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精准医学时代骨肉瘤诊疗的研究进展 被引量:2
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作者 陈祉璇 姜亚飞 +1 位作者 华莹奇 蔡郑东 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第17期914-918,共5页
随着组学技术和大数据技术的不断发展和成熟,精准医学在肿瘤领域取得了许多引人注目的成果。骨肉瘤多发于儿童和青少年,是最常见的骨骼系统原发性恶性肿瘤。自20世纪70年代至今,手术切除和药物化疗一直是骨肉瘤的主要治疗手段,高度基因... 随着组学技术和大数据技术的不断发展和成熟,精准医学在肿瘤领域取得了许多引人注目的成果。骨肉瘤多发于儿童和青少年,是最常见的骨骼系统原发性恶性肿瘤。自20世纪70年代至今,手术切除和药物化疗一直是骨肉瘤的主要治疗手段,高度基因异质性是其生存率停滞的主要原因。精准医学以组学等技术为基础,根据患者的生物学特征进行精确的诊断和治疗方案的定制。精准医学的实践有望为骨肉瘤研究及患者生存率提高提供新的契机。本文拟对精准医学在骨肉瘤治疗中的研究进展作一系统综述,并进一步探讨骨肉瘤精准治疗的前景和方向。 展开更多
关键词 精准医学 骨肉瘤 基因组学 异种移植模型 肿瘤免疫
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Prediction of adolescent subjective well being: A machine learning approach 被引量:1
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作者 Naixin Zhang Chuanxin Liu +17 位作者 zhixuan chen Lin An Decheng Ren Fan Yuan Ruixue Yuan Lei Ji Yan Bi Zhenming Guo Gaini Ma Fei Xu Fengping Yang Liping Zhu Gabirel Robert Yifeng Xu Lin He Bo Bai Tao Yu Guang He 《General Psychiatry》 CSCD 2019年第5期261-268,共8页
Background Subjective well-being(SWB),also known as happiness,plays an important role in evaluating both mental and physical health.Adolescents deserve specific attention because they are under a great variety of stre... Background Subjective well-being(SWB),also known as happiness,plays an important role in evaluating both mental and physical health.Adolescents deserve specific attention because they are under a great variety of stresses and are at risk for mental disorders during adulthood.Aim The present paper aims to predict undergraduate students1 SWB by machine learning method.Methods Gradient Boosting Classifier which was an innovative yet validated machine learning approach was used to analyse data from 10518 Chinese adolescents.The online survey included 298 factors such as depression and personality.Quality control procedure was used to minimise biases due to online survey reports.We applied feature selection to achieve the balance between optimal prediction and result interpretation.Results The top 20 happiness risks and protective factors were finally brought into the predicting model.Approximately 90%individuals'SWB can be predicted correctly,and the sensitivity and specificity were about 92%and 90%,respectively.Conclusions This result identifies at-risk individuals according to new characteristics and established the foundation for adolescent prevention strategies. 展开更多
关键词 PREVENTION protective SPECIFICITY
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Spontaneous rupture of liver metastasis tumors with disturbance of consciousness and progression of hemiplegia as the first manifestation:a case report
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作者 Lingyi Chi zhixuan chen +3 位作者 Wei Huang Zhibing Ai Xiaoqin Peng Yi Bao 《Journal of Translational Neuroscience》 2022年第4期17-25,共9页
Objective:rupture of liver metasta-ses with disturbance of consciousness accompanied by aggravation of hemiplegia is very rare.We describe the clinical features of a case of spontaneous rupture of liver metastasis tum... Objective:rupture of liver metasta-ses with disturbance of consciousness accompanied by aggravation of hemiplegia is very rare.We describe the clinical features of a case of spontaneous rupture of liver metastasis tumors with disturbance of consciousness and progression of right limb hemiplegia.Methods:collect the patient's medical history,conduct a detailed physi-cal examination,timely improve the relevant laboratory and imaging examination,formulate a comprehensive treatment plan,and track the changes of the disease and the treatment effect.Results:the patient presented with blurred consciousness,hemiplegia of the right limb,and epigastric tenderness when admitted to the hospital.No evident new lesions were found on cranial computed to-mography(CT).Blood routine examination showed that hemoglobin decreased significantly compared with be-fore.Abdominal CT showed tumor rupture and bleeding.The patient in critical condition did not have operation conditions,but improved after conservative treatment.Conclusion:when patients with liver metastasis tumors suddenly have a disturbance of consciousness and prog-ress of hemiplegia,they should not only be considered to have acute cerebrovascular diseases,but also the possi-bility of rupture of liver metastasis tumors.If only treated according to acute stroke,it will endanger their lives.For the liver metastasis tumor rupture,if there is no oppor-tunity for embolotherapy,timely conservative treatment with drugs can also achieve good results. 展开更多
关键词 liver metastasis tumors HEMIPLEGIA trousseau syndrome EMBOLOTHERAPY cerebral infarction
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正常胎儿脑表面沟回在三维反转水晶仿真成像上的发育变化规律
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作者 陈芷萱 文华轩 +10 位作者 钟晓红 马娅 廖伊梅 秦越 罗丹丹 曾晴 梁美玲 石智红 张梦雨 梁博诚 李胜利 《中华医学超声杂志(电子版)》 CSCD 北大核心 2022年第11期1165-1172,共8页
目的探讨应用三维水晶反转仿真成像技术(3D-ICRV)分析正常胎儿脑沟和脑回发育变化规律的方法。方法选取2019年1月至2021年12月于南方医科大学第一临床医学院附属深圳妇幼保健院进行产前检查的正常孕周连续的单胎妊娠孕妇,连续孕周段为15... 目的探讨应用三维水晶反转仿真成像技术(3D-ICRV)分析正常胎儿脑沟和脑回发育变化规律的方法。方法选取2019年1月至2021年12月于南方医科大学第一临床医学院附属深圳妇幼保健院进行产前检查的正常孕周连续的单胎妊娠孕妇,连续孕周段为15~35孕周,使用经腹超声以丘脑横切面获取三维容积。采用一种全新的3D-ICRV超声技术,对胎儿大脑半球的脑沟回进行大脑表面3D-ICRV成像,选取其中能够清晰显示胎儿脑表面沟回的容积,观察并描述胎儿大脑表面脑沟脑回的发育变化规律。所有病例均进行了产后随访。结果300例正常连续孕周的单胎胎儿纳入研究。成功获取颅脑容积及清晰的3D-ICRV图像的胎儿共294例,成功率为98%(294/300)。每例胎儿选取2个最佳的颅脑容积,共计588个颅脑容积进行分析。脑沟回在3D-ICRV成像上呈现一种相对恒定的变化发育规律,在妊娠15~25周,外侧裂是第一个也是唯一能在3D-ICRV图像上被识别的结构。从26~35孕周,除大脑外侧裂发生变化外,脑表面的沟、回相继出现,并逐渐加深。其中,在26周最先出现中央沟及颞上沟,然后依次出现额上沟、顶内沟、额下沟、颞下沟等。25~30孕周是大多数脑沟回显现的主要时期,是评价皮质发育的最佳时期。结论应用3D-ICRV成像可以显示正常胎儿脑沟回发育变化规律,了解这些变化对产前评估大脑皮层发育成熟度及进一步的临床咨询和管理具有重要意义。 展开更多
关键词 超声 产前 胎儿 脑沟回 水晶成像
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胎儿孤立性小脑出血的产前超声诊断
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作者 易斐 文华轩 +2 位作者 丁妍 陈芷萱 李胜利 《中华医学超声杂志(电子版)》 CSCD 北大核心 2022年第11期1173-1179,共7页
目的探讨胎儿孤立性小脑出血的产前超声声像图特征及临床预后。方法总结2012年1月到2021年8月在南方医科大学附属深圳妇幼保健院胎儿系统超声检查中诊断为小脑出血的7例胎儿的产前超声声像图表现,与MRI图像特征进行对比,并结合相关文献... 目的探讨胎儿孤立性小脑出血的产前超声声像图特征及临床预后。方法总结2012年1月到2021年8月在南方医科大学附属深圳妇幼保健院胎儿系统超声检查中诊断为小脑出血的7例胎儿的产前超声声像图表现,与MRI图像特征进行对比,并结合相关文献对小脑出血的产前诊断特征及临床预后进行分析。结果7例胎儿产前超声显示小脑内异常回声,5例(71.4%)为高回声,2例(28.6%)为不均匀的低-无混合回声,7例(100%)均伴有双侧小脑半球不对称,彩色多普勒显示:异常回声内均未见血流信号。2例产前MRI均提示为右侧小脑半球出血并右侧小脑发育不全。胎儿小脑出血产前超声早期表现为小脑内高回声,后方无声影;1~2周后,血肿逐渐吸收部分液化,高回声缩小,内可见囊性无回声,或表现为不均匀的低-无混合回声;1个月后血肿吸收,高回声或混合回声消失,双侧小脑半球不对称,小脑半球发育不全。妊娠结局及随访:3例(42.9%)引产,2例(28.6%)胎死宫内,2例(28.6%)产后随访神经发育正常。结论超声联合MRI能够提高产前小脑出血的诊断符合率。产前诊断小脑出血患儿长期神经随访结果,可以为产前小脑出血胎儿的产前咨询提供数据支持,改善其妊娠结局。 展开更多
关键词 超声 产前 胎儿 小脑出血
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Association between SLC17A7 gene polymorphisms and venlafaxine for major depressive disorder in a Chinese Han population:a prospective pharmacogenetic case-control study
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作者 Liangile Liu Decheng Ren +23 位作者 Fan Yuan Yan Bi Zhenming Guo Gaini Ma Fei Xu Binyin Hou Lei Ji zhixuan chen Lin An Naixin Zhang Tao Yu Xingwang Li Fengping Yang Xueli Sun Zaiquan Dong Shunying Yu Zhenghui Yi Yifeng Xu Lin He Shaochang Wu Longyou Zhao Changqun Cai Guang He Yi Shi 《Journal of Bio-X Research》 2021年第3期124-129,共6页
Objective: Venlafaxine is a common antidepressant and its therapeutic effect varies among people with different genetic backgrounds. The aim of this study was to investigate whether single nucleotide polymorphisms (SN... Objective: Venlafaxine is a common antidepressant and its therapeutic effect varies among people with different genetic backgrounds. The aim of this study was to investigate whether single nucleotide polymorphisms (SNPs) in theSLC17A7 gene are associated with the treatment outcome of venlafaxine in a Chinese Han population with major depressive disorder.Methods: This prospective pharmacogenetic case-control study that involved genotyping of four SNPs ofSLC17A7 was conducted on 175 major depressive disorder patients of Chinese Han origin, aged 18 to 65 years, participated in the study from April 2005 to September 2006. Comparisons of allele and genotype frequencies of all SNPs were performed between the responder/remission group and the nonresponder/nonremission group. This study was approved by the Institutional Ethics Committee of Sichuan University (approval No. 20151112-265).Results: The allele and genotype frequencies of the four candidate SNPs inSCL17A7 showed no significant difference between responders and nonresponders. Meanwhile, no significant difference was detected in the four investigatedSLC17A7 SNPs between patients who did and did not exhibit remission. Although one of the investigatedSLC17A7 variants (rs1578944) demonstrated a significant association (P=0.022) with a response to venlafaxine after 6 weeks of treatment in the survival analysis, the association was unclear after a Bonferroni multiple comparisons test was conducted.Conclusion: No significant association exists between the four candidate SNPs (rs1043558, rs1320301, rs1578944, and rs74174284) inSLC17A7 and venlafaxine treatment in the Chinese Han population. 展开更多
关键词 association study major depression PHARMACOGENOMICS SLC17A7 gene venlafaxine treatment
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Single nucleotide polymorphism rs11191454 in arsenite methyltransferase is associated with flow in Chinese students:a genetic study on flow experience
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作者 zhixuan chen Chuanxin Liu +20 位作者 Lin An Naixin Zhang Decheng Ren Fan Yuan Ruixue Yuan Yan Bi Qianqian Sun Lei Ji Zhenming Guo Gaini Ma Fei Xu Lei Shi Fengping Yang Li Du Liping Zhu Yifeng Xu Lin He Bo Bai Tao Yu Xingwang Li Guang He 《Journal of Bio-X Research》 2019年第3期140-144,共5页
Flow has been widely studied in the field of positive psychology.However,little is known regarding its biological mechanism.This study aimed to ascertain flow-related gene loci.We investigated the association between ... Flow has been widely studied in the field of positive psychology.However,little is known regarding its biological mechanism.This study aimed to ascertain flow-related gene loci.We investigated the association between flow and five single nucleotide polymorphisms associated with common mental disorders among a sample of 870 healthy 1 st year students of Jining Medical University,Shandong Province,China.This study was approved by the Ethics Committee of Jining Medical University(approval number:JNMC-2016-KY-001)on June 1,2016.rs11191454 demonstrated significant statistical association with flow after adjusting for age and gender(P=0.004).The allele carriers achieved higher scores in all 4 dimensions of flow:merging of action and awareness,challenge-skill balance,sense of control,and clear goals.This biological research article indicates that rs11191454 in the arsenite methyltransferase(AS3MT)gene might be associated with flow in a Chinese Han population,and that might result from altered arsenic metabolism. 展开更多
关键词 arsenic metabolism AS3MT association study FLOW single nucleotide polymorphism
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