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齐拉西酮联合改良电休克治疗首发精神分裂症患者的疗效及对血清p-mTOR和IL-18水平的影响 被引量:11
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作者 成加林 牛军涛 +3 位作者 何杰 陈财德 周碧海 许晴丽 《中国现代医学杂志》 CAS 2020年第17期72-76,共5页
目的探讨齐拉西酮联合改良性电休克治疗首发精神分裂症患者疗效及对血清磷酸化雷帕霉素靶蛋白(p-mTOR)和白细胞介素-18(IL-18)水平的影响。方法选取2017年10月—2018年12月十堰市中西医结合医院精神科初次诊断为精神分裂症的患者100例... 目的探讨齐拉西酮联合改良性电休克治疗首发精神分裂症患者疗效及对血清磷酸化雷帕霉素靶蛋白(p-mTOR)和白细胞介素-18(IL-18)水平的影响。方法选取2017年10月—2018年12月十堰市中西医结合医院精神科初次诊断为精神分裂症的患者100例。随机分为对照组(采用齐拉西酮治疗)和观察组(采用齐拉西酮联合改良电休克治疗),每组50例。观察两组疗效和并发症,比较治疗前后血清p-mTOR、IL-18水平。结果两组治疗有效率比较,观察组高于对照组(96.00%VS 80.00%,P<0.05);两组治疗前后阳性与阴性症状量表(PANSS)阳性症状、阴性症状、一般精神病理症状、PANSS总分、临床疗效总评量表(CGI)评分比较,差异有统计学意义(P<0.05)。两组治疗后血清p-mTOR、IL-18水平下降(P<0.05),观察组治疗后血清p-mTOR、IL-18水平低于对照组[(2.18±12.56)VS(3.36±1.23)、(162.13±20.84)pg/ml VS(211.89±25.21)pg/ml,P<0.05],观察组不良反应率低于对照组(4.00%VS 20.00%,P<0.05)。结论齐拉西酮联合改良性电休克治疗首发精神分裂症疗效可靠,可降低血清p-mTOR、IL-18水平,不良反应少,效果优于单独接受齐拉西酮治疗。 展开更多
关键词 精神分裂症 齐拉西酮 改良电休克治疗 P-MTOR IL-18
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Unicentric Castleman disease presenting as a retroperitoneal peripancreatic mass:A report of two cases and review of literature 被引量:5
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作者 jia-lin cheng Jing Cui +4 位作者 Yi Wang Zong-Zhen Xu Feng Liu Shu-Bin Liang Hu Tian 《World Journal of Gastroenterology》 SCIE CAS 2018年第34期3958-3964,共7页
Castleman disease(CD) is a rare disorder of lymph nodes and related tissues. CD generally occurs in the mediastinum, as well as in cervical, retroperitoneal and axillary regions. The disease is classified into two maj... Castleman disease(CD) is a rare disorder of lymph nodes and related tissues. CD generally occurs in the mediastinum, as well as in cervical, retroperitoneal and axillary regions. The disease is classified into two major types: unicentric CD(UCD) and multicentric CD. The occurrence of UCD in the retroperitoneal peripancreatic region is quite rare. We encountered two cases of retroperitoneal peripancreatic UCD in our hospital during the past three years. Following a series of medical examinations, including magnetic resonance imaging, computed tomography, ultrasonography and postoperative histopathological examination, these two patients were diagnosed with UCD,which presented as a retroperitoneal peripancreatic mass.The mass in each patient was completely excised,and no postoperative radiochemotherapy was administered.Both patients recovered well without recurrence during a follow-up period of 30 mo and 8 mo. 展开更多
关键词 Unicentric CASTLEMAN DISEASE Peripancreatic RETROPERITONEAL TUMOR
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Surgical method choice and coincidence rate of pathological diagnoses in transduodenal ampullectomy: A retrospective case series study and review of the literature 被引量:2
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作者 Feng Liu jia-lin cheng +4 位作者 Jing Cui Zong-Zhen Xu Zhen Fu Ju Liu Hu Tian 《World Journal of Clinical Cases》 SCIE 2019年第6期717-726,共10页
BACKGROUND Transduodenal ampullectomy(TDA) is not in wide clinical use due to its low radical effect and a high recurrence rate of tumors. However,TDA is still an effective treatment method; it has great clinical valu... BACKGROUND Transduodenal ampullectomy(TDA) is not in wide clinical use due to its low radical effect and a high recurrence rate of tumors. However,TDA is still an effective treatment method; it has great clinical value in cases of duodenal benign tumors,precancerous lesions,and benign and malignant borderline tumors,and can avoid the risks associated with pancreaticoduodenectomy with larger resection range and greater thoroughness than endoscopic papillectomy.AIM To investigate the surgical method choice and the coincidence rate of pathological diagnoses in TDA for ampullary neoplasms.METHODS Ten patients with ampullary neoplasms underwent TDA based on the fact that their endoscopic biopsy results suggested benign lesions,and the endoscopic ultrasound(EUS)-assessed tumors were resectable. All cases underwent duodenal ampullary lesion endoscopic biopsy,intraoperative frozen-section pathological examination,and postoperative pathological examination.RESULTSThis study included seven patients with benign tumors and three with malignant tumors(1 pTis,2 pT1),according to the postoperative pathology results. The coincidence rate of the postoperative pathology results with the intraoperative frozen-section biopsy results was 100%(10/10),and the coincidence rate with the endoscopic biopsy results was 70%(7/10) based on pathological characteristics.The endoscopic biopsy false-negative rate was 30%(3/10). All patients were followed for 6 to 70 mo without tumor recurrence or metastasis.CONCLUSION The coincidence rate of postoperative pathology results,intraoperative frozensection pathology results,and endoscopic biopsy results is the restraining factor of TDA clinical application. Endoscopic biopsy results and EUS have importance relevance to surgical planning. Intraoperative frozen-section pathology results have a significant influence on the choice of surgical procedure. 展开更多
关键词 AMPULLA of VATER Ampullary NEOPLASM Transduodenal AMPULLECTOMY PATHOLOGICAL DIAGNOSES
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Effect of casting methods on microstructure and mechanical properties of ZM5 space flight magnesium alloy
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作者 Xu-liang Zhang Guo-kang Yu +3 位作者 Wen-bing Zou Yan-shuo Ji Ying-zhuo Liu jia-lin cheng 《China Foundry》 SCIE 2018年第6期418-421,共4页
The counter-gravity casting methods have been developed to remove the casting defects of Mg based alloys. However, the effects of different counter-gravity casting methods on the microstructure and mechanical properti... The counter-gravity casting methods have been developed to remove the casting defects of Mg based alloys. However, the effects of different counter-gravity casting methods on the microstructure and mechanical properties have not been studied in detail. ZM5 alloys were prepared by gravity casting, low-pressure casting and counter-pressure casting, respectively. The mechanical properties, microstructure and fracture morphologies were examined and compared by means of optical microscopy, scanning electron microscopy methods and tensile testing. Results show that casting defects such as gas pore, shrinkage porosity and cavity can be eliminated by counter-pressure casting. The grain size of α-Mg is decreased significantly by counterpressure casting. Moreover, the precipitated particles are more uniform and finer in the counter-pressure casting sample. As a result, the mechanical properties of the alloys are greatly improved. The tensile strength and elongation of the samples by counter-pressure casting are 285 MPa and 13.9%, respectively, which are much higher than those of the low pressure casting and gravity casting. 展开更多
关键词 counter-pressure CASTING ZM5 ALLOY MICROSTRUCTURE MECHANICAL properties
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Accurate prediction method for the microstructure of amorphous alloys without non-metallic elements
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作者 Wei Zhao jia-lin cheng +1 位作者 Gong Li Xin Wang 《Chinese Physics B》 SCIE EI CAS CSCD 2021年第11期440-444,共5页
A new structural parameter of amorphous alloys called atomic bond proportion was proposed, and a topological algorithm for the structural parameter was proven feasible in the previous work. In the present study, a cor... A new structural parameter of amorphous alloys called atomic bond proportion was proposed, and a topological algorithm for the structural parameter was proven feasible in the previous work. In the present study, a correction factor, λ,is introduced to optimize the algorithm and dramatically improve the calculation accuracy of the atomic bond proportion.The correction factor represents the ability of heterogeneous atoms to combine with one another to form the metallic bonds and it is associated with the uniformity of the master alloy, mixing enthalpy, cooling rate during preparation, and annealing time. The correction factor provides a novel pathway for researching the structures of the amorphous alloys. 展开更多
关键词 atomic bond proportion correction factor amorphous materials MICROSTRUCTURE
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Isothermal oxidation behavior of a new Re-free nickel-based single-crystal superalloy at 950℃ 被引量:4
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作者 Xue-Feng Zhou Guang Chen +4 位作者 Ya-Ya Feng Zhi-Xiang Qi Min-Zhi Wang Pei Li jia-lin cheng 《Rare Metals》 SCIE EI CAS CSCD 2017年第8期617-621,共5页
The isothermal oxidation behavior of a new Refree nickel-based single-crystal superalloy in air at 950 ℃ for 200 h was studied by scanning electron microscopy(SEM)with energy-dispersive spectroscopy(EDS)and X-ray... The isothermal oxidation behavior of a new Refree nickel-based single-crystal superalloy in air at 950 ℃ for 200 h was studied by scanning electron microscopy(SEM)with energy-dispersive spectroscopy(EDS)and X-ray diffraction(XRD).The results indicate that oxidation kinetics obeys parabolic law approximately,and the mass gain increases rapidly during initial oxidation stage and then gradually slows down.The oxidation scales are composed of three layers:the outer layer mainly consists of NiO with a small amount of CoO;the intermediate layer is mainly composed of Cr_2O_3 with a small amount of spinel compounds such as CrTaO_4,NiCr_2O_4,CoCrAl_2O_4,CoAl_2O_4,and NiAl_2O_4;and the inner layer is composed of Al_2O_3.Inner Al_2O_3 layer suppresses the diffusion of elements between oxygen and alloy elements,slows down the alloy oxidation speed,and also suppresses the growth of the oxide scale and reduces the oxidation rate,which is agreeable with the oxidation kinetics. 展开更多
关键词 Nickel-based single-crystal superalloy Isothermal oxidation Oxidation kinetic SURFACEMORPHOLOGY
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Effect of Oxygen on Microstructure Evolution and Glass Formation of Zr-based Metallic Glasses
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作者 jia-lin cheng Guang CHEN +2 位作者 Qiang-qiang ZENG Lu YUN Feng XU 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2016年第1期78-82,共5页
The effect of oxygen on the microstructure evolution and glass formation of Zr-based bulk metallic glasses(BMGs)was studied in detail.It was found that oxygen did not form oxides or dissolve in glass matrix,but indu... The effect of oxygen on the microstructure evolution and glass formation of Zr-based bulk metallic glasses(BMGs)was studied in detail.It was found that oxygen did not form oxides or dissolve in glass matrix,but induced the precipitation ofα-Zr which has the high affinity and solubility of oxygen in the Zr-based bulk metallic glass(ZrBMG).With the precipitation ofα-Zr,the remaining melts contain much lower oxygen content and have strong glass formation,resulting in the formation ofα-Zr/BMG composite.The findings provide an important insight into the mechanism of the oxygen on glass formation,and give us a useful guideline to avoid the oxygen detrimental for designing new BMGs. 展开更多
关键词 amorphous material rapid solidification quenching microstructure
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