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卵巢癌腹水中西医结合临床诊疗专家共识
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作者 李鹤 张旭 +6 位作者 应亮 茹丹 丁忱欢 俞超芹 张婷婷 徐莲薇 董莉 《上海中医药杂志》 CSCD 2024年第S01期17-21,共5页
腹水是腹膜腔内的过量积液,主要由原发或转移性肿瘤表面裸露的毛细血管渗出导致。恶性肿瘤相关腹水占所有腹水类型的10%,其中又以卵巢癌最为常见。卵巢癌的发病率居女性生殖系统恶性肿瘤第三位,病死率居妇科恶性肿瘤之首[1]。绝大多数... 腹水是腹膜腔内的过量积液,主要由原发或转移性肿瘤表面裸露的毛细血管渗出导致。恶性肿瘤相关腹水占所有腹水类型的10%,其中又以卵巢癌最为常见。卵巢癌的发病率居女性生殖系统恶性肿瘤第三位,病死率居妇科恶性肿瘤之首[1]。绝大多数卵巢癌患者初诊时已出现广泛腹腔转移,大量腹水增加腹腔压力,引起不同程度恶心、呕吐、纳差、腹部胀痛、呼吸困难等症状,若不及时控制可进一步诱发心肺功能不全,危及生命。 展开更多
关键词 卵巢癌腹水 海派中医妇科 上海专家共识 中西医结合
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A comparative study of data-driven battery capacity estimation based on partial charging curves 被引量:1
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作者 Chuanping Lin Jun Xu +5 位作者 Delong Jiang Jiayang Hou ying liang Xianggong Zhang Enhu Li Xuesong Mei 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2024年第1期409-420,I0010,共13页
With its generality and practicality, the combination of partial charging curves and machine learning(ML) for battery capacity estimation has attracted widespread attention. However, a clear classification,fair compar... With its generality and practicality, the combination of partial charging curves and machine learning(ML) for battery capacity estimation has attracted widespread attention. However, a clear classification,fair comparison, and performance rationalization of these methods are lacking, due to the scattered existing studies. To address these issues, we develop 20 capacity estimation methods from three perspectives:charging sequence construction, input forms, and ML models. 22,582 charging curves are generated from 44 cells with different battery chemistry and operating conditions to validate the performance. Through comprehensive and unbiased comparison, the long short-term memory(LSTM) based neural network exhibits the best accuracy and robustness. Across all 6503 tested samples, the mean absolute percentage error(MAPE) for capacity estimation using LSTM is 0.61%, with a maximum error of only 3.94%. Even with the addition of 3 m V voltage noise or the extension of sampling intervals to 60 s, the average MAPE remains below 2%. Furthermore, the charging sequences are provided with physical explanations related to battery degradation to enhance confidence in their application. Recommendations for using other competitive methods are also presented. This work provides valuable insights and guidance for estimating battery capacity based on partial charging curves. 展开更多
关键词 Lithium-ion battery Partial charging curves Capacity estimation DATA-DRIVEN Sampling frequency
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复杂曲率铝合金薄壁构件气胀成形技术研究
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作者 赵忠浩 赵喜东 +4 位作者 亓昌 盈亮 同勃阳 杨姝 魏文涛 《重庆理工大学学报(自然科学)》 CAS 北大核心 2024年第6期109-117,共9页
为满足复杂曲率轻量化薄壁构件快速高质量成形的需求,对5754铝合金复杂构件的气胀成形性能进行了试验与仿真研究。通过单一变量法确定了型腔气压和压边力的最佳工艺参数。结合数值模拟和成形试验,分析研究了型腔气压和压边力对构件成形... 为满足复杂曲率轻量化薄壁构件快速高质量成形的需求,对5754铝合金复杂构件的气胀成形性能进行了试验与仿真研究。通过单一变量法确定了型腔气压和压边力的最佳工艺参数。结合数值模拟和成形试验,分析研究了型腔气压和压边力对构件成形性能的影响规律及成形机理。结果表明,最佳的成形气压和压边力分别为1.2 MPa和4.6 MPa。当气压小于1 MPa时,最大成形深度不断增加,最大应力位于主特征中心,壁厚分布由中心向两侧递增;当气压超过1 MPa后,最大成形深度保持不变,最大应力位于型腔中心两侧,壁厚分布由中心向两侧先减后增。当压边力小于4.3 MPa时会导致构件边缘起皱;增大压边力可有效抑制起皱,但压边力超过4.9 MPa时会增加构件局部破裂的风险。因此,采用上述最佳工艺参数能够成形质量良好的复杂曲率铝合金薄壁构件。 展开更多
关键词 5754铝合金 薄壁构件 气胀成形 工艺参数 数值模拟
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Pairing correlation of the kagome-lattice Hubbard model with the nearest-neighbor interaction
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作者 Chen Yang Chao Chen +2 位作者 Runyu Ma ying liang Tianxing Ma 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第10期41-45,共5页
A recently discovered family of kagome lattice materials,AV_(3)Sb_(5)(A=K,Rb,Cs),has attracted great interest,especiallyin the debate over their dominant superconducting pairing symmetry.To explore this issue,we study... A recently discovered family of kagome lattice materials,AV_(3)Sb_(5)(A=K,Rb,Cs),has attracted great interest,especiallyin the debate over their dominant superconducting pairing symmetry.To explore this issue,we study the superconductingpairing behavior within the kagome-lattice Hubbard model through the constrained path Monte Carlo method.It isfound that doping around the Dirac point generates a dominant next-nearest-neighbor-d pairing symmetry driven by on-siteCoulomb interaction U.However,when considering the nearest-neighbor interaction V,it may induce nearest-neighbor-ppairing to become the preferred pairing symmetry.Our results provide useful information to identify the dominant superconductingpairing symmetry in the AV_(3)Sb_(5)family. 展开更多
关键词 kagome-lattice Hubbard model SUPERCONDUCTIVITY pairing symmetry CPMC
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Pulmonary embolism secondary to acute anterior ST-elevation myocardial infarction:a case report
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作者 Lin Yuan Hong Li +1 位作者 Yuhong Mi ying liang 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2024年第2期139-141,共3页
Thrombophilia denotes a condition,whether acquired or hereditary,characterized by increased susceptibility to hypercoagulation.[1]This condition was first described in 1965,coinciding with the discovery of an inherite... Thrombophilia denotes a condition,whether acquired or hereditary,characterized by increased susceptibility to hypercoagulation.[1]This condition was first described in 1965,coinciding with the discovery of an inherited predisposition to venous thromboembolism(VTE)in patients deficient in antithrombin III.[2]While arterial and venous thromboses are common in hospitalized patients,acute myocardial infarction(AMI)and pulmonary embolism(PE)stand out as lifethreateningconditions.However,theoccurrenceof AMI complicated by PE is exceedingly rare,especially when considering cases where paradoxical embolism originating from a patent foramen ovale is absent.This report presents a case of AMI complicated with PE.A comprehensive understanding of the pathophysiology of this rare yet critical condition is important for ensuring prompt diagnosis and treatment. 展开更多
关键词 EMBOLISM INFARCTION ACUTE
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热塑性玻璃纤维头盔服役性能分析与数值仿真 被引量:2
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作者 张向奎 李昭 +2 位作者 韩成祥 盈亮 胡平 《材料科学与工艺》 CAS CSCD 北大核心 2023年第1期1-9,共9页
为了探究复合材料特别是碳纤维、玻璃纤维在头盔产品上的应用,本文基于模压成型工艺,对热塑性连续玻璃纤维材料增强头盔的成型过程进行实验。探究复合材料头盔所使用层合板最佳铺层方案,并通过实验获得层合板的应力应变曲线。对比不同... 为了探究复合材料特别是碳纤维、玻璃纤维在头盔产品上的应用,本文基于模压成型工艺,对热塑性连续玻璃纤维材料增强头盔的成型过程进行实验。探究复合材料头盔所使用层合板最佳铺层方案,并通过实验获得层合板的应力应变曲线。对比不同头盔的穿透、碰撞和刚度服役性能数据,并使用有限元软件LS-DYNA进行数值仿真计算,得到不同材料对头盔性能及质量的影响。使用ABAQUS软件对头盔模型进行拓扑优化,在保持头盔刚度性能基本不变的情况下,优化得到头盔的加强筋结构,以此减轻头盔表层厚度并实现轻量化。结果表明,相比于普通ABS材料的头盔,热塑性连续玻璃纤维头盔的质量减轻了14.6%、刚度提升了10.6%;含有加强筋结构的玻璃纤维头盔质量减轻了14.2%,刚度与普通ABS头盔保持一致,但更节约材料、性价比更高。复合材料头盔的综合性能相比普通ABS塑料头盔有显著提升。 展开更多
关键词 模压成型 头盔 服役性能实验 数值仿真 拓扑优化
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钛合金型材多点三维热拉弯成形工艺及其微观组织演化
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作者 高嵩 孙荧力 +3 位作者 李奇涵 盈亮 郝兆朋 张邦成 《中国机械工程》 EI CAS CSCD 北大核心 2023年第24期2986-2995,3014,共11页
为解决钛合金等难加工材料型材的三维弯曲成形问题,提出了多点三维热拉弯成形工艺并研制了成形装备。通过成形试验探索了预拉伸量、补拉伸量和成形温度等工艺参数对TC4钛合金L形截面型材的三维热拉弯成形规律,其中成形温度是影响回弹变... 为解决钛合金等难加工材料型材的三维弯曲成形问题,提出了多点三维热拉弯成形工艺并研制了成形装备。通过成形试验探索了预拉伸量、补拉伸量和成形温度等工艺参数对TC4钛合金L形截面型材的三维热拉弯成形规律,其中成形温度是影响回弹变形的最主要因素,当温度一定时,采用预拉伸量为100%ε_(s)、补拉伸量为20%ε_(s)时(ε_(s)为屈服应变参数),型材达到最佳的成形状态。基于成形试验和材料力学性能测试结果建立了预测多点三维热拉弯成形工艺成形过程和回弹过程的有限元仿真模型,回弹预测误差小于15%,验证了模型的有效性。此外,对成形前后的TC4钛合金进行了微观组织观测,研究结果表明,与初始未变形样件相比,三维热拉弯成形后的TC4钛合金产生了相变,(101-0)晶面织构强度显著提高,两相晶粒尺寸均有所减小,TC4钛合金成形件的塑性变形能力得到了提高,且几何必需位错密度有所增大。 展开更多
关键词 TC4钛合金 三维热拉弯成形 回弹预测 微观组织
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BnbHLH92a negatively regulates anthocyanin and proanthocyanidin biosynthesis in Brassica napus
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作者 Ran Hu Meichen Zhu +13 位作者 Si Chen Chengxiang Li Qianwei Zhang Lei Gao Xueqin Liu Shulin Shen Fuyou Fu Xinfu Xu ying liang Liezhao Liu Kun Lu Hao Yu Jiana Li Cunmin Qu 《The Crop Journal》 SCIE CSCD 2023年第2期374-385,共12页
Yellow seed trait is a desirable characteristic with potential for increasing seed quality and commercial value in rapeseed,and anthocyanin and proanthocyanidins(PAs)are major seed-coat pigments.Few transcription fact... Yellow seed trait is a desirable characteristic with potential for increasing seed quality and commercial value in rapeseed,and anthocyanin and proanthocyanidins(PAs)are major seed-coat pigments.Few transcription factors involved in the regulation of anthocyanin and PAs biosynthesis have been characterized in rapeseed.In this study,we identified a transcription factor gene BnbHLH92a(BnaA06T0441000ZS)in rapeseed.Overexpressing BnbHLH92a both in Arabidopsis and in rapeseed reduced levels of anthocyanin and PAs.Correspondingly,the expression profiles of anthocyanin and PA biosynthesis genes(TT3,BAN,TT8,TT18,and TTG1)were shown by quantitative real-time PCR to be inhibited in BnbHLH92a-overexpressing Arabidopsis seeds,indicating that BnbHLH92a represses the anthocyanin and PA biosynthesis pathway in Arabidopsis.BnbHLH92a physically interacts with the BnTTG1 protein and represses the biosynthesis of anthocyanins and PAs in rapeseed.BnbHLH92a also binds directly to the BnTT18 promoter and represses its expression.These results suggest that BnbHLH92a is a novel upstream regulator of flavonoid biosynthesis in B.napus. 展开更多
关键词 Brassica napus L BnbHLH92a ANTHOCYANIN PROANTHOCYANIDINS Flavonoid pathway
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Outcomes of catheter-directed thrombolysis versus systemic thrombolysis in the treatment of pulmonary embolism: a metaanalysis
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作者 Huang-Tai MIAO ying liang +4 位作者 Xiao-ying LI Xiao WANG Hui-Juan ZUO Zhe-Chun ZENG Shao-Ping NIE 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2023年第6期459-468,共10页
OBJECTIVE To evaluate the safety and efficacy of catheter-directed thrombolysis(CDT)versus systemic thrombolysis(ST)in the treatment of pulmonary embolism(PE).METHODS The Cochrane Library,PubMed,and Embase databases w... OBJECTIVE To evaluate the safety and efficacy of catheter-directed thrombolysis(CDT)versus systemic thrombolysis(ST)in the treatment of pulmonary embolism(PE).METHODS The Cochrane Library,PubMed,and Embase databases were searched to collect the literature on the comparison of the results of CDT and ST in the treatment of PE from the beginning of their records to May 2020,and meta-analysis was performed by STATA software(version 15.1).Using standardized data-collection forms,the authors screened the studies and independently extracted data,and assessed the quality of the studies using the Newcastle-Ottawa Scale for cohort studies.Cohort studies that examined the following results were included in the current study:in-hospital mortality,all-cause bleeding rate,gastrointestinal bleeding rate,intracranial hemorrhage rate,the incidence of shock,and hospital length of stay.RESULTS A total of eight articles,with 13,242 participants,involving 3962 participants in the CDT group and 9280 participants in the ST group were included.CDT compared with ST in the treatment of PE can significantly affect in-hospital mortality rate[odds ratio(OR)=0.41,95%CI:0.30–0.56,P<0.05],all-cause bleeding rate(OR=1.20,95%CI:1.04–1.39,P=0.012),gastrointestinal bleeding rate(OR=1.43,95%CI:1.13–1.81,P=0.003),the incidence of shock(OR=0.46,95%CI:0.37–0.57,P<0.05),and hospital length of stay[standard mean difference(SMD)=0.16,95%CI:0.07–0.25,P<0.05].However,there was no significant effect on intracranial hemorrhage rate in patients with PE(OR=0.70,95%CI:0.47–1.03,P=0.070).CONCLUSIONS CDT is a viable alternative to ST in the treatment of PE,as it can significantly reduce in-hospital mortality rate,all-cause bleeding rate,gastrointestinal bleeding rate,and incidence of shock.However,CDT may prolong hospital length of stay to a certain extent.Further research is needed to evaluate the safety and efficacy of CDT and ST in the treatment of acute PE and other clinical outcomes. 展开更多
关键词 THROMBOLYSIS MORTALITY TREATMENT
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去氧孕烯炔雌醇片预处理联合氯米芬用于宫颈机能不全患者体外受精-胚胎移植的临床研究 被引量:3
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作者 赵振钏 吴晓茜 +3 位作者 刘永娟 梁莹 褚冬梅 常康 《中国现代医学杂志》 CAS 北大核心 2022年第9期8-12,共5页
目的观察去氧孕烯炔雌醇片预处理联合氯米芬用于宫颈机能不全患者体外受精-胚胎移植的临床疗效,并分析其不良妊娠结局的影响因素。方法将120例拟接受体外受精-胚胎移植的宫颈机能不全患者随机分为观察组和对照组,对照组给予氯米芬微刺... 目的观察去氧孕烯炔雌醇片预处理联合氯米芬用于宫颈机能不全患者体外受精-胚胎移植的临床疗效,并分析其不良妊娠结局的影响因素。方法将120例拟接受体外受精-胚胎移植的宫颈机能不全患者随机分为观察组和对照组,对照组给予氯米芬微刺激治疗,观察组给予去氧孕烯炔雌醇片预处理联合氯米芬微刺激治疗。比较两组患者的周期取消率、生化妊娠率及临床妊娠率、获卵数、正常受精卵数、早孕期流产率、血清胰岛素样生长因子1(IGF-1)、胰岛素样生长因子结合蛋白3(IGFBP-3)。结果观察组患者的促性腺激素(GTH)用量、GTH刺激天数少于对照组,人绒毛膜促性腺素(HCG)注射日雌激素值小于对照组,周期取消率、早孕期流产率、晚期流产率、早产率低于对照组(P<0.05),正常受精率、生化妊娠率、临床妊娠率、活产率、A型子宫内膜率高于对照组,获卵数、正常受精卵数多于对照组,扳机日子宫内膜厚度厚于对照组(P<0.05)。观察组患者刺激前后血清IGF-1、IGFBP-3水平的差值大于对照组(P<0.05)。一般Logistic回归分析结果显示,不孕年龄[O^R=0.882(95%CI:0.511,0.999)]、不同刺激方案[O^R=1.062(95%CI:1.001,2.112)]、GTH用量[O^R=0.712(95%CI:0.526,0.941)]、获卵数[O^R=1.122(95%CI:1.022,1.201)]、可利用胚胎数[O^R=2.012(95%CI:1.561,2.300)]是妊娠不良结局的危险因素(P<0.05)。结论去氧孕烯炔雌醇片预处理联合氯米芬可显著改善患者的IGF-1、IGFBP-3水平及妊娠结局;且可利用胚胎数较多、GTH用量较少的患者,其妊娠结局较好、获卵数较多。 展开更多
关键词 体外受精-胚胎移植 宫颈机能不全 去氧孕烯炔雌醇片 氯米芬 血清胰岛素样生长因子
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氟比洛芬酯联合罗哌卡因棉球用于小儿扁桃体术后镇痛的观察 被引量:4
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作者 弓胜凯 艾英 +1 位作者 应亮 方建超 《中国实用神经疾病杂志》 2019年第6期660-666,共7页
目的探讨氟比洛芬酯联合罗哌卡因棉球用于小儿扁桃体切除术后镇痛的效果。方法择期扁桃体切除术患儿60例,ASA分级Ⅰ级,年龄6~12岁,随机分为RF组(氟比洛芬酯联合罗哌卡因组)、R组(罗哌卡因组)、F组(氟比洛芬酯组)各20例。术前15 min,RF... 目的探讨氟比洛芬酯联合罗哌卡因棉球用于小儿扁桃体切除术后镇痛的效果。方法择期扁桃体切除术患儿60例,ASA分级Ⅰ级,年龄6~12岁,随机分为RF组(氟比洛芬酯联合罗哌卡因组)、R组(罗哌卡因组)、F组(氟比洛芬酯组)各20例。术前15 min,RF组静注氟比洛芬酯1 mg/kg,F组静注氟比洛芬酯1.5 mg/kg,R组静注生理盐水1 mg/kg。RF组与R组在扁桃体切除止血彻底时,用0.5%的罗哌卡因棉球紧紧填塞于扁桃体窝5 min;F组用生理盐水棉球填塞5 min取出棉球。术后采用视觉模拟评分法(visual analogue scale,VAS)评估患儿术后拔管即刻(T0)、术后30 min(T1)、2 h(T2)、4 h(T3)、8 h(T4)、6 h(T5)、12 h(T6)、24 h(T7)的疼痛评分,记录患儿首次追加镇痛药时间、例数以及苏醒期躁动的发生率、恶心、呕吐及呼吸抑制等不良事件的发生率。结果RF组各时点的VAS评分低于F组与R组(P<0.05);R组T0~T4的VAS评分低于F组(P<0.05);RF组术后首次追加镇痛药的时间长于R组和F组(P<0.05);RF组和R组发生苏醒期躁动的比例低于F组(P<0.05)结论氟比洛芬酯联合罗哌卡因用于小儿扁桃体切除术后镇痛效果确切。 展开更多
关键词 扁桃体 罗哌卡因 氟比洛芬酯 术后镇痛 小儿
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可视喉镜联合管芯和电子软镜引导经鼻气管插管用于口腔科手术患者的效果 被引量:4
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作者 弓胜凯 应亮 +3 位作者 曹艳丽 徐玉灿 袁静静 杨建军 《河南外科学杂志》 2021年第1期38-41,共4页
目的评价可视喉镜联合管芯与UE电子软镜引导经鼻气管插管用于口腔科手术患者的效果。方法选取择期行全麻下经鼻气管插管手术的口腔科患者60例,ASAⅠ~Ⅱ级,年龄18~65岁,BMI<30 kg/m^2。按随机数字表法分为可视喉镜联合管芯组(K组)和U... 目的评价可视喉镜联合管芯与UE电子软镜引导经鼻气管插管用于口腔科手术患者的效果。方法选取择期行全麻下经鼻气管插管手术的口腔科患者60例,ASAⅠ~Ⅱ级,年龄18~65岁,BMI<30 kg/m^2。按随机数字表法分为可视喉镜联合管芯组(K组)和UE电子软镜组(U组),每组30例。记录2组一次置入导管成功率、气管插管时间、插管并发症发生率,以及麻醉诱导前(T0)、诱导后插管前即刻(T1)、气管导管置入即刻(T2)、插管后1 min(T3)、插管后3 min(T4)的无创收缩压(SBP)、舒张压(DBP)和心率(HR)。结果 U组气管插管时间为(50.7±2.3)s,明显比K组的(55.2±1.6)s缩短,差异有统计学意义(P<0.05);2组一次插管成功率及插管时鼻咽腔出血率差异无统计学意义(P>0.05)。与T0、T1比较,2组患者T3、T4的SBP、DBP均降低,差异有统计学意义(P<0.05)。与K组比较,U组T2、T3的SBP、DBP均降低,血流动力学波动更小,差异有统计学意义(P<0.05)。结论与可视喉镜联合管芯比较,UE电子软镜快速诱导经鼻气管插管时间短、血流动力学稳定。但可视喉镜联合管芯引导经鼻插管简便、经济,值得在临床推广。 展开更多
关键词 经鼻气管插管 可视喉镜 管芯 UE电子软镜 血流动力学
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热塑性玻纤增强材料复合金属层板热态气胀成形技术研究 被引量:1
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作者 亓昌 张锡栋 +1 位作者 盈亮 杨姝 《汽车工艺与材料》 2022年第6期1-7,共7页
纤维金属层板(Fiber Metal Laminates,FMLs)传统成形方法难以成形复杂曲面构件,限制了其在汽车行业的应用。为提高FMLs成形能力,提出了一种直接采用模具加热预堆叠层板的热态气胀成形方法。首先通过力学性能试验探究了热塑性FMLs中材料... 纤维金属层板(Fiber Metal Laminates,FMLs)传统成形方法难以成形复杂曲面构件,限制了其在汽车行业的应用。为提高FMLs成形能力,提出了一种直接采用模具加热预堆叠层板的热态气胀成形方法。首先通过力学性能试验探究了热塑性FMLs中材料铺层参数对力学性能影响,随后结合试验和仿真探究了热态气胀成形方法制备FMLs曲率构件过程中工艺参数对成形效果的影响,研究显示纤维参数决定了FMLs损伤容限,PA6树脂基FMLs成形工艺温度窗口为230~250℃,成形所需最低压强为3 MPa。研究结果表明利用热态气胀成形方法可成功制备热塑性FMLs曲率构件,温度和压强是决定成形效果的关键因素。 展开更多
关键词 纤维金属层板(FMLs) 热态气胀成形 力学性能 有限元仿真 工艺参数
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34例颊癌根治术患者的气道管理
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作者 弓胜凯 应亮 +1 位作者 方建超 艾英 《实用口腔医学杂志》 CAS CSCD 北大核心 2019年第2期274-276,共3页
目的:回顾34例颊癌根治术患者气道管理,为此类手术的麻醉气道管理提供参考。方法:收集颊癌根治术患者34例资料,统计不同插管方案的一次插管成功率、插管期间低氧血症及插管并发症的发生率;以及术后未拔管、拔管、气切及转入ICU的发生率... 目的:回顾34例颊癌根治术患者气道管理,为此类手术的麻醉气道管理提供参考。方法:收集颊癌根治术患者34例资料,统计不同插管方案的一次插管成功率、插管期间低氧血症及插管并发症的发生率;以及术后未拔管、拔管、气切及转入ICU的发生率。结果:34例中可视喉镜引导下经鼻气管插管15例,纤支镜引导下经鼻气管插管8例,清醒镇静纤支镜下经鼻气管插管10例,气管切开1例。清醒纤支镜插管一次插管成功率高,插管期间低氧血症及插管并发症的发生率低(P<0.05)。34例中术后未拔管23例(67.6%),拔管4例(11.8%),气切7例(20.6%),转入ICU 6例(17.6%),张口受限情况在气管切开组和转为ICU组较重(P<0.05)。结论:颊癌根治术患者选择清醒纤支镜插管方案,术后带气管导管回ICU,可能会使其更安全地度过围术期。 展开更多
关键词 颊癌根治术 麻醉 气道 插管
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标准化病人结合CBL教学模式在眼科学专业硕士临床实践教学中的应用 被引量:37
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作者 梁瀛 李汉林 +6 位作者 仇雪梅 潘曈 周琼 裴重刚 邵毅 吴晓蓉 童桂芳 《国际眼科杂志》 CAS 北大核心 2021年第5期895-898,共4页
目的:探讨标准化病人(SP)与以病例为基础的学习(CBL)模式相结合的教学模式应用在眼科学专业硕士研究生临床实践教学中的效果。方法:于2017-07/2019-07选取南昌大学第一附属医院眼科病区2017、2018、2019级专业硕士研究生40名为研究对象... 目的:探讨标准化病人(SP)与以病例为基础的学习(CBL)模式相结合的教学模式应用在眼科学专业硕士研究生临床实践教学中的效果。方法:于2017-07/2019-07选取南昌大学第一附属医院眼科病区2017、2018、2019级专业硕士研究生40名为研究对象,随机进行分组,研究组20名采取SP+CBL案例式相结合的教学模式;对照组20名采取传统课堂带教学习(LBL)教学模式。两组教学师资、内容与时间(12mo)无差别,观察并比较两组学生学习能力、理论知识和临床技能操作考核成绩,并针对学生对教学效果的评价进行统计学分析。结果:两组学生入学成绩无明显差异,教学后研究组学生学习积极性、记忆效率、临床操作技能及医患沟通能力均更具优势(P<0.05),理论知识和临床技能操作考核成绩均优于对照组(87.95±6.78分vs 78.95±6.28分,82.20±4.53分vs 75.95±4.05分,均P<0.05),且研究组学生对实行SP+CBL案例式教学模式的评价显著高于实行LBL教学模式的对照组(P<0.05)。结论:SP与CBL案例式教学相结合的教学模式对眼科学专业硕士研究生的临床实践教学有显著优势。 展开更多
关键词 标准化病人 CBL案例式教学 教学模式 眼科学 专业硕士研究生 临床实践
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原发性青光眼患者焦虑和抑郁及睡眠质量调查研究 被引量:16
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作者 仇雪梅 范彩媚 +6 位作者 梁瀛 钞雪林 臧苗苗 曾璐瑶 王丽君 易澄 李汉林 《国际眼科杂志》 CAS 北大核心 2022年第6期1002-1005,共4页
目的:探讨原发性闭角型青光眼(PACG)和原发性开角型青光眼(POAG)患者焦虑、抑郁及睡眠状况。方法:回顾性临床研究。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)对2019-06/2020-12期间在我院眼科确诊的原发性... 目的:探讨原发性闭角型青光眼(PACG)和原发性开角型青光眼(POAG)患者焦虑、抑郁及睡眠状况。方法:回顾性临床研究。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)对2019-06/2020-12期间在我院眼科确诊的原发性青光眼患者60例(30例PACG,30例POAG)和将同期来自我院体检部的30名健康成年人设为对照组进行评估,比较三组受试者SAS、SDS、PSQI得分。结果:PACG组和POAG组SAS、SDS、PSQI得分(48.40±9.302,53.40±8.625,9.57±2.861;42.57±9.684,48.80±10.320,7.23±2.223分)均明显高于对照组(37.03±6.805,38.63±7.881,4.87±2.688分)(P<0.05)。PACG组SAS、PSQI得分较POAG组高(均P<0.05)。以SAS≥45分、SDS≥50分和PSQI>7分为临界,PACG组的焦虑、抑郁和失眠症状阳性率(77%、73%、70%)高于POAG组(43%、40%、37%)和对照组(13%、10%、20%)(P<0.05)。结论:PACG患者比POAG有更严重的焦虑、抑郁及失眠,应给予必要的心理干预。 展开更多
关键词 原发性青光眼 焦虑自评量表 抑郁自评量表 匹兹堡睡眠质量指数量表
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Effects of tachyplesin and n-sodium butyrate on proliferation and gene expression of human gastric adenocarcinoma cell line BGC-823 被引量:17
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作者 Song-Lin Shi Yong-Ye Wang +1 位作者 ying liang Qi-Fu Li 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第11期1694-1698,共5页
AIM: To investigate the effects of tachyplesin and n-sodium butyrate on proliferation and gene expression of human gastric adenocarcinoma cell line BGC-823. METHODS: Effects of tachyplesin and n-sodium butyrate on p... AIM: To investigate the effects of tachyplesin and n-sodium butyrate on proliferation and gene expression of human gastric adenocarcinoma cell line BGC-823. METHODS: Effects of tachyplesin and n-sodium butyrate on proliferation of BGC-823 cells were determined with trypan blue dye exclusion test and HE staining. Effects of tachyplesin and n-sodium butyrate on cell cycle were detected by flow cytometry. Protein levels of c-erbB-2, c-myc, p53 and p16 were examined by immunocytochemistry. RESULTS: The inhibiting effects were similar after 2.0 mg/L tachyplesin and 2.0 mmol/L n-sodium butyrate treatment, the inhibitory rate of cellular growth was 62.66% and 60.19% respectively, and the respective maximum mitotic index was decreased by 49.35% and 51.69% respectively. Tachyplesin and n-sodium buD/rate treatment could markedly increase the proportion of cells at G0/G1 phase and decrease the proportion at S phase. The expression levels of oncogene c-erbB-2, c-myc, and mtp53 proteins were down-regulated while the expression level of tumor suppressor gene p16 protein was up-regulated after the treatment with tachyplesin or n-sodium buD/rate. The effects of 1.0 mg/L tachyplesin in combination with 1.0 mmol/L n-sodium butyrate were obviously superior to their individual treatment in changing cell cycle distribution and expression of c-erbB-2, c-myc, mtp53 and p16 protein. The inhibitory rate of cellular growth of BGC-823 cells after combination treatment was 62.29% and the maximum mitotic index wasdecreased by 51.95%. CONCLUSION: Tachyplesin as a differentiation inducer of tumor cells has similar effects as n-sodium butyrate on proliferation of tumor cells, expression of correlative oncogene and tumor suppressor gene. It also has a synergistic effect on differentiation of tumor cells. 展开更多
关键词 TACHYPLESIN n-sodium butyrate Gastric adenocarcinoma cell Cell differentiation
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澳大利亚慢性病管理计划及其对中国的启示 被引量:20
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作者 应亮 杨辉 《中国全科医学》 CAS 北大核心 2019年第34期4184-4189,共6页
慢性病已经成为最主要的疾病负担,也是全球初级卫生保健和预防工作的重点。慢性病管理在改善患者健康结局、提高患者生活质量上发挥重要作用。本文通过实地学习和文献研究,介绍澳大利亚两种全科医学慢性病管理计划,即全科医生为慢性病... 慢性病已经成为最主要的疾病负担,也是全球初级卫生保健和预防工作的重点。慢性病管理在改善患者健康结局、提高患者生活质量上发挥重要作用。本文通过实地学习和文献研究,介绍澳大利亚两种全科医学慢性病管理计划,即全科医生为慢性病患者提供的综合服务计划(GPMP)和全科医生对慢性病管理服务进行团队式协调(TCAs)。并与我国慢性病管理情况进行比较,提出我国应该从建立优质的全科团队,因地制宜地选择慢性病管理模式,发展“互联网+”技术,为慢性病管理提供技术支持等方面改进,不断探索符合我国国情的慢性病管理模式。 展开更多
关键词 慢性病 慢性病管理 全科医学 初级卫生保健 澳大利亚
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CCL7 and CCL21 overexpression in gastric cancer is associated with lymph node metastasis and poor prognosis 被引量:12
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作者 Tsann-Long Hwang Li-Yu Lee +3 位作者 Chee-ChanWang ying liang Shu-Fang Huang Chi-Ming Wu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第11期1249-1256,共8页
AIM: To investigate how a complex network of CC chemokine ligands (eeLs) and their receptors influence the progression of tumor and metastasis.METHODS: In the present study, we used immunohistochemistry to examine... AIM: To investigate how a complex network of CC chemokine ligands (eeLs) and their receptors influence the progression of tumor and metastasis.METHODS: In the present study, we used immunohistochemistry to examine the expression of CCL7, CCL8 and CCL21 in 194 gastric cancer samples and adjacent normal tissues. We analyzed their correlation with tumor metastasis, clinicopathologic parameters and clinical outcome.RESULTS: We found that the higher expression of CCL7 and CCL21 in cancer tissues than in normal tissues was significantly correlated with advanced depth of wall invasion, lymph node metastasis and higher tumornode metastasis stage. Moreover, Kaplan-Meier survival analysis revealed that CCL7 and CCL21 overexpression in cancer tissues was correlated with poor prognosis.CONCLUSION: These results suggest that overexpression of these two CC chemokine ligands is associ- ated with tumor metastasis and serves as a prognostic factor in patients with gastric cancer. 展开更多
关键词 CC chemokine Chemokine ligand 7 Che-mokine ligand 21 Gastric cancer Lymph node metas-tasis Poor prognosis
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SEMI-ACTIVE CONTROL OF VEHICLE SUSPENSION WITH MAGNETO-RHEOLOGICAL DAMPERS:PART Ⅰ——CONTROLLER SYNTHESIS AND EVALUATION 被引量:8
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作者 WANG Enrong ying liang +2 位作者 WANG Wanjun RAKHEJASubhash SU Chunyi 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2008年第1期13-19,共7页
A modified skyhook-based semi-active controller is proposed for implementing an asymmetric control suspension design with symmetric magneto-rheological (MR) dampers. The controller is formulated in current form, whi... A modified skyhook-based semi-active controller is proposed for implementing an asymmetric control suspension design with symmetric magneto-rheological (MR) dampers. The controller is formulated in current form, which is modulated by integrating a continuous modulation and an asymmetric damping force generation algorithms, so as to effectively minimize switching and hysteretic effects from the MR-damper. The proposed controller is implemented with a quarter-vehicle MR-suspension model, and its relative response characteristics are thus evaluated in terms of defined performance measures under varying amplitude harmonic, rounded pulse and random excitations. The sensitivity of the semi-active suspension performance to variations in controller parameters is thoroughly evaluated. The results illustrate that the proposed skyhook-based asymmetric semi-active MR-suspension controller has superior robustness on the system parameter variations, and can achieve desirable multi-objective suspension performance. 展开更多
关键词 Magneto-rheological damper Skyhook damping Semi-active control Vehicle suspension
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