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Heart valve disease in elderly Chinese population: effect of advanced age and comorbidities on treatment decision-making and outcomes 被引量:3
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作者 Kui HU Jun LI +4 位作者 yun wan Tao HONG Shu-Yang LU Chang-Fa GUO Chun-Sheng wanG 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第7期593-601,共9页
尽管有清楚的指示,有征兆的严重的心阀门疾病的老病人的 BackgroundA 可观的比例为外科的干预保存地被对待。然而,很少先进年龄和 comorbidities 怎么影响治疗决策和治疗学的 outcomes.MethodsPatients 被知道(n = 234,吝啬的年龄:7... 尽管有清楚的指示,有征兆的严重的心阀门疾病的老病人的 BackgroundA 可观的比例为外科的干预保存地被对待。然而,很少先进年龄和 comorbidities 怎么影响治疗决策和治疗学的 outcomes.MethodsPatients 被知道(n = 234,吝啬的年龄:78.5 &#x000b1;3.7 年) 与征兆的严重的心阀门,在我们的中心就医的疾病被包括。151 个病人(65%) 通过手术被对待(外科的组) 并且(35%) 83 保存地被对待(保守的组) 。影响了治疗学的决策和治疗结果的因素被调查,长期的幸存是 explored.ResultsIsolated 大动脉的阀门疾病,女性别,长期的肾的不足,年老的 &#x02265;80 年,肺病,和突现的地位是与治疗学的决策联系的独立因素。为外科的组的在里面医院死亡是 5.3%(8/151 ) 。在保守的组的三个病人(3.6%) 在起始的住院期间死了。低心脏的产量症候群和长期的肾的不足在外科的组作为在里面医院死亡的预言者被识别。保守治疗在全部学习人口为迟了的死亡作为单个风险因素被识别。外科的组最好 5 年(77.2% 对 45.4% , P &#x0003c;0.0001 ) 并且 10 年(34.5% 对 8.9% , P &#x0003c;0.0001 ) 幸存比保守的组评价,甚至当由倾向调整了时,匹配分数的 analysis.ConclusionsAdvanced 年龄和衰老老人 comorbidities 深刻地为严重的心阀门疾病影响治疗决策。阀门外科在老是安全的,但是当保守治疗为有征兆的严重阀门疾病的病人是相反的时,也与好长期的幸存被联系不仅。 展开更多
关键词 保守治疗 心脏瓣膜 中国人群 老年人 合并症 决策 手术治疗 肾功能不全
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Effect of thalidomide combined with CHOP on immune function, angiogenesis and inflammatory factors in patients with diffuse large B-cell lymphoma
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作者 yun wan Yu-gang Xing +1 位作者 Liang-hua wang An-wei Dai 《Journal of Hainan Medical University》 2019年第18期20-24,共5页
Objective:To mainly explore the effect of thalidomide combined with CHOP chemotherapy regimen on immunoglobulin,VEGF,lactate dehydrogenase,inflammatory factors and other related factors in patients with diffuse large ... Objective:To mainly explore the effect of thalidomide combined with CHOP chemotherapy regimen on immunoglobulin,VEGF,lactate dehydrogenase,inflammatory factors and other related factors in patients with diffuse large B-cell lymphoma.Methods:A total of 83 patients with diffuse large B-cell lymphoma admitted to the Department of Hematology and Oncology in our hospital from December 2012 to December 2018 were collected.CHOP chemotherapy was given to 40 patients in the chemotherapy group.And 43 patients in the thalidomide group were treated with thalidomide combined with CHOP chemotherapy.Immunoglobulin IgG,IgA,IgM,vascular endothelial growth factor(VEGF),tumor necrosis factor(TNF-α),lactate dehydrogenase(LDH),β2 microglobulin(β2-MG),Th17 cell ratio and natural killer cell(NK)ratio were measured before and after treatment.Results:There were no significant differences in immunoglobulin,inflammatory cytokines and other related factors between the two groups before treatment(P>0.05).After 6 cycles of treatment,the levels of immunoglobulin IgG,IgA,IgM,VEGF,LDH,β2-MG and the ratio of NK cells in the chemotherapy group were significantly lower than those before treatment(P<0.05);TNF-αand the ratio of Th17 cells were significantly higher than that those before treatment.The levels of IgG,IgA,IgM,VEGF,LDH andβ2-MG in the thalidomide group were significantly lower than those before treatment(P<0.05).The levels of TNF-α,Th17 cells and NK cell rates were significantly higher than those before treatment(P<0.05).In addition,the levels of IgG,IgA,IgM,VEGF,LDH andβ2-MG in the thalidomide group were significantly lower than those in the chemotherapy group(P<0.05),and the level of TNF-α,the rates of Th17 cells and NK cells were significantly higher than those in the chemotherapy group(P<0.05).Conclusion:Thalidomide combined with CHOP chemotherapy has a significant therapeutic effect on diffuse large B-cell lymphoma.Thalidomide combined with CHOP chemotherapy can significantly reduce the levels of angiogenesis VEGF,lactate dehydrogenase andβ2-MG in patients,significantly regulate the immune function of patients,and improve the Th17 cell rate and natural killer cell rate and the level of TNF-αin the body.This article provides the basis for the treatment of clinical diffuse large B cell lymphoma. 展开更多
关键词 THALIDOMIDE DIFFUSE large b B-CELL LYMPHOMA Immune function VEGF Inflammatory cytokines
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Study on Safety Distance between Expressway Tunnel and Interchange under Multi Tunnel
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作者 Yaoping Luo yun wan 《Journal of World Architecture》 2022年第1期37-41,共5页
The net distance between the Xuetangwan interchange and the Huangshi tunnel exit of the Kaiyun expressway(Jiangkou-Yunyang-Longgang section)is used as an example in this paper.This paper analyses the problems in the s... The net distance between the Xuetangwan interchange and the Huangshi tunnel exit of the Kaiyun expressway(Jiangkou-Yunyang-Longgang section)is used as an example in this paper.This paper analyses the problems in the safety distance between expressway tunnel and interchange under multi tunnel,and proposes safety distance measures between expressway tunnel and interchange under multi tunnel,based on the current safety distance standard between expressway tunnel and interchange under multi tunnel. 展开更多
关键词 Expressway tunnel INTERCHANGE Safety distance Improvement measures
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Analysis of Geotechnical Engineering Safety Technology in Urban Underground Space Construction
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作者 yun wan Yaoping Luo 《Journal of Architectural Research and Development》 2022年第1期1-6,共6页
With the accelerating pace of urbanization,the development and application of urban underground space has attracted much attention.In the construction of urban underground space,geotechnical engineering safety is the ... With the accelerating pace of urbanization,the development and application of urban underground space has attracted much attention.In the construction of urban underground space,geotechnical engineering safety is the key point for construction.Based on this,this paper analyzes the application of geotechnical engineering safety technology in urban underground space construction,in hope that this analysis can provide a scientific reference for the rational application of geotechnical engineering safety technology as well as the construction and development of urban underground space. 展开更多
关键词 Urban construction Urban underground space Geotechnical engineering Safety technology
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Analysis on Safety Influencing Factors on Highway Interchange Design
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作者 Yaoping Luo yun wan 《Journal of Architectural Research and Development》 2022年第3期27-32,共6页
This paper briefly introduces the safety performance of the highway interchange design.The factors that influence the safety of the highway interchange design,was discussed in the paper based on the parts,which are th... This paper briefly introduces the safety performance of the highway interchange design.The factors that influence the safety of the highway interchange design,was discussed in the paper based on the parts,which are the safety of the interchange location,the safety of interchange form,and the safety design of the main line in interchange. 展开更多
关键词 HIGHWAY Design of interchange SECURITY Safety performance
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低速冲击下弧形复合材料层合板的失效机理
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作者 万云 刘一辉 +3 位作者 胡超杰 姚剑 王方鑫 杨斌 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2023年第12期104-114,共11页
本研究对四种带有半圆拱状结构的玻璃纤维增强复合材料层合板进行了低速冲击、冲击后压缩以及准静态压缩试验.利用三维数字图像相关系统和基于Hashin破坏准则的Abaqus软件数值模拟,研究了复杂结构的力学响应和失效机理.结果表明,半圆拱... 本研究对四种带有半圆拱状结构的玻璃纤维增强复合材料层合板进行了低速冲击、冲击后压缩以及准静态压缩试验.利用三维数字图像相关系统和基于Hashin破坏准则的Abaqus软件数值模拟,研究了复杂结构的力学响应和失效机理.结果表明,半圆拱的加入,使得试件在冲击过程中,可以吸收更多的入射能量;板的破坏模式与半圆拱尺寸有关,直径与冲击头相近的半圆拱具有较好的抗冲击性能;同时,随着半圆拱尺寸的增大,试件的冲击后压缩强度提高. 展开更多
关键词 复合材料层合板 失效机理 半圆拱 低速冲击 准静态压缩 冲击头 抗冲击性能 破坏准则
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Identification of a novel strain of influenza A (H9N2) virus in chicken 被引量:1
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作者 Ning wang Zheng Ruan +3 位作者 yun wan Bo wang Si-Hua Zhang Xing-Yi Ge 《Virologica Sinica》 SCIE CAS CSCD 2015年第4期309-312,共4页
Dear Editor,Avian Influenza virus(AIV)H9N2 subtype viruses circulate widely in domestic fowl,and usually cause mild clinical signs in poultry(Li et al.,2005).Occasionally,avian H9N2 can infect humans and cause mild cl... Dear Editor,Avian Influenza virus(AIV)H9N2 subtype viruses circulate widely in domestic fowl,and usually cause mild clinical signs in poultry(Li et al.,2005).Occasionally,avian H9N2 can infect humans and cause mild clinical symptoms(Peiris et al.,1999;Lin et al.,2000).Genetic analysis indicates that the H9N2 genotype viruses exist in major poultry species(such as duck and chicken)and in minor poultry species(such as quail,partridge,chukar,pheasant,and guinea fowl)(Guan et al.,2000;Li et al.,2005).Meanwhile,frequent reassortment events 展开更多
关键词 CHICKEN POULTRY GUINEA AVIAN genotype INFLUENZA su
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Growth of single crystal K_3Y_3(BO_3)_4 with low-symmetry structure and multi-type of substitutional sites 被引量:1
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作者 Jian-Hua Gao Shuai Li +2 位作者 Li-Mei Song Jian Li yun wan 《Rare Metals》 SCIE EI CAS CSCD 2015年第6期421-425,共5页
Single crystals of K3Y3(BO3)4 were grown using the KBO2, LiF, and Li2CO3 as the fluxes by the top-seed solution method. The K3Y3(BO3)4 can be an excellent host for doping of Yb3+, because there are six low-symmet... Single crystals of K3Y3(BO3)4 were grown using the KBO2, LiF, and Li2CO3 as the fluxes by the top-seed solution method. The K3Y3(BO3)4 can be an excellent host for doping of Yb3+, because there are six low-symmetric yttrium atoms in one unit-cell of K3Y3(B 03)4. The growth of K3Y3(BO3)4 was studied in detail, and a good crystal with sizes of 24 mm × 15 mm× 8 mm was grown successfully below 900 ℃. Some characteristics, such as the X-ray dif- fraction, infrared spectroscopy, and thermal analysis, were also performed. 展开更多
关键词 BORATE Single crystal growth Laser crystal yb3+
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