(1-3)-β-D葡聚糖联合降钙素原、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究

目的探讨(1-3)-β-D葡聚糖联合降钙素原(procalcitonin,PCT)、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究。方法回顾性选取我院2020年1月—2022年6月住院的120例艾滋病患者为研究对象。依据实验室结果,将其分为马尔尼菲篮状菌感染确诊组(血或组织液培育养出马尔尼菲篮状菌),简称A组(62例),及马尔尼菲篮状菌感染临床诊断组[根据临床症状、体征、血常规及(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞多指标诊断],简称B组(58例)。检测患者(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞的表达水平,采用受试者工作特征(receiver-operating characteristic,ROC)曲线下面积(area under the curve,AUC)评估上述指标联合检测对艾滋病患者感染马尔尼菲篮状菌的诊断效能。结果A组的(1-3)-β-D葡聚糖和PCT水平均高于B组,CD4^(+)T淋巴细胞个数低于B组(P<0.05);(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞联合检测的AUC为0.933,(1-3)-β-D葡聚糖单独检测的AUC是0.812,PCT单独检测的AUC为0.883,CD4^(+)T淋巴细胞单独检测的AUC是0.810,(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的AUC皆优于三项单独检测,表明(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的诊断价值皆优于单一指标诊断,且联合检测的特异度、约登指数分别为92.43%和0.580,均高于三项单独检测。结论(1-3)-β-D葡聚糖联合PCT和CD4^(+)T淋巴细胞多指标对艾滋病马尔尼菲篮状菌感染具有非常高的临床诊断价值,能够帮助医生分析出高危风险患者,及时制定治疗方案,同时也承担预后效果的判断依据,对治疗艾滋病马尔尼菲篮状菌感染具有非常重要的研究价值。

Investigation on the Thermal Conductivity of 3-Dimensional and 4-Directional Braided Composites

It is vital to choose a factual and reasonable micro-structural model of braided composites for improving the calculating precision of thermal property of 3-D braided composites by finite element method （FEM）. On the basis of new microstructure model of braided composites proposed recently, the model of FEM calculation for thermal conductivity of 3-dimennsional and 4-directional braided composites is set up in this paper. The curves of coefficient of effective thermal conductivity versus fiber volume ratio and interior braiding angle are obtained. Furthermore, comparing the results of FEM with the available experimental data, the reasonability and veracity of calculation are confirmed at the same time.

Void Morphology in 3-D Braided Preform/phenolic Composites

Improved Resin Transfer Molding (RTM) technology and equipment were established.Void content and morphology of the 3-D braided preform/phenolic composite were investigated using different RTM processes.The results showed that void content of the vacuum and compression co-assisted RTM process was the lowest.Void morphologies of the specimen cross-section were analyzed with metallographic microscope.In traditional RTM process,the crack of cross-section was in evidence.In vacuum assisted RTM process,the void shape was divided into three categories:irregular crack,triangle,rotundity and ellipse.The most voids distributed in resin rich areas and were observed as large void based on equivalent diameter.In compression assisted RTM,vacuum and compression co-assisted RTM process,the polygonal voids mostly existed inter tows.Void size was mainly intermediate and small based equivalent diameter separately.

1例RHD-CE(3-7)-D基因重组与RHCE变异型患者的血清学与分子生物学分析

目的 研究分析1例Rh血型弱D、弱cE患者的血清学与分子生物学特征,为该类患者的临床安全输血提供实验依据。方法 采用微柱凝胶卡法对患者红细胞进行ABO、RhDCcEe抗原的鉴定,同时采用试管法进行血型复核,抗人球蛋白卡法筛查不规则抗体;采用PCR-SSP法对RhDCcEe(RhD、RhC、Rhc、RhE、Rhe)基因型进行检测;三代全长测序技术对RHD/RHCE基因序列进行测序分析。结果 微柱凝胶卡法鉴定ABO、RhD、RhCcEe血型抗原的结果为:A抗原(-)、B抗原(-)、RhD(1+)、RhC(4+)、Rhc(1+)、RhE(1+)、Rhe(4+)、对照孔(-);试管法ABO、RhD、RhCcEe抗原鉴定该患者表型为:A抗原(-)、B抗原(-)、RhD(w+)、RhC(4+)、Rhc(w+)、RhE(w+)、Rhe(4+),对照管(-);抗人球蛋白卡法筛查患者不规则抗体阴性;PCR-SSP法血型基因分型RhDCcEe结果:RhD(+)、RhC(+)、Rhc(+)、RhE(+)、Rhe(+);RHD/RHCE基因结果:RHD单倍体1为外显子1-10全缺失,而单倍体2为外显子RHD-CE基因重组融合,且确认其重组类型为RHD-CE(3-7)-D,起点在外显子2(g.20238-20312之间),终点在外显子8(g49184-50480之间),同时RHCE基因第6外显子存在新碱基点突变RHCE*cE(827C>A)。结论RHD-CE(3-7)-D基因重组融合与RHCE*cE(827C>A)新等位基因突变可能引起D、cE血型抗原弱表达,为临床安全输血提供了重要的实验数据支持。

Tensile Properties of 3-Dimension-4-directional Braided C_f/Si C Composite based on Double-scale Model

The longitude tensile properties of 3-Dimension-4-directional（3D-4d） braided C/Si C composites（CMCs） were investigated with the help of a double scale model. This model involves micro-scale and unit-cell scale. In micro-scale, the tensile properties of fiber tows which involves matrix cracking, interfacial debonding, and fiber failure are studied. The unit-cell scale model can reflect the braided structure and simulate the tensile properties of 3D-4d CMCs by introducing the tensile properties of fiber tows into it. Quasi-static tensile tests of 3D-4d braided CMCs were performed on a PWS-100 test system. The predicted tensile stressstrain curve by the double scale model is in good agreement with that of the experimental results.

基于二萘并[2,3-B∶2′,3′-D]呋喃基团的高效窄发射蓝光OLED器件

高效率窄光谱蓝色有机电致发光器件(OLED)是柔性显示领域的研究重点之一。本文以二萘并[2,3-B∶2′,3′-D]呋喃为弱电子受体、N-(4-联苯基)-1-萘胺作为电子给体设计合成了一种D-A-D型蓝光分子DPF-NA,其在正己烷溶液中的发射峰位于441 nm。理论计算与光物理测试结果显示DPF-NA具有杂化局域电荷转移激发态(HLCT)特性,兼具局域态(LE)高发光效率与电荷转移态(CT)高激子利用率特征,在二氯甲烷溶液中的光致发光量子效率(PLQY)为81.2%。基于质量分数3%DPF-NA掺杂浓度的OLED器件电致发光(EL)峰位于455 nm,半峰宽(FWHM)仅为26 nm,CIE(x,y)坐标为(0.14,0.08),最大外量子效率(EQEmax)为6.76%。

Statistical Model of the 3-D Braided Composites Strength

Based on the statistical model for the tensile statistical strength of unidirectional composite materials and the stress analysis of 3-D braided composites, a new method is proposed to calculate the tensile statistical strength of the 3-D braided compos- ites. With this method, the strength of 3-D braided composites can be calculated with very large accuracy, and the statistical parameters of 3-D braided composites can be determined. The numerical result shows that the tensile statistical strength of 3-D braided composites can be predicted using this method.

New 4-imino-4H-Chromeno[2,3-d]Pyrimidin-3(5H)-Amine: Synthesis, Cytotoxic Effects on Tumoral Cell Lines and in Silico ADMET Properties

The synthesis of new 4-imino-4H-chromeno[2,3-d]pyrimidin-3(5H)-amine in four steps including one step under microwave dielectric heating is reported. The structural identity of the synthesized compounds was established according to their spectroscopic analysis, such as FT-IR, NMR and mass spectroscopy. These new compounds were tested for their antiproliferative activities on seven representative human tumoral cell lines (Huh7 D12, Caco2, MDA-MB231, MDA-MB468, HCT116, PC3 and MCF7) and also on fibroblasts. Among them, only the compounds 6c showed micromolar cytotoxic activity on tumor cell lines (1.8 50 50 > 25 μM). Finally, in silico ADMET studies ware performed to investigate the possibility of using of the identified compound 6c as potential anti-tumor compound.

Effective Thermal Conductivity for 3D Five-Directional Braided Composites Based on Microstructural Analysis

A method for predicting effective thermal conductivities(ETCs) of three-dimensional five-directional(3D5D) braided composites is presented. The effective thermal conductivity prediction method contains a digital image processing technology. Multiple scanning electron microscopy(SEM)images of composites are analyzed to obtain actual microstructural features. These actual microstructural features of 3D5D braided composites are introduced into representative volume element(RVE) modeling. Apart from applying actual microstructural features,compression effects between yarns are considered in the modeling of RVE,making the RVE more realistic. Therefore,the ETC prediction method establishes a representative unit cell model that better reflects the true microstructural characteristics of the 3D5D braided composites. The ETCs are predicted with the finite element method. Then thermal conductivity measurements are carried out for a 3D5D braided composite sample.By comparing the predicted ETC with the measured thermal conductivity, the whole process of the ETC prediction method is proved to be effective and accurate,where a relative error of only 2.9 % is obtained.Furthermore,the effects of microstructural features are investigated,indicating that increasing interior braiding angles and fiber fill factor can lead to higher transverse ETCs. Longitudinal ETCs decrease with increasing interior braiding angles,but increase with increasing fiber fill factor. Finally,the influence of variations of microstructure parameters observed in digital image processing are investigated. To explore the influence of variations in microstructural features on variations in predicted ETCs,the actual probability distributions of microstructural features obtained from the 3D5D braided composite sample are introduced into the ETC investigation. The results show that,compared with the interior braiding angle,variations in the fiber fill factor exhibit more significant effects on variations in ETCs.

血浆(1-3)-β-D葡聚糖诊断新生儿侵袭性真菌感染的价值

探讨在针对新生儿侵袭性真菌感染的诊断中使用血浆(1-3)-β-D葡聚糖能够产生的诊断效能。方法 选取2021年1月到2022年2月因为侵袭性真菌感染于医院寻求医疗干预的新生儿总共60例作为本次研究的一部分研究对象记为1组;另外选取60例健康婴儿作为2组;统计、对比两组患者的血浆(1-3)-β-D葡聚糖水平、CD4+T淋巴细胞数水平;整理PCR技术针对1组患者诊断结果,将其与血浆(1-3)-β-D葡聚糖诊断侵袭性真菌感染的诊断效能进行对比。结果 研究结果显示1组患者的血浆(1-3)-β-D葡聚糖水平、CD4+T淋巴细胞数水平较之于2组患者存在明显差异,1组患者血浆(1-3)-β-D葡聚糖水平更高,而CD4+T淋巴细胞数水平明显更低;P<0.05。在针对诊断效能的考察上,血浆(1-3)-β-D葡聚糖诊断效能和PCR诊断结果之间在灵敏度、特异度方面差异不大,P>0.05。结论 针对罹患侵袭性真菌感染的新生儿使用血浆(1-3)-β-D葡聚糖进行检查,一定程度上能够确保诊断结果的严谨程度,可使用。

血浆(1,3)-β-D葡聚糖检测在侵袭性真菌感染诊断中的价值分析

研究血浆(1,3)-β-D葡聚糖检测技术(G实验)应用于侵袭性真菌感染(IFI)诊断中的应用价值。方法 选择我院在2023年1月至2024年1月期间收治的100例高危型侵袭型真菌感染患者,应用MB-80微生物快速检测动态系统以及对应的试剂对患者的血浆(1,3)-β-D葡聚糖进行检测,分析真菌培养、G实验和联合检测结果;三种方法的诊断效能;三种方法的ROC曲线。结果 确诊IFI阳性共28例,阴性共72例;联合检测的诊断效能高于真菌培养或者G实验。联合检测面积高于单一检测。结论 在侵袭性真菌感染的诊断中,应用血浆(1,3)-β-D葡聚糖检测,诊断效能良好,在和传统真菌培养技术联合检测下,可进一步提升诊断效能。

深部真菌感染患者血浆1-3-β-D葡聚糖检测的临床意义

目的探讨深部真菌感染患者血浆1-3-β-D葡聚糖检测的临床意义。方法 应用ME-80微生物动态快速 检测系统,及GKT-5M Set动态真菌检测试剂盒定量检测血浆中1-3-β-D葡聚糖的含量。结果正常对照组血浆 1-3-β-D葡聚糖含量为(2.83士2.57)μg／L;深部真菌感染组为(54.06士36.13)μg／L,经t检验分析,对照组与深部 真菌感染组1-3-β-D葡聚糖平均值差异非常显著(t=7.741,P<0.001)。结论 血浆葡聚糖检测可在拟诊早期为 临床医生提供机体是否感染真菌的可靠信息,是一种实用的真菌感染早期诊断方法。

三乙基苄基氯化铵催化下水介质中吡喃并[2，3-d]嘧啶衍生物的一步合成

以芳亚甲基丙二腈、1,3-二甲基巴比妥酸为原料,以水为溶剂,在100℃以三乙基苄基氯化铵(TEBAC)为催化剂合成了一系列的吡喃并[2,3-d]嘧啶衍生物,该方法具有反应条件温和,产率良好(78%～90%)和环境友好等优点.产物的结构通过IR,1H NMR和元素分析表征,并进一步通过X射线衍射分析确证.

基于小波变换的显微图像清晰度评价函数及3-D自动调焦技术

提出了基于小波变换的图像清晰度评价函数。采用大NA(数值孔径)和小NA的显微图像序列,比较分析了本文提出的评价函数和经典的归一化方差函数、熵函数、能量拉普拉斯函数以及另外两种基于小波变换评价函数的清晰度评价性能。同时采用带有标准偏差为25的高斯噪声显微图像序列,比较了这五种评价函数的抗噪能力。实验结果表明:提出的评价函数具有最高的聚焦精度和聚焦分辨率,且具有与抗噪能力最强的归一化方差函数相当的抗噪能力。提出了基于区域选择的自动聚焦方法,实现了处于不同深度的微操作对象的3-D自动聚焦。该评价函数和区域选择聚焦技术可以用于高精度的自动微操作作业中。进一步说明自动调焦是实现自动化微操作的关键技术,而其核心是清晰度评价函数的选取或构建。

3-D颞骨模型的制作与应用

目的探讨利用粉末堆积打印技术制作的高仿真3-D颞骨模型在解剖技能训练及模拟手术中的应用。方法利用高分辨率CT获取活体颞骨断层图像(正常人2例,慢性中耳炎患者2例),数据导入Mimics软件行图像分割及颞骨三维重建,以石膏粉末为原料,利用粉末堆积快速成型技术打印出颞骨模型,重要解剖结构与组织(听骨链、面神经、位听器、炎性渗出及胆脂瘤等)以不同颜色打印,并在显微镜下进行手术演练。结果颞骨模型的硬度与人骨相近,模型表面及内部骨性标志明显,解剖精确度高,钻磨触感接近真实,满足颞骨解剖技能训练及模拟手术的要求。结论利用粉末堆积打印技术能制作出仿真度更高、更接近实际人体解剖结构的颞骨模型,帮助临床医生在术前全面了解患者的颞骨及周围组织解剖结构与病变情况,制定和优化手术方案,减少并发症。

4-(对取代苯基)-2-[2-(取代苯基)呋喃-4-甲酰胺]-1',3',4'-均三唑[1,2-d]-1,3,4-噻二唑类衍生物的合成和生物活性

以1-氨基-5-巯基-2-(对取代苯基)-1,3,4-均三唑和5-取代苯基-2-呋喃甲酰异硫氰酸酯为原料,合成了10个未见文献报道的含苯环连呋喃的均三唑并噻二唑类衍生物,通过元素分析,1HNMR,IR和MS确定化合物的结构,初步生物活性测试表明标题化合物具有一定的除草活性.

国产血浆(1-3)-β-D葡聚糖检测试剂对侵袭性真菌病诊断价值评估

目的观察国产血浆(1-3)-β-D葡聚糖检测试剂对侵袭性真菌病(IFD)的诊断效果。方法筛选2009年4月—2011年6月上海交通大学医学院附属新华医院疑似IFD病例,根据欧洲癌症研究和治疗组织/真菌病研究组(EORTC/MSG)的IFD诊断标准定义,甄选出57例确诊IFD和6例拟诊IFD的真阳性病例为IFD组,100例非IFD真阴性病例为对照组,应用国产血浆(1-3)-β-D葡聚糖检测试剂定量检测血浆中(1-3)-β-D葡聚糖的质量浓度,并进行组间比较。绘制受试者工作特征(ROC)曲线,分析利用血浆(1-3)-β-D葡聚糖水平诊断IFD的最佳临界值。结果两组的血浆(1-3)-β-D葡聚糖水平皆为非正态分布,峰度系数>0、偏度系数>0,呈正偏态分布。对照组和IFD组血浆(1-3)-β-D葡聚糖质量浓度分别为(33.62±5.0)pg/mL和(373.82±125.5)pg/mL,两组比较差异有统计学意义(P<0.001)。ROC曲线分析结果显示:血浆(1-3)-β-D葡聚糖用于诊断IFD的最佳临界值为20.85,曲线下面积最大为0.857(P<0.05),95%CI 0.792～0.923,灵敏度和特异度分别为77.8%和86.0%。结论国产血浆(1-3)-β-D葡聚糖检测试剂对于IFD具有诊断应用价值。

用构造光系统实现3-D形貌测量的研究

介绍了一个用构造空间二进制编码进行非接触３Ｄ形貌测量的系统。它以一台ＬＣＤ投影仪为硬件基础，用８幅条纹投影图案对被测物体表面进行空间编码。用ＣＣＤ摄像机获取物体编码信息，用基于单一像素的三角法原理从摄像机图像中获取三维形貌数据。指出了二进制编码图案生成软件及其生成的条纹图案的特点。为了提高３Ｄ形貌测量的精度，分析了由摄像机和投影仪镜头造成的误差，建立了它们的透镜误差矫正公式，并取得了良好的实验结果。

超声辐射下水介质中三组分一锅合成吡喃并[2,3-d]嘧啶衍生物

报道了在超声波辐射下,水相中无催化剂下通过芳香醛与丙二腈、巴比妥酸的一锅反应,合成了一系列吡喃并[2,3-d]嘧啶衍生物.在超声波辐射下,不仅饱和芳香醛与丙二腈、巴比妥酸的一锅反应在室温下能高收率地进行,而对于α,β-不饱和醛以及二元醛与丙二腈、巴比妥酸的一锅反应也能在室温下顺利进行,获得较高的收率.产物的结构通过IR,1HNMR和元素分析表征.该方法具有操作简单和环境友好等优点。

3-D打印技术在个体化耳廓重建中的应用

目的探讨3D打印技术在个体化耳廓重建中的应用。方法通过高分辨率CT获取小耳畸形患者的颞骨断层图像,用mimics软件镜像重建患侧耳结构,用3-matic软件设计出3-D耳模,利用熔融沉积成型(FDM)技术和硅胶复模技术铸造出镜像耳硅胶耳廓模型与3-D硅胶耳模,前者用于患侧耳耳廓雕刻的模板,后者用于辅助耳甲腔、耳甲艇、三角窝、耳屏、对耳屏等耳廓亚结构的雕刻及颅耳角角度的维持。对比耳廓重建前后耳廓的大小、形态及耳廓表面解剖结构。结果再造耳颅耳角适中,耳廓解剖亚结构清晰,重建的耳廓形态逼真。结论 3-D打印技术的应用能优化个体化耳廓再造,为耳廓重建提供一种新的方法。