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基于Mises屈服条件的压力容器自增强技术的理论研究及设计方法探讨
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作者 朱瑞林 《化工装备技术》 CAS 2024年第3期28-35,共8页
基于Mises屈服准则,研究了影响压力容器自增强技术的几个关键技术参数,根据不同的控制条件,获得了保证安全运行的技术参数之间的关联式。研究了Mises屈服准则与Tresca屈服准则的区别与联系,指出了产生这些区别与联系的根本原因。探讨了... 基于Mises屈服准则,研究了影响压力容器自增强技术的几个关键技术参数,根据不同的控制条件,获得了保证安全运行的技术参数之间的关联式。研究了Mises屈服准则与Tresca屈服准则的区别与联系,指出了产生这些区别与联系的根本原因。探讨了不同的超应变度计算方法对压力容器有关应力与承载能力的影响,对传统的设计方法给出了修正建议,提出了如何运用各参数间的相互关系和变化规律来提高自增强技术实施效果的措施。 展开更多
关键词 压力容器 自增强技术 承载能力 弹塑性
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母乳喂养与母婴依恋相关性的研究进展 被引量:3
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作者 朱芮霖 徐旭娟 +3 位作者 张凤 钱璇 许钦雯 刘金 《循证护理》 2023年第1期59-62,共4页
母乳喂养能增进母婴感情,亲密母婴之间的接触,有助于婴儿建立起安全感和归属感。从母乳喂养的测量、动机、时间及方式方面与母婴依恋的相关性进行综述,评估两者之间的影响关系,以期从中探寻可以提高母婴依恋水平的措施,改善婴幼儿远期结... 母乳喂养能增进母婴感情,亲密母婴之间的接触,有助于婴儿建立起安全感和归属感。从母乳喂养的测量、动机、时间及方式方面与母婴依恋的相关性进行综述,评估两者之间的影响关系,以期从中探寻可以提高母婴依恋水平的措施,改善婴幼儿远期结局,为临床干预工作提供参考。 展开更多
关键词 母乳喂养 母婴依恋 相关性 综述
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压力容器自增强技术的关键参数及其对自增强技术的影响 被引量:2
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作者 刘朝阳 朱瑞林 《化工装备技术》 CAS 2020年第6期20-25,共6页
对影响压力容器自增强技术的几个关键参数进行了研究,分析了这些参数之间的变化趋势和其间相互制约、相互影响的关系,以及各参数的变化规律与相互关系对自增强技术的影响。从机理上揭示了形成这些关系及其规律的原因,获得了有关自增强... 对影响压力容器自增强技术的几个关键参数进行了研究,分析了这些参数之间的变化趋势和其间相互制约、相互影响的关系,以及各参数的变化规律与相互关系对自增强技术的影响。从机理上揭示了形成这些关系及其规律的原因,获得了有关自增强技术参数之间简洁、清晰的表达式。提出了运用各参数间的相互关系和变化规律来提高自增强技术实施效果的措施。 展开更多
关键词 压力容器 自增强技术 承载能力 超应变度 弹塑性
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产妇母乳喂养自我效能与母婴依恋的相关性研究 被引量:21
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作者 朱芮霖 徐旭娟 +5 位作者 张凤 高倩 钱璇 吴鸿云 许钦雯 刘金 《护理学杂志》 CSCD 北大核心 2022年第13期37-40,共4页
目的探讨产妇母乳喂养自我效能与母婴依恋的相关性,为针对性干预提供参考。方法采用母乳喂养自我效能简式量表、母婴依恋量表、匹兹堡睡眠质量指数量表、产后疲乏量表及产后抑郁量表,对433例产后42 d内的产妇进行调查。结果母乳喂养自... 目的探讨产妇母乳喂养自我效能与母婴依恋的相关性,为针对性干预提供参考。方法采用母乳喂养自我效能简式量表、母婴依恋量表、匹兹堡睡眠质量指数量表、产后疲乏量表及产后抑郁量表,对433例产后42 d内的产妇进行调查。结果母乳喂养自我效能总分为(50.42±13.58)分。回归分析结果显示,母婴依恋、出院2周内是否添加奶粉、每天哺乳次数、产后抑郁、喂养期间是否遇到困难、是否自感母乳充足是母乳喂养自我效能的影响因素(均P<0.05)。结论母婴依恋是母乳喂养自我效能的重要影响因素,应采取针对性措施促进母婴依恋,提高产妇喂养自我效能,从而提高母乳喂养率。 展开更多
关键词 母乳喂养 自我效能 母婴依恋 产后疲乏 睡眠质量 抑郁
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炎症在视网膜静脉阻塞性黄斑水肿中的作用 被引量:17
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作者 栗怡然 朱瑞琳 杨柳 《眼科新进展》 CAS 北大核心 2020年第1期90-94,共5页
视网膜静脉阻塞性黄斑水肿是造成患者视力下降及致盲的常见原因。研究表明,炎症机制在黄斑水肿的发生过程中发挥了重要作用。视网膜静脉阻塞发生后,局部损伤激活固有免疫活性细胞,合成和释放大量细胞因子,共同参与炎症反应,导致黄斑水... 视网膜静脉阻塞性黄斑水肿是造成患者视力下降及致盲的常见原因。研究表明,炎症机制在黄斑水肿的发生过程中发挥了重要作用。视网膜静脉阻塞发生后,局部损伤激活固有免疫活性细胞,合成和释放大量细胞因子,共同参与炎症反应,导致黄斑水肿发生。本文就视网膜静脉阻塞继发黄斑水肿可能的炎症机制作一综述,以期为针对炎症的治疗提供理论依据。 展开更多
关键词 视网膜静脉阻塞 黄斑水肿 炎症
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小鼠视锥细胞系661W细胞凋亡模型的构建及自噬对其的保护性作用 被引量:1
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作者 高文娜 谢佳 +2 位作者 杜剑彤 朱瑞琳 杨柳 《中华实验眼科杂志》 CAS CSCD 北大核心 2018年第9期666-675,共10页
目的构建小鼠视锥细胞系661W细胞凋亡模型,探讨不同自噬水平下细胞生存状态的变化。方法采用不同质量浓度抗Fas抗体处理细胞,采用Western blot法检测caspase-3蛋白表达量,并确定凋亡细胞模型适宜抗Fas抗体刺激浓度;分别采用不同浓度自... 目的构建小鼠视锥细胞系661W细胞凋亡模型,探讨不同自噬水平下细胞生存状态的变化。方法采用不同质量浓度抗Fas抗体处理细胞,采用Western blot法检测caspase-3蛋白表达量,并确定凋亡细胞模型适宜抗Fas抗体刺激浓度;分别采用不同浓度自噬抑制剂3-甲基腺嘌呤(3-MA)和自噬诱导剂雷帕霉素处理细胞,采用Western blot法检测细胞中微管相关蛋白质1轻链3(LC-3)Ⅱ/LC-3Ⅰ蛋白表达,筛选合适的作用浓度。将细胞分为空白对照组、单纯3-MA组、单纯雷帕霉素组、模型对照组、模型+3-MA组、模型+雷帕霉素组,采用Western blot法检测各组细胞诱导后0、3、6、12、24和48 h caspase-3、caspase-8、自噬相关基因5(Atg-5)和LC-3Ⅱ/LC-3Ⅰ蛋白表达,采用流式细胞术检测细胞凋亡率。结果成功构建661W细胞凋亡模型,抗Fas抗体的适宜刺激质量浓度为2.0μg/ml;在Fas抗体刺激下,661W细胞caspase-3、caspase-8相对表达量从6 h开始增加,12 h达高峰,并持续至48 h,而Atg-5和LC-3Ⅱ/LC-3Ⅰ蛋白相对表达量从3 h开始增加,24 h达高峰,并于48 h时降至基线水平。3-MA和雷帕霉素的适宜作用浓度分别为20 nmol/L和2.0 nmol/L。空白对照组、单纯3-MA组和单纯雷帕霉素组诱导后各时间点caspase-3、caspase-8的相对表达量及细胞凋亡率总体比较,差异均无统计学意义(均P<0.05)。单纯雷帕霉素组各时间点细胞Atg-5和LC-3Ⅱ/LC-3Ⅰ蛋白相对表达量显著高于相应时间点空白对照组,差异均有统计学意义(均P<0.05)。模型+3-MA组caspase-3、caspase-8相对表达量以及细胞凋亡率在诱导后3、6、12、24和48 h均显著高于模型对照组,Atg-5和LC-3Ⅱ/LC-3Ⅰ的相对表达量在诱导后3、6、12和24 h均明显低于模型对照组,差异均有统计学意义(均P<0.05);模型+雷帕霉素组caspase-3、caspase-8相对表达量以及细胞凋亡率在诱导后6、12、24和48 h均显著低于模型对照组,Atg-5和LC-3Ⅱ/LC-3Ⅰ的相对表达量在诱导后3、6、12和24 h均明显高于模型对照组,差异均有统计学意义(均P<0.05)。结论在抗Fas抗体诱导661W细胞凋亡条件下,增强自噬可降低细胞凋亡率,而抑制自噬则会增加细胞凋亡率,自噬可能对661W细胞起到保护性作用。 展开更多
关键词 凋亡 自噬 661W细胞
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Analysis on Autofrettage of Cylinders 被引量:3
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作者 zhu ruilin zhu Guolin TANG Feng 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2012年第3期615-623,共9页
Autofrettage is an effective technique to improve load-bearing capacity and safety for pressure vessels.For autofrettaged cylinder,the depth of plastic zone,or overstrain is a key factor which affects load-bearing cap... Autofrettage is an effective technique to improve load-bearing capacity and safety for pressure vessels.For autofrettaged cylinder,the depth of plastic zone,or overstrain is a key factor which affects load-bearing capacity and safety.The previous research on overstrain was not done in terms of the point of view of raising load-bearing capacity as far as possible and simultaneously avoiding compressive yield for cylinders experiencing autofrettage handling,and there were no analytic solutions of autofrettage in the above view point presented,the 3rd and 4th strength theories were not applied synthetically in the research to compare the results from these two theories.In this paper,with the aid of the analytic method,based on summing up the authors' previous research,results from autofrettage of a cylinder based on the 3rd and 4th strength theories are studied and compared,and the laws contained in the results are looked into.Then,the essential cause and reason for the obtained laws are analyzed and the inherent and meaning relations between various parameters in autofrettage theory are revealed.It is shown that the maximum radius ratio for equivalent residual stress at inside surface never exceeds the yield strength even for a cylinder experiencing wholly yielded autofrettage,or the critical radius ratio is kc=2.218 457 489 916 7…,irrespective of the 3rd or 4th strength theories.The equation relating the depth of plastic zone with the thickness of a cylinder is identical for the 3rd and 4th strength theories.In form,the optimum load-bearing capacity of an autofrettaged cylinder is two times the initial yield pressure of the unautofrettaged cylinder irrespective of the 3rd or 4th strength theory.The revealed inherent relations between various parameters and varying laws of the parameters as well as the forms of the relations under the 3rd and 4th strength theories not only have theoretical meanings but also have prospects in engineering application. 展开更多
关键词 pressure vessel AUTOFRETTAGE load-bearing capacity strength theory
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ULTIMATE LOAD-BEARING CAPACITY OF CYLINDER DERIVED FROM AUTOFRETTAGE UNDER IDEAL CONDITION 被引量:14
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作者 zhu ruilin 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2008年第5期80-87,共8页
According to the basic theory on autofrettage and according to the 4th strength theory, several parameters and their relations are studied under ideal condition, including σej/σy, the equivalent stress of total stre... According to the basic theory on autofrettage and according to the 4th strength theory, several parameters and their relations are studied under ideal condition, including σej/σy, the equivalent stress of total stresses at elastoplastic juncture; σei/σy, the equivalent stress of total stresses at inside surface; σej'/σy, the equivalent stress of residual stresses at elastoplastic juncture; σei'/σy, the equivalent stress of residual stresses at inside surface; and p/σy, load-bearing capacity of an autofrettaged cylinder. By theoretical study on relations between the parameters, noticeable results and laws are achieved: to satisfy |σei'|=σy. the relation between kj and k is, k^2lnkj^2-k^2-kj^2+2=0, when k→∞, kj = √e = 1.648 72, as based on the 3rd strength theory, where k is the outside/inside radius ratio of a cylinder, kj is the ratio of elastoplastic juncture radius to inside radius of a cylinder; If the plastic region covers the whole wall of a cylinder, for compressive yield not to occur after removing autofrettage pressure, the ultimate k is k=-2.218 46 as based on the 3rd strength theory; With k=2.218 46, a cylinder's ultimate load-bearing capacity equals its entire yield pressure, or p/σy=21nk/√3; The maximum and optimum load-bearing capacity of an autofrettaged cylinder is just 2 times the loading which an unautofrettaged cylinder can bear elastically, or p/σy=2(k^2-1)/√3 k^2, and the limit of the load-bearing capacity of an autofrettaged cylinder is also just 2 times that of an unautofrettaged cylinder. The conclusions are the same as based on the 3rd strength theory, but some equations are different from each other. 展开更多
关键词 Cylinder Autofrettage Load-bearing capacity
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RESULTS RESULTING FROM AUTOFRETTAGE OF CYLINDER 被引量:14
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作者 zhu ruilin 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2008年第4期105-110,共6页
Autofrettage is used to introduce advantageous residual stresses into wall of a cylinder and to even distributions of total stresses. Basic theory on autofrettage has been functioning for several decades. It is necess... Autofrettage is used to introduce advantageous residual stresses into wall of a cylinder and to even distributions of total stresses. Basic theory on autofrettage has been functioning for several decades. It is necessary to reveal profound relations between parameters in the theory. Therefore, based on the 3rd strength theory, σej/σγ, σej/σγ, σej/σγ, σej/σγ and their relations, as well as p/σγ, are studied under ideal conditions, where σej/σγ is equivalent stress of total stresses at elastoplastic juncture/yield strength, σej/σγ is equivalent stress of total stresses at inside surface/yield strength, σej′/σγ is equivalent stress of residual stresses at elastoplastic juncture/yield strength, σej′/σγ is equivalent stress of residual stresses at inside surface/yield strength, p/σγ is load-bearing capacity of an autofiettaged cylinder/yield strength. Theoretical study on the parameters results in noticeable results and laws. The main idea is: to satisfy |σej′|=σγ the relation between kj and k is k^2ln kj^2 -k^2 -kj^2 +2=0, where k is outside/inside radius ratio of a cylinder, kj is ratio of elastoplastic juncture radius to inside radius of a cylinder; when the plastic region covers the whole wall of a cylinder, for compressive yield not to occur after removing autofiettage pressure, the ultimate k is k=-2.218 46, with k=-2.218 46, a cylinder's ultimate load-bearing capacity equals its entire yield pressure, or p/σγ =(k2 -1)/k2=lnk; when kj≤√e =1.648 72, no matter how great k is, compressive yield never occurs after removing Pas; the maximum and optimum load-bearing capacity of an autofrettaged cylinder is just two times the loading which an unautofrettaged cylinder can bear elastically, or p /σγ = (k2 - 1) / k2, thus the limit of the load-bearing capacity of an autofrettaged cylinder is also just 2 times that of an unautofrettaged cylinder. 展开更多
关键词 Cylinder Autofi-ettage Load-bearing capacity
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Effect of Optimum Plastic Depth on Stresses and Load-bearing Capacity of Autofrettaged Cylinder 被引量:2
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作者 zhu ruilin zhu Guolin 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2013年第2期365-370,共6页
Autofrettage is an effective measure to even distribution of stresses and raise load-bearing capacity for (ultra-)high pressure apparatus. Currently, the research on autofrettage has focused mostly on specific engin... Autofrettage is an effective measure to even distribution of stresses and raise load-bearing capacity for (ultra-)high pressure apparatus. Currently, the research on autofrettage has focused mostly on specific engineering problems, while general theoretical study is rarely done. To discover the general law contained in autofrettage theory, by the aid of the authors’ previous work and according to the third strength theory, theoretical problems about autofrettage are studied including residual stresses and their equivalent stress, total stresses and their equivalent stress, etc. Because of the equation of optimum depth of plastic zone which is presented in the authors’ previous work, the equations for the residual stresses and their equivalent stress as well as the total stress and their equivalent stress are simplified greatly. Thus the law of distribution of the residual stresses and their equivalent stress as well as the total stress and their equivalent stress and the varying tendency of these stresses are discovered. The relation among various parameters are revealed. The safe and optimum load-bearing conditions for cylinders are obtained. According to the results obtained by theoretical analysis, it is shown that if the two parameters, namely ratio of outside to inside radius, k, and depth of plastic zone, kj, meet the equation of optimum depth of plastic zone, when the pressure contained in an autofrettaged cylinder is lower than two times the initial yield pressure of the unautofrettaged cylinder, the equivalent residual stress and the equivalent total stress at the inside surface as well as the elastic-plastic juncture of a cylinder are lower than yield strength. When an autofrettaged cylinder is subjected to just two times the initial yield pressure of the unautofrettaged cylinder, the equivalent total stress within the whole plastic zone is just identically equal to the yield strength, or it is a constant. The proposed research theoretically depicts the stress state of ultra-)high pressure autofrettaged cylinder more accurately and more reasonably and provides the reference for design of (ultra-)high pressure apparatus. 展开更多
关键词 thick-wall cylinder AUTOFRETTAGE residual stress load-bearing capacity
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城市形态对滨江绿地步行可达性的影响研究——以上海虹口与杨浦滨江为例 被引量:1
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作者 朱瑞琳 李泓岍 张德顺 《华中建筑》 2022年第9期85-89,共5页
可达性是评价城市绿色空间合理布局、公平使用的重要指标之一。近年来城市形态学新兴的量化分析手段,为精确研究滨江绿地步行可达性提供了技术基础。以虹口和杨浦滨江为例,通过街道、街廓、建筑3个层级以及对应的5个空间形态指标计算得... 可达性是评价城市绿色空间合理布局、公平使用的重要指标之一。近年来城市形态学新兴的量化分析手段,为精确研究滨江绿地步行可达性提供了技术基础。以虹口和杨浦滨江为例,通过街道、街廓、建筑3个层级以及对应的5个空间形态指标计算得到“设计可达性”,和基于实地调研和百度热力图的“实际可达性”比较分析,构建“基于城市形态的滨水步行可达性评价方法”。研究发现,影响滨江绿地可达性的关键性因子为街廓的长宽比例。研究结果为滨江绿地及周边城市形态的空间优化提供了一定参考。 展开更多
关键词 城市形态 可达性 滨江绿地 街道 街廓 建筑形态
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新型冠状病毒感染相关的眼底病变
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作者 朱瑞琳 杨柳 《中华眼底病杂志》 CAS CSCD 北大核心 2023年第3期254-259,共6页
新型冠状病毒感染(COVID-19)相关眼底病变多与血管阻塞或炎症性改变相关,受到影响的血管既有视网膜大血管,也有微血管,炎症改变多为自身免疫性病变,在临床上出现不同的眼底改变,对视功能的影响轻重不一。这些病变的发生机制,考虑与严重... 新型冠状病毒感染(COVID-19)相关眼底病变多与血管阻塞或炎症性改变相关,受到影响的血管既有视网膜大血管,也有微血管,炎症改变多为自身免疫性病变,在临床上出现不同的眼底改变,对视功能的影响轻重不一。这些病变的发生机制,考虑与严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)直接损伤、SARS-CoV-2导致的凝血异常或炎症反应相关。通过对COVID-19相关眼底病变的认识,有助于进一步了解COVID-19的病理生理机制,开展深入研究,以期对COVID-19的发生和全面影响有更深入的理解和完整认识,强调对疾病早期防控的重要性,注意对COVID-19导致的眼底损害及早进行干预和积极治疗。 展开更多
关键词 新型冠状病毒感染 严重急性呼吸道综合征冠状病毒2型 视网膜 视神经 视网膜病变 综述
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Alport综合征儿童患者黄斑颞侧视网膜厚度薄变及其诊断意义 被引量:5
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作者 赵亮 朱瑞琳 +5 位作者 姚旭阳 谢佳 张琰琴 王芳 丁洁 杨柳 《中华眼底病杂志》 CAS CSCD 北大核心 2019年第2期176-180,共5页
目的观察Alport综合征(AS)儿童患者黄斑颞侧视网膜厚度变化,初步探讨其辅助诊断AS的效能。方法2016年1月至2017年7月在北京大学第一医院眼科就诊的AS患儿81例81只眼纳入研究。其中,男性67例67只眼,女性14例14只眼;均为右眼。年龄3~17岁... 目的观察Alport综合征(AS)儿童患者黄斑颞侧视网膜厚度变化,初步探讨其辅助诊断AS的效能。方法2016年1月至2017年7月在北京大学第一医院眼科就诊的AS患儿81例81只眼纳入研究。其中,男性67例67只眼,女性14例14只眼;均为右眼。年龄3~17岁,平均年龄9.6岁。X连锁遗传AS(XLAS)64例,其中男性53例,女性11例;常染色体隐性遗传AS(ARAS)17例,其中男性14例,女性3例。据此分为XLAS组、ARAS组。选取100名年龄<18岁的正常儿童OCT检查结果作为对照组。患儿均行视力、散瞳后裂隙灯显微镜、眼底彩色照相、OCT检查。采用德国Heidelberg公司Spectralis OCT仪测量黄斑中心凹颞内侧(T1)、颞外侧(T2)、鼻内侧(N1)、鼻外侧(N2)的视网膜厚度,计算颞侧薄变指数(TTI)。各组受检眼TTI值比较行单因素方差分析或独立样本t检验;受试者工作特征(ROC)曲线评估TTI在AS中的诊断效能。结果对照组、XLAS组、ARAS组受检眼平均TTI值分别为6.46±1.58、10.93±3.77、12.14±4.05。与对照组不同性别者受检眼比较,XLAS组、ARAS组男性受检眼TTI值更大,差异有统计学意义(F=45.056,P<0.001、<0.001);ARAS组女性受检眼TTI值增大,差异有统计学意义(F=26.541,P<0.001)。XLAS组、ARAS组女性受检眼TTI值比较,差异有统计学意义(F=26.541,P<0.001)。ROC曲线分析结果显示,在男性受检眼中,TTI辅助诊断AS的ROC曲线下面积为0.896,95%CI 0.837~0.955,P<0.001。最佳诊断临界值为9.47,灵敏度为73.1%,特异性100.0%。结论与正常儿童比较,AS患儿黄斑颞侧视网膜厚度变薄。男性患儿TTI>9.47可能有助于辅助诊断AS。 展开更多
关键词 肾炎 遗传性 体层摄影术 光学相干 黄斑额侧视网膜厚度薄变
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同卵双胎Alport综合征临床表型分析 被引量:2
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作者 邓海月 王芳 +2 位作者 张琰琴 朱瑞琳 丁洁 《中华儿科杂志》 CAS CSCD 北大核心 2020年第9期731-737,共7页
目的了解同卵双胎Alport综合征患者之间临床表型是否一致。方法选择登记于基于网络的遗传性肾脏病注册登记系统、2000年1月至2019年3月就诊于北京大学第一医院且符合纳入标准和排除标准的同卵双胎Alport综合征患儿为研究对象,回顾性分... 目的了解同卵双胎Alport综合征患者之间临床表型是否一致。方法选择登记于基于网络的遗传性肾脏病注册登记系统、2000年1月至2019年3月就诊于北京大学第一医院且符合纳入标准和排除标准的同卵双胎Alport综合征患儿为研究对象,回顾性分析其临床资料和尿液表皮生长因子水平。结果纳入来自3个无亲缘关系家庭的3对X连锁Alport综合征同卵双胎男性患儿。双胎间基因型状态一致性评价倾向于肯定同卵关系。双胎1为足月儿,余均为早产儿;1A出生体重正常(2500 g),而1B为足月小样儿(2450 g),双胎2出生体重相差较大(2A为2450 g、2B为1900 g),双胎3出生体重基本相同;虽生后抚养环境一致,但体格发育双胎1B明显落后于1A,余双胎基本相同。双胎1和2肾脏表现并不完全一致,1A、1B均表现为大量蛋白尿和肾功能下降,但1B肾功能更差,末次随访时1A为慢性肾脏病(CKD)3期,而1B为CKD4期;双胎2肾功能均正常,但2A表现为显性蛋白尿(24 h尿蛋白定量0.22 g/d)而2B的24 h尿蛋白定量正常、有微量白蛋白尿(尿白蛋白肌酐比为65 mg/g);双胎3肾脏表现基本一致。3对双胎的尿表皮生长因子与尿肌酐的比值(uEGF/Cr)与年龄匹配的健康对照组相比,uEGF/Cr均显著降低,且在双胎之间,估算肾小球滤过率越低的患儿其uEGF/Cr也越低。目前双胎间眼部表现一致,即双胎2和双胎3均表现双眼黄斑颞侧薄变,而双胎1均无眼部改变。此外,双胎间的听力表现也一致,双胎1均具有双耳轻度中低频感音神经性耳聋,而双胎2和双胎3双耳纯音测听结果均正常。结论同卵双胎X连锁Alport综合征男性患儿肾脏表型可以存在差异,眼部和听力表现可以一致。低出生体重和生后体格发育差异可能影响肾功能进展。 展开更多
关键词 ALPORT综合征 X连锁遗传病 同卵双胎 表型
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光相干断层扫描血管成像在非感染性葡萄膜炎中的应用研究现状 被引量:3
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作者 肖世禹 朱瑞琳 杨柳 《中华眼底病杂志》 CAS CSCD 北大核心 2019年第4期403-408,共6页
非感染性葡萄膜炎是指除外感染因素及伪装综合征的一类累及葡萄膜及玻璃体、视盘和视网膜的眼内炎症性致盲性疾病,常反复发作,其诊断及随访依赖眼底影像检查。OCT血管成像是一种快速、无创、可量化的血管成像新技术,可分层次显示视网膜... 非感染性葡萄膜炎是指除外感染因素及伪装综合征的一类累及葡萄膜及玻璃体、视盘和视网膜的眼内炎症性致盲性疾病,常反复发作,其诊断及随访依赖眼底影像检查。OCT血管成像是一种快速、无创、可量化的血管成像新技术,可分层次显示视网膜和脉络膜微血管形态,侦测血流灌注异常及新生血管形成等。目前已在前葡萄膜炎以及Vogt-Koyanagi-Harada综合征、Beh?et病、结节病、鸟枪弹样脉络膜视网膜病变、匍行性脉络膜炎、多灶性脉络膜炎、点状内层脉络膜病变、急性区域性隐匿性外层视网膜病变、急性后部多灶性鳞状色素上皮病变、多发性一过性白点综合征等全葡萄膜炎和后葡萄膜炎的诊治、随访、疗效评估等方面发挥重要临床作用。同时,其应用也为非感染性葡萄膜炎病理生理机制探索提供了新的方向。 展开更多
关键词 葡萄膜炎 体层摄影术 光学相干 综述
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Ephrin-A2 and-A3 are negative regulators of the regenerative potential of Müller cells 被引量:1
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作者 zhu ruilin Cho Kin-Sang +1 位作者 Chen Dong Feng Yang Liu 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第19期3438-3442,共5页
Background In a previous study, we demonstrated that ephrin-A2 and -A3 negatively regulate the growth of neural progenitor cells in the central nervous system. Adult mice deficient in ephrin-A2 and -A3 (A2+A3+) di... Background In a previous study, we demonstrated that ephrin-A2 and -A3 negatively regulate the growth of neural progenitor cells in the central nervous system. Adult mice deficient in ephrin-A2 and -A3 (A2+A3+) displayed active ongoing neurogenesis throughout the brain, and mice deficient in ephrin-A3 alone showed increased proliferation of ciliary epithelium derived retinal stem cells. This study aimed to detect that the increase in proliferation and neurogenic potential of MOiler cells is influenced by the absence of ephrin-A2 and -A3. Methods We assessed the retinal and MOiler cell expression of ephrin-As and their receptor and neural progenitor cell markers by immunostaining and real-time PCR. We cultured purified primary MOiler cells derived from wild-type and A2+A3+ mice in a defined culture medium that enables trans-differentiation of Mu11er cells into retinal neurons. To evaluate proliferating MOiler cells in vivo, we injected 5'-ethylnyl-2-deoxiuridine (EdU) intraperitoneally to adult mice. Results Expression of ephrin-A2/A3 and their receptor EphA4 were detected in the retinas of adult mice, with EphA4 expression particularly enriched in MOiler cells. MOiler cells of A2+A3+ mice exhibited significantly elevated expression of retinal progenitor cell markers, Pax6 and Chx10, when compared with those from wild-type mice. Moreover, a higher percentage of Mu11er cells of A2+A3+ mice trans-differentiated and became recoverin+ and β-Ⅲ-tublin+ in the culture than those from wild type mice. Strikingly, an increased number of EdU+ retinal cells was detected in the retinas of adult A2+A3+ mice as compared with wild-type mice. Conclusions Ephrin-A2 and -A3 are negative regulators of the proliferative and neurogenic potentials of Mu11er cells. Manipulating ephrin-A signaling may thus represent a novel strategy for stimulating neuroregeneration from endogenous progenitors to participate in retinal repair in case of disease or damage. 展开更多
关键词 Muller cell stem cell retinal regeneration
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