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乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS临床观察 被引量:8
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作者 刘青 黄德弘 +4 位作者 黄坚红 王成银 许幸仪 翁旭亮 何子意 《中国现代医学杂志》 CAS 2018年第12期74-78,共5页
目的探讨乳香外洗方联合肢体功能锻炼治疗脑梗死后肩手综合征(SHS)的疗效。方法选取脑梗死后SHS患者64例,按信封法随机分为联合组和对照组,每组各32例。两组均给予神经内科常规治疗和肢体功能锻炼,连续治疗14 d。联合组行乳香外洗方患... 目的探讨乳香外洗方联合肢体功能锻炼治疗脑梗死后肩手综合征(SHS)的疗效。方法选取脑梗死后SHS患者64例,按信封法随机分为联合组和对照组,每组各32例。两组均给予神经内科常规治疗和肢体功能锻炼,连续治疗14 d。联合组行乳香外洗方患肢熏蒸治疗,25 min/次,1次/d,连续治疗14 d;对照组行热水患肢熏蒸治疗,25 min/次,1次/d,连续治疗14 d。比较评价两组疗效、治疗前后简式FuglMeyer法运动功能评分(FMA)、Ashworth痉挛评分、上肢关节疼痛视觉模拟评分(VAS)及脑梗死专用生活质量量表(SS-QOL)。统计比较两组满意度和不良反应发生情况。结果与对照组比较,联合组治疗有效率、患者满意度、治疗1和2周FMA及SS-QOL均提高,治疗1和2周Ashworth痉挛评分与VAS降低(P<0.05);与治疗前比较,联合组治疗1和2周FMA与SS-QOL均提高,治疗1和2周Ashworth痉挛评分与VAS降低;对照组治疗2周FMA和SS-QOL均提高,治疗2周Ashworth痉挛评分和VAS降低(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。结论乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS疗效良好,可有效缓解疼痛并改善患者肢体功能、生存质量及满意度,且安全性良好,值得临床推广。 展开更多
关键词 乳香外洗方 联合 肢体功能锻炼 脑梗死 肩手综合征
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Evaluation of a five-gene signature associated with stromal infiltration for diffuse large B-cell lymphoma
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作者 Ying-Yu Nan Wen-Jun Zhang +7 位作者 de-hong huang Qi-Ying Li Yang Shi Tao Yang Xi-Ping Liang Chun-Yan Xiao Bing-Ling Guo Ying Xiang 《World Journal of Clinical Cases》 SCIE 2021年第18期4585-4598,共14页
BACKGROUND Diffuse large B-cell lymphoma(DLBCL)is a common non-Hodgkin lymphoma.The development of immunotherapy greatly improves the patient prognosis but there are some exceptions.Thus,screening for better biomarker... BACKGROUND Diffuse large B-cell lymphoma(DLBCL)is a common non-Hodgkin lymphoma.The development of immunotherapy greatly improves the patient prognosis but there are some exceptions.Thus,screening for better biomarkers for prognostic evaluation could contribute to the treatment of DLBCL patients.AIM To screen the novel mediators involved in the development of DLBCL.METHODS The GSE60 dataset was applied to identify the differentially expressed genes(DEGs)in DLBCL,and the principal components analysis plot was used to determine the quality of the included samples.The protein-protein interactions were analyzed by the STRING tool.The key hub genes were entered into to the GEPIA database to determine their expressions in DLBCL.Furthermore,these hub gene alterations were analyzed in cBioportal.The UALCAN portal was employed to analyze the expression of the hub genes in different stages of DLBCL.The Estimation of Stromal and Immune cells in Malignant Tumor tissues using Expression data Score was conducted to evaluate the correlation between the gene expression and tumor purity.The gene-gene correlation analysis was conducted in the GEPIA.The stromal score analysis was conducted in TIMER to confirm the correlation between the gene expression and infiltrated stromal cells.The correlation between the indicated genes and infiltration level of cancerassociated fibroblasts(CAFs)was also completed in TIMER with two methods,MCP-Counter and Tumor immune dysfunction and exclusion.The correlation between fibronectin(FN1)protein level and secreted protein acidic and cysteinerich(SPARC)messenger ribonucleic acid expression was confirmed in the cBioportal.RESULTS The top 20 DEGs in DLBCL were identified,and the principal components analysis plot confirmed the quality of the significant DEGs.The pairwise correlation coefficient analysis among all samples showed that these DEGs have a certain co-expression pattern.The DEGs were subjected to STRING to identify the hub genes,alpha-2-macroglobulin(A2M),cathepsin B(CTSB),FN1,matrix metallopeptidase 9(MMP9),and SPARC.The five hub genes were confirmed to be overexpressed in DLBCL.The cBioportal portal detected these five hub genes that had gene alteration,including messenger ribonucleic acid high amplification and missense mutation,and the gene alteration percentages of A2M,FN1,CTSB,MMP9,and SPARC were 5%,8%,5%,2.7%,and 5%,respectively.Furthermore,the five hub genes had a potential positive correlation with tumor stage.The correlation analysis between the five genes and tumor purity confirmed that the five genes were overexpressed in DLBCL and had a positive correlation with the development of DLBCL.More interestingly,the five genes had a significant correlation with the stromal infiltration scores.The correlation analysis between the fives genes and CAFs also showed a significant value,among which the top two genes,FN1 and SPARC,had a remarkable co-expression pattern.CONCLUSION The top DEGs were identified,and the five hub genes were overexpressed in DLBCL.Furthermore,the gene alterations were confirmed and the positive correlation with tumor purity revealed the overexpression of the five genes and close association with the development of DLBCL.More interestingly,the five genes were positively correlated with stromal infiltration,especially in CAFs.The top two genes,FN1 and SPARC,showed a co-expression pattern,which indicates their potential as novel therapeutic targets for DLBCL. 展开更多
关键词 Diffuse large B-cell lymphoma CO-EXPRESSION OVEREXPRESSION Stromal score Cancer-associated fibroblasts Therapeutic target
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Analysis of Forbush decreases observed using a muon telescope in Antarctica starting on 21 June 2015
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作者 de-hong huang Hong-Qiao Hu +4 位作者 Ji-Long Zhang Hong Lu Da-Li Zhang Bin-Shen Xue Jing-Tian Lu 《Chinese Physics C》 SCIE CAS CSCD 2018年第12期140-150,共11页
A cosmic-ray muon telescope the telescope was built in the Zhongshan has been collecting data since the end Station of Antarctica. The telescope of 2014, which was shortly after is the first observation device to be b... A cosmic-ray muon telescope the telescope was built in the Zhongshan has been collecting data since the end Station of Antarctica. The telescope of 2014, which was shortly after is the first observation device to be built by Chinese scientists in Antarctica. The pressure change is very strong in Zhongshan station. The count rate of the pressure correction results shows that the large variations in the count rate are likely caused by pressure fluctuations. During the period from 18 June to 22 June 2015, four halo coronal mass ejections (CMEs) were ejected from the Sun. These CMEs initiated a series of Forbush decreases (FD) when they reached the Earth. We conducted a comprehensive study of the intensity fluctuations of galactic cosmic rays recorded during FDs. The intensity fluctuations used in this study were collected by cosmic ray detectors of multiple stations (Zhongshan, McMurdo, South Polar, and Nagoya), and the solar wind measurements were collected by ACE and WIND. The profile of the FD of 22 June demonstrated a four-step decrease. The traditional one- or two-step FD classification method does not adequately explain the FD profile results. The interaction between the faster CME that occurred on 21 June 2015 and the two slow CMEs of the earlier few days should be considered. The cosmic ray intensities of the South Pole, McMurdo, and Zhongshan stations have similar hourly variations, whereas the galactic cosmic rays recorded between polar and non-polar locations are distinct. The FD pre-increase of 22 June 2015 for the Nagoya ninon telescope (non-polar location) lags those of the McMurdo and Zhongshan stations (polar locations) by 1 h. The FD onset of 22 June 2015 for the Nagoya muon telescope lags those of the polar locations by 1 h. 展开更多
关键词 cosmic ray muon telescope neutron monitor CME Forbush decrease
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