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低剂量CT灌注成像早期评估抗血管生成治疗对非小细胞肺癌的疗效 被引量:13
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作者 云游 陈学军 +7 位作者 王立峰 魏晓艳 夏威利 张孝先 赵妍 吴越 刘文涛 黎海亮 《实用医学杂志》 CAS 北大核心 2018年第21期3612-3616,共5页
目的探讨低剂量CT灌注成像(CTPI)在早期评估抗血管生成治疗非小细胞肺癌(NSCLC)中的应用及盐酸安罗替尼的疗效。方法收集我院38例NSCLC患者,分别于治疗前、治疗1个周期后行低剂量CTPI检查,分别对比治疗前与治疗1个周期后,实验组与对照... 目的探讨低剂量CT灌注成像(CTPI)在早期评估抗血管生成治疗非小细胞肺癌(NSCLC)中的应用及盐酸安罗替尼的疗效。方法收集我院38例NSCLC患者,分别于治疗前、治疗1个周期后行低剂量CTPI检查,分别对比治疗前与治疗1个周期后,实验组与对照组各个CT灌注参数(CTPP)的差异,并根据治疗2个周期后的疗效,将实验组患者分为进展组、控制组;分别对比进展组和控制组治疗前后各个CTPP的差异。结果治疗第1个周期后,所有患者均为疾病稳定,在治疗第2个周期后,实验组疾病控制率为88.00%,而对照组为8.33%,两组疗效有差异(P <0.05);治疗前,实验组与对照组各个CTPP无差异,治疗1个周期后,实验组的perfusion、PEI较对照组减低(P <0.05);控制组治疗1个周期后perfusion、PEI、BV较治疗前减低(P <0.05),而进展组治疗前后各个CTPP无差异。所有低剂量CTPI图像均符合诊断要求,最终受检者中位有效辐射剂量为13.3 mSv。结论低剂量CTPI可以早期评估抗血管生成治疗NSCLC的疗效,盐酸安罗替尼疗效值得肯定。 展开更多
关键词 灌注成像 抗血管生成 肺肿瘤 体层摄影术 X线计算机 辐射剂量
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Current Status and Prospect of Stent Placement for May-Thurner Syndrome 被引量:3
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作者 Qin LIU Fang LIU +4 位作者 Ping LÜ Hong-xiao WU Pin YE yun you Zhong YAO 《Current Medical Science》 SCIE CAS 2021年第6期1178-1186,共9页
Stent implantation has been proven to be safe and has become the first-line intervention for May-Thumer syndrome(MTS),with satisfactory mid-term patency rates and clinical outcomes.Recent research has demonstrated tha... Stent implantation has been proven to be safe and has become the first-line intervention for May-Thumer syndrome(MTS),with satisfactory mid-term patency rates and clinical outcomes.Recent research has demonstrated that catheter-directed thrombolysis is the preferred strategy when MTS is combined with deep vein thrombosis after self-expanding stent placement.However,the stent used for the venous system was developed based on the experience obtained in the treatment of arterial disease.Consequently,relatively common corresponding complications may come along later,which include stent displacement,deformation,and obstruction.Different measures such as adopting a stent with a larger diameter,improving stent flexibility,and increasing stent strength have been employed in order to prevent these complications.The ideal venous stent is presently being evaluated and will be introduced in detail in this review. 展开更多
关键词 May-Thumer syndrome deep vein thrombosis post-thrombotic syndromes STENT stent placement
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动态对比增强MRI放射状采集容积内插屏气序列(Radial-VIBE)定量参数预测膀胱癌病理学分级 被引量:3
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作者 张孝先 陈学军 +5 位作者 夏威利 王立峰 魏晓艳 云游 黎海亮 许春苗 《中国医学影像技术》 CSCD 北大核心 2021年第12期1860-1864,共5页
目的评价动态对比增强MRI(DCE-MRI)放射状采集容积内插屏气检查(Radial-VIBE)序列定量参数预测膀胱癌病理学分级的价值。方法前瞻性纳入60例经术后病理证实为膀胱尿路上皮癌的膀胱癌患者,将其分为低级别组(n=36)和高级别组(n=24)。比较... 目的评价动态对比增强MRI(DCE-MRI)放射状采集容积内插屏气检查(Radial-VIBE)序列定量参数预测膀胱癌病理学分级的价值。方法前瞻性纳入60例经术后病理证实为膀胱尿路上皮癌的膀胱癌患者,将其分为低级别组(n=36)和高级别组(n=24)。比较组间DCE-MRI参数,包括容积转运常数(K^(trans))、速率常数(K_(ep))、血管外细胞外间隙容积(V_(e))及对比剂浓度-时间曲线下初始面积(IAUC)的差异;采用组内相关系数(ICC)评价观察者间测量结果的一致性。采用Spearman秩相关分析评价各参数与膀胱癌病理分级的相关性。绘制受试者工作特征(ROC)曲线,计算曲线下面积(AUC),评价各参数预测高级别膀胱癌的效能。结果观察者间测量定量参数K^(trans)、K_(ep)、V_(e)及IAUC结果的一致性良好(ICC=0.82、0.83、0.83、0.85,P均<0.05)。高级别组K^(trans)、K_(ep)及IAUC均显著高于低级别组(P均<0.05),V_(e)显著低于低级别组(P<0.05)。K^(trans)、K_(ep)及IAUC均与病理分级呈正相关(r=0.61、0.54、0.29,P均<0.05),V_(e)与病理分级呈负相关(r=-0.36,P<0.05)。K^(trans)、K_(ep)及IAUC预测高级别尿路上皮癌的AUC分别为0.86、0.82及0.67。结论DCE-MRI Radial-VIBE序列定量参数K^(trans)、K^(ep)、V_(e)及IAUC可辅助预测膀胱癌病理学分级。 展开更多
关键词 膀胱肿瘤 磁共振成像 病理学
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Learning Experience: An Alternative Understanding Inspired by Thinking Through Confucius 被引量:5
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作者 yun you 《ECNU Review of Education》 2020年第1期66-87,共22页
Purpose:This article aims to provide an alternative understanding of learning experience in contrast to the dominant constructivist interpretation,and discuss its implication for pedagogy.Design/Approach/Methods:The a... Purpose:This article aims to provide an alternative understanding of learning experience in contrast to the dominant constructivist interpretation,and discuss its implication for pedagogy.Design/Approach/Methods:The aim is specifically achieved in the comparison between a review of how experience is understood in constructivism and its philosophical underpinnings and an exploration of how it can be understood alternatively inspired by Confucius’educational thought and premised on his ontology.Drawing on this philosophical discussion,learning experience is reinterpreted.Findings:Beyond rationally translating experience into knowledge or gaining knowledge on the basis of experience,learning leads students to immediately and consistently experience dao in which tian and ren harmoniously unit.This experience renders aesthetics and religiousness in learning and moral transformation in life events.Originality/Value:By illustrating this ontological alternative of learning experience,this article is an attempt to fundamentally decolonize thinking about pedagogy. 展开更多
关键词 CONFUCIUS CONSTRUCTIVISM experience learning experience PEDAGOGY
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前列腺影像报告和数据系统2版与1版比较 被引量:4
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作者 云游 陈学军 +5 位作者 夏威利 赵妍 张孝先 黎海亮 曲金荣 张宏凯 《临床放射学杂志》 CSCD 北大核心 2018年第7期1136-1141,共6页
目的研究前列腺影像报告和数据系统2版与1版对前列腺癌诊断的准确性有无差异。方法选取77例经3.0 T MRI检查诊断为可疑前列腺癌患者的影像(T_2WI+DWI+DCE)资料,以MRI检查后2周内的病理结果作为金标准。根据病变位置(外周带、移行... 目的研究前列腺影像报告和数据系统2版与1版对前列腺癌诊断的准确性有无差异。方法选取77例经3.0 T MRI检查诊断为可疑前列腺癌患者的影像(T_2WI+DWI+DCE)资料,以MRI检查后2周内的病理结果作为金标准。根据病变位置(外周带、移行带)分组,两名医师(R1和R2)分别按前列腺影像报告和数据系统2版与1版对所有病例进行评分。利用ROC曲线对所有病例的2个版本评分进行评价,并对ROC曲线下面积(AUC)进行比较。利用Kappa统计方法对两名医师的一致性进行评价。结果 77例中,45例被确诊为前列腺癌。在不区分位置时(混合组),两名医师使用2版评分的AUC均比1版更高(R1:V1:0.887 vs V2:0.945;R2:V1:0.903 vs V2:0.964),但两者差异无统计学意义(R1:P=0.121;R2:P=0.064)。在外周带,使用1版评分的AUC均大于2版(R1:V1:0.944 vs V2:0.868;R2:V1:0.965 vs V2:0.917),但两者差异无统计学意义(R1:P=0.165;R2:P=0.235)。在移行带,使用2版AUC比1版高(R1:V1:0.862 vs V2:0.987;R2:V1:0.863 vs V2:0.979),且两者差异有统计学意义(R1:P=0.023,R2:P=0.035),两名医师使用2版和1版的一致性均较好(V1:k=0.777;V2:k=0.881)。结论利用2版和1版前列腺影像报告和数据系统诊断可行性均较好。2版和1版对前列腺癌的诊断准确性均较好,但在移行带,2版要比1版准确性更高。 展开更多
关键词 前列腺影像报告和数据系统 磁共振成像 前列腺癌 GLEASON评分
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Beyond the Western Horizon in Educational Research: Toward a Deeper Dialogue About Our Interdependent Futures 被引量:2
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作者 Iveta Silova Jeremy Rappleye yun you 《ECNU Review of Education》 2020年第1期3-19,共17页
Despite awareness that simple dichotomies are cul-de-sacs for our research imagination,these academic standoffs continue to shape cultural space and research alike.Two of the most salient,if conflicting,currents in ed... Despite awareness that simple dichotomies are cul-de-sacs for our research imagination,these academic standoffs continue to shape cultural space and research alike.Two of the most salient,if conflicting,currents in educational research gaining momentum over the past decade have been what Mignolo(2011)has usefully termed“Rewesternization”and“Dewesternization.”The former indicates an array of projects,both theoretical and empirical,that seek to expand the scope and depth of the modern Western paradigm,in particular liberal truths and neoliberal orthodoxies.Salient examples include the Western-led expansion of international large-scale learning assessments,the apparent triumph of Knowledge Capital Theory,and the shaping of the Sustainable Development Goals toward liberal(and often neoliberal)policies long preferred in Anglo-American policy circles. 展开更多
关键词 SPITE Deep BEYOND
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Total synthesis and biological evaluation of dracaenins A and B
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作者 Yaqiu Zhao Shunli Xiao +3 位作者 yun you Zhi Zhang Liansuo Zu Luqi Huang 《Chinese Chemical Letters》 SCIE CAS CSCD 2022年第5期2433-2436,共4页
The first total synthesis of dracaenins A and B is achieved in four steps.The synthesis features the conver-gent coupling of three readily available fragments with minimized use of protecting groups.The chemical synth... The first total synthesis of dracaenins A and B is achieved in four steps.The synthesis features the conver-gent coupling of three readily available fragments with minimized use of protecting groups.The chemical synthesis enables the discovery of their activity in stimulating platelet aggregation,and thus,sheds light on the possible origin of the hemostatic effect of dragon’s blood. 展开更多
关键词 Total synthesis Natural product Dragon’s blood Dracaenin HEMOSTASIS
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Mechanically scanned leaky-wave antenna based on a topological one-way waveguide
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作者 Qian Shen yun you +6 位作者 Jie Xu yun Shen Xiaohua Deng Zhuoyuan Wang Weidong Min Linfang Shen Sanshui Xiao 《Frontiers of physics》 SCIE CSCD 2020年第3期97-103,共7页
We propose a uniform backfire-to-endfire leaky-wave antenna(LWA)based on a topological one-way waveguide under external bias magnetic field.We systematically analyze the dispersion,showing that the proposed structure ... We propose a uniform backfire-to-endfire leaky-wave antenna(LWA)based on a topological one-way waveguide under external bias magnetic field.We systematically analyze the dispersion,showing that the proposed structure supports leaky mode arisen from total internal reflection.By means of tuning frequency or magnetic field,we obtain fixed-bias frequency and fixed-frequency bias LWA with continuous beam scanning from backward,broadside to forward direction.More importantly,we,for the first time,demonstrate that this proposed LWA shows mechanical tunability,allowing us to manipulate the radiation direction from backward,broadside to forward direction by mechanically tuning the air layer thickness.The simulated results show that our system exhibits super low 3dB beam width,high radiation efficiency as well as high antenna gain.Being provided such multiple controlled(especially mechanically)beam scanning manners,the present LWA paves an advanced approach for continuous beam scanning,holding a great potential for applications in modern communication and radar system. 展开更多
关键词 leaky-wave antenna one-way waveguide magneto-optic materials
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Effects of Water-Soluble Tomato Concentrate on Platelet Aggregation
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作者 Qian Zhang Xu-Guang Zhang +9 位作者 Lei Liu Qiong-Ling Zhang Shi-Lan Ding Ying Chen Jin-Yu Wang Lan Wang Ri-Xin Liang Fu-Long Liao Ya-Hong Wang yun you 《World Journal of Traditional Chinese Medicine》 2019年第4期260-268,共9页
Objective:To investigate the antiplatelet aggregation effect of water-soluble tomato concentrate(WSTC)and explore the underlying molecular mechanisms.Materials and Methods:Platelet aggregometry was used to quantify ra... Objective:To investigate the antiplatelet aggregation effect of water-soluble tomato concentrate(WSTC)and explore the underlying molecular mechanisms.Materials and Methods:Platelet aggregometry was used to quantify rat platelet aggregation with the maximum aggregation rate in vitro and ex vivo.Then,the fibrinogen(FIB)binding assay was employed to detect the effect of WSTC on the activation of platelet integrinαIIβ3(GP IIb/IIIa).Furthermore,Western blot was performed to assess the platelet protein levels of phosphoinositide 3-kinase 110β(PI3 K110β),protein disulfide isomerase(PDI),platelet endothelial cell adhesion molecule 1(PECAM-1),andβ1-Tubulin.Results:WSTC inhibited adenosine diphosphate(ADP)and collagen-induced platelet aggregation in a concentration-dependent manner in vitro,at IC50 values of 3.05 g/L and 8.03 g/L,respectively.Significantly reduced ex vivo ADP induced platelet aggregation was observed after oral consumption of WSTC for 4 weeks in rats;average inhibition rates were 24.42%,21.48%,and 20.87%for 25 mg/Kg,75 mg/Kg,and 150 mg/Kg WSTC,respectively.It appeared that WSTC had no influence on coagulation function in rats.Incubation with WSTC decreased FIB binding to GP IIb/IIIa by 17.47%and 32.29%at the concentrations of 0.6 and 6 g/L,respectively.WSTC at 0.6 and 6 g/L markedly downregulated PI3 K110β,PDI,and PECAM-1 in platelets,and upregulatedβ1-Tubulin,in a concentration-dependent manner.Conclusion:WSTC inhibits platelet activation through modulation of platelet skeletal stability and suppresses GP IIb/IIIa receptor-mediated platelet aggregation,likely via the PI3 K signaling pathway and PDI inhibition. 展开更多
关键词 GP IIb/IIIa platelet aggregation PDI PI3K PECAM-1 watersoluble tomato concentrate
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