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内镜下套扎术与硬化剂注射术治疗食管胃底静脉曲张出血的Meta分析 被引量:3
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作者 柳舟 张亮 +4 位作者 王璐 喻淑慧 曹明为 柯全 董卫国 《微循环学杂志》 2023年第3期46-58,共13页
目的:系统性评价内镜下套扎术(EVL)与内镜下硬化剂注射术(EIS)治疗食管胃底静脉曲张出血的安全性及有效性。方法:系统检索Pubmed、The Cochrane Library(2022年第2期)、CNKI、万方、CBM及VIP数据库,查找所有比较EVL与EIS治疗食管胃底静... 目的:系统性评价内镜下套扎术(EVL)与内镜下硬化剂注射术(EIS)治疗食管胃底静脉曲张出血的安全性及有效性。方法:系统检索Pubmed、The Cochrane Library(2022年第2期)、CNKI、万方、CBM及VIP数据库,查找所有比较EVL与EIS治疗食管胃底静脉曲张出血的临床试验,检索时限为建库至2022-02-01。按照纳入及排除标准筛选文献,并采用RevMan 5.4软件进行Meta分析。结果:最终纳入46篇研究(中文20篇,英文26篇),EVL组2187例,EIS组3152例。Meta分析结果示:(1)有效性:两组患者的有效率(OR=1.07,95%CI:0.83-1.38,P=0.620)及根治率(OR=1.23,95%CI:0.97-1.54,P=0.080)差异均无统计学意义;但EVL组根治时间更短(MD=-12.44,95%CI:-21.57--3.30,P=0.008),且复发率低(OR=1.27,95%CI:1.03-1.56,P=0.020)。(2)安全性:两组患者的失败率(OR=0.93,95%CI:0.53-1.64,P=0.800)差异无统计学意义;EVL组并发症更少(OR=0.63,95%CI:0.56-0.72,P=0.000),再出血率更低(OR=0.83,95%CI:0.69-0.99,P=0.040),死亡率更低(OR=0.64,95%CI:0.50-0.83,P=0.001)。结论:EVL治疗食管胃底静脉曲张出血的有效率、根治率与EIS相当,且根治时间短、复发率低、再出血率及死亡率均低。 展开更多
关键词 内镜下套扎术 内镜下硬化术 食管静脉曲张 胃底静脉曲张 META分析
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微型肠道机器人扩张机构与能量接收线圈的设计与实验 被引量:5
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作者 蒲鹏先 颜国正 +4 位作者 王志武 韩玎 柯全 汪炜 李达伟 《上海交通大学学报》 EI CAS CSCD 北大核心 2019年第10期1143-1150,共8页
研究并设计了一种新型扩张方式的能在肠道中运动和驻留的微型肠道机器人.该肠道机器人的扩张机构采用阿基米德螺线腿的方式进行扩张,扩张直径可达32 mm,变径比达到2.13.设计减速比为489的减速器,保证较大的输出转矩.对扩张机构的扩张臂... 研究并设计了一种新型扩张方式的能在肠道中运动和驻留的微型肠道机器人.该肠道机器人的扩张机构采用阿基米德螺线腿的方式进行扩张,扩张直径可达32 mm,变径比达到2.13.设计减速比为489的减速器,保证较大的输出转矩.对扩张机构的扩张臂进行力学分析,并通过实验测试了扩张机构的扩张力.进而,对能量接收线圈进行建模分析.结果表明:扩张机构扩张力的实验测试值与理论分析的整体趋势基本一致,最小扩张力为1.5 N,满足肠道扩张力的需求;优化线圈磁芯厚度、绕组层数以及绞线规格可以提高无线供能系统性能;当发射线圈驱动电流为1.4 A时,该接收线圈相应的传输功率为812 mW,能量传输效率为8.3%,能满足肠道机器人的功率要求. 展开更多
关键词 肠道机器人 阿基米德螺线腿 扩张机构 能量接收线圈
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面向逆变器并联的虚拟振荡器控制技术综述 被引量:5
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作者 林燎源 柯全 李平 《电力自动化设备》 EI CSCD 北大核心 2022年第11期147-158,共12页
虚拟振荡器控制作为继下垂控制和虚拟同步机控制之后提出的新型多逆变器无互联线并联技术,因其独特的自同步机制和快速的动态响应性能等特点而成为当前的研究热点。从控制结构、多机同步运行机制和动力学特性方面论述了虚拟振荡器的控... 虚拟振荡器控制作为继下垂控制和虚拟同步机控制之后提出的新型多逆变器无互联线并联技术,因其独特的自同步机制和快速的动态响应性能等特点而成为当前的研究热点。从控制结构、多机同步运行机制和动力学特性方面论述了虚拟振荡器的控制原理;从功率控制策略、小信号稳定性、新型虚拟振荡器方案3个方面对虚拟振荡器控制技术的研究现状进行了全面综述;分析并总结了虚拟振荡器控制与下垂控制、虚拟同步机控制的对比研究。结合目前虚拟振荡器控制面临的若干关键问题,对未来研究方向和可能的相关解决思路进行了探讨。 展开更多
关键词 虚拟振荡器 逆变器 并联 功率控制 同步
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Freezing-directed construction of enzyme/nano interfaces:Reagentless conjugation,superior activity,and better stability
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作者 ke quan Jiajie Tong +4 位作者 Lifang Chen Shuyao Fang Mengjiao Li Linlin Wu Zhihe Qing 《Chinese Chemical Letters》 SCIE CAS CSCD 2024年第1期471-474,共4页
Immobilizing enzyme to nano interfaces has demonstrated to be a favorable strategy for prompting the industrialized application of enzyme.Despite tremendous endeavor has been devoted to using gold nanoparticles(AuNPs)... Immobilizing enzyme to nano interfaces has demonstrated to be a favorable strategy for prompting the industrialized application of enzyme.Despite tremendous endeavor has been devoted to using gold nanoparticles(AuNPs)as conjugation matrix due to its fascinating physico-chemical properties,maintaining enzymatic activity while circumventing cumbersome modification remains a formidable challenge.Herein,the freezing-directed conjugation of enzyme/nano interfaces was constructed without extra reagent.As the proof of concept,glucose oxidase(GOx)was chosen as model enzyme.The one-pot conjugation process can be facilely completed at−20°C under aqueous solution.Moreover,with the loading of GOx on AuNP at freezing,the enzyme exhibited superior catalytic activity and stability upon thermal and pH perturbation.The mechanism of boosted activity was then discussed in detail.It was found that higher loading density under freezing condition and more enzyme tending to bind AuNPs via Au-S bond were the main factors for the superior activity.More importantly,this methodology was universal and can also be applied to other enzyme which contains natural cysteine,such as horseradish peroxidase(HRP)and papain.This facile conjugation strategy accompanied by remarkable bioactivity expand the possibilities for enzymatic biosensing,microdevice and even drug delivery. 展开更多
关键词 Enzyme conjugation FREEZING AuNPs Catalytic activity
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Inhibited aptazyme-based catalytic molecular beacon for amplified detection of adenosine 被引量:1
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作者 Jin Huang Yong He +2 位作者 Xiao-Hai Yang ke quan ke-Min Wang 《Chinese Chemical Letters》 SCIE CAS CSCD 2014年第9期1211-1214,共4页
Combining the inhibited aptazyme and molecular beacon (MB), we developed a versatile sensing strategy for amplified detection of adenosine. In this strategy, the adenosine aptamer links to the 8-17 DNAzyme to form a... Combining the inhibited aptazyme and molecular beacon (MB), we developed a versatile sensing strategy for amplified detection of adenosine. In this strategy, the adenosine aptamer links to the 8-17 DNAzyme to form an aptazyme. A short sequence, denoted as inhibitor, is designed to form a duplex spanning the aptamer-DNAzyme junction, which blocks the catalytic function of the DNAzyme. Only in the presence of target adenosine, the aptamer binds to adenosine, thus the inhibitor dissociates from the aptamer portion of the aptazyme and can no longer form the stable duplex required to inhibit the catalytic activity of the aptazyme. The released DNAzyme domain will hybridize to the MB and catalyze the cleavage in the presence of Zn2+, making the fluorophore separate from the quencher and resulting in fluorescence signal. The results showed that the detection method has a dynamic range from 10 nmol/L to 1nmol/L, with a detection limit of 10 nmol/L. 展开更多
关键词 Aptazyme DNAZYME Catalytic molecular beacon ADENOSINE
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An Endogenous miRNA-Initiated Hybridization Chain Reaction and Subsequent DNAzyme Activation for Cellular Theranostics
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作者 ke quan Jiaoli Wang +2 位作者 Jing Li kemin Wang Jin Huang 《CCS Chemistry》 CAS 2022年第11期3505-3515,共11页
DNAzyme has emerged as a promising gene silencer for therapeutic applications.However,DNAzymebased gene therapy against tumors is still challenged by undesired cytotoxicity in normal cells.Herein,we explored the poten... DNAzyme has emerged as a promising gene silencer for therapeutic applications.However,DNAzymebased gene therapy against tumors is still challenged by undesired cytotoxicity in normal cells.Herein,we explored the potential application of hybridization chain reaction(HCR)for endogenous miRNA-activated DNAzyme-based gene silencing,which performing amplified signal and cellular onsite therapy in one system.The DNA probes,called HCR-tDz circuits,are designed by combining HCR and therapeutic DNAzyme(tDz).The miRNA-21 is selected as the diagnostic target for its distinctive overexpression in cancerous cells,and the HCR is employed to amplify the miR-21 recognition event as well as the tDz activation.The massively repeated DNAzyme activated by miR-21-triggered HCR is utilized to catalytically cleave early growth response-1 mRNA and implement a cellular gene-silencing strategy.Results show that HCR-tDz nanostructure enables amplified miR-21 imaging in living cells.Furthermore,this nanosystem can effectively inhibit the proliferation of cancer cells with high specificity,thus resulting in sensitive diagnostic signaling and accurate therapeutic effects. 展开更多
关键词 DNAzyme gene silencing hybridization chain reaction RNA cellular theranostic
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