer and 304 stainless steel. The electrodeposited nickel layer shows fine performance in welding. The novel compound motion of cathode promotes the mechanical properties and refines the microstructure of deposited layer. 展开更多
关键词 Nickel electroforming · Abrasive · Compound motion · Weldability
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A rank-based multiple-choice secretary algorithm for minimising microgrid operating cost under uncertainties
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作者 chunqiu xia Wei Li +2 位作者 xiaomin Chang Ting Yang Albert Y.Zomaya 《Frontiers in Energy》 SCIE CSCD 2023年第2期198-210,共13页
The increasing use of distributed energy resources changes the way to manage the electricity system.Unlike the traditional centralized powered utility,many homes and businesses with local electricity generators have e... The increasing use of distributed energy resources changes the way to manage the electricity system.Unlike the traditional centralized powered utility,many homes and businesses with local electricity generators have established their own microgrids,which increases the use of renewable energy while introducing a new challenge to the management of the microgrid system from the mismatch and unknown of renewable energy generations,load demands,and dynamic electricity prices.To address this challenge,a rank-based multiple-choice secretary algorithm(RMSA)was proposed for microgrid management,to reduce the microgrid operating cost.Rather than relying on the complete information of future dynamic variables or accurate predictive approaches,a lightweight solution was used to make real-time decisions under uncertainties.The RMSA enables a microgrid to reduce the operating cost by determining the best electricity purchase timing for each task under dynamic pricing.Extensive experiments were conducted on real-world data sets to prove the efficacy of our solution in complex and divergent real-world scenarios. 展开更多
关键词 energy management systems demand response scheduling under uncertainty renewable energy sources multiple-choice secretary algorithm
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Off-axis two-mirror laser communication antenna designed using differential equations
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作者 chunqiu xia Xing ZHONG 《Frontiers of Optoelectronics》 EI CSCD 2017年第2期166-173,共8页
In satellite laser communication technology, which is built between planets and between a planet and the Earth, the optical antenna is the key point. Thus, research on optical system design is important. The off-axis ... In satellite laser communication technology, which is built between planets and between a planet and the Earth, the optical antenna is the key point. Thus, research on optical system design is important. The off-axis reflective system has no obscuration and hence possesses a high efficiency for energy transfer. This study proposes a novel method for designing a free-form off-axis reflective imaging system. This study also introduces differential equations that depend on Fermat's principle and sine condition. Finally, a free-form off-axis two-mirror optical system was designed by using the differential equation method. This system includes one intermediate image plane, in which the field of view (FOV) is -5° to -4° in the y-axis and -1° to 0° in the x-axis. The modulation transfer function was greater than 0.7 at 50 lp/mm, and the efficiency of energy transmission was high. The free-form off-axis two-mirror optical system involves a wide range of application prospects in the optical antenna used in the satellite laser communication systems. Moreover, the design method that used differ- ential equations was proven simple and effective. 展开更多
关键词 optical antenna design off-axis reflectivesystem satellite laser communication
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