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以癫痫发作为首要症状的可逆性胼胝体压部病变综合征患儿临床特征及预后影响因素分析 被引量:1
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作者 焦丽华 张静 +3 位作者 康国 梁珊 韩艳凤 王玉珍 《临床误诊误治》 CAS 2023年第6期68-74,共7页
目的 探讨以癫痫发作为首要症状的可逆性胼胝体压部病变综合征(RESLES)患儿临床特征及预后影响因素。方法 选取2016年1月—2021年12月收治的以癫痫发作为首要症状的RESLES患儿143例,统计分析其临床特征和预后情况,根据预后情况将其分为... 目的 探讨以癫痫发作为首要症状的可逆性胼胝体压部病变综合征(RESLES)患儿临床特征及预后影响因素。方法 选取2016年1月—2021年12月收治的以癫痫发作为首要症状的RESLES患儿143例,统计分析其临床特征和预后情况,根据预后情况将其分为预后不良组(35例)和预后良好组(108例),探讨其预后影响因素,构建Nomogram预测模型,并采用受试者工作特征(ROC)曲线和决策曲线(DCA)验证该模型对以癫痫发作为首要症状RESLES患儿预后不良的预测价值和临床效用。结果 143例中表现为惊厥发作者占86.71%(124/143);有前驱感染症状者占89.51%(128/143);头颅MRI检查T1WI低或稍低信号者占91.61%(131/143),DWI高或稍高、FLAIR高或稍高、T2WI高或稍高者均达100.00%(143/143),孤立胼胝体压部病变者占81.82%(117/143),病变形状斑片形占51.05%(73/143)。合并胼胝体其他部位病变、意识障碍、心肌型肌酸激酶同工酶(CK-MB)、胶质纤维酸性蛋白(GFAP)、β-肌动蛋白(β-actin)、细胞间黏附分子-1(ICAM-1)是以癫痫发作为首要症状RESLES患儿预后不良的危险因素(P<0.01)。ROC曲线分析显示Nomogram预测模型预测以癫痫发作为首要症状的RESLES患儿预后不良的曲线下面积为0.909,95%CI 0.849,0.951,DAC显示该模型具有良好的临床效用。结论 以癫痫发作为首要症状的RESLES患儿以惊厥发作及前驱感染症状为主要表现,头颅MRI检查T1WI呈低或稍低信号,DWI、FLAIR、T2WI呈高或稍高信号,合并胼胝体其他部位病变、意识障碍、CK-MB、GFAP、β-actin、ICAM-1是其预后不良影响因素,构建Nomogram预测模型有助于筛选其预后不良高危人群。 展开更多
关键词 可逆性胼胝体压部病变综合征 儿童 临床特征 预后 心肌型肌酸激酶同工酶 胶质纤维酸性蛋白 Β-肌动蛋白 细胞间黏附分子-1
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净油机单元工艺及施工优化研究
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作者 亢国 高泽宏 +2 位作者 姜旭 曲强 邵国庆 《船电技术》 2023年第6期11-13,共3页
大型船舶单元模块建造模式已在造船行业进行了很多年,国内大型造船企业已大多采取此种方式代替上船散装,本文将以大型船只净油机单元建造装配为例,阐述针对单元模块装配施工过程中不断优化的历程。
关键词 单元模块 净油机单元 施工优化
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注射用鼠神经生长因子联合小剂量甲泼尼龙治疗可逆性胼胝体压部病变综合征临床观察 被引量:3
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作者 王玉珍 焦丽华 +2 位作者 康国 李树华 张双 《中国药业》 CAS 2022年第5期103-105,共3页
目的探讨注射用鼠神经生长因子联合小剂量甲泼尼龙治疗可逆性胼胝体压部病变综合征(RESLES)的临床疗效,以及对患儿神经功能的影响。方法选取医院小儿神经内科2018年10月至2020年10月收治的RESLES患儿88例,随机分为观察组和对照组,各44... 目的探讨注射用鼠神经生长因子联合小剂量甲泼尼龙治疗可逆性胼胝体压部病变综合征(RESLES)的临床疗效,以及对患儿神经功能的影响。方法选取医院小儿神经内科2018年10月至2020年10月收治的RESLES患儿88例,随机分为观察组和对照组,各44例。两组患儿均予小剂量甲泼尼龙,观察组患儿加用注射用鼠神经生长因子,均连续治疗4周。结果观察组总有效率为90.91%,显著高于对照组的72.73%(P<0.05);观察组患儿癫痫发作消失、恶心呕吐消失、腹泻腹痛消失、发热消退、胼胝体压部病灶消退时间均显著短于对照组(P<0.05);治疗后,观察组患儿的胶质纤维酸性蛋白、细胞间黏附分子1、β-肌动蛋白的水平均显著低于对照组,简易精神状态评价量表和韦氏智力量表评分均显著高于对照组(P<0.05);观察组和对照组治疗期间的不良反应发生率相当(13.64%比9.09%,P>0.05)。结论注射用鼠神经生长因子联合小剂量甲泼尼龙治疗RESLES的疗效较好,可促进症状消退,改善神经行为,降低患儿的神经元损伤标志物水平,且治疗安全性良好。 展开更多
关键词 可逆性胼胝体压部病变综合征 鼠神经生长因子 甲泼尼龙 临床疗效 神经功能
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苯巴比妥联合丙戊酸钠在可逆性胼胝体压部病变综合征患者中的应用效果 被引量:1
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作者 王玉珍 焦丽华 +2 位作者 康国 李树华 张双 《实用临床医药杂志》 CAS 2022年第11期48-52,共5页
目的观察苯巴比妥联合丙戊酸钠对可逆性胼胝体压部病变综合征(RESLES)患者的疗效及对半胱氨酸天冬氨酸蛋白酶-3(caspase-3)、髓鞘碱性蛋白(MBP)的影响。方法选取60例RESLES患者作为研究对象,随机分为研究组和对照组,每组30例。2组患者... 目的观察苯巴比妥联合丙戊酸钠对可逆性胼胝体压部病变综合征(RESLES)患者的疗效及对半胱氨酸天冬氨酸蛋白酶-3(caspase-3)、髓鞘碱性蛋白(MBP)的影响。方法选取60例RESLES患者作为研究对象,随机分为研究组和对照组,每组30例。2组患者均行常规治疗,且对照组患者口服丙戊酸钠缓释片,研究组患者口服苯巴比妥与丙戊酸钠缓释片,均治疗3周。检测2组患者治疗前后caspase-3、MBP和氧化应激指标、炎症因子水平,并比较2组患者治疗前后发作次数、医院焦虑抑郁量表(HAD)评分、蒙特利尔认知评估量表(MoCA)评分和治疗后疗效、总不良反应发生率。结果治疗后,2组患者caspase-3、MBP、超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、白细胞介素-2(IL-2)、肿瘤坏死因子-α(TNF-α)和干扰素-γ(IFN-γ)水平低于治疗前,丙二醛(MDA)水平高于治疗前,差异有统计学意义(P<0.05);治疗后,研究组caspase-3、MBP、SOD、CAT、IL-2、TNF-α和IFN-γ水平低于对照组,MDA水平高于对照组,差异有统计学意义(P<0.05)。治疗后,2组患者发作次数少于治疗前,HAD评分低于治疗前,MoCA评分高于治疗前,差异有统计学意义(P<0.05);治疗后,研究组发作次数少于对照组,HAD评分低于对照组,MoCA评分高于对照组,差异有统计学意义(P<0.05)。研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05);2组总不良反应发生率比较,差异无统计学意义(P>0.05)。结论RESLES患者接受苯巴比妥联合丙戊酸钠治疗,可有效改善caspase-3、MBP水平,缓解炎症反应及氧化应激反应,提高认知功能,临床疗效较好。 展开更多
关键词 苯巴比妥 丙戊酸钠 可逆性胼胝体压部病变综合征 半胱氨酸天冬氨酸蛋白酶-3 髓鞘碱性蛋白
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Relationship between epidermal growth factor receptor gene mutation and copy number in Chinese patients with non-small cell lung cancer 被引量:3
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作者 Lan-Jun Zhang Ling Cai +6 位作者 Zhe Li Wu-Ping Wang kang guo Jian-Yong Shao Jun-Ye Wang Hui Yu Tie-Hua Rong 《Chinese Journal of Cancer》 SCIE CAS CSCD 2012年第10期491-499,共9页
Epidermal growth factor receptor(EGFR) gene mutation and copy number are useful predictive markers that guide the selection of non-small cell lung cancer(NSCLC) patients for EGFR-targeting therapy.This study aimed to ... Epidermal growth factor receptor(EGFR) gene mutation and copy number are useful predictive markers that guide the selection of non-small cell lung cancer(NSCLC) patients for EGFR-targeting therapy.This study aimed to investigate the correlation between EGFR gene mutation and copy number and clinicopathologic characteristics of Chinese patients with NSCLC.NSCLC specimens collected from 205 patients between November 2009 and January 2011 were selected to detect EGFR gene mutations with real-time polymerase chain reaction(RT-PCR) and to detect EGFR gene copy number with fluorescence in situ hybridization(FISH).EGFR mutations primarily occurred in females,non-smokers,and patients with adenocarinomas(all P < 0.001).Tissues from 128(62%) patients were FISH-positive for EGFR,including 37(18%) with gene amplification and 91(44%) with high polysomy.EGFR gene mutation was correlated with FISH-positive status(R = 0.340,P < 0.001).Multivariate analysis showed that not smoking(OR = 5.910,95% CI = 2.363-14.779,P < 0.001) and having adenocarcinoma(OR = 0.122,95% CI = 0.026-0.581,P = 0.008) were favorable factors for EGFR gene mutation.These results show a high frequency of EGFR FISH positivity in NSCLC tissues from Chinese patients and a significant relevance between EGFR gene mutations and FISH-positive status.Among the FISH-positive samples,EGFR gene mutation occurred more frequently in samples with gene amplification compared to those with high polysomy,suggesting that EGFR mutation and gene amplification should be used as clinical decision parameters to predict response to EGFR-targeting therapy. 展开更多
关键词 表皮生长因子受体 非小细胞肺癌 基因拷贝数 基因突变 患者 中国 EGFR 荧光原位杂交
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The predictive value of histological tumor regression grading (TRG) for therapeutic evaluation in locally advanced esophageal carcinoma treated with neoadjuvant chemotherapy 被引量:3
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作者 kang guo Ling Cai +7 位作者 Yu Zhang Jian-Fei Zhu Tie-Hua Rong Peng Lin Chong-Li Hao Wu-Ping Wang Zhe Li Lan-Jun Zhang 《Chinese Journal of Cancer》 SCIE CAS CSCD 2012年第8期399-400,F0003,共3页
Response criteria remain controversial in therapeutic evaluation for locally advanced esophageal carcinoma treated with neoadjuvant chemotherapy.We aimed to identify the predictive value of tumor regression grading(TR... Response criteria remain controversial in therapeutic evaluation for locally advanced esophageal carcinoma treated with neoadjuvant chemotherapy.We aimed to identify the predictive value of tumor regression grading(TRG) in tumor response and prognosis.Fifty-two patients who underwent neoadjuvant chemotherapy followed by esophagectomy and radical 2-field lymphadenectomy between June 2007 and June 2011 were included in this study.All tissue specimens were reassessed according to the TRG scale.Potential prognostic factors,including clinicopathologic factors,were evaluated.Survival curves were generated by using the Kaplan-Meier method and compared with the log-rank test.Prognostic factors were determined with multivariate analysis by using the Cox regression model.Our results showed that of 52 cases,43(83%) were squamous cell carcinoma and 9(17%) were adenocarcinoma.TRG was correlated with pathologic T(P = 0.006) and N(P < 0.001) categories.Median overall survival for the entire cohort was 33 months.The 1-and 2-year overall survival rates were 71% and 44%,respectively.Univariate survival analysis results showed that favorable prognostic factors were histological subtype(P = 0.003),pathologic T category(P = 0.026),pathologic N category(P < 0.001),and TRG G0(P = 0.041).Multivariate analyses identified pathologic N category(P < 0.001) as a significant independent prognostic parameter.Our results indicate that histomorphologic TRG can be considered as an alternative option to predict the therapeutic efficacy and prognostic factor for patients with locally advanced esophageal carcinoma treated by neoadjuvant chemotherapy. 展开更多
关键词 疗效评价 食管癌 预测值 组织学 化疗 晚期 治疗 肿瘤
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岩土工程勘察技术在复杂地形地质条件下的应用实践 被引量:20
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作者 康果 朱斌 刘君 《世界有色金属》 2019年第23期259-259,261,共2页
岩土勘察在岩土工程中地位也是非常重要的,甚至可以说得上是举足轻重。勘察工作的重要性不仅仅是关系到岩土探测,也关系到了整个城市当中所存在的安全隐患,但不管从哪个角度来说岩土勘察的重要性都是不可替代的。甚至在某些复杂的地形,... 岩土勘察在岩土工程中地位也是非常重要的,甚至可以说得上是举足轻重。勘察工作的重要性不仅仅是关系到岩土探测,也关系到了整个城市当中所存在的安全隐患,但不管从哪个角度来说岩土勘察的重要性都是不可替代的。甚至在某些复杂的地形,也早已经开始注重岩土勘察技术的应用。但不管怎么说勘察人员的本身还是起着非常大的作用,勘察人员技术水平和实践经验的积累直接影响到整个工程的施工质量。所以要认真研究岩土工程勘察技术该如何在城市当中快速应用,并提出在施工过程当中所存在的问题进行逐一解决的方案。 展开更多
关键词 岩土工程勘察技术 复杂地形 具体应用
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World’s First Myoblast Treatment of Human Cancer Found Safe and Efficacious
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作者 Peter K. Law Shi Jun Song +6 位作者 Ping Lu Yong Gao Mingzhang Ao Hongdan Zhao Liyun Bai kang guo Danlin M. Law 《Open Journal of Regenerative Medicine》 2017年第1期1-16,共16页
Evolution of placental mammals over the past 160 million years witnesses the relative sparing of muscles from cancer attacks. In 1) nude mice with human gastrointestinal or lung tumors, and 2) human subjects with live... Evolution of placental mammals over the past 160 million years witnesses the relative sparing of muscles from cancer attacks. In 1) nude mice with human gastrointestinal or lung tumors, and 2) human subjects with liver, lung or gastrointestinal tumors, intra-tumor implantation of allogeneic human myoblasts induced cancer apoptosis, inhibiting metastasis and tumor growth. We postulate four mechanisms of cancer apoptosis: a) myoblasts releasing tumor necrosis factor-α (TNF-α);b) deprivation of nutrients and oxygen;c) local inflammatory and immunologic attacks;and d) prevention from metastasis. These basic and clinical studies demonstrated preliminary safety and efficacy of intra-tumor myoblast implantation in the development of prevention and treatment for cancer, now the number one disease killer of mankind. 展开更多
关键词 Human CANCER TREATMENT Tumor Shrinkage CANCER Apoptosis Metastasis Inhibition CANCER Clinical Trial TNF-α MYOBLASTS MYOTUBES NUDE Mice Cell Therapy
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复杂地形地质条件岩土勘查技术分析
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作者 康果 刘君 朱斌 《山西建筑》 2020年第1期86-88,共3页
在分析常见的复杂地形地质条件岩土勘查技术的基础上,结合工程实际,提出了该工程岩土勘查过程中存在的问题,在对岩土勘查技术进行优化后,有效的解决了工程建设过程中受到复杂地质条件的不良影响,从而提高了勘查技术的效果,为之后的勘查... 在分析常见的复杂地形地质条件岩土勘查技术的基础上,结合工程实际,提出了该工程岩土勘查过程中存在的问题,在对岩土勘查技术进行优化后,有效的解决了工程建设过程中受到复杂地质条件的不良影响,从而提高了勘查技术的效果,为之后的勘查工作提供了参考。 展开更多
关键词 复杂地形地质条件 岩土勘查技术 工程质量
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大型FSRU超低温管阀系统单元制作技术研究
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作者 姜云瑞 孟秀文 +1 位作者 亢国 蔡巍 《船电技术》 2018年第8期9-12,共4页
为了制定出"大型FSRU超低温管阀系统研发与产业化"工艺技术,本文研究了超低温不锈钢管的加工工艺、加工流程、焊接方法及施工工装;研究了超低温不锈钢管阀系统单元的安装精度、定位精度控制方法;研究完成的大型FSRU超低温管... 为了制定出"大型FSRU超低温管阀系统研发与产业化"工艺技术,本文研究了超低温不锈钢管的加工工艺、加工流程、焊接方法及施工工装;研究了超低温不锈钢管阀系统单元的安装精度、定位精度控制方法;研究完成的大型FSRU超低温管阀系统单元制作技术,形成大型FSRU和LNG船等输送低温-196℃介质的超低温不锈钢管的加工能力及单元制作能力,实现了技术储备,增强了企业创新驱动力。 展开更多
关键词 FSRU 超低温 管阀系统 加工制作 安装
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纸质与电子病案双轨制模式下的病案管理效果评价 被引量:1
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作者 康国 王玉珍 《中国病案》 2023年第7期10-13,共4页
目的分析纸质与电子病案并存的双轨制模式下病案管理对病案复印效率、查找与浏览时间、管理质量及医护人员知晓率与满意度的影响。方法将2020年1月1日-2020年6月30日采取传统纸质病案管理的1438份病案划分为对照组,将2020年7月1日-2020... 目的分析纸质与电子病案并存的双轨制模式下病案管理对病案复印效率、查找与浏览时间、管理质量及医护人员知晓率与满意度的影响。方法将2020年1月1日-2020年6月30日采取传统纸质病案管理的1438份病案划分为对照组,将2020年7月1日-2020年12月31日采取纸质病案与电子病案并存的双轨制模式管理的1456份病案划分为观察组,比较两组病案复印效率相关指标、病案查找与浏览花费时间、病案归档错漏率及医护人员知晓率与满意度。结果观察组病案复印时间(8.58±1.64)分钟明显短于对照组病案复印时间(12.33±2.41)分钟(P<0.05),观察组复印页数(3436.86±70.24)页/天明显多于对照组复印页数(2573.39±61.31)页/天,差异比较均有显著性(P<0.05);观察组病案查找时间(1.12±0.17)分钟和病案浏览时间(2.35±1.36)分钟均明显短于对照组病案查找时间(8.34±0.58)分钟和病案浏览时间(12.71±2.65)分钟,差异比较均有显著性(P<0.05);观察组病案内容缺失、资料错误、病案损坏、病案丢失等归档错漏情况总发生率为0.55%,对照组为2.43%,差异比较有统计学意义(P<0.05);观察组医护人员对病案管理知识的知晓率评分(91.17±2.29)分和对病案管理工作满意度评分(92.53±2.60)分均明显高于对照组知晓率评分(73.35±4.84)分和满意度评(79.83±3.46)粉,差异比较均有显著性(P<0.05)。结论在病案科病案管理中应用双轨制模式能有效提高复印效率,缩短病案查找与浏览所需时间,还可显著降低病案归档错漏率,有利于促进病案管理质量的提升,增加医护人员对病案管理的知晓率与满意度。 展开更多
关键词 双轨制模式 病案科 病案管理 应用效果 满意度
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Antagonism of Protease-Activated Receptor 4 Protects Against Traumatic Brain Injury by Suppressing Neuroinflammation via Inhibition of Tab2/NF-κB Signaling 被引量:5
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作者 Jianing Luo Xun Wu +11 位作者 Haixiao Liu Wenxing Cui Wei guo kang guo Hao guo Kai Tao Fei Li Yingwu Shi Dayun Feng Hao Yan guodong Gao Yan Qu 《Neuroscience Bulletin》 SCIE CAS CSCD 2021年第2期242-254,共13页
Traumatic brain injury(TBI)triggers the activation of the endogenous coagulation mechanism,and a large amount of thrombin is released to curb uncontrollable bleeding through thrombin receptors,also known as protease-a... Traumatic brain injury(TBI)triggers the activation of the endogenous coagulation mechanism,and a large amount of thrombin is released to curb uncontrollable bleeding through thrombin receptors,also known as protease-activated receptors(PARs).However,thrombin is one of the most critical factors in secondary brain injury.Thus,the PARs may be effective targets against hemorrhagic brain injury.Since the PAR1 antagonist has an increased bleeding risk in clinical practice,PAR4 blockade has been suggested as a more promising treatment.Here,we explored the expression pattern of PAR4 in the brain of mice after TBI,and explored the effect and possible mechanism of BMS-986120(BMS),a novel selective and reversible PAR4 antagonist on secondary brain injury.Treatment with BMS protected against TBI in mice.mRNA-seq analysis,Western blot,and qRT-PCR verification in vitro showed that BMS significantly inhibited thrombin-induced inflammation in astrocytes,and suggested that the Tab2/ERK/NF-κB signaling pathway plays a key role in this process.Our findings provide reliable evidence that blocking PAR4 is a safe and effective intervention for TBI,and suggest that BMS has a potential clinical application in the management of TBI. 展开更多
关键词 Protease-activated receptors BMS Traumatic brain injury Inflammation ASTROCYTE Tab2
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Mechanism of Preparation of Platform Compounds from Lignocellulosic Biomass Liquefaction Catalyzed by Bronsted Acid: A Review 被引量:1
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作者 kang guo Qiyuan GUAN +1 位作者 Junming XU Weihong TAN 《Journal of Bioresources and Bioproducts》 EI 2019年第4期202-213,共12页
Over the past two decades, research on transforming lignocellulosic biomass into small molecule chemicals byusing catalytic liquefaction has made great progress. Notably, in recent years it has been found the producti... Over the past two decades, research on transforming lignocellulosic biomass into small molecule chemicals byusing catalytic liquefaction has made great progress. Notably, in recent years it has been found the production of smallmolecule chemicals through directional liquefaction of lignocellulosic biomass. Understanding the liquefactionmechanism of lignocellulosic biomass is highly important. In this review, the liquefaction mechanism of lignocellulosicbiomass and model compounds of cellulose are described, and some problems and suggestions to address them aredescribed. 展开更多
关键词 lignocellulosic biomass liquefaction product platform chemical bronsted acid liquefaction mechanism
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Rapid Decomposition of Epoxy Resins via Raman Spectrometry in Combination with Machine Learning Algorithms
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作者 Qiyuan GUAN kang guo +1 位作者 Weihong TAN Yonghong ZHOU 《Journal of Bioresources and Bioproducts》 EI 2019年第2期130-134,共5页
Epoxy resins are a group of important materials that have been used everywhere,and development of new materials of this kind with optimal mechanical properties from either bio-resources or industrial precursors has dr... Epoxy resins are a group of important materials that have been used everywhere,and development of new materials of this kind with optimal mechanical properties from either bio-resources or industrial precursors has drawn great focus from scientists and engineers.By reacting different kinds of epoxy adhesives and curatives,massive kinds of epoxy resins with different characteristics are produced.Determination of original mixing ratio of epoxy adhesives and corresponding curatives of their curing products is useful in controlling and examining these materials.Here in this work,we described an efficient method based on Raman spectrometry and machine learning algorithms for rapid molar composition determination of epoxy resins.Original mixing ratio of epoxy adhesives and curatives could be calculated simply via Raman spectra of the products.Raman spectral data scanned during curing procedure was fed to random forest(RF)classification to calculate weights of Raman shift features and reduce data dimensionality,then spectral data of selected features were processed by partial least squares regression(PLSR)for model training and composition ratio determination.It turned out that ratio predictions of our model fit well to their actual values,with a coefficient of determination(R2)of 0.9926,and a root mean squared error(RMSE)of 0.0305. 展开更多
关键词 epoxy adhesives Raman spectrometry DECOMPOSITION random forest classifier partial least squares regression machine learning
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