In order to improve the hardness and tribological performance of Ti6Al4V alloy,NiCoCrAlY-B_(4)C composite coatings with B_(4)C of 5%,10%and 15%(mass fraction)were fabricated on its surface by laser cladding(LC).The mo...In order to improve the hardness and tribological performance of Ti6Al4V alloy,NiCoCrAlY-B_(4)C composite coatings with B_(4)C of 5%,10%and 15%(mass fraction)were fabricated on its surface by laser cladding(LC).The morphologies,chemical compositions and phases of obtained coatings were analyzed using scanning electronic microscope(SEM),energy dispersive spectrometer(EDS),and X-ray diffraction(XRD),respectively.The effects of B_(4)C mass fraction on the coefficient of friction(COF)and wear rate of NiCoCrAlY-B_(4)C coatings were investigated using a ball-on-disc wear tester.The results show that the NiCoCrAlY-B_(4)C coatings with different B_(4)C mass fractions are mainly composed of NiTi,NiTi_(2),α-Ti,CoO,AlB_(2),TiC,TiB and TiB_(2)phases.The COFs and wear rates of NiCoCrAlY-B_(4)C coatings decrease with the increase of B_(4)C content,which are contributed to the improvement of coating hardness by the B_(4)C addition.The wear mechanisms of NiCoCrAlY-B_(4)C coatings are changed from adhesive wear and oxidation wear to fatigue wear with the increase of B_(4)C content.展开更多
OBJECTIVE To evaluate the associations of lipid indicators and mortality in Beijing Elderly Comprehensive Health Cohort Study.METHODS A prospective cohort was conducted based on Beijing Elderly Comprehensive Health Co...OBJECTIVE To evaluate the associations of lipid indicators and mortality in Beijing Elderly Comprehensive Health Cohort Study.METHODS A prospective cohort was conducted based on Beijing Elderly Comprehensive Health Cohort Study with 4499 com-munity older adults.After the baseline survey,the last follow-up was March 31,2021 with an average 8.13 years of follow-up.Cox proportional hazard model was used to estimate the hazard ratios(HR)with 95%CI for cardiovascular disease(CVD)death and all-cause death in associations with baseline lipid indicators.RESULTS A total of 4499 participants were recruited,and the mean levels of uric acid,body mass index,systolic blood pres-sure,diastolic blood pressure,fasting plasma glucose,total cholesterol(TC),triglyceride,and low-density lipoprotein cholesterol(LDL-C)showed an upward trend with the increasing remnant cholesterol(RC)quarters(Ptrend<0.05),while the downward tr-end was found in high-density lipoprotein cholesterol(HDL-C).During the total 36,596 person-years follow-up,the CVD mortal-ity and all-cause mortality during an average 8.13 years of follow-up was 3.87%(95%CI:3.30%-4.43%)and 14.83%(95%CI:13.79%-15.86%)with 174 CVD death participants and 667 all-cause death participants.After adjusting for confounders,the higher level of TC(HR=0.854,95%CI:0.730-0.997),LDL-C(HR=0.817,95%CI:0.680-0.982)and HDL-C(HR=0.443,95%CI:0.271-0.724)were associated with lower risk of CVD death,and the higher level of HDL-C(HR=0.637,95%CI:0.501-0.810)were associated with lower risk of all-cause death.The higher level of RC(HR=1.276,95%CI:1.010-1.613)increase the risk of CVD death.Com-pared with the normal lipid group,TC≥6.20 mmol/L group and LDL-C≥4.10 mmol/L group were no longer associated with lower risk of CVD death,while RC≥0.80 mmol/L group was still associated with higher risk of CVD death.In normal lipid gr-oup,the higher levels of TC,LDL-C and HDL-C were related with lower CVD death.CONCLUSIONS In community older adults,higher levels of TC and HDL-C were associated with lower CVD mortality in normal lipid reference range.Higher RC was associated with higher CVD mortality,which may be a better lipid indicator for es-timating the CVD death risk in older adults.展开更多
Background and aims:Currently,research on biopsy-proven acute drug-induced liver injury(DILI)remains limited.This study aimed to identify clinical characteristics and risk factors for significant hepatic inflammation ...Background and aims:Currently,research on biopsy-proven acute drug-induced liver injury(DILI)remains limited.This study aimed to identify clinical characteristics and risk factors for significant hepatic inflammation in patients with acute DILI.Methods:An ambispective cohort study was conducted on biopsy-proven acute DILI patients admitted to our hospital from 2012 to 2018.Using the Scheuer scoring system,patients were categorized into G0-2 or G3-4 groups and followed up for 12 months after first admission.Clinical characteristics and outcomes were retrieved from medical records.Results:The median age of the 157 enrolled patients(65.6%female)was 40.4(interquartile range(IQR),31.9-49.1)years.The median latency and length of hospitalization were 30.0(IQR,5.0-60.0)and 18.0(IQR,12.0-26.0)days.The proportions of patients in the G0-2 and G3-4 groups were 54.8%and 45.2%,respectively.Logistic regression analysis revealed that females(odds ratio(OR):2.623,95%confidence interval(CI):1.169-5.887,p=0.019),higher body mass index(OR:1.168,95%CI:1.029-1.325,p=0.016),higher total bilirubin(OR:1.004,95%CI:1.000-1.007,p=0.047),and lower prothrombin activity(OR:0.976,95%CI:0,957-0.995,p=0.013)were associated with significant hepatic inflammation.The predominance of the hepatocellular injury pattern(60.5%)at admission transformed into a predominance of the cholestatic pattern(60.5%)at discharge.During follow-up,23 patients(14.6%)developed chronic DILI,with nine patients(5.7%)progressing to cirrhosis.Moreover,15 female patients(9.6%)developed autoimmunity(3cases in the G0-2 group vs 12 cases in the G3-4 group,p<0.05).Conclusion:Acute DILI patients with high-risk factors were more likely to develop significant hepatic inflammation,and females with significant inflammation were at a higher risk of developing autoimmunity during follow-up.展开更多
AlCrN coating was prepared on the surface of TiC-based cermet cutting tool with cathodic arc ion plating,and the surface-interface morphologies,compositions of chemical elements,and phases were analyzed by scanning el...AlCrN coating was prepared on the surface of TiC-based cermet cutting tool with cathodic arc ion plating,and the surface-interface morphologies,compositions of chemical elements,and phases were analyzed by scanning electron microscope(SEM),energy dispersive spectrometer(EDS),and X-ray diffraction(XRD),respectively.Bonding strength of the coating-substrate interface was measured with scratching test,and the wear mechanism and friction coefficient of TiC-based cermet cutting tool and AlCrN coating were investigated with friction and wear testing machine.The results show that the interface binding of AlCrN coating is metallurgical mode,and its binding strength is 83 N.The average friction coefficient of TiC-based cermet cutting tool under the load of 6 N is 0.8409,while that under the load of 8 N decreases by about 11%,and the wear mechanism of TiC cermet cutting tool is fatigue wear,abrasive wear,and oxidation wear.The average friction coefficient of AlCrN coating is 0.6363 under the load of 6 N,and the change is relatively stable,decreasing by about 25%than that of TiC-based cermet cutting tool;when the load increases to 8 N,the average friction coefficient of AlCrN coating decreases by 9%.The wear mechanism of AlCrN coating is abrasive wear and oxidation wear,showing lower friction coefficient and good wear resistance.展开更多
文摘In order to improve the hardness and tribological performance of Ti6Al4V alloy,NiCoCrAlY-B_(4)C composite coatings with B_(4)C of 5%,10%and 15%(mass fraction)were fabricated on its surface by laser cladding(LC).The morphologies,chemical compositions and phases of obtained coatings were analyzed using scanning electronic microscope(SEM),energy dispersive spectrometer(EDS),and X-ray diffraction(XRD),respectively.The effects of B_(4)C mass fraction on the coefficient of friction(COF)and wear rate of NiCoCrAlY-B_(4)C coatings were investigated using a ball-on-disc wear tester.The results show that the NiCoCrAlY-B_(4)C coatings with different B_(4)C mass fractions are mainly composed of NiTi,NiTi_(2),α-Ti,CoO,AlB_(2),TiC,TiB and TiB_(2)phases.The COFs and wear rates of NiCoCrAlY-B_(4)C coatings decrease with the increase of B_(4)C content,which are contributed to the improvement of coating hardness by the B_(4)C addition.The wear mechanisms of NiCoCrAlY-B_(4)C coatings are changed from adhesive wear and oxidation wear to fatigue wear with the increase of B_(4)C content.
基金supported by the National Natural Science Foundation of China(No.82173589&No.82173590)the National Key Research and Development Program of China(2022YFC2503605)+1 种基金the Capital’s Funds for Health Improvement and Research(2022-2G-5031),the Beijing Nova Program(No.20220484020)the Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province(2-6-2020E10004).
文摘OBJECTIVE To evaluate the associations of lipid indicators and mortality in Beijing Elderly Comprehensive Health Cohort Study.METHODS A prospective cohort was conducted based on Beijing Elderly Comprehensive Health Cohort Study with 4499 com-munity older adults.After the baseline survey,the last follow-up was March 31,2021 with an average 8.13 years of follow-up.Cox proportional hazard model was used to estimate the hazard ratios(HR)with 95%CI for cardiovascular disease(CVD)death and all-cause death in associations with baseline lipid indicators.RESULTS A total of 4499 participants were recruited,and the mean levels of uric acid,body mass index,systolic blood pres-sure,diastolic blood pressure,fasting plasma glucose,total cholesterol(TC),triglyceride,and low-density lipoprotein cholesterol(LDL-C)showed an upward trend with the increasing remnant cholesterol(RC)quarters(Ptrend<0.05),while the downward tr-end was found in high-density lipoprotein cholesterol(HDL-C).During the total 36,596 person-years follow-up,the CVD mortal-ity and all-cause mortality during an average 8.13 years of follow-up was 3.87%(95%CI:3.30%-4.43%)and 14.83%(95%CI:13.79%-15.86%)with 174 CVD death participants and 667 all-cause death participants.After adjusting for confounders,the higher level of TC(HR=0.854,95%CI:0.730-0.997),LDL-C(HR=0.817,95%CI:0.680-0.982)and HDL-C(HR=0.443,95%CI:0.271-0.724)were associated with lower risk of CVD death,and the higher level of HDL-C(HR=0.637,95%CI:0.501-0.810)were associated with lower risk of all-cause death.The higher level of RC(HR=1.276,95%CI:1.010-1.613)increase the risk of CVD death.Com-pared with the normal lipid group,TC≥6.20 mmol/L group and LDL-C≥4.10 mmol/L group were no longer associated with lower risk of CVD death,while RC≥0.80 mmol/L group was still associated with higher risk of CVD death.In normal lipid gr-oup,the higher levels of TC,LDL-C and HDL-C were related with lower CVD death.CONCLUSIONS In community older adults,higher levels of TC and HDL-C were associated with lower CVD mortality in normal lipid reference range.Higher RC was associated with higher CVD mortality,which may be a better lipid indicator for es-timating the CVD death risk in older adults.
基金supported by the Capital's Funds for Health Improvement and Research(No.2024-2-5068)the Youth Independent Innovation Project of PLA General Hospital(No.22QNCZ023)+1 种基金Beijing Natural Science Foundation(No.7242030)Capital Clinical Characteristic Application Research(No.Z181100001718034).
文摘Background and aims:Currently,research on biopsy-proven acute drug-induced liver injury(DILI)remains limited.This study aimed to identify clinical characteristics and risk factors for significant hepatic inflammation in patients with acute DILI.Methods:An ambispective cohort study was conducted on biopsy-proven acute DILI patients admitted to our hospital from 2012 to 2018.Using the Scheuer scoring system,patients were categorized into G0-2 or G3-4 groups and followed up for 12 months after first admission.Clinical characteristics and outcomes were retrieved from medical records.Results:The median age of the 157 enrolled patients(65.6%female)was 40.4(interquartile range(IQR),31.9-49.1)years.The median latency and length of hospitalization were 30.0(IQR,5.0-60.0)and 18.0(IQR,12.0-26.0)days.The proportions of patients in the G0-2 and G3-4 groups were 54.8%and 45.2%,respectively.Logistic regression analysis revealed that females(odds ratio(OR):2.623,95%confidence interval(CI):1.169-5.887,p=0.019),higher body mass index(OR:1.168,95%CI:1.029-1.325,p=0.016),higher total bilirubin(OR:1.004,95%CI:1.000-1.007,p=0.047),and lower prothrombin activity(OR:0.976,95%CI:0,957-0.995,p=0.013)were associated with significant hepatic inflammation.The predominance of the hepatocellular injury pattern(60.5%)at admission transformed into a predominance of the cholestatic pattern(60.5%)at discharge.During follow-up,23 patients(14.6%)developed chronic DILI,with nine patients(5.7%)progressing to cirrhosis.Moreover,15 female patients(9.6%)developed autoimmunity(3cases in the G0-2 group vs 12 cases in the G3-4 group,p<0.05).Conclusion:Acute DILI patients with high-risk factors were more likely to develop significant hepatic inflammation,and females with significant inflammation were at a higher risk of developing autoimmunity during follow-up.
基金financially supported by the Jiangsu Province Science and Technology Support Program(Industry)(No.BE2014818)。
文摘AlCrN coating was prepared on the surface of TiC-based cermet cutting tool with cathodic arc ion plating,and the surface-interface morphologies,compositions of chemical elements,and phases were analyzed by scanning electron microscope(SEM),energy dispersive spectrometer(EDS),and X-ray diffraction(XRD),respectively.Bonding strength of the coating-substrate interface was measured with scratching test,and the wear mechanism and friction coefficient of TiC-based cermet cutting tool and AlCrN coating were investigated with friction and wear testing machine.The results show that the interface binding of AlCrN coating is metallurgical mode,and its binding strength is 83 N.The average friction coefficient of TiC-based cermet cutting tool under the load of 6 N is 0.8409,while that under the load of 8 N decreases by about 11%,and the wear mechanism of TiC cermet cutting tool is fatigue wear,abrasive wear,and oxidation wear.The average friction coefficient of AlCrN coating is 0.6363 under the load of 6 N,and the change is relatively stable,decreasing by about 25%than that of TiC-based cermet cutting tool;when the load increases to 8 N,the average friction coefficient of AlCrN coating decreases by 9%.The wear mechanism of AlCrN coating is abrasive wear and oxidation wear,showing lower friction coefficient and good wear resistance.