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Health risk assessment of lead pollution in inner-city environment in Shenyang, China 被引量:1
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作者 Huimin REN jinda wang Xuelin ZHANG 《Chinese Journal Of Geochemistry》 EI CAS 2006年第B08期56-56,共1页
关键词 环境污染 血导联 人体健康 城市环境
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白内障手术患者舒适度的影响因素分析:系统综述和Meta分析 被引量:5
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作者 何海龙 赵欣宇 +6 位作者 常笛 王进达 曹凯 周春媛 梁新童 郭雅楠 万修华 《中华眼视光学与视觉科学杂志》 CAS CSCD 2020年第5期379-389,共11页
目的:系统评价临床实践中影响白内障手术患者舒适度的因素,为提高白内障手术患者舒适度提供可靠依据。方法:计算机检索中文全文期刊数据库(CNKI)、万方数据库、维普数据库、PubMed、Embase、Cochrane Library搜集有关文章,2位评价者独... 目的:系统评价临床实践中影响白内障手术患者舒适度的因素,为提高白内障手术患者舒适度提供可靠依据。方法:计算机检索中文全文期刊数据库(CNKI)、万方数据库、维普数据库、PubMed、Embase、Cochrane Library搜集有关文章,2位评价者独立进行文献检索、筛选、质量评价及数据提取,采用RevMan 5.3软件进行Meta分析。结果:文章共纳入52篇随机对照研究中行白内障手术的患者12 911名,将影响白内障患者手术的因素进行分类,依次为护理方式、麻醉药物的种类及作用部位,未归入上述的影响因素按作用时间分为术前影响因素如是否口服镇静药物、术中影响因素如是否辅助吸氧、术后影响因素如术后是否盖眼垫等。将可进行数据分析的影响因素进行处理,Meta分析结果显示:与常规护理相比,协同护理可提高白内障手术患者舒适度相对危险度为1.21,95%置信区间( CI):1.13,1.30( P<0.001);与利多卡因相比,其他表面麻醉药在麻醉效果及影响患者舒适度方面无明显差异,均值差为-0.69,95% CI:-1.51,0.14( P<0.001);较平衡盐溶液相比,静脉输注芬太尼组可明显降低患者自控的镇痛装置按压给药的次数,进而反映出静脉输注芬太尼可提高患者舒适度[ MD=-1.77,95% CI:-2.19,-1.39;P<0.001];Tendon囊下麻醉较表面麻醉相比,麻醉效果及患者舒适度方面更好[ MD=-1.02,95% CI:-1.33,-0.71;P<0.001];其他可提升患者舒适度的因素由于研究文献少或统计结果难以合并遂未行Meta分析,但将其结论进行系统综述。 结论:影响白内障手术患者舒适度的因素较多,在临床中可逐步开展,进一步提高手术舒适度,提升患者生活质量。 展开更多
关键词 白内障手术 舒适度 影响因素 系统评价 META分析
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A novel deletion mutation, c.1296delT in the BCOR gene, is associated with oculo-facio-cardio-dental syndrome 被引量:6
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作者 Jingshang Zhang Hongyan Jia +10 位作者 jinda wang Ying Xiong Jing Li Xiaoxia Li Jing Zhao Xiaohui Zhang Qisheng You Guyu Zhu Frank F.Tsai Mark Espina Xiuhua Wan 《Science China(Life Sciences)》 SCIE CAS CSCD 2019年第1期119-125,共7页
The purpose of the present study was to analyze the clinical phenotypes of a girl with oculo-facio-cardio-dental(OFCD)syndrome and to identify the potential pathogenic mutation responsible for her disease. The patient... The purpose of the present study was to analyze the clinical phenotypes of a girl with oculo-facio-cardio-dental(OFCD)syndrome and to identify the potential pathogenic mutation responsible for her disease. The patient underwent detailed clinical examinations and phenotype data were collected over a follow-up period of 9 years. Mutation analysis of the candidate gene BCOR was performed with polymerase chain reaction and Sanger sequencing. BCOR of 60 unrelated normal individuals were also sequenced as a control group. Clinical phenotyping and follow-up study results indicate that this patient had multiple system anomalies including ocular, facial, cardiac, dental, and limb malformations. In addition, papilloma of the choroid plexus was identified, which represents the first report of this phenotype in an OFCD patient. A novel deletion mutation, c.1296 delT in exon4 of the BCOR gene, was identified in this patient and was not found in her parents or in 60 normal unrelated individuals. This deletion was a frameshift mutation and is proposed to encode a premature stop codon, thus producing a truncated protein. Our patient fitted the diagnostic criteria for OFCD syndrome and we report the first papilloma of the choroid plexus in an OFCD patient, expanding the recognized phenotypic spectrum of this disease. Meanwhile, we identified a novel deletion mutation that may cause OFCD syndrome. 展开更多
关键词 oculo-facio-cardio-dental SYNDROME clinical PHENOTYPE BCOR DELETION MUTATION
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TGF-β regulation of microRNA miR-497-5p and ocular lens epithelial cell mesenchymal transition 被引量:6
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作者 jinda wang Jingshang Zhang +7 位作者 Ying Xiong Jing Li Xiaoxia Li Jing Zhao Guyu Zhu Hailong He Yusufu Mayinuer Xiuhua Wan 《Science China(Life Sciences)》 SCIE CAS CSCD 2020年第12期1928-1937,共10页
The purpose of this study was to investigate the role of a human lens microRNA(miR-497-5p) in regulating epithelialmesenchymal transition(EMT) under the control of transforming growth factor beta(TGF-β). A microRNA a... The purpose of this study was to investigate the role of a human lens microRNA(miR-497-5p) in regulating epithelialmesenchymal transition(EMT) under the control of transforming growth factor beta(TGF-β). A microRNA array was used to evaluate the microRNA profiles of untreated and TGF-β-treated human lens epithelial cells in culture. This showed that TGF-βtreatment led to the upregulation of 96 microRNAs and downregulation of 39 microRNAs. Thirteen microRNAs were predicted to be involved in the pathogenesis of posterior capsule opacification(PCO). Meanwhile, overexpression of miR-497-5p suppressed cell proliferation and EMT 48 h post-transfection, and inhibition of miR-497-5p accelerated cell proliferation and EMT.Treatment with TGF-β inhibited the expression of miR-497-5p, but not cell proliferation. miR-497-5p was also found to regulate the level of CCNE1 and FGF7, which are reported to be actively involved in EMT. CCNE1 and FGF7 were bona fide targets of miR-497-5p. The results suggest that miR-497-5p participates in the direct regulation of lens epithelial cell EMTand is regulated by TGF-β. miR-497-5p may be a novel target for PCO therapy. 展开更多
关键词 MICRORNA transforming growth factor beta(TGF-β) lens epithelial cells posterior capsule opacification
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ICL-V4c植入术治疗超高度近视临床效果 被引量:7
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作者 熊瑛 孙秀丽 +5 位作者 毛迎燕 李婧 曹凯 张景尚 王进达 万修华 《中华眼视光学与视觉科学杂志》 CAS CSCD 2021年第4期292-297,共6页
目的:观察新型中央孔型后房型人工晶状体(ICL-V4c)植入术治疗-10 D以上超高度近视的安全性和有效性,并探讨视力提高情况(△LogMAR)与术前球镜度(SD)之间的关系。方法:回顾性研究。选取2016年12月至2020年1月于北京同仁医院行ICL-V4c植... 目的:观察新型中央孔型后房型人工晶状体(ICL-V4c)植入术治疗-10 D以上超高度近视的安全性和有效性,并探讨视力提高情况(△LogMAR)与术前球镜度(SD)之间的关系。方法:回顾性研究。选取2016年12月至2020年1月于北京同仁医院行ICL-V4c植入术治疗超高度近视患者802例(1380眼),术前SD-23.50~-6.00(-11.54±3.59)D。根据患者术前SD将患者分为A组(-10 D<SD≤-6 D)、B组(-23.5 D≤SD≤-10 D),B组按照组距3 D分为B1(-13 D<SD≤-10 D)、B2(-16 D<SD≤-13 D)、B3(-19 D<SD≤-16 D)、B4(-22 D<SD≤-19 D)、B5(-23.5 D≤SD≤-22 D)共5个亚组。使用Kruskal-Wallis检验及卡方检验分析比较各组患者术前和术后1周、2个月的视力、眼压及视力提高情况。结果:B组患者SD术后得到明显改善(P<0.001),最佳矫正视力(BCVA)得到明显提高(P<0.001);2组患者手术的安全指数和有效指数平均值均>1。△LogMAR和组别之间存在相关性(P<0.001);B3、B4组患者术后△LogMAR明显高于A、B1、B2组(调整后均P<0.001)。B组患者术后眼压高于A组(P<0.001),且术后高眼压的比例更高(P=0.008)。结论:ICL-V4c植入术治疗SD≤-10 D以上的超高度近视是安全、有效的,远期效果需进一步观察;治疗-22~-16 D的超高度近视患者术后收益高于>-16~-6 D的患者。 展开更多
关键词 有晶状体眼后房型人工晶状体 中央孔型V4c疗效 超高度近视 屈光手术
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5G通信技术在眼科领域的应用前景展望 被引量:7
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作者 何海龙 王进达 +2 位作者 常笛 周春媛 万修华 《中华眼视光学与视觉科学杂志》 CAS CSCD 2020年第12期956-960,共5页
互联网技术与医学不断进行融合.远程医疗、虚拟现实技术(VR)、人工智能(AI)的新崛起为第五代移动通信技术(5G)提供了广阔的发展空间。眼科学作为以影像学检查为主要诊疗手段的临床学科,在互联网医疗的时代下具有很大的优势。现笔者就5G... 互联网技术与医学不断进行融合.远程医疗、虚拟现实技术(VR)、人工智能(AI)的新崛起为第五代移动通信技术(5G)提供了广阔的发展空间。眼科学作为以影像学检查为主要诊疗手段的临床学科,在互联网医疗的时代下具有很大的优势。现笔者就5G通信技术在眼科领域的应用作简要综述。 展开更多
关键词 5G 远程医疗 虚拟现实 人工智能
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可植入性后房型屈光晶状体植入术后并发症的研究进展 被引量:4
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作者 刘振宇 何海龙 +1 位作者 王进达 万修华 《中华眼视光学与视觉科学杂志》 CAS CSCD 2021年第9期710-714,共5页
可植入性后房型屈光晶状体(ICL)植入术作为屈光不正的主要矫正方法之一,具有良好的安全性、有效性、可逆性等优势,目前正逐渐被人们所接受。尽管ICL的材料和设计逐渐改进,但术后并发症仍有可能发生,如并发性白内障、继发性青光眼、角膜... 可植入性后房型屈光晶状体(ICL)植入术作为屈光不正的主要矫正方法之一,具有良好的安全性、有效性、可逆性等优势,目前正逐渐被人们所接受。尽管ICL的材料和设计逐渐改进,但术后并发症仍有可能发生,如并发性白内障、继发性青光眼、角膜内皮细胞损伤等,可影响术后效果,甚至需再次手术。现就ICL植入术后相关并发症的分类、发病机制、预防及治疗措施等方面进行综述。 展开更多
关键词 可植入性后房型屈光晶状体 并发症 并发性白内障 继发性青光眼
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Evaluation of the eco-environmental frangibility in west Jilin Province based on the matter-element model
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作者 Mingquan wang jinda wang +1 位作者 Jingshuang LIU Jingxin DOU 《Frontiers in Biology》 CSCD 2008年第4期543-548,共6页
The west Jilin Province is a typical area in the ecotone between agriculture and animal husbandry,with a frangible eco-environment.With respect to the three aspects of water resource,natural disasters and land degrada... The west Jilin Province is a typical area in the ecotone between agriculture and animal husbandry,with a frangible eco-environment.With respect to the three aspects of water resource,natural disasters and land degradation,10 indices were selected to establish a matter-element model for the assessment of eco-environmental frangibility in the west Jilin Province.The results indicate that during 1985–2000,Qian’an,Fuyu,and Changling had the least frangibility(level Ⅰ),followed by Da’an and Qianguo(level Ⅱ),and Taobei,Zhenlai,Taonan,and Tongyu had the highest frangibility(level Ⅲ).On the whole,the counties in Songyuan city were less frangible than those in Baicheng city.Different counties had different frangibilities to environmental factors,e.g.,Da’an and Tongyu were frangible in water resource conditions;Taobei,Zhenlai,Taonan,Tongyu and Qian’an suffered most from natural disasters;while Taobei,Taonan and Qianguo were threatened by severe land degradation. 展开更多
关键词 matter-element model west Jilin Province frangibility entropy method
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