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近代日本医学范式转换的历史与逻辑
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作者 那佳 边林 柳云 《医学与哲学》 北大核心 2024年第10期73-77,共5页
历史上日本长期学习借鉴中国医学并建立起了本国的“汉方医学”体系,西方传教和商贸活动将西方医学代入日本,使日本在18世纪至19世纪完成了医学领域的全盘西化过程,发生了以汉方医学逐渐消亡为结局的向西医学范式的全面转换。汉方医学... 历史上日本长期学习借鉴中国医学并建立起了本国的“汉方医学”体系,西方传教和商贸活动将西方医学代入日本,使日本在18世纪至19世纪完成了医学领域的全盘西化过程,发生了以汉方医学逐渐消亡为结局的向西医学范式的全面转换。汉方医学的不同学派本身具有改变医学认知方式的意愿,西医学的科学性质和知识体系为医学范式的转换提供了强大的动能。西方世界的对外扩张和日本自身的社会变革,都为近代日本医学范式转换提供了条件和土壤,是医学领域内部与外部社会环境共同作用的结果。 展开更多
关键词 汉方医学 西医学 医学范式转换
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A New Encrypted Traffic Identification Model Based on VAE-LSTM-DRN
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作者 Haizhen Wang Jinying Yan na jia 《Computers, Materials & Continua》 SCIE EI 2024年第1期569-588,共20页
Encrypted traffic identification pertains to the precise acquisition and categorization of data from traffic datasets containing imbalanced and obscured content.The extraction of encrypted traffic attributes and their... Encrypted traffic identification pertains to the precise acquisition and categorization of data from traffic datasets containing imbalanced and obscured content.The extraction of encrypted traffic attributes and their subsequent identification presents a formidable challenge.The existing models have predominantly relied on direct extraction of encrypted traffic data from imbalanced datasets,with the dataset’s imbalance significantly affecting the model’s performance.In the present study,a new model,referred to as UD-VLD(Unbalanced Dataset-VAE-LSTM-DRN),was proposed to address above problem.The proposed model is an encrypted traffic identification model for handling unbalanced datasets.The encoder of the variational autoencoder(VAE)is combined with the decoder and Long-short term Memory(LSTM)in UD-VLD model to realize the data enhancement processing of the original unbalanced datasets.The enhanced data is processed by transforming the deep residual network(DRN)to address neural network gradient-related issues.Subsequently,the data is classified and recognized.The UD-VLD model integrates the related techniques of deep learning into the encrypted traffic recognition technique,thereby solving the processing problem for unbalanced datasets.The UD-VLD model was tested using the publicly available Tor dataset and VPN dataset.The UD-VLD model is evaluated against other comparative models in terms of accuracy,loss rate,precision,recall,F1-score,total time,and ROC curve.The results reveal that the UD-VLD model exhibits better performance in both binary and multi classification,being higher than other encrypted traffic recognition models that exist for unbalanced datasets.Furthermore,the evaluation performance indicates that the UD-VLD model effectivelymitigates the impact of unbalanced data on traffic classification.and can serve as a novel solution for encrypted traffic identification. 展开更多
关键词 Data enhancement LSTM deep residual network VAE
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Determination of total sulfur in geothermal water by inductively coupled plasma-atomic emission spectrometry 被引量:1
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作者 Bing-bing Liu Mei Han +3 位作者 jia Liu na jia Chen-ling Zhang Lin Zhang 《Journal of Groundwater Science and Engineering》 2022年第3期285-291,共7页
Sulfur speciation and concentration in geothermal water are of great significance for the research and utilization of the water resources.In most situations,it is necessary to determine the total sulfur in geothermal ... Sulfur speciation and concentration in geothermal water are of great significance for the research and utilization of the water resources.In most situations,it is necessary to determine the total sulfur in geothermal water.In this study,the method was established for the determination of determining total sulfur content-the inductively coupled plasma-atomic emission spectrometry(ICP-AES),with the wavelength of 182.034 nm selected in spectral line of sulfur.It was identified that the optimal working conditions of the ICP-AES instrument were 1200 W for high frequency generator power 9 mm for vertical observation height,0.30 MPa atomizer pressure,and 50 r/min analytical pump speed.The matrix interference of the method was eliminated by the matrix matching method.Using this method,sulfur detection limit and minimum quantitative detection limit were 0.028 mg/L and 0.110 mg/L,respectively,whilst the linear range was 0.0-100.0 mg/L.The recovery rate of sample was between 90.67%and 108.7%,and the relative standard deviation(RSD)was between 0.36%and 2.14%.The method was used to analyze the actual samples and the results were basically consistent with the industry standard method.With high analysis efficiency,the method has low detection limit and minimum quantitative detection limit,wide linear range,good precision and accuracy,and provides an important detection method for the determination of total sulfur in geothermal water. 展开更多
关键词 High frequency generator power Vertical observation height Atomizer pressure Matrix matching method Standard addition method
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叙事医学赋能产科医患沟通
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作者 杜丽佳 那佳 +2 位作者 田晓玲 杨志芬 杨晓霖 《叙事医学》 2023年第2期92-96,119,共6页
本文讨论了叙事医学在产科临床实践应用的必要性,阐明医患叙事能实现高效连接,缓解孕产妇压力,提升医患之间的沟通和决策的效率,同时提升产科医生的叙事素养,增强其职业身份认同,实现职业可持续发展。叙事医学在产科的临床实践能全面增... 本文讨论了叙事医学在产科临床实践应用的必要性,阐明医患叙事能实现高效连接,缓解孕产妇压力,提升医患之间的沟通和决策的效率,同时提升产科医生的叙事素养,增强其职业身份认同,实现职业可持续发展。叙事医学在产科的临床实践能全面增强不同层次医务工作者的叙事意识,提升其叙事能力,赋能产科的可持续发展。 展开更多
关键词 叙事医学 产科 构建医患叙事连接 人文意识
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Anti-osteosarcoma trimodal synergistic therapy using NiFe-LDH and MXene nanocomposite for enhanced biocompatibility and efficacy
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作者 Yani Xu Lan Yang +7 位作者 Min Li Haozhou Shu na jia Yunzhen Gao Rongying Shi Xiaojia Yang Zhirong Zhang Ling Zhang 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2024年第3期1329-1344,共16页
Osteosarcoma is usually resistant to immunotherapy and,thus primarily relies on surgical resection and high-dosage chemotherapy.Unfortunately,less invasive or toxic therapies such as photothermal therapy(PTT)and chemo... Osteosarcoma is usually resistant to immunotherapy and,thus primarily relies on surgical resection and high-dosage chemotherapy.Unfortunately,less invasive or toxic therapies such as photothermal therapy(PTT)and chemodynamic therapy(CDT)generally failed to show satisfactory outcomes.Adequate multimodal therapies with proper safety profiles may provide better solutions for osteosarcoma.Herein,a simple nanocomposite that synergistically combines CDT,PTT,and chemotherapy for osteosarcoma treatment was fabricated.In this composite,small 2D Ni Fe-LDH flakes were processed into 3D hollow nanospheres via template methods to encapsulate 5-Fluorouracil(5-FU)with high loading capacity.The nanospheres were then adsorbed onto larger 2D Ti3C2MXene monolayers and finally shielded by bovine serum albumin(BSA)to form 5-FU@Ni Fe-LDH/Ti3C2/BSA nanoplatforms(5NiTiB).Both in vitro and in vivo data demonstrated that the 5-FU induced chemotherapy,Ni Fe-LDH driven chemodynamic effects,and MXene-based photothermal killing collectively exhibited a synergistic“all-in-one”anti-tumor effect.5NiTiB improved tumor suppression rate from<5%by 5-FU alone to~80.1%.This nanotherapeutic platform achieved higher therapeutic efficacy with a lower agent dose,thereby minimizing side effects.Moreover,the composite is simple to produce,enabling the fine-tuning of dosages to suit different requirements.Thus,the platform is versatile and efficient,with potential for further development. 展开更多
关键词 OSTEOSARCOMA NiFe-LDH MXene Chemodynamic therapy Photothermal therapy Chemotherapy 5-FLUOROURACIL NANOCOMPOSITE
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我国东北草地生产力现状及可持续发展对策 被引量:26
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作者 那佳 黄立华 +1 位作者 张璐 晏益民 《中国草地学报》 CSCD 北大核心 2019年第6期152-164,共13页
近年来,东北草地退化日益严重,草地生产力下降,区域生态环境和经济发展形势严峻。对东北草地近年来的发展状况和影响草地生产力发展的环境因素进行了综合剖析,系统比较了过去40年东北草地发展状况,其中重点阐述了在东北草地占据重要地... 近年来,东北草地退化日益严重,草地生产力下降,区域生态环境和经济发展形势严峻。对东北草地近年来的发展状况和影响草地生产力发展的环境因素进行了综合剖析,系统比较了过去40年东北草地发展状况,其中重点阐述了在东北草地占据重要地位的天然羊草草地、人工羊草草地和苜蓿人工草地的生产力变化以及影响因素,并分析了全国与东北地区天然草地和人工草地的研究情况。在此基础上,提出东北草地可持续发展对策:(1)加强草地资源保护,大力恢复退化草地;(2)"种-养-牧-饲"有机结合,促进产业健康发展;(3)科技引领绿色发展,加速草牧产业振兴,旨在为该区未来草牧业发展提供有益参考。 展开更多
关键词 东北地区 天然草地 人工草地 草地生产力 可持续发展
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伦理学视域下移动医疗技术运用的难题、挑战及对策分析 被引量:1
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作者 谢晋 杨志芬 +1 位作者 那佳 柳云 《中国医学伦理学》 2022年第11期1224-1229,共6页
随着大数据信息时代的到来以及物联网、云计算等新型网络技术的不断发展与进步,数据化信息的使用已经不断渗透到人们的生活和工作的各个领域,医疗领域进而衍生出移动医疗这一互联网技术和医疗资源相结合的产物,引发了一系列新的医学变... 随着大数据信息时代的到来以及物联网、云计算等新型网络技术的不断发展与进步,数据化信息的使用已经不断渗透到人们的生活和工作的各个领域,医疗领域进而衍生出移动医疗这一互联网技术和医疗资源相结合的产物,引发了一系列新的医学变革。从伦理学视域探讨现阶段移动医疗技术运行过程中拥有的优势、劣势、威胁、机遇,并从人性化、科学化的视角提出强化主体责任,构建科学的监管体系、健全法律机制,完善顶层设计、加强伦理宣教,提升相应主体的人文素养等建议和对策。 展开更多
关键词 伦理学 移动医疗技术 人文素养
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黑龙江省气象局廉政风险防控信息化平台运行监控的现状分析 被引量:1
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作者 唐立杰 那嘉 李晓峰 《黑龙江气象》 2019年第3期41-42,共2页
1引言以往纪检监察机构的监督比较原则、宏观,既使是具体的监督也相对滞后,难于跟踪权力运行的全过程。黑龙江省气象局廉政风险防控信息化平台(以下简称“平台”)的使用,实现了监督工作实时化、业务化、精细化和监控范围全覆盖,促进了... 1引言以往纪检监察机构的监督比较原则、宏观,既使是具体的监督也相对滞后,难于跟踪权力运行的全过程。黑龙江省气象局廉政风险防控信息化平台(以下简称“平台”)的使用,实现了监督工作实时化、业务化、精细化和监控范围全覆盖,促进了省、市、县三级气象部门各单位廉政风险防控的规范和有效运行,从而推动全省气象部门党风廉政建设主体责任和监督责任的有效落实。 展开更多
关键词 廉政风险防控 纪检监察机构 监督责任 信息化平台 黑龙江省气象局 运行监控 监控范围 权力运行
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Polymorphism of D-mannitol:Crystal structure and the crystal growth mechanism 被引量:3
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作者 Weiyi Su na jia +2 位作者 Hongshi Li Hongxun Hao Chunli Li 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2017年第3期358-362,共5页
The polymorphism of D-Mannitol(mannitol) is reviewed in this paper. It was found that the structure of the stable form is consistent in most literatures, but different authors have given different information about th... The polymorphism of D-Mannitol(mannitol) is reviewed in this paper. It was found that the structure of the stable form is consistent in most literatures, but different authors have given different information about the two metastable forms. Therefore the commonly used nomenclature of mannitol was summarized based on the crystal unit cell parameters with the help of X-ray powder diffraction. Moreover, the crystal growth mechanism of mannitol polymorphs was summarized. Considering the lack of kinetic data for the metastable form especially, a reported method was attempted to apply to δ mannitol in an aqueous cooling crystallization process based on the induction time previously measured, and it was identified that the growth of the δ form follows the two-dimensional(2D) nucleationmediated mechanism. The results also indicate that the method based on induction time and supersaturation should have the potential to be expanded to the metastable polymorphs for the growth property study in a bulk system. 展开更多
关键词 CRYSTALLIZATION Pharmaceuticals POLYMORPHISM D-MANNITOL Crystal growth
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“互联网+”视域下大学生“双创”面临的问题及对策研究 被引量:1
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作者 那佳 王英明 《吉林农业科技学院学报》 2020年第5期54-57,共4页
通过对“互联网+”环境下“双创”政策分析,结合大学生目前就业创业现状,指出大学生在创新创业过程中面临的传统思想观念束缚、“双创”形势严峻、创新创业能力有待提高、抗压能力弱等实际问题,并结合实际,给出高校要加强培养大学生创... 通过对“互联网+”环境下“双创”政策分析,结合大学生目前就业创业现状,指出大学生在创新创业过程中面临的传统思想观念束缚、“双创”形势严峻、创新创业能力有待提高、抗压能力弱等实际问题,并结合实际,给出高校要加强培养大学生创新创业意识、政府要发挥主导作用,为大学生“双创”平台清障搭台,大学生自身要加强创新创业能力以及加强心理建设等解决措施,通过高校、政府、学生自身等多方面解决大学生“双创”面临的问题,使大学生能够实现更好的就业,发挥人生价值。 展开更多
关键词 “互联网+” “双创” 大学生 创新创业能力
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基于“第二课堂成绩单”的高职院校学生课外素质教育现状调查与指导策略——以昆明冶金高等专科学校为例 被引量:2
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作者 纳佳 王联旭 +2 位作者 杨彬楠 曹勇 李薇 《昆明冶金高等专科学校学报》 CAS 2017年第6期31-34,共4页
昆明冶金高等专科学校自2016年9月被确立为全国"第二课堂成绩单"试点高校以来,学校结合高职高专实际办学特色,定制度、建平台,开展"第二课堂成绩单"的运营和数据分析,积极探索学生课外素质教育机制和思想政治教育... 昆明冶金高等专科学校自2016年9月被确立为全国"第二课堂成绩单"试点高校以来,学校结合高职高专实际办学特色,定制度、建平台,开展"第二课堂成绩单"的运营和数据分析,积极探索学生课外素质教育机制和思想政治教育系统有效融合模式,取得了一些经验和成果。通过经验的分析总结,以期为高职院校大数据与思想政治教育创新的推动提供借鉴。 展开更多
关键词 共青团 第二课堂成绩单 大数据
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我国互联网医疗平台的伦理问题分析及对策建议 被引量:2
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作者 谢晋 柳云 +2 位作者 郑瑞军 那佳 边林 《中国医学伦理学》 2021年第4期463-467,472,共6页
互联网和健康物联网技术的迅速发展带来了医疗领域的革命性变化,互联网医疗平台应时而生,为医疗资源的优化配置、医疗服务的高效便捷化带来了巨大的发展机遇。但是由于互联网医疗平台的技术局限和固有风险、特定人群数据的敏感性以及医... 互联网和健康物联网技术的迅速发展带来了医疗领域的革命性变化,互联网医疗平台应时而生,为医疗资源的优化配置、医疗服务的高效便捷化带来了巨大的发展机遇。但是由于互联网医疗平台的技术局限和固有风险、特定人群数据的敏感性以及医疗形式的多元化等因素,使得平台的发展出现了一系列伦理问题,具体表现为:平台相关主体权责界限不清晰、隐私数据遭受泄露、医疗方式去情景化以及医疗行为过度逐利化等。在对互联网医疗平台进行明确的定义的基础上,分析平台现阶段的国内发展现状,着重研究平台在发展过程中出现的伦理问题,结合现有的综合举措,从法律、政策层面、互联网技术层面以及个人意识培养层面探讨相应的解决对策,为以后推进医疗信息化建设和医疗服务利民化提供建议和参考。 展开更多
关键词 互联网医疗平台 伦理问题 网络安全 医疗大数据 个人隐私
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DSG2/PKP2/DSP基因变异相关儿童致心律失常型右室心肌病的临床表型及基因型特点分析
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作者 那嘉 袁越 +4 位作者 李奇蕊 陈希 甄珍 田芝瑜 高路 《中国小儿急救医学》 CAS 2024年第4期250-255,共6页
目的总结DSG2/PKP2/DSP基因变异相关儿童致心律失常型右室心肌病(ARVC)的临床表型及基因型特点,为儿科精准化诊治ARVC提供依据。方法回顾性分析2018年1月至2023年6月在首都医科大学附属北京儿童医院诊治的7例DSG2/PKP2/DSP基因变异致ARV... 目的总结DSG2/PKP2/DSP基因变异相关儿童致心律失常型右室心肌病(ARVC)的临床表型及基因型特点,为儿科精准化诊治ARVC提供依据。方法回顾性分析2018年1月至2023年6月在首都医科大学附属北京儿童医院诊治的7例DSG2/PKP2/DSP基因变异致ARVC患儿的临床资料,基因检测采用靶向高通量二代测序法,并通过Sanger进行家系成员验证。结果7例(男3例、女4例)患儿入院年龄中位数为11.8岁。7例患儿心电图及24 h动态心电图均记录到室性心律失常。7例患儿超声心动图提示右心室不同程度扩大,2例合并左心室扩大。心脏磁共振成像显示2例患儿右室壁运动幅度减低,4例患儿双心室室壁运动异常;3例患儿双心室心肌可见延迟强化信号,2例左心室心肌可见延迟强化信号。4例患儿存在DSG2基因变异,其中3例为复合杂合变异,1例为纯合变异;2例患儿分别存在PKP2和DSP基因杂合变异;1例患儿同时存在PKP2和DSP基因杂合变异。7例患儿共检测到9个基因变异位点,其中5个为未报道的新变异。6例经家系验证,5例患儿为家族遗传性变异,1例为自发变异。7例患儿均给予β受体阻滞剂和(或)胺碘酮口服抗心律失常治疗,6例给予抗心力衰竭治疗。随访3~50个月,1例死亡,1例因严重全心功能衰竭行心脏移植术。结论儿童ARVC临床表现差异大,左心室受累患儿预后较差;基因检测有助于早期诊断和风险评估;尽早干预及药物治疗可延缓部分患儿的病情进展;5个新变异丰富了ARVC的基因突变谱。 展开更多
关键词 致心律失常型心肌病 儿童 基因 诊断 预后 随访
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Performance Evaluation of Ionic Liquids Using Numerical Simulation
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作者 Mostafa Elaghoury Ali Alarbah +1 位作者 Ezeddin Shirif na jia 《Advances in Chemical Engineering and Science》 CAS 2022年第3期145-162,共18页
Given the rise in oil productivity from conventional and unconventional resources in Canada using Enhanced Oil Recovery (EOR), the need to understand and characterize these techniques, for the purpose of recovery opti... Given the rise in oil productivity from conventional and unconventional resources in Canada using Enhanced Oil Recovery (EOR), the need to understand and characterize these techniques, for the purpose of recovery optimization, has taken a prominent role in resource management. Chemical flooding has proved to be one of the most efficient EOR techniques. This study investigated the potential of employing Ionic Liquids (ILs) as alternative chemical agents for improving oil recovery. There is very little attention paid to employing this technique as well as few experimental and simulation studies. Consequently, very limited data are available. Since pilot and field studies are relatively expensive and time consuming, a numerical simulation study using CMG-STARS simulator was utilized to explore the efficiency of employing 1-Ethyl-3-Methyl-Imidazolium Acetate ([EMIM][Ac]) and 1-Benzyl-3-meth- limidazolium chloride ([BenzMIM][Cl]) with respect to improving medium oil recovery. Eight different lab-scale sandpack flooding experiments were selected to develop a numerical model to obtain the history matching of the experimental flooding results using CMG-CMOST. We observed that the main challenge was tuning the relative permeability curves to achieve a successful match for the oil recovery factor. Finally, a sensitivity study was performed to examine the effect of the chemical injection rate, the chemical concentration, the slug size, and the initiation time on oil recovery. The results showed a noticeable increase in the oil RF when injecting IL compared to conventional waterflooding. 展开更多
关键词 CMG-STARS CMG-CMOST Chemical Flooding Ionic Liquid Recovery Factor History Matching
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Mouse model for pangolin-origin coronavirus GX/P2V/2017 infection and cross-protection from COVID-19 ZF2001 subunit vaccine
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作者 Xiao Qu Yunfei jia +14 位作者 na jia Huahao Fan Anqi Zheng Luoyuan Xia Zhenfei Wang Di Tian Sheng Niu Yu Hu Wenxia Tian Zhihai Chen Yigang Tong Yuwei Gao Wuchun Cao Qihui Wang George Fu Gao 《hLife》 2023年第1期35-43,共9页
Many severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)–related coronaviruses have been discovered,constituting potential threats to human health.However,it remains unclear whether the currently available va... Many severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)–related coronaviruses have been discovered,constituting potential threats to human health.However,it remains unclear whether the currently available vaccines are effective against these coronaviruses.Here,we constructed a wild-type mouse model to evaluate pathogenicity of the SARS-CoV-2-related pangolin coronavirus GX/P2V/2017 and neutralization efficacy of the approved tandemrepeat SARS-CoV-2 spike receptor-binding domain(RBD)vaccine ZF2001.We found that ZF2001-induced cross-reactive and cross-neutralizing antibodies against GX/P2V/2017,and the vaccination alleviated the pathological lung damage caused by GX/P2V/2017 in mice.These results indicate that RBD may work as a promising candidate for pan-coronavirus vaccine development. 展开更多
关键词 ZF2001 pangolin-origin coronavirus mouse model VACCINE protection
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儿童冠状动脉异常主动脉起源69例临床分析
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作者 甄珍 董梓妍 +4 位作者 那嘉 李奇蕊 陈希 高路 袁越 《中国小儿急救医学》 CAS 2023年第9期641-647,共7页
目的分析不同类型及年龄阶段的冠状动脉异常主动脉起源(AAOCA)患儿的临床特点,揭示心肌缺血表现的相关因素。方法纳入首都医科大学附属北京儿童医院2014年1月1日至2022年12月31日经CT冠状动脉成像确诊为AAOCA患儿,分别按AAOCA类型、年... 目的分析不同类型及年龄阶段的冠状动脉异常主动脉起源(AAOCA)患儿的临床特点,揭示心肌缺血表现的相关因素。方法纳入首都医科大学附属北京儿童医院2014年1月1日至2022年12月31日经CT冠状动脉成像确诊为AAOCA患儿,分别按AAOCA类型、年龄段、高危解剖结构分组,比较不同异常冠状动脉类型及年龄段患儿的临床特点,分析临床表现严重程度与高危解剖结构的相关性。结果共纳入69例AAOCA患儿,男34例(49.3%),女35例(50.7%),首次发病年龄为(8.89±4.40)岁。其中左侧冠状动脉起源于右冠状窦(ALCA)10例(14.5%)、右侧冠状动脉起源于左冠状窦(ARCA)57例(82.6%)、冠状动脉异常起源于无冠窦2例(2.9%)。19例(27.5%)无自诉临床症状,35例(50.7%)表现为胸闷、胸痛、乏力等轻型症状,13例(18.8%)为晕厥,2例(2.9%)表现为阵发性哭闹。所有患儿经治疗后均临床症状好转出院,无死亡病例。ALCA、ARCA、冠状动脉异常起源于无冠窦3组在性别、临床表现、心肌损伤标志物阳性比例、心电图、经胸超声心动图、高危解剖结构比例上差异均无统计学意义。按年龄段分组,婴幼儿组9例(13.1%)、学龄前组11例(15.9%)、学龄组49例(71.0%),婴幼儿组和学龄前组患儿无症状比例高(P<0.001)。按是否合并高危解剖结构分组,高危组43例(62.3%),包括锐角起始2例、开口狭窄或裂隙样开口4例、动脉间走行37例;非高危组26例(37.7%)。两组比较发现合并高危解剖结构患儿症状重,易发生心源性晕厥(P<0.05)。多因素Logistic回归分析提示存在高危解剖结构为发生心源性晕厥的独立危险因素(OR=9.026,95%CI 1.071~76.084,P=0.043)。结论不同类型AAOCA患儿合并高危解剖结构的比例及临床特征均无明显差异;婴幼儿可因临床症状不典型或不显著而易被漏诊;该疾病的临床症状严重程度与是否合并高危解剖结构密切相关,高危解剖结构为AAOCA患儿发生心源性晕厥的独立危险因素。 展开更多
关键词 冠状动脉异常主动脉起源 儿童 CT冠状动脉成像 临床表现 解剖结构
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儿童心肌病合并冠状动脉病变的临床特点分析
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作者 那嘉 袁越 +2 位作者 陈希 甄珍 高路 《中国小儿急救医学》 CAS 2023年第8期573-577,共5页
目的总结儿童心肌病合并冠状动脉病变的类型及临床特点,探讨多层螺旋CT冠状动脉成像(MSCTA)在儿童心肌病诊治中的应用价值。方法选取2016年1月至2022年12月于北京儿童医院心脏内科住院且具有完整心脏影像学资料的心肌病患儿为研究对象,... 目的总结儿童心肌病合并冠状动脉病变的类型及临床特点,探讨多层螺旋CT冠状动脉成像(MSCTA)在儿童心肌病诊治中的应用价值。方法选取2016年1月至2022年12月于北京儿童医院心脏内科住院且具有完整心脏影像学资料的心肌病患儿为研究对象,收集其人口学及一般临床资料、心脏影像学资料,进行系统性回顾分析。结果本研究纳入93例患儿,扩张型心肌病最常见(34.4%,32/93)。MSCTA检出冠状动脉高位开口17例(18.3%,17/93),心肌桥10例(10.8%,10/93);超声心动图检出9例(9.7%,9/93)冠状动脉病变。与超声心动图相比,MSCTA对冠状动脉起源异常和心肌桥的检出率高,两者比较差异有统计学意义(P<0.05)。结论儿童心肌病可合并冠状动脉病变,MSCTA在诊断冠状动脉病变及类型上有较大优势,值得临床推广使用。 展开更多
关键词 心肌病 儿童 CT血管成像 诊断 治疗
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208例儿童先天性冠状动脉起源异常临床分析
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作者 甄珍 董梓妍 +5 位作者 邵艺华 那嘉 李奇蕊 陈希 高路 袁越 《中国小儿急救医学》 CAS 2023年第8期566-572,共7页
目的了解儿童先天性冠状动脉起源异常(AOCA)的临床特点及预后转归,提高临床医生对本病的认识。方法回顾性分析首都医科大学附属北京儿童医院2014年1月1日至2019年12月31日经CT冠状动脉成像(CTCA)确诊为AOCA患儿的临床资料,分析其临床表... 目的了解儿童先天性冠状动脉起源异常(AOCA)的临床特点及预后转归,提高临床医生对本病的认识。方法回顾性分析首都医科大学附属北京儿童医院2014年1月1日至2019年12月31日经CT冠状动脉成像(CTCA)确诊为AOCA患儿的临床资料,分析其临床表现、辅助检查、治疗及预后。结果共纳入208例AOCA患儿,男105例,女103例,年龄(9.03±4.18)岁。157例(75.5%)患儿以胸闷、心悸、头晕、晕厥、乏力、活动耐力下降等心脏相关症状就诊,3例(1.4%)患儿为阵发哭闹、呼吸困难、发绀等不典型症状,48例(23.1%)患儿无自诉症状。59例(28.4%)患儿存在心肌损伤标志物升高,心电图异常以ST-T改变为主,共140例(67.3%)。经胸超声心动图提示27例(13%)患儿存在心脏房室内径增大,10例(4.8%)患儿心功能减低。CTCA示左冠状动脉起源异常最常见,共126例(60.6%);其次为右冠状动脉起源异常,共50例(24.0%);双侧冠状动脉起源异常最少见,共32例(15.4%)。除5例患儿行手术治疗外,余患儿均予药物保守治疗。所有患儿经治疗后均好转出院,无死亡病例。结论AOCA可造成不同程度的心肌缺血。该病临床表现多样,经胸超声心动图有一定局限性,常导致漏诊或误诊。CTCA诊断准确性高,同时可用于精准判断冠状动脉开口位置及走行。治疗应针对冠状动脉起源不同类型个体化治疗,必要时行手术治疗。 展开更多
关键词 儿童 先天性冠状动脉起源异常 缺血性心肌损害 心源性猝死
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A large-scale fatal outbreak of Pasteurella multocida among wild rodents in southwestern China 被引量:3
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作者 Chun-Hong Du Yong Huang +17 位作者 jia-Fu jiang Zi-Hou Gao na jia Shan Yang Chao-Nian Chen Shun-Gao Ma Yu-Ying Liang Bao-Gui jiang Wei-Hong Sang Peng Wang Yun Liang Yun-Zhi Zhang Ji-Hua Zhou Shui-Ping Chen Frans Jongejan Zhi-Zhong Song Yi-Gang Tong Wu-Chun Cao 《Journal of Biosafety and Biosecurity》 2020年第2期91-98,共8页
Background:Pasteurella multocida is an important and old zoonotic pathogen worldwide which has an impressive host spectrum including numerous domestic and wild animals as well as birds,causing specific diseases or out... Background:Pasteurella multocida is an important and old zoonotic pathogen worldwide which has an impressive host spectrum including numerous domestic and wild animals as well as birds,causing specific diseases or outbreak with great economic impact.It has never been reported that P.multocida can cause an epidemic in wild rodents.In June 5–17,2016,more than 1000 rodent deaths of an unknown cause quickly spread in the PuEr City,Yunnan province,southwestern China.Methods:The rodents in affected areas and outside of the epidemic areas were collected and screened for possible known pathogens including Yersinia pestis,rabies virus and hantavirus as well as other bacteria.The possible bacterial pathogens were isolated both by culture medium and by mouse inoculation in parallel.The isolates were identified by the Vitek GNI card and PCR assays for 16S rRNA genes.The pathogen strains were selected for whole genome sequencing analysis.Results:A total of 123 rodents were collected from 25 sample sites at affected area,among of which,all 119 dead rodents were negative for the pathogen under consideration except P.multocida,and all four live rodents were negative for P.multocida.In addition,480 rodents collected from other 23 counties outside of the epidemic area in Yunnan were negative for with P.multocida.A total of 14 strains of P.multocida(six directly isolated from the field rodents and eight from the experimental mice that were injected with the organ substrates from the dead rodents)belonged to serogroup A and serogroup F represented by 9 N and 20 N were identified in these epidemic areas.Whole genome sequencing revealed that the serogroup F strain shared 99%similarity to P.multocida Pm70 from chicken,but contained a 50 k bp insertion sequence.The serogroup A strain shared 95%similarity to P.multocida FDAARGOS_385 from a human patient,but contained four large structural differences.Histological abnormalities were identified in the livers,lungs,hearts and brains of the inoculated mice.Conclusions:The simultaneous occurrence of both serotypes of P.multocida may have caused this sudden onset of mortality across the local rodent population in Yunnan Province,China.Further attention should be paid to this old bacterium in the world. 展开更多
关键词 Pasteurella multocida Serotypes A Serotypes F RODENTS OUTBREAK China
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Isolation and in vitro cultivation of Babesia venatorum(Apicomplexa:Babesiidae),a zoonotic hemoprotozoan from Ixodes persulcatus ticks in China
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作者 Yi Sun Baogui jiang +8 位作者 Weiqing Zheng Hong Wang Ruiruo jiang Xin Wang na jia Fang Yang Haiying Chen jiafu jiang Wuchun Cao 《Biosafety and Health》 CSCD 2021年第4期210-216,共7页
The emerging Babesia venatorum upsurges as a potential health threat occurring in China and other endemic countries.Few attempts to isolate and culture the Babesia species had been conducted in vitro.We collected the ... The emerging Babesia venatorum upsurges as a potential health threat occurring in China and other endemic countries.Few attempts to isolate and culture the Babesia species had been conducted in vitro.We collected the questing Ixodes persulcatus from identified endemic areas and allowed them to feed on the severe combined immunodeficiency(SCID)mice.The positive mice were chosen to provide positive erythrocytes with asexual B.venatorum for continuous culture in mouse or human erythrocytes in vitro,with RPMI 1640 medium and appropriate serum.With B.venatorum in the SCID mice,erythrocytes were cultured in vitro for confirmation by morphological observations with transmission electron microscopes.Sequences of B.venatorum were then identified by way of conventional PCR amplification.Parasitemia counts monitored the growth of B.venatorum on thin blood smears and real-time quantitative PCR in parallel.As expected,B.venatorum positive mice were harvested by sufficient attacks of I.persulcatus ticks.The erythrocytes of the infected mice were then inoculated and successfully cultured in donated erythrocytes from humans and mice in RPMI 1640 culture medium.Active growth of B.venatorum was well demonstrated in human erythrocytes with 3.3 times parasite-load when compared with a mouse under similar conditions.With the increased subcultures,a prolonged period of detectable parasitemia with much higher peak parasitemia and shorter time to reach peak parasitemia were observed in the following subcultures.A new strategy for isolation and in vitro culture of B.venatorum has been provided with a continuous supply of sufficient pathogens to satisfy human babesiosis's testings and clinical therapies. 展开更多
关键词 BABESIA Ixodes persulcatus Isolation and identification Culture characteristics China
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