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曲安奈德联合阿柏西普治疗雷珠单抗应答不良的湿性年龄相关性黄斑变性 被引量:4
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作者 杨倩倩 刘德成 +1 位作者 关微 刘懿 《国际眼科杂志》 CAS 北大核心 2023年第5期852-855,共4页
目的:比较阿柏西普玻璃体内注射联合曲安奈德后部眼球筋膜下注射治疗抗血管内皮生长因子(VEGF)药物雷珠单抗应答不良的湿性年龄相关性黄斑变性(ARMD)的效果及安全性。方法:回顾性队列研究。2018-06/2020-05对抗VEGF药物雷珠单抗治疗应... 目的:比较阿柏西普玻璃体内注射联合曲安奈德后部眼球筋膜下注射治疗抗血管内皮生长因子(VEGF)药物雷珠单抗应答不良的湿性年龄相关性黄斑变性(ARMD)的效果及安全性。方法:回顾性队列研究。2018-06/2020-05对抗VEGF药物雷珠单抗治疗应答不良的难治性ARMD 60例60眼,随机分为阿柏西普对照组及曲安奈德联合阿柏西普观察组,每组30例30眼。两组患者每月1次分别行单纯阿柏西普玻璃体内注射或阿柏西普玻璃内注射联合曲安奈德后部眼球筋膜下注射,连续注射3次。分别于注射前和注射第3次后1、3、6mo进行复查视力(BCVA)、黄斑中心凹厚度(CMT)及眼压的改变。结果:两组患者在治疗后1、3、6mo的BCVA及CMT均明显好转(P<0.05)。观察组治疗后1mo平均眼压较前升高,但仍在正常范围,两组眼压比较有差异(17.50±4.60 vs 18.30±3.73mmHg,P<0.05)。结论:曲安奈德后部眼球筋膜下注射联合阿柏西普玻璃体内注射治疗湿性ARMD,有效地减轻黄斑区水肿并改善视力,更加安全可靠。 展开更多
关键词 湿性年龄相关性黄斑变性 曲安奈德 阿柏西普 最佳矫正视力 中心视网膜厚度
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丙硫醇辅助合成石墨化碳载Pt纳米颗粒以提高燃料电池启停性能
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作者 杨倩倩 宋天威 +4 位作者 李帅 张乐 马修远 童磊 梁海伟 《中国科学技术大学学报》 CAS CSCD 北大核心 2023年第6期20-28,I0002,共10页
石墨化碳作为质子交换膜燃料电池的阴极催化剂载体,虽然在增强催化剂抗腐蚀性方面具有显著优势,但由于其孔隙率低,缺乏缺陷结构,在石墨化碳载体上制备小尺寸Pt纳米颗粒依然面临挑战。本文报道了一种使用丙硫醇辅助浸渍法,来实现石墨化碳... 石墨化碳作为质子交换膜燃料电池的阴极催化剂载体,虽然在增强催化剂抗腐蚀性方面具有显著优势,但由于其孔隙率低,缺乏缺陷结构,在石墨化碳载体上制备小尺寸Pt纳米颗粒依然面临挑战。本文报道了一种使用丙硫醇辅助浸渍法,来实现石墨化碳上Pt纳米颗粒的尺寸控制。研究表明,丙硫醇在浸渍过程中与Pt配位形成的配位络合物,在随后的热还原过程转化为硫掺杂碳涂层,从而保证了石墨化碳上小尺寸Pt纳米颗粒的合成。由于有效的尺寸控制,相比于传统浸渍法,此方法所制备的阴极催化剂具有更高的燃料电池性能。我们使用美国能源部(DOE)推荐的耐久性测试方案对所合成的催化剂进行了加速应力测试。在1.0–1.5 V电压区间循环5000圈后,所制备催化剂在1.5 A·cm^(-2)电流密度处的电压损失仅为10 mV,可以忽略不计,达到了DOE载体耐久性目标(30 mV)。 展开更多
关键词 质子交换膜燃料电池 催化剂载体耐久性 石墨化碳 启停性能
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内镜下套扎硬化序贯治疗食管曲张静脉疗效及预后影响因素的探讨 被引量:11
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作者 桑建忠 张红 +6 位作者 周建波 宋奇峰 孙晓辉 黄戬 施煜燕 杨倩倩 蔡升 《中国内镜杂志》 北大核心 2017年第3期56-63,共8页
目的观察内镜下套扎(EVL)及硬化序贯治疗在肝硬化食管静脉曲张患者中应用的疗效,并研究预后的相关危险因素。方法收集未进行内镜下治疗的食管静脉曲张破裂出血患者设为对照组,仅进行药物治疗,共106例,研究组为内镜下治疗+药物治疗患者,... 目的观察内镜下套扎(EVL)及硬化序贯治疗在肝硬化食管静脉曲张患者中应用的疗效,并研究预后的相关危险因素。方法收集未进行内镜下治疗的食管静脉曲张破裂出血患者设为对照组,仅进行药物治疗,共106例,研究组为内镜下治疗+药物治疗患者,入组共113例,研究组中又随机分为单纯套扎组(EVL组)和套扎硬化序贯组,观察治疗后曲张静脉消除率、再出血率、总治疗次数、死亡率和术中及术后并发症,进行比较。并比较对照组和研究组肝功能Child-Turcotte-Pugh(CTP)分级和终末期肝病模型(MELD)不同评分的再出血率和死亡率,分析预后影响因素,评价其对预后的诊断价值。结果对照组、EVL组和套扎硬化序贯组再出血率分别为41.51%、10.53%和10.64%,对照组与套扎硬化序贯组比较,差异有统计学意义(P=0.000);3组的死亡率分别为15.09%、5.26%和2.13%,对照组与EVL组、对照组与序贯组、EVL与序贯组比较,分别为P>0.05、P=0.001和P>0.05;套扎硬化序贯治疗的半年内复发率44.68%,EVL组复发率73.68%,两者比较差异有统计学意义(P=0.021);无论是对照组还是EVL组和序贯治疗组,肝功能CTP C级的再出血、死亡率明显高于A级;MELD模型中,受试者工作特征曲线(ROC)的曲线下面积(AUC)再出血率对照组、序贯组分别为0.944和0.851,死亡率两组分别为0.881和0.984,而复发率EVL组、序贯组分别为0.914和0.765,MELD评分对再出血和死亡的预测具有重要价值。结论套扎硬化序贯治疗能明显降低肝硬化食管曲张静脉患者的再出血率和死亡率,且套扎硬化序贯治疗的复发率要低于单纯套扎。肝功能CTP评分评级和MELD评分对再出血和死亡的预测均具有重要价值,套扎硬化序贯治疗能明显降低CTP为B级和C级静脉曲张的再出血和死亡率,并提高再出血和死亡的MELD阈值。 展开更多
关键词 套扎硬化序贯治疗 CTP MELD
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早期胃癌检出情况及其内镜下特征分析(附43例报道) 被引量:8
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作者 蔡升 周建波 +4 位作者 桑建忠 宋奇峰 杨倩倩 黄戬 周琴 《中国内镜杂志》 2018年第3期94-99,共6页
目的调查分析浙江省余姚地区早期胃癌(EGC)的检出情况,探讨EGC内镜下特点及病理学特征。方法回顾性收集2016年度宁波大学医学院附属阳明医院消化内镜中心行胃镜检查患者的病例资料,筛选统计出EGC(检查时发现并经病理确诊)的检出率,并对... 目的调查分析浙江省余姚地区早期胃癌(EGC)的检出情况,探讨EGC内镜下特点及病理学特征。方法回顾性收集2016年度宁波大学医学院附属阳明医院消化内镜中心行胃镜检查患者的病例资料,筛选统计出EGC(检查时发现并经病理确诊)的检出率,并对发现的43例EGC患者(47处病灶)的临床资料进行回顾性总结,对比分析其普通白光内镜下特征、窄带成像(NBI)放大内镜下特征及病理学特征。结果 EGC的总体检出率为0.23%(43/18 534),占胃癌总检出例数的24.71%(43/174)。本研究发现EGC以发生在胃窦部最常见(36.17%,17/47),病灶大小以>1.0 cm为主(68.09%,32/47),内镜下形态以0-Ⅱc型病灶为主,占55.32%(26/47)。白光内镜下表现为黏膜发红35处(74.47%,35/47)、边界清晰43处(91.49%,43/47)、表面不规则42处(89.36%,42/47)、黏膜萎缩和(或)肠上皮化生39处(82.98%,39/47)、边缘毛刺状17处(36.17%,17/47)、白色不透明物质(WOS)8处(17.02%,8/47)、表面溃疡13处(27.66%,13/47),自发性出血21处(44.68%,21/47)。30处病灶行NBI放大内镜检查,病灶边界线清晰占86.67%(26/30),病灶黏膜下微血管不规则或消失占96.67%(29/30),病灶上皮微细结构和腺管开口不规则或消失占90.00%(27/30)。病理分型以分化型为主(89.36%,42/47)。结论 EGC多见于胃窦部,形态以0-Ⅱc型为主,在白光内镜下注意观察胃黏膜局部色调的改变及特征,以及NBI放大内镜下病灶边界、黏膜下微血管及上皮微细结构和腺管开口的变化,有助于提高EGC的诊断率。 展开更多
关键词 浙江省余姚地区 胃镜检查 早期胃癌 病理 形态学
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透明帽辅助水交换结肠镜联合窄带成像内镜检查的临床应用价值 被引量:4
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作者 蔡升 张芳芳 +4 位作者 黄戬 桑建忠 宋奇峰 杨倩倩 周建波 《中国内镜杂志》 2021年第10期18-23,共6页
目的探讨透明帽辅助水交换结肠镜联合窄带成像内镜(NBI)检查在临床中的应用价值。方法纳入2019年6月-2020年3月该院内镜中心拟行结肠镜检查的初诊患者240例,随机分为空气组、水交换组及水交换联合NBI组,每组各80例。空气组为注气结肠镜... 目的探讨透明帽辅助水交换结肠镜联合窄带成像内镜(NBI)检查在临床中的应用价值。方法纳入2019年6月-2020年3月该院内镜中心拟行结肠镜检查的初诊患者240例,随机分为空气组、水交换组及水交换联合NBI组,每组各80例。空气组为注气结肠镜检查;水交换组为注水结肠镜检查,退镜时采用白光观察;水交换联合NBI组为注水结肠镜检查,退镜时采用NBI观察。结肠镜检查均在非麻醉状态下进行,3组患者结肠镜检查时肠镜头端均携带同一型号的透明帽,由同一位技术熟练的高年资医师完成结肠镜操作。分析比较3组患者的肠镜进镜时间、达盲率、退镜时间、肠道清洁度、腹痛情况、腺瘤检出率、麻醉需求率及愿意再次行肠镜率的差异。结果水交换组肠镜进镜时间为(5.02±0.70)min、水交换联合NBI组为(5.05±0.85)min,均较空气组肠镜进镜时间(4.02±0.80)min长,3组患者比较,差异有统计学意义(F=43.72,P<0.01);3组患者达盲率比较,差异无统计学意义(P>0.05);空气组退镜时间为(6.53±0.90)min,短于水交换组的(8.72±0.72)min和水交换联合NBI组的(8.84±0.77)min,3组患者比较,差异有统计学意义(F=208.46,P<0.01);3组患者肠道清洁度(Boston评分)比较,差异无统计学意义(F=0.53,P>0.05);空气组腹痛评分为(2.88±1.91)分,高于水交换组的(1.93±1.48)分和水交换联合NBI组的(1.94±1.49)分,3组患者比较,差异有统计学意义(F=8.67,P<0.01);水交换联合NBI组的腺瘤检出率最高(38.8%,31/80),与其他两组比较,差异有统计学意义(χ^(2)=5.84,P<0.05;χ^(2)=4.91,P<0.05);空气组麻醉需求率(21.3%,17/80)高于水交换组(8.8%,7/80)和水交换联合NBI组(6.3%,5/80),两两比较,差异有统计学意义(χ^(2)=4.90,P<0.05;χ^(2)=7.61,P<0.05);空气组愿意再次行肠镜率(71.3%,57/80)低于水交换组(86.3%,69/80)和水交换联合NBI组(88.8%,71/80),两两比较,差异有统计学意义(χ^(2)=5.39,P<0.05;χ^(2)=7.67,P<0.05)。结论透明帽辅助水交换结肠镜联合NBI检查可提高腺瘤的检出率,减轻患者腹痛感,降低麻醉需求率,提高患者愿意再次行肠镜率。 展开更多
关键词 透明帽 水交换 注气 结肠镜检查 窄带成像内镜 腺瘤 腹痛 达盲率
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Reliability and validity of Chinese version of Cataldo Lung Cancer Stigma Scale 被引量:1
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作者 qian-qian yang Hua-Xia Liu +2 位作者 Chun-Ling yang Shu-Yu Ji Lei Li 《International Journal of Nursing Sciences》 2014年第1期23-27,共5页
Purpose:To translate and apply the Cataldo Lung Cancer Stigma Scale(CLCSS)for Chinese populations and test the reliability and validity of the modified scale.Method:A total of 150 lung cancer patients were recruited f... Purpose:To translate and apply the Cataldo Lung Cancer Stigma Scale(CLCSS)for Chinese populations and test the reliability and validity of the modified scale.Method:A total of 150 lung cancer patients were recruited from three tertiary hospitals in Shandong province and were tested using the Chinese version of CLCSS to assess its reliability and validity.Result:The Cronbach’s a coefficient of the Chinese version of CLCSS and the four subscales ranged from 0.599 to 0.884,and the testeretest reliability ranged from 0.601 to 0.881.The content validity index of the scale was 0.875.Four factors were extracted by exploratory factor analysis that explained 58.6%of the total variance.Conclusion:The Chinese version of CLCSS is a reliable and valid measure of stigma among Chinese patients with lung cancer. 展开更多
关键词 Lung cancer RELIABILITY STIGMA Validity
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Building the bridge of small organic molecules to porous carbons via ionic solid principle
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作者 Lei Tong qian-qian yang +5 位作者 Shuai Li Le-Le Zhang Wei-Jie Zeng Yan-Wei Ding Liangdong Fan Hai-Wei Liang 《Nano Research》 SCIE EI CSCD 2023年第1期80-87,共8页
Replacing traditional polymer-based precursors with small molecules is a promising pathway toward facile and controllable preparation of porous carbons but remains a prohibitive challenge because of the high volatilit... Replacing traditional polymer-based precursors with small molecules is a promising pathway toward facile and controllable preparation of porous carbons but remains a prohibitive challenge because of the high volatility of small molecules.Herein,a simple,general,and controllable method is reported to prepare porous carbons by converting small organic molecules into organic molecular salts followed by pyrolysis.The robust electrostatic force holding organic molecular salts together leads to negligible volatility and thus ensures the formation of carbons under high-temperature pyrolysis.Meanwhile,metal moieties in organic molecular salts can be evolved into in-situ templates or activators during pyrolysis to create nanopores.The modular nature of organic molecular salts allows easy control of the porosity and chemical doping of carbons at a molecular level.The sulfur-doped carbon prepared by the ionic solid strategy can serve as robust support to prepare small-sized intermetallic PtCo catalysts,which exhibit a high mass activity of 1.62 A·mgPt^(−1)in catalyzing oxygen reduction reaction for fuel cell applications. 展开更多
关键词 porous carbon small organic molecules organic molecular salts ionic solid oxygen reduction reaction
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Discovery, structure,and chemical synthesis of disulfide-rich peptide toxins and their analogs 被引量:3
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作者 Ge-Min Fang Xiao-Xu Chen +4 位作者 qian-qian yang Liang-Jing Zhu Ning-Ning Li Hai-Zhu Yu Xiang-Ming Meng 《Chinese Chemical Letters》 SCIE CAS CSCD 2018年第7期1033-1042,共10页
Recently, medicinal peptide molecules are of great interest to many international pharmaceutical companies, mainly because of their relatively lower research costs, shorter research cycles, and the greater likelihood ... Recently, medicinal peptide molecules are of great interest to many international pharmaceutical companies, mainly because of their relatively lower research costs, shorter research cycles, and the greater likelihood of being drugs, when compared with traditional small molecules. Due to the great variety in molecule structures and the diverse biological functions, disulfide-rich peptide toxins have become a shining molecular library for the development of polypeptide drugs. In view of the increasing amount of related publications, here we summarize the discovery, structural elucidation and chemical synthesis of disulfide-rich peptide toxins and their analogs. 展开更多
关键词 Peptide toxins CONOTOXINS CYCLOTIDES Disulfide mimics Chemical synthesis
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An inducible constitutive expression system in Bombyx mori mediated by phiC31 integrase 被引量:1
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作者 Feng Wang Yan-Ting Ji +6 位作者 Chi Tian Yuan-Cheng Wang Shen Xu Ri-Yuan Wang qian-qian yang Ping Zhao Qing-You Xia 《Insect Science》 SCIE CAS CSCD 2021年第5期1277-1289,共13页
Inducible gene-expression systems play important roles in gene functional assays in the post-genome era.Streptomyces phage-derived phiC31 integrase,which mediates an irreversible site-specific cassette exchange betwee... Inducible gene-expression systems play important roles in gene functional assays in the post-genome era.Streptomyces phage-derived phiC31 integrase,which mediates an irreversible site-specific cassette exchange between the phage attachment site(attP)and the bacterial attachment site(attB),provides a promising option for the construction of a controllable gene-expression system.Here,we report a phiC3I integrase-mediated promoter flip system(FLIP)for the inducible expression of target genes in silk-worm(Bombyx mori).First,we constructed a FLIP reporter system,in which a BmAct4 promoter with enhanced translational efficiency was flanked by the attB and attP sites in a head-to-head orientation and further linked in a reverse orientation to a DsRed reporter gene.The coexpression of a C-terminal modified phiC3 I-NLS integrase carrying a simian virus 40(SV40)nuclear localization signal(NLS)effectively flipped the BmAct4 promoter through an attBlattP exchange,thereby activating the downstream expression of DsRed in a silkworm embryo-derived cell line,BmE.Subsequently,the FLIP system,together with a system continuously expressing the phiC3 I-NLS integrase,was used to construct binary transgenic silkworm lines.Hybridization between FLIP and phiC31-NLS transgenic silkworm lines resulted in the successful flipping of the BmAct4 promoter,with an approximately 39%heritable transformation efficiency in silkworm offispring,leading to the constitutive and high-level expression of DsRed in silkworms,which accounted for approximately 0.81%of the silkworm pupal weight.Our successful development of the FLIP system offers an effective alternative for manipulating gene expression in silkworms and other lepidopteran species. 展开更多
关键词 inducible gene expression PhiC31 integrase promoter flipping SILKWORM
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Simple and cost-effective determination of ciprofloxacin hydrochloride by electrical micro-titration
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作者 Xu-Zhi Zhang Meng-Shi Huang +4 位作者 qian-qian yang Dong-Sheng Ding Jun Zhao Wen-Rong yang Ke-Ming Qu 《Chinese Chemical Letters》 SCIE CAS CSCD 2017年第7期1406-1412,共7页
By employing an electrical micro-titration system, in which a capacitively coupled contactless conductivity detector(C^4D) was used to monitor the reaction process in real time, herein a novel method for determining... By employing an electrical micro-titration system, in which a capacitively coupled contactless conductivity detector(C^4D) was used to monitor the reaction process in real time, herein a novel method for determining ciprofloxacin hydrochloride(CIPHCl) was developed for the first time. Mode 1: Standard CIPHCl solutions at different concentrations were loaded into reaction cells, respectively, and were titrated with standard Ag^+. Upon the titration, the formation of a precipitate alters the number of ions in the solution, raising the change of conductivity, which was monitored by a special C-4 D to construct a titration curve. The endpoint of the titration was located from the peak of the curve. Between the elapsed time and the initial concentration of titrand, a linear relationship was established over the range of2.0–8.0 mmol/L. Mode 2: Standard Fe^3+ took the place of Ag^+, and was used as titrant to recognize ciprofloxacin contributed to the formation of complexation, which also resulting a change of solution conductivity. Under optimized conditions, a working range of 1.0–5.0 mmol/L CIPHCl was found. Because the reaction solutions were isolated from the working electrodes, this pioneer work shows significant simplicity and cost-effectiveness, by eliminating the requirements for detector exchange/renewal between different measurements, and by involving no auxiliary chemicals. Both of the two approaches were applied successfully to determine CIPHCl in tablet samples. And the results were in good agreement with those obtained by reference method. 展开更多
关键词 Ciprofloxacin hydrochloride Determination Micro-titration Capacitively coupled contactless conductivity detector Pharmaceutical analysis
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