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Ⅲ期与Ⅳ期压疮患者入院时并发下肢深静脉血栓形成情况及其危险因素 被引量:7
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作者 张伟 黄红军 +5 位作者 张俊峰 刘宝辉 李刚 石凡超 牛希华 杨林 《中华烧伤与创面修复杂志》 CAS CSCD 北大核心 2022年第6期549-554,共6页
目的探讨Ⅲ、Ⅳ期压疮患者入院时并发下肢深静脉血栓形成(DVT)的情况及危险因素。方法采用回顾性病例系列研究方法。将于郑州市第一人民医院创面修复科2015年1月1日—2019年12月31日出院的符合入选标准的241例Ⅲ、Ⅳ期压疮患者纳入研究... 目的探讨Ⅲ、Ⅳ期压疮患者入院时并发下肢深静脉血栓形成(DVT)的情况及危险因素。方法采用回顾性病例系列研究方法。将于郑州市第一人民医院创面修复科2015年1月1日—2019年12月31日出院的符合入选标准的241例Ⅲ、Ⅳ期压疮患者纳入研究,其中男134例、女107例,年龄22~93岁,中位年龄68岁;其中Ⅲ期压疮者37例、Ⅳ期压疮者204例。收集患者发生DVT情况。根据入院后48 h内下肢静脉彩色多普勒超声检查是否确诊为DVT,将病例分为DVT组(37例)和非DVT组(204例);收集并比较2组患者的性别、年龄、压疮持续时间、卧床时间以及合并糖尿病、高血压、冠心病、脑梗死、肺炎、脓毒症/感染性休克、截瘫与入院后24 h内血浆D-二聚体水平和Caprini评分等临床资料。对数据行独立样本t检验、Mann-Whitney U检验、χ^(2)检验及Fisher确切概率法检验。将组间比较差异有统计学意义的指标进行多因素logistic回归分析,筛选影响241例Ⅲ、Ⅳ期压疮患者入院时并发下肢DVT的独立危险因素。结果DVT发生率为15.4%(37/241),其中86.5%(32/37)的患者系无症状DVT,46条下肢DVT中仅累及膝下静脉者29条,占63.0%。2组患者性别、压疮持续时间及合并糖尿病、高血压、冠心病、脑梗死、肺炎、脓毒症/感染性休克情况比较,差异均无统计学意义(P>0.05);2组患者年龄、卧床时间、合并截瘫情况、血浆D-二聚体水平及Caprini评分比较,差异均有统计学意义(t=-3.19,Z=-2.04,χ^(2)=4.44,Z=-3.89,t=-2.14,P<0.05或P<0.01)。多因素logistic回归分析显示,年龄、血浆D-二聚体水平是影响241例Ⅲ、Ⅳ期压疮患者入院时并发下肢DVT的独立危险因素(比值比分别为1.03、1.18,95%置信区间分别为1.00~1.06、1.05~1.33,P<0.05或P<0.01)。结论Ⅲ、Ⅳ期压疮患者入院时具有较高的DVT发生率,年龄、血浆D-二聚体水平是发生下肢DVT的独立危险因素,有必要在接诊时重视DVT的针对性筛查及预防宣传教育。 展开更多
关键词 压力性溃疡 静脉血栓形成 发病率 危险因素 年龄 D-二聚体
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萤石资源开发利用现状与战略意义 被引量:19
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作者 张丹仙 亢建华 +2 位作者 黄红军 祝雯霞 王若林 《过程工程学报》 CAS CSCD 北大核心 2023年第1期1-14,共14页
萤石作为一种重要的非再生非金属战略矿产资源,受到各国重视。随着科学技术和国民经济的快速发展,其经济价值和战略地位日益突出,广泛应用于冶金、建材、氟化工等传统领域和新能源、新材料、新医药等战略性新兴产业。近年来,氟化工产业... 萤石作为一种重要的非再生非金属战略矿产资源,受到各国重视。随着科学技术和国民经济的快速发展,其经济价值和战略地位日益突出,广泛应用于冶金、建材、氟化工等传统领域和新能源、新材料、新医药等战略性新兴产业。近年来,氟化工产业链不断深化,对萤石资源的需求急剧增加,由于全球萤石资源储量有限、资源分布不均、贸易保护主义以及逆全球化势力等因素,全球氟化工产业呈现出高度集中和高度垄断的现象,不同国家和地区的经济发展和萤石资源清洁高效利用、精深加工技术水平存在较大偏差,对萤石产品的供需和消费格局产生严重影响,激化萤石资源储备与萤石产业发展之间的矛盾。本工作从资源储备、主要产业结构、供需消费结构及清洁高效利用技术等方面详细阐述了萤石资源的经济地位和战略意义,提出萤石资源的全球战略布局,通过强化萤石资源整合重组、清洁高效利用、精深加工技术与装备研发、高端产品制造,进一步推动萤石产业朝着精细化、复合化、轻量化、环保节能、循环经济氟化工产品应用领域以及高新技术产业的应用研究开发方向发展,保障萤石资源储备与供给,实现全球萤石资源优化配置和萤石产业的健康可持续发展。 展开更多
关键词 萤石 战略布局 清洁利用 可持续发展
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IFN-stimulated P2Y13 protects mice from viral infection by suppressing the cAMP/EPACl signaling pathway 被引量:3
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作者 Chengfei Zhang Yan Yan +9 位作者 Hongwang He Li Wang Na Zhang Jie Zhang hongjun huang Nannan Wu Hua Ren Min Qian Mingyao Liu Bing Du 《Journal of Molecular Cell Biology》 SCIE CAS CSCD 2019年第5期395-407,共13页
Among the most important sensors of extracellular danger signals, purinergic receptors have been demonstrated to play crucial roles in host defense against infection. However, the function of P2 receptors in viral inf... Among the most important sensors of extracellular danger signals, purinergic receptors have been demonstrated to play crucial roles in host defense against infection. However, the function of P2 receptors in viral infection has been little explored. Here we demonstrated that P2Y13 and its ligand ADP play an important role in protecting hosts from viral infections. First, we demonstrate that P2Y13, as a typical interferon-stimulated gene, is induced together with extracellular ADP during viral infection. Most importantly, extracellular ADP restricts the replication of different kinds of viruses, including vesicular stomatitis virus, Newcastle disease virus, herpes simplex virus 1, and murine leukemia virus. This kind of protection is dependent on P2Y13 but not P2Y1 or P2Y12, which are also considered as receptors for ADP. Furthermore, cyclic adenosine monophosphate and EPAC1 are downregu-lated by extracellular ADP through the P2Y13-coupled Gi alpha subunit. Accordingly, inhibition or deletion of EPAC1 significantly eliminates ADP/P2Y13-mediated antiviral activities. Taken together, our results show that P2Y13 and ADP play pivotal roles in the clearance of invaded virus and have the potential as antiviral targets. 展开更多
关键词 ADP P2Y13 ISG cAMP VIRAL infection
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Hot Deformation Behaviors in Ti-6Al-4V/(TiB+TiC)Composites
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作者 Xuejian Lin hongjun huang +4 位作者 Fuyu Dong Yue Zhang Xiaoguang Yuan Bowen Zheng Xiaojiao Zuo 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 2021年第12期1747-1757,共11页
Thermal compression testing was investigated using the Gleeble 3800 thermal simulator,and thermal deformation behavior of particle-reinforced titanium matrix composites(TMCs)was studied under deformation temperatures ... Thermal compression testing was investigated using the Gleeble 3800 thermal simulator,and thermal deformation behavior of particle-reinforced titanium matrix composites(TMCs)was studied under deformation temperatures of 750-900°C,strain rates of 0.001-1 s^(-1),and experimental deformation of 60%.According to obtained flow stress curves,the hot deformation characteristics were analyzed.Based on the Arrhenius hyperbolic sinusoidal model,the constitutive equation at high temperature was established.Based on the theory of dynamic material models,a hot processing map of TMCs at high temperature was established,and the peak region of power dissipation rate and the instability region in the hot processing map were both determined.At the same time,the corresponding microstructures in the peak power dissipation rate and rheological instability regions were observed.The results showed that flow stress decreased with increasing deformation temperature and increased with increasing strain rate.The thermal deformation activation energy of titanium matrix composites was 301.8 kJ/mol.The Ti-6Al-4V/(TiB+TiC)composites possessed only one instability zone under high-temperature compression at a strain of 0.5,with corresponding temperatures at 750-840°C and strain rates at 0.1-1 s^(-1).The optimal thermal deformation parameters included corresponding temperatures of 830-880°C and strain rates of 0.001-0.05 s^(-1).The microstructures corresponding to optimal hot working parameters in processing maps were more homogeneous than the microstructures in the instability zone,including the distribution uniformity of reinforcement and the degree of dynamic recrystallization,and no instability phenomena including abnormal grain growth,microcracks or intensive fracture of reinforcements were found,indicating that the hot processing map had a positive guiding effect on the option of desirable material thermal-working parameters. 展开更多
关键词 Ti-6Al-4V/(TiC+TiB)composites Hot deformation Flow stress behavior Processing map
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