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早期胃癌内镜特点及高危因素分析 被引量:13
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作者 王磊 时军利 李炳庆 《中国内镜杂志》 2020年第10期48-53,共6页
目的探讨早期胃癌内镜下表现的高危因素,提高早期胃癌的内镜检出率。方法回顾性分析该院2016年12月-2018年6月行胃镜精查患者的临床病理资料,共245例患者247处病变。记录患者内镜诊断、病变大小、形态、颜色、是否附着黏液、病变部位、... 目的探讨早期胃癌内镜下表现的高危因素,提高早期胃癌的内镜检出率。方法回顾性分析该院2016年12月-2018年6月行胃镜精查患者的临床病理资料,共245例患者247处病变。记录患者内镜诊断、病变大小、形态、颜色、是否附着黏液、病变部位、靛胭脂染色情况、窄带成像技术联合放大内镜(NBI-ME)下表现等,先用2检验分析早期胃癌的相关危险因素,再应用多因素Logistic回归模型分析早期胃癌内镜下表现的高危因素,并进行分层分析,同时探讨NBI-ME对早期胃癌的诊断敏感性和特异性。结果 2检验分析结果表明:萎缩性胃炎、病变位于胃窦部、病变形态为凹陷型、病变> 1 cm、白光下存在边界、颜色发红、靛胭脂染色后不着色及存在边界、NBI-ME下观察可见边界、表面微结构不规则、微血管不规则均与早期胃癌有关;Logistic回归分析表明:靛胭脂染色后不着色(O^R=4.474,95%CI:1.576~12.701,P=0.005)、NBI-ME观察存在边界(O^R=7.608,95%CI:1.427~40.570,P=0.017)、NBI-ME观察微血管不规则(O^R=8.051,95%CI:1.509~42.949,P=0.015)为早期胃癌的独立危险因素。分层分析显示:NBI-ME观察微血管不规则联合靛胭脂染色不着色诊断早期胃癌的准确性为78.3%。NBI-ME诊断早期胃癌的敏感性为72.1%,特异性为78.9%。结论内镜下发现病变靛胭脂染色后不着色、NBI-ME观察到微血管不规则或NBI-ME观察到存在边界,提示为早期胃癌可能性较大。其中NBI-ME观察到微血管不规则联合靛胭脂染色不着色诊断早期胃癌的准确度较高。 展开更多
关键词 早期胃癌 多因素LOGISTIC回归分析 窄带成像技术 放大内镜 电子内镜
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内镜切除治疗食管神经鞘瘤的效果 被引量:1
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作者 姜经伟 孙琦 +7 位作者 倪牧含 许真真 曹守莉 凌亭生 王雷 邹晓平 吕瑛 徐桂芳 《中国内镜杂志》 2021年第7期65-70,共6页
目的探讨食管神经鞘瘤的临床病理特点,以及内镜黏膜下剥离术(ESD)和内镜经黏膜下隧道肿瘤切除术(STER)切除食管神经鞘瘤的效果。方法回顾性分析2007年8月-2019年7月南京大学医学院附属鼓楼医院消化科收治的11例食管神经鞘瘤患者的临床... 目的探讨食管神经鞘瘤的临床病理特点,以及内镜黏膜下剥离术(ESD)和内镜经黏膜下隧道肿瘤切除术(STER)切除食管神经鞘瘤的效果。方法回顾性分析2007年8月-2019年7月南京大学医学院附属鼓楼医院消化科收治的11例食管神经鞘瘤患者的临床特征、内镜下表现、术后并发症和病理特点。结果男患者占54.5%;年龄40~81岁,平均(57.5±12.4)岁;食管神经鞘瘤多位于胸上段(45.5%,5/11)和胸中段(27.3%,3/11);11例(100.0%)病灶的白光内镜分型均为隆起型,表面黏膜光滑、无溃疡。肿瘤直径为0.3~5.0 cm,平均(2.5±1.8)cm;超声内镜(EUS)显示10例(90.9%)起源于固有肌层,11例均为低回声,9例(81.8%)回声均匀;11例EUS下均无血流信号,6例(54.5%)为腔内生长,5例(45.5%)腔内外生长。完整切除率为100.0%(11/11),中位手术时间41 min,11例患者(100.0%)均未出现穿孔、迟发性出血和感染等并发症;术后首次进流食时间为(1.2±0.6)d;平均住院时间为(6.9±2.5)d。所有组织标本中S100均为阳性;中位随访时间为53个月,期间未发生局部复发、远处转移和死亡。结论ESD和STER用于诊断和治疗食管神经鞘瘤是安全、有效的。 展开更多
关键词 食管神经鞘瘤 内镜黏膜下剥离术 内镜经黏膜下隧道肿瘤切除术 超声内镜 S100
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MiR156 regulates anthocyanin biosynthesis through SPL targets and other microRNAs in poplar 被引量:19
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作者 Yamei Wang Wenwen Liu +9 位作者 Xinwei Wang Ruijuan Yang Zhenying Wu HanWang leiwang Zhubing Hu Siyi Guo Hailing Zhang Jinxing Lin Chunxiang Fu 《Horticulture Research》 SCIE 2020年第1期1247-1258,共12页
Anthocyanins biosynthesized from the flavonoid pathway are types of pigments that are involved in the protection of poplar from biotic and abiotic stresses.Previous researchers studying anthocyanin-related transcripti... Anthocyanins biosynthesized from the flavonoid pathway are types of pigments that are involved in the protection of poplar from biotic and abiotic stresses.Previous researchers studying anthocyanin-related transcription factors and structural genes in poplar have made significant discoveries.However,little is known about the regulatory role of microRNAs in anthocyanin biosynthesis in poplar.Here,we overexpressed miR156 in poplar to study the comprehensive effects of the miR156-SPL module on the biosynthesis of anthocyanins.Small RNA sequencing analysis revealed 228 microRNAs differentially expressed in transgenic poplar plants with dramatically increased miR156 levels.Furthermore,integrated microRNAomic and transcriptomic analysis suggested that two microRNAs,miR160h,and miR858,have the potential to affect anthocyanin accumulation in poplar by regulating auxin response factors and MYB transcription factors,respectively.Additionally,the accumulation of miR160h and miR858 displayed a positive correlation with miR156 levels,suggesting a possible interaction between the miR156-SPL module and these microRNAs in poplar.Last,metabolomics analysis revealed that the levels of anthocyanins,flavones,and flavonols were substantially elevated in transgenic poplar plants overexpressing miR156 compared with the wild type,whereas the total lignin content was reduced in the transgenic plants.Taken together,our results indicate that miR156 can fine tune the anthocyanin biosynthetic pathway via multiple factors,including microRNAs,transcription factors,and the levels of structural genes,in poplar.This provides additional clues for understanding the complex regulatory network of anthocyanin biosynthesis in woody plants. 展开更多
关键词 miR156 analysis ANTHOCYANIN
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甲磺酸阿帕替尼在晚期难治性骨与软组织肉瘤治疗中的临床应用观察 被引量:10
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作者 康建平 肖砚斌 +5 位作者 董苏伟 李文忠 马翔 张漾杰 王雷 龚一帆 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第12期615-621,共7页
目的:观察甲磺酸阿帕替尼治疗晚期难治性骨与软组织肉瘤的有效性及安全性,同时分析影响患者无进展生存期(progression free survival,PFS)的可能相关因素。方法:选取云南省肿瘤医院2017年6月至2018年9月收治的21例晚期难治性骨与软组织... 目的:观察甲磺酸阿帕替尼治疗晚期难治性骨与软组织肉瘤的有效性及安全性,同时分析影响患者无进展生存期(progression free survival,PFS)的可能相关因素。方法:选取云南省肿瘤医院2017年6月至2018年9月收治的21例晚期难治性骨与软组织肉瘤患者,予以甲磺酸阿帕替尼片,主要疗效指标为PFS,次要疗效指标为总生存时间(overall survival,OS)。根据实体瘤疗效评定标准RECIST 1.1评价临床疗效,包括总缓解率(overall response rate,ORR)、疾病控制率(disease control rate,DCR),同时根据美国国家癌症研究所(National Cancer Institute,NCI)4.0标准随访观察安全性。结果:21例患者均获得随访,截至最后1次随访时间2019年3月31日,无完全缓解(complete response,CR),部分缓解(partial response,PR)患者有2例(9.5%),疾病稳定(stable disease,SD)患者7例(33.3%),疾病进展(progressive disease,PD)患者12例(57.1%),ORR为9.5%,DCR为(42.8%),中位无进展生存期(median progression free survival,mPFS)为8个月,中位总生存时间(median overall survival,mOS)为14个月。患者的性别、年龄、ECOG评分、组织来源、是否手术、是否化疗对患者PFS的影响差异无统计学意义(P>0.05),只有服用阿帕替尼前是否有放疗史这一因素对患者PFS的影响差异均具有统计学意义(P<0.05),有放疗史患者的PFS低于无放疗史患者。Ⅲ级及以上不良反应依次为手足综合征(14.3%)、气胸(14.3%)和贫血(4.8%)。结论:甲磺酸阿帕替尼在治疗晚期难治性骨与软组织肉瘤中显现出一定的疗效,不良反应总体来说是可预见、可控制和可逆转的,对于治疗依从性良好、无其他治疗方法可选择的晚期难治性骨与软组织肉瘤的患者可以尝试。 展开更多
关键词 阿帕替尼 骨与软组织肉瘤 靶向治疗 疗效分析
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Multienzyme co-immobilization-based bioelectrode:Design of principles and bioelectrochemical applications 被引量:2
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作者 Ranran Wu Haiyan Song +2 位作者 Yuanming Wang leiwang Zhiguang Zhu 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2020年第8期2037-2050,共14页
Enzyme cascade reactions play significant roles in bioelectrochemical processes because they permit more complex reactions. Co-immobilization of multienzyme on the electrode could help to facilitate substrate/intermed... Enzyme cascade reactions play significant roles in bioelectrochemical processes because they permit more complex reactions. Co-immobilization of multienzyme on the electrode could help to facilitate substrate/intermediate transfer among different enzymes and electron transfer from enzyme active sites to the electrode with high stability and retrievability. Different co-immobilization strategies to construct multienzyme bioelectrodes have been widely reported, however, up to now, they have barely been reviewed. In this review, we focus on recent state-of-the-art techniques for constructing co-immobilized multienzyme electrodes including random and positional co-immobilization. Particular attention is given to strategies such as multienzyme complex and surface display. Cofactor co-immobilization on the electrode is also crucial for the enhancement of catalytic reaction and electron transfer, yet, few studies have been reported. The up-to-date advances in bioelectrochemical applications of multienzyme bioelectrodes are also presented. Finally, key challenges and future perspectives are discussed. 展开更多
关键词 Multienzyme co-immobilization Bioelectrode Bioelectrochemical system Cascade reaction
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Vortex dynamics over an airfoil controlled by a nanosecond pulse discharge plasma actuator at low wind speed
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作者 Hai DU leiwang +3 位作者 Wenjie KONG Zhiwei SHI Keming CHENG Zheng LI 《Plasma Science and Technology》 SCIE EI CAS CSCD 2019年第12期85-96,共12页
The vortex dynamics of flow over an airfoil controlled by a nanosecond pulse dielectric-barrierdischarge(NS-DBD) actuator is studied at a Reynolds number of 1?×?10~5 through wind tunnel experiments and numerical ... The vortex dynamics of flow over an airfoil controlled by a nanosecond pulse dielectric-barrierdischarge(NS-DBD) actuator is studied at a Reynolds number of 1?×?10~5 through wind tunnel experiments and numerical simulation. The numerical method is validated through comparison of the simulated and measured results regarding the effect of the discharge of an NS-DBD actuator placed on a flat plate. The simulated results show that vorticity is mainly induced by the baroclinic torque after plasma discharge, i.e. the term(■) in the equation of vorticity evolution. Both experimental and simulated results demonstrate that after the discharge of the NS-DBD actuator a series of vortices are developed in the shear layer and pull the high-moment fluid down to the wall, enhancing the mixing of internal and external flows. 展开更多
关键词 PLASMA ACTUATOR FLOW control Joule HEATING VORTEX
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Screening and identification of functional bacterial attachment genes in aerobic granular sludge
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作者 Kai Qiao Tingting Zhao +5 位作者 leiwang Wei Zhang WeiMeng Fan Liu Xu Gao Jianrong Zhu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2024年第7期205-214,共10页
The screening and identification of attachment genes is important to exploring the formation mechanism of biofilms at the gene level.It is helpful to the development of key culture technologies for aerobic granular sl... The screening and identification of attachment genes is important to exploring the formation mechanism of biofilms at the gene level.It is helpful to the development of key culture technologies for aerobic granular sludge(AGS).In this study,genome-wide sequencing and gene editing were employed for the first time to investigate the effects and functions of attachment genes in AGS.With the help of whole-genome analysis,ten attachment genes were screened from thirteen genes,and the efficiency of gene screening was greatly improved.Then,two attachment genes were selected as examples to further confirm the gene functions by constructing gene-knockout recombinant mutants of Stenotrophomonas maltophilia;when the two attachment genes were knocked out,the attachment potential was reduced by 50.67%and 43.93%,respectively.The results provide a new theoretical principle and efficient method for the development of AGS from the perspective of attachment genes. 展开更多
关键词 Attachment gene Genome-wide sequence Gene-knockout Attachment potential Aerobic granular sludge biofilm
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Seasonal variation and sources of atmospheric polycyclic aromatic hydrocarbons in a background site on the Tibetan Plateau 被引量:2
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作者 Xuemei Wu Weijun Sun +4 位作者 Baojuan Huai leiwang Chuntan Han Yetang Wang Wenying Mi 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2023年第3期524-532,共9页
The study of atmospheric polycyclic aromatic hydrocarbons(PAHs) in northeastern Tibetan Plateau with fragile ecological environment and complex atmospheric circulation system is blank. To understand the characteristic... The study of atmospheric polycyclic aromatic hydrocarbons(PAHs) in northeastern Tibetan Plateau with fragile ecological environment and complex atmospheric circulation system is blank. To understand the characteristics and sources of persistent organic pollutants in the atmosphere of the northeastern Tibetan Plateau, we monitored levels in the central Qilian Mountain. From 2016 to 2017, we collected 45-pair(particle + gas) samples using active air samplers to investigate the sources, transport paths, and their influencing factors.Sources of PAHs were analysed with a source diagnostic model, and atmospheric transport paths were calculated. The concentration range for Σ15PAHs was 439–4666 pg/m^(3), and the average was 2015 pg/m^(3). The PAHs in central Qilian Mountain are mainly low molecular weight(LMW) PAHs. Winter concentrations of PAHs were higher than those in summer. The transport of PAHs is mainly affected by westerlies, and there are seasonal differences. Source analysis showed that PAHs mainly came from coal and biomass combustion and vehicle emissions, with seasonal differences. This study clarifies the concentration and seasonal variation of PAHs in the northern Tibetan Plateau, which is conducive to understanding the atmospheric transport process and fate of pollutants. The background site of Qilian Mountains located in the Silk Road economic belt has the value and significance of longterm observation of pollutants. 展开更多
关键词 Long-range atmospheric transport Seasonal variation concentration Meteorological factors Qilian Mountain
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Provisioning QoS Guarantee by Multipath Routing and Reservation in Ad Hoc Networks 被引量:6
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作者 Yan-TaiShu Guang-HongWang +2 位作者 leiwang OliverW.W.Yang Yong-JieFan 《Journal of Computer Science & Technology》 SCIE EI CSCD 2004年第2期128-137,共10页
In this paper, a QoS multipath source routing protocol (QoS-MSR) is proposedfor ad hoc networks. It can collect QoS information through route discovery mechanism of multipathsource routing (MSR) and establish QoS rout... In this paper, a QoS multipath source routing protocol (QoS-MSR) is proposedfor ad hoc networks. It can collect QoS information through route discovery mechanism of multipathsource routing (MSR) and establish QoS route with reserved bandwidth. In order to reserve bandwidthefficiently, a bandwidth reservation approach called the multipath bandwidth splitting reservation(MBSR) is presented, under which the overall bandwidth request is split into several smallerbandwidth requests among multiple paths. In simulations, the authors introduce Insignia, an in-bindsignaling system that supports QoS in ad hoc networks, and extend it to multipath Insignia(M-Insignia) with QoS-MSR and MBSR. The results show that QoS-MSR routing protocol with the MBSRalgorithm can improve the call admission ratio of QoS traffic, the packet delivery ratio, and theend-to-end delay of both best-effort traffic and QoS traffic. Therefore, QoS-MSR with MBSR is anefficient mechanism that supports QoS for ad hoc networks. 展开更多
关键词 ad hoc network quality of service (QoS) multipath source routing bandwidthreservation
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Blue revolution for food security under carbon neutrality: A case from the water-saving and drought-resistance rice 被引量:4
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作者 Hui Xia Xianxian Zhang +26 位作者 Yi Liu Junguo Bi Xiaosong Ma Anning Zhang Hongyan Liu Liang Chen Sheng Zhou Huan Gao Kai Xu Haibin Wei Guolan Liu Feiming Wang Hongyang Zhao Xingxing Luo Danping Hou Qiaojun Lou Fangjun Feng Liguo Zhou Shoujun Chen Ming Yan Tianfei Li Mingshou Li leiwang Zaochang Liu Xinqiao Yu HanweiMei Lijun Luo 《Molecular Plant》 SCIE CAS CSCD 2022年第9期1401-1404,共4页
The increasing concentration of greenhouse gases(GHGs)in Earth's atmosphere leads to global warming,which further causes a series of climate changes and does great harm to both human society and natural ecosystems... The increasing concentration of greenhouse gases(GHGs)in Earth's atmosphere leads to global warming,which further causes a series of climate changes and does great harm to both human society and natural ecosystems.Agricultural GHG emissions,mainly in theform of methane(CH4)and nitrous oxide(N2O),areasignificantsourceofGHGs,accountingfor~14%total global GHGs(Zhang et al.,2022).One major source of agricultural GHGs is CH4 emissions from rice paddies,which is responsiblefor~10%-12%ofhuman-inducedCH4emissions(van Groenigen et al.,2013)and contributes~2.40%to the enhanced global warming effect(Zhang et al.,2022).The global warming potential of GHGs emissions from rice systems is roughly four times higher than either wheat or maize(Linquist et al.,2012). 展开更多
关键词 DROUGHT NEUTRAL resistance
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在Ad Hoc网络中利用多径路由和预留提供服务质量保证
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作者 Yan-TaiShu Guang-HongWang +2 位作者 leiwang OliverW.W.Yang Yong-JieFan 《Journal of Computer Science & Technology》 SCIE EI CSCD 2004年第C00期78-78,共1页
无线通信技术和计算机网络技术的发展为无线移动Ad Hoc网络的产生奠定了基础。Ad Hoc网络,不论是军用还是民用都有着广泛的应用价值和重要的研究意义。在Ad Hoe网络研究中,因为每个节点兼具路由器的功能,所以路由是一个非常重要的研... 无线通信技术和计算机网络技术的发展为无线移动Ad Hoc网络的产生奠定了基础。Ad Hoc网络,不论是军用还是民用都有着广泛的应用价值和重要的研究意义。在Ad Hoe网络研究中,因为每个节点兼具路由器的功能,所以路由是一个非常重要的研究问题。传送具有QoS保证的业务也是Ad Hoc网络需要解决的问题之一。这对于带宽较低、通信线路质量受限的Ad Hoc网络而言,是很大的挑战。所以,如何在Ad Hoc网络条件下合理地利用无线网络资源,实现有针对性的QoS保证也具有现实意义。 展开更多
关键词 HOC网络 多径 服务质量保证 QOS保证 路由器 无线通信技术 通信线路 Hoe网络 带宽 无线移动
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Quantitative proteomics analysis of parthenogenetically induced pluripotent stem cells
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作者 Zhe Hu leiwang +9 位作者 Zhensheng Xie Xinlei Zhang Du Feng Fang Wang Bingfeng Zuo Lingling Wang Zhong Liu Zhisheng Chen Fuquan Yang Lin Liu 《Protein & Cell》 SCIE CSCD 2011年第8期631-646,共16页
Parthenogenetic embryonic stem(pES)cells isolated from parthenogenetic activation of oocytes and embryos,also called parthenogenetically induced pluripotent stem cells,exhibit pluripotency evidenced by both in vitro a... Parthenogenetic embryonic stem(pES)cells isolated from parthenogenetic activation of oocytes and embryos,also called parthenogenetically induced pluripotent stem cells,exhibit pluripotency evidenced by both in vitro and in vivo differentiation potential.Differential proteomic analysis was performed using differential in-gel electrophoresis and isotope-coded affinity tag-based quantitative proteomics to investigate the molecular mechanisms underlying the developmental pluripotency of pES cells and to compare the protein expression of pES cells generated from either the in vivo-matured ovulated(IVO)oocytes or from the in vitro-matured(IVM)oocytes with that of fertilized embryonic stem(fES)cells derived from fertilized embryos.A total of 76 proteins were upregulated and 16 proteins were downregulated in the IVM pES cells,whereas 91 proteins were upregulated and 9 were downregulated in the IVO pES cells based on a minimal 1.5-fold change as the cutoff value.No distinct pathways were found in the differentially expressed proteins except for those involved in metabolism and physiological processes.Notably,no differences were found in the protein expression of imprinted genes between the pES and fES cells,suggesting that genomic imprinting can be corrected in the pES cells at least at the early passages.The germline competent IVM pES cells may be applicable for germ cell renewal in aging ovaries if oocytes are retrieved at a younger age. 展开更多
关键词 parthenogenetic embryonic stem cell PROTEOME fluorescent two-dimensional difference in-gel electrophoresis isotope-coded affinity tag
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