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Evaluation of excavation damaged zones(EDZs)in Horonobe Underground Research Laboratory(URL)
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作者 Koji Hata Sumio Niunoya +1 位作者 Kazuhei Aoyagi Nobukatsu Miyara 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第2期365-378,共14页
Excavation of underground caverns,such as mountain tunnels and energy-storage caverns,may cause the damages to the surrounding rock as a result of the stress redistribution.In this influenced zone,new cracks and disco... Excavation of underground caverns,such as mountain tunnels and energy-storage caverns,may cause the damages to the surrounding rock as a result of the stress redistribution.In this influenced zone,new cracks and discontinuities are created or propagate in the rock mass.Therefore,it is effective to measure and evaluate the acoustic emission(AE)events generated by the rocks,which is a small elastic vibration,and permeability change.The authors have developed a long-term measurement device that incorporates an optical AE(O-AE)sensor,an optical pore pressure sensor,and an optical temperature sensor in a single multi-optical measurement probe(MOP).Japan Atomic Energy Agency has been conducting R&D activities to enhance the reliability of high-level radioactive waste(HLW)deep geological disposal technology.In a high-level radioactive disposal project,one of the challenges is the development of methods for long-term monitoring of rock mass behavior.Therefore,in January 2014,the long-term measurements of the hydro-mechanical behavior of the rock mass were launched using the developed MOP in the vicinity of 350 m below the surface at the Horonobe Underground Research Center.The measurement results show that AEs occur frequently up to 1.5 m from the wall during excavation.In addition,hydraulic conductivity increased by 2e4 orders of magnitude.Elastoplastic analysis revealed that the hydraulic behavior of the rock mass affected the pore pressure fluctuations and caused micro-fractures.Based on this,a conceptual model is developed to represent the excavation damaged zone(EDZ),which contributes to the safe geological disposal of radioactive waste. 展开更多
关键词 Excavation damaged zone(EDZ) Optical sensor long-term monitoring Acoustic emission(AE) Shaft sinking
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Systematic review of long-term Xingnao Kaiqiao needling efficacy in ischemic stroke treatment 被引量:7
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作者 Zhi-xin Yang Jia-hong Xie +4 位作者 Yong-ping Liu Guang-xin Miao Ying-han Wang Sheng-mei Wu Yuan Li 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第4期583-588,共6页
OBJeCTIve:To systematically evaluate the long-term effect and safety ofXingnao Kaiqiao nee-dling method in ischemic stroke treatment. DATA ReTRIevAL: We retrieved relevant random and semi-random controlled trials th... OBJeCTIve:To systematically evaluate the long-term effect and safety ofXingnao Kaiqiao nee-dling method in ischemic stroke treatment. DATA ReTRIevAL: We retrieved relevant random and semi-random controlled trials that used theXingnao Kaiqiao needling method to treat ischemic stroke compared with various control treatments such as conventional drugs or other acupuncture therapies. Searched databases included China National Knowledge Infrastructure, Weipu Information Resources System, Wanfang Medical Data System, Chinese Biomedical Literature Database, Cochrane Library, and PubMed, from May 2006 to July 2014. SeLeCTION CRITeRIA: Two authors independently conducted literature screening, quality evaluation, and data extraction. The quality of articles was evaluated according to the Cochrane Reviewers’ Handbook 5.1, and the study was carried out using Cochrane system assessment methods. RevMan 5.2 was used for meta-analysis of the included studies. MAIN OUTCOMe MeASUReS: Mortality rate, recurrence rate, and disability rate were observed. ReSULTS:Nine randomized and semi-randomized controlled trials treating 931 cases of ischemic stroke were included in this review. Meta-analysis results showed that there were no sig-niifcant differences in mortality reduction (risk ratio (RR) = 0.58, 95% conifdence interval (CI): 0.17–1.93,Z = 0.89,P = 0.37) or recurrence rate (RR = 0.55, 95%CI: 0.18–1.70,Z = 1.04,P = 0.30) of ischemic stroke patients between theXingnao Kaiqiao needling and control treatment groups. However, theXingnao Kaiqiao needling method had a tendency towards higher efifcacy in mor-tality reduction and recurrence rates. TheXingnao Kaiqiao needling method was signiifcantly better than that of the control treatment in reducing disability rate (RR = 0.51, 95%CI: 0.27–0.98, Z = 2.03,P 〈 0.05). CONCLUSION:TheXingnao Kaiqiao needling method has a better effect than control treatment in reducing disability rate. The long-term effect ofXingnao Kaiqiao needling against ischemic stroke is better than that of control treatment. However, the limitations of this study limit the strength of the conclusions. Randomized controlled trials with a strict, reasonable design, and multi-center, large-scale samples and follow-up are necessary to draw conclusions aboutXingnao Kaiqiao needling. 展开更多
关键词 nerve regeneration Xingnao Kaiqiao needling method ischemic stroke randomized controlled trial systemic reviews meta-analysis long-term efficacy MORTALITY RECURRENCE DISABILITY adverse reactions health economics indicators neural regeneration
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Dynamic Characteristics of a Damaged Nine-story Building during the 2011 off the Pacific Coast Tohoku Earthquake
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作者 Tsoggerel Tsamba Masato Motosaka +1 位作者 KazushiYoshida Kazuya Mitsuji 《Journal of Civil Engineering and Architecture》 2012年第8期1039-1046,共8页
This paper describes the dynamic characteristics of a damaged nine story building in Sendal during the 2011 Tohoku Earthquake. Dynamic hysteresis characteristic is investigated. The system identification using the ext... This paper describes the dynamic characteristics of a damaged nine story building in Sendal during the 2011 Tohoku Earthquake. Dynamic hysteresis characteristic is investigated. The system identification using the extended Kalman filter determined the amplitude dependency of natural frequency and damping factor, which are consistent with damage feature. Occurrence of partial uplifting in the transverse direction is suggested by the induced higher harmonics based on the wavelet analysis. Historical change of the amplitude dependent dynamic characteristics is also discussed based on the long-term monitoring data from microtremor level to strong motion level. 展开更多
关键词 2011 Tohoku Earthquake dynamic characteristics damaged building long-term monitoring.
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铁死亡在新生儿缺氧缺血性脑损伤中的作用机制研究进展
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作者 张天阳 徐文秀 +2 位作者 秦昕宇 邢雪雪 毕玫荣 《中国全科医学》 CAS 北大核心 2025年第6期666-672,共7页
新生儿缺氧缺血性脑损伤(HIBD)是新生儿期神经系统损伤的常见原因之一,易导致新生儿高致残率、高死亡率,其发病机制复杂且在临床上无特异性治疗方法。铁死亡作为近年新发现的一种非凋亡性细胞死亡类型,受到广泛关注并逐渐成为研究热点... 新生儿缺氧缺血性脑损伤(HIBD)是新生儿期神经系统损伤的常见原因之一,易导致新生儿高致残率、高死亡率,其发病机制复杂且在临床上无特异性治疗方法。铁死亡作为近年新发现的一种非凋亡性细胞死亡类型,受到广泛关注并逐渐成为研究热点。关于铁死亡与新生儿HIBD的研究逐年增多,大量研究表明铁死亡与新生儿HIBD的发生、发展密切相关。并且,有研究指出维生素K2,特别是甲萘醌-4(MK-4)可以通过抑制铁死亡发挥其神经保护作用。本文简要综述铁死亡在新生儿HIBD及小胶质细胞中的作用机制,并展望维生素K2,特别是MK-4通过抑制铁死亡改善新生儿HIBD预后的可能,以期提供一种更加经济、安全且更具针对性的治疗方式。 展开更多
关键词 脑损伤 铁死亡 新生儿缺氧缺血性脑损伤 脂质过氧化作用 甲萘醌-4 小胶质细胞 综述
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A review of surface ozone source apportionment in China 被引量:14
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作者 LIU Hailing ZHANG Meigen HAN Xiao 《Atmospheric and Oceanic Science Letters》 CSCD 2020年第5期470-484,共15页
Air pollution caused by particulate matter has significantly improved in China in recent years since the implementation of a series of stringent clean-air regulations.However,surface ozone concentrations have increase... Air pollution caused by particulate matter has significantly improved in China in recent years since the implementation of a series of stringent clean-air regulations.However,surface ozone concentrations have increased,especially in developed city clusters,such as the Beijing–Tianjin–Hebei,Yangtze River Delta,Pearl River Delta,and Sichuan Basin regions.Due to the complexity and nonlinearity of the ozone formation,accurately locating major sources of ozone and its precursors is an important basis for the formulation of cost-effective pollution control strategies.In this paper,the authors systematically summarize the reported results and outcomes of the methods and main conclusions of ozone source apportionment(regions and categories)in China from the published literature,based on observation-based methods and emission-based methods,respectively.The authors aim to provide a comprehensive understanding of ozone pollution and reliable references for the formulation of air pollution prevention policies in China. 展开更多
关键词 Surface ozone long-term trends ozone source apportionment literature review
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Review on radiological evolution of COVID-19 pneumonia using computed tomography 被引量:1
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作者 Chiara Casartelli Fabiana Perrone +6 位作者 Maurizio Balbi Veronica Alfieri Gianluca Milanese Sebastiano Buti Mario Silva Nicola Sverzellati Melissa Bersanelli 《World Journal of Radiology》 2021年第9期294-306,共13页
BACKGROUND Pneumonia is the main manifestation of coronavirus disease 2019(COVID-19)infection.Chest computed tomography is recommended for the initial evaluation of the disease;this technique can also be helpful to mo... BACKGROUND Pneumonia is the main manifestation of coronavirus disease 2019(COVID-19)infection.Chest computed tomography is recommended for the initial evaluation of the disease;this technique can also be helpful to monitor the disease progression and evaluate the therapeutic efficacy.AIM To review the currently available literature regarding the radiological follow-up of COVID-19-related lung alterations using the computed tomography scan,to describe the evidence about the dynamic evolution of COVID-19 pneumonia and verify the potential usefulness of the radiological follow-up.METHODS We used pertinent keywords on PubMed to select relevant studies;the articles we considered were published until October 30,2020.Through this selection,69 studies were identified,and 16 were finally included in the review.RESULTS Summarizing the included works’findings,we identified well-defined stages in the short follow-up time frame.A radiographic deterioration reaching a peak roughly within the first 2 wk;after the peak,an absorption process and repairing signs are observed.At later radiological follow-up,with the limitation of little evidence available,the lesions usually did not recover completely.CONCLUSION Following computed tomography scan evolution over time could help physicians better understand the clinical impact of COVID-19 pneumonia and manage the possible sequelae;a longer follow-up is advisable to verify the complete resolution or the presence of long-term damage. 展开更多
关键词 COVID-19 Computed tomography PNEUMONIA Radiological evolution FOLLOW-UP long-term consequences Lung damage SARS-CoV-2
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Stock Price Forecasting with Artificial Neural Networks Long Short-Term Memory: A Bibliometric Analysis and Systematic Literature Review
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作者 Cristiane Orquisa Fantin Eli Hadad 《Journal of Computer and Communications》 2022年第12期29-50,共22页
This study maps the academic literature on Stock Price Forecasting with Long-Term Memory Artificial Neural Networks—RNA LSTM. The objective is to know if it is suitable for time series studies, especially for stock p... This study maps the academic literature on Stock Price Forecasting with Long-Term Memory Artificial Neural Networks—RNA LSTM. The objective is to know if it is suitable for time series studies, especially for stock price projection. Through bibliometric analysis and systematic literature review, it is observed that 333 authors wrote on the topic between 2018 and March 2022, and the journals Expert Systems with Applications, IEEE Access, Big Data Journal and Neural Computing and Applications, published the most relevant articles. Of the 99 articles published in this period, 43 are associated with Chinese institutions, the most cited being that of Kim and Won, who studies the volatility of returns and the market capitalization of South Korean stocks. The basis of 65% of the studies is the comparison between the RNN LSTM and other artificial neural networks. The daily closing price of shares is the most analyzed type of data, and the American (21%) and Chinese (20%) stock exchanges are the most studied. 57% of the studies include improvements to existing neural network models and 42% new projection models. 展开更多
关键词 Stock Price Forecasting long-term Memory Backpropagation Bibliometric Analysis Systematic review
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食管癌放疗病人发生放射性食管炎的影响因素及护理对策研究进展 被引量:2
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作者 刘玉静 董娟聪 范志青 《护理研究》 北大核心 2024年第2期310-314,共5页
对食管癌放疗病人放射性食管炎发生的高危因素及护理对策进行综述,旨在为食管癌放疗病人制定有效的护理方案提供借鉴。
关键词 食管癌 放疗 放射性食管炎 辐射损伤 影响因素 护理 综述
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CMC-EBC损伤耦合机理及一体化设计研究进展
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作者 方光武 谢浩元 +2 位作者 张华军 高希光 宋迎东 《无机材料学报》 SCIE EI CAS CSCD 北大核心 2024年第6期647-661,共15页
陶瓷基复合材料与环境障碍涂层组合(CMC-EBC)是目前航空航天领域最具应用前景的热结构材料体系。本文对CMC-EBC失效机理与分析模型的研究进展进行综述。首先,简要回顾了CMC-EBC材料体系的发展及主要制备工艺。然后,综述了CMC-EBC在服役... 陶瓷基复合材料与环境障碍涂层组合(CMC-EBC)是目前航空航天领域最具应用前景的热结构材料体系。本文对CMC-EBC失效机理与分析模型的研究进展进行综述。首先,简要回顾了CMC-EBC材料体系的发展及主要制备工艺。然后,综述了CMC-EBC在服役环境下的主要损伤模式与失效机理,总结发现CMC预制体结构、孔洞缺陷和EBC内裂纹等损伤演化相互影响,这种细观损伤模式的耦合是决定其寿命的关键因素之一,但目前的机理研究主要集中于涂层本身性能及其受环境因素的影响,缺乏对涂层和复合材料编制结构在损伤演化过程中协同效应的考虑。接下来,详细分析了CMC-EBC的失效模拟与预测模型研究的历史与现状,指出其中存在的问题,包括环境因素建模方法和损伤耦合演化模拟技术。目前大部分工作致力于分别开发CMC和EBC的失效模型,而对于CMC-EBC构件的失效预测应考虑其损伤演化与微观结构之间的相互耦合影响。最后,对CMC-EBC材料体系研发与服役性能预测方法进行了展望,认为CMC本体和EBC失效模式相互耦合,开展结构功能一体化设计和分析是CMC-EBC构件研究的趋势。 展开更多
关键词 陶瓷基复合材料 环境障碍涂层 损伤耦合 失效模型 一体化设计 综述
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铁死亡在肿瘤免疫中的作用研究进展 被引量:1
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作者 吉江红 刘赛 +2 位作者 廖翔 王冬青 朱海涛 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2024年第4期362-366,共5页
铁死亡(ferroptosis)是由亚铁离子和脂质过氧化物过量堆积所导致的新型细胞死亡模式,能够以自噬依赖的方式释放损伤相关分子模式,作为免疫原性细胞死亡的佐剂,激活适应性免疫和固有免疫。肿瘤细胞和免疫细胞铁死亡受多种因素的调控且相... 铁死亡(ferroptosis)是由亚铁离子和脂质过氧化物过量堆积所导致的新型细胞死亡模式,能够以自噬依赖的方式释放损伤相关分子模式,作为免疫原性细胞死亡的佐剂,激活适应性免疫和固有免疫。肿瘤细胞和免疫细胞铁死亡受多种因素的调控且相互影响,对肿瘤的发展、治疗和预后起着重要作用。文中总结了肿瘤微环境中,T细胞、巨噬细胞、中性粒细胞、 B细胞等免疫细胞与肿瘤细胞铁死亡之间的相关生物学效应。 展开更多
关键词 铁死亡 免疫原性细胞死亡 免疫细胞 损伤相关分子模式 综述
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A systematic review and meta-analysis to determine the effect of sperm DNA damage on in vitro fertilization and intracytoplasmic sperm injection outcome 被引量:43
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作者 Luke Simon Armand Zini +2 位作者 Alina Dyachenko Antonio Ciampi Douglas T Carrell 《Asian Journal of Andrology》 SCIE CAS CSCD 2017年第1期80-90,共11页
Sperm DNA damage is prevalent among infertile men and is known to influence natural reproduction. However, the impact of sperm DNA damage on assisted reproduction outcomes remains controversial. Here, we conducted a m... Sperm DNA damage is prevalent among infertile men and is known to influence natural reproduction. However, the impact of sperm DNA damage on assisted reproduction outcomes remains controversial. Here, we conducted a meta-analysis of studies on sperm DNA damage (assessed by SCSA, TUNEL, SCD, or Comet assay) and clinical pregnancy after IVF and/or ICSI treatment from MEDLINE, EMBASE, and PUBMED database searches for this analysis. We identified 41 articles (with a total of 56 studies) including 16 IVF studies, 24 ICSI studies, and 16 mixed (IVF + ICSI) studies. These studies measured DNA damage (by one of four assays: 23 SCSA, 18 TUNEL, 8 SCD, and 7 Comet) and included a total of 8068 treatment cycles (3734 IVF, 2282 ICSI, and 2052 mixed IVF + ICSI). The combined OR of 1.68 (95% Ch 1.49-1.89; P 〈 0.0001) indicates that sperm DNA damage affects clinical pregnancy following IVF and/or ICSI treatment. In addition, the combined OR estimates of IVF (16 estimates, OR = 1.65; 95% CI: 1.34-2.04; P 〈 0.0001), ICSI (24 estimates, OR = 1.31; 95% Ch 1.08-1.59; P = 0.0068), and mixed IVF + ICSI studies (16 estimates, OR = 2.37; 95% Ch 1.89-2.97; P〈 0.0001) were also statistically significant. There is sufficient evidence in the existing literature suggesting that sperm DNA damage has a negative effect on clinical pregnancy following IVF and/or ICSI treatment. 展开更多
关键词 assisted reproductive technology outcomes clinical pregnancy META-ANALYSIS sperm DNA damage systematic review
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根治性膀胱切除术后患者肾功能损害发生率及影响因素的系统评价与Meta分析
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作者 於青梅 石涛 +3 位作者 管宏雪 毛瑜俊 李召怡 杨娇 《昆明医科大学学报》 CAS 2024年第9期83-90,共8页
目的系统评价根治性膀胱切除术患者术后肾功能损害的发生率及影响因素。方法检索维普、万方、中国知网、中国生物医学文献数据库、The Cochrane Library、PubMed、Web of Science和Embase数据库中与根治性膀胱切除术患者术后肾功能损害... 目的系统评价根治性膀胱切除术患者术后肾功能损害的发生率及影响因素。方法检索维普、万方、中国知网、中国生物医学文献数据库、The Cochrane Library、PubMed、Web of Science和Embase数据库中与根治性膀胱切除术患者术后肾功能损害有关的队列研究与病例对照研究。检索时限为建库至2023年9月30日。由2名研究者按照纳入与排除标准独立进行文献筛选、文章质量评价并数据进行提取。采用Stata14.0软件对文献进行Meta分析。结果共纳入11篇文献,Meta分析显示,纳入研究的异质性较大(I^(2)=92.5%,P<0.001),基于随机效应模型得出根治性膀胱切除术后患者肾功能损害发生率为32%[95%CI(0.25,0.35),P<0.001],亚组分析显示,研究时长在5 a及其以上30%[95%CI(0.24,0.37),P<0.001]、研究地区为亚洲35%[95%CI(0.28,0.42),P<0.001]、以术后估计肾小球滤过率<45 mL/(min·1.73 m^(2))为评价肾功能损害的标准33%[95%CI(0.29,0.36),P<0.001]、队列研究39%[95%CI(0.26,0.52),P<0.001]肾功能损害发生率更高。术后发生肾功能损害的影响因素为年龄[HR=1.03,95%CI(1.02,1.04)]、高血压[HR=2.14,95%CI(1.32,3.40)]、肾积水[HR=1.89,95%CI(1.50,2.36)]、尿路感染[HR=1.35,95%CI(1.13,1.61)]和吻合口狭窄[HR=2.53,95%CI(1.77,3.61)]。结论根治性膀胱切除术后肾功能损害发生率较高,且与年龄、高血压病史、术后肾积水、尿路感染及吻合口狭窄密切相关,医护人员应加强对此类患者术后肾功能的监测,针对相关影响因素制定有效措施,以降低肾功能损害的发生率。 展开更多
关键词 肾功能损害 根治性膀胱切除术 影响因素 系统评价 META分析
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针刺治疗周围性面瘫的机制研究进展 被引量:2
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作者 梁秀雅 李融琦 +2 位作者 肖亮满 吴琬铭 黄键澎 《上海针灸杂志》 CSCD 2024年第9期951-957,共7页
周围性面瘫是针灸临床常见的神经系统疾病,表现为颜面部一侧表情肌群运动功能障碍。近年来,该病发病率呈逐年上升趋势,严重影响人类的生活质量。既往临床研究发现,针刺在周围性面瘫不同阶段的治疗中均发挥积极的作用,但其作用机制尚未... 周围性面瘫是针灸临床常见的神经系统疾病,表现为颜面部一侧表情肌群运动功能障碍。近年来,该病发病率呈逐年上升趋势,严重影响人类的生活质量。既往临床研究发现,针刺在周围性面瘫不同阶段的治疗中均发挥积极的作用,但其作用机制尚未十分明确。该文收集整理了针刺治疗周围性面瘫的相关文献,从脑功能连接、脑功能可塑性、脑偏侧性、神经营养因子、黏附分子、局部微循环、神经结构及功能等方面梳理针刺干预潜在的中枢及外周机制,以期为日后临床研究及应用提供参考依据。 展开更多
关键词 针刺疗法 面神经麻痹 周围性面瘫 功能磁共振成像 神经损伤 综述
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忧遁草对阿霉素心肌毒性抑制作用的研究
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作者 李南杏 王追汝 +2 位作者 姜子祥 李圣由 陈应奇 《中国中医药现代远程教育》 2024年第13期164-167,共4页
阿霉素(DOX)为临床常用抗肿瘤药物,具有引起心肌毒性的不良作用。忧遁草含有14种有效成分,其中多种成分均有保护心肌细胞的作用,如主要成分中含量极高的黄酮类成分,可通过抑制心肌细胞凋亡、调节氧化应激等机制发挥DOX心肌毒性抑制作用... 阿霉素(DOX)为临床常用抗肿瘤药物,具有引起心肌毒性的不良作用。忧遁草含有14种有效成分,其中多种成分均有保护心肌细胞的作用,如主要成分中含量极高的黄酮类成分,可通过抑制心肌细胞凋亡、调节氧化应激等机制发挥DOX心肌毒性抑制作用。通过整理总结并综述忧遁草有效成分和DOX心脏毒性作用机制的文献,为日后DOX用于临床治疗时减少心肌毒性提供思维方法,开拓忧遁草的应用前景。 展开更多
关键词 中药 忧遁草 阿霉素 心肌损伤 综述
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Long-Term Cumulative Damage Model of Historical Timber Member under Varying Hygrothermal Environment 被引量:2
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作者 WANG Xueliang,QU Weilian Hubei Key Laboratory of Roadway Bridge and Structure Engineering,Wuhan University of Technology,Wuhan 430070,Hubei,China 《Wuhan University Journal of Natural Sciences》 CAS 2009年第5期430-436,共7页
A long-term damage cumulative model for the duration of load effect of structural timber is proposed in this paper, which is economical in analysis as well as involving long-term hygrothermal effect. Based on the Mine... A long-term damage cumulative model for the duration of load effect of structural timber is proposed in this paper, which is economical in analysis as well as involving long-term hygrothermal effect. Based on the Miner linear damage cumulative theory, the cumulative damage model is applied to analyze the annual hygrothermal, daily cyclic thermal and daily cyclic relative humidity's effect on load-duration behavior and to calculate the sum of damage in one year. The results indicate that the annual and daily hygrothermal effect should be taken into consideration when calculating the damage accumulation, in which the influence levels from large to small are annual hygrothermal, daily relative humidity and daily thermal effect, Considering both annual and daily hygrothermal variations as external loads the long-term model is determined. Its application to service-life prediction of a historic timber structure verifies the feasibility and high-efficiency of the proposed approach. 展开更多
关键词 daily hygrothermal effect annual hygrothermal effect structural timber long-term cumulative damage model
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疏肝健脾法防治危重症患者肝功能损伤研究进展
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作者 覃莹莹 倪海滨 《中国中医药现代远程教育》 2024年第3期162-165,共4页
危重症患者常常存在器官功能的损伤,而肝脏是最易受到累及的器官之一。重症监护病房(ICU)收治的危重症患者通常都伴有肝脏功能的损伤。肝郁、脾虚是肝功能不全的重要病机,从肝、脾着手,辨证论治,以疏肝、健脾为切入点,改善危重症患者肝... 危重症患者常常存在器官功能的损伤,而肝脏是最易受到累及的器官之一。重症监护病房(ICU)收治的危重症患者通常都伴有肝脏功能的损伤。肝郁、脾虚是肝功能不全的重要病机,从肝、脾着手,辨证论治,以疏肝、健脾为切入点,改善危重症患者肝功能及临床症状,提高患者生存率。文章旨在探讨ICU患者改善肝功能的可能机制与方案,希望中西医结合疗法可为防治危重症患者肝功异常提供新的思路和方法。 展开更多
关键词 肝功能损伤 疏肝健脾法 危重症 综述
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“双碳”目标下气候变化诉讼的路径选择 被引量:1
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作者 曾德明 《行政与法》 2024年第1期27-39,共13页
气候司法是实现“双碳”目标的重要保障。基于温室气体排放影响的全球性、累积性、科学不确定性,可以推导出气候变化诉讼目的的公益性、手段的风险预防性及其诉讼路径选择的政策性。在中国现有环境司法框架中,环境侵权诉讼对气候稳定权... 气候司法是实现“双碳”目标的重要保障。基于温室气体排放影响的全球性、累积性、科学不确定性,可以推导出气候变化诉讼目的的公益性、手段的风险预防性及其诉讼路径选择的政策性。在中国现有环境司法框架中,环境侵权诉讼对气候稳定权益的公益性定位出现偏离,生态环境损害赔偿制度对于尚未造成环境污染和生态破坏的情形力所不逮。环境公益诉讼着眼于环境公益,制度初创即将“具有损害社会公共利益重大风险”的行为纳入救济范畴,是构建我国气候变化诉讼制度的适宜载体。构建中国特色的气候变化诉讼制度,还应从优化责任承担方式、贯彻风险预防原则、适度扩大受案范围等方面予以必要调适。 展开更多
关键词 气候变化诉讼 环境侵权诉讼 生态环境损害赔偿 环境公益诉讼 预防性审查
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植物伤害信号分子细胞外DNA的研究进展
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作者 高欢 杨万基 +1 位作者 王孜然 程雯丽 《中国蔬菜》 北大核心 2024年第5期33-39,共7页
在病原菌形成病变之前,植物的先天免疫系统可通过受体识别来源于病原菌的激发子或自身的内源伤害信号分子(damage-associated molecular patterns,DAMPs),并做出一系列的防御反应,从而阻断或降低病原菌的侵染。近年来的研究发现,植物细... 在病原菌形成病变之前,植物的先天免疫系统可通过受体识别来源于病原菌的激发子或自身的内源伤害信号分子(damage-associated molecular patterns,DAMPs),并做出一系列的防御反应,从而阻断或降低病原菌的侵染。近年来的研究发现,植物细胞外自身DNA片段(esDNA)作为一种DAMP,对同种植株的生长产生了抑制作用,并触发了植株自身特异性的免疫响应。本文系统地总结了esDNA的产生、作用特点、信号途径、潜在受体以及应用等方面的研究进展,以期为esDNA进一步的理论研究与农业生产应用提供参考。 展开更多
关键词 细胞外自身DNA 伤害相关分子模式 免疫 综述
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生态环境损害赔偿数额的司法确定
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作者 张印 《宁波大学学报(人文科学版)》 2024年第4期119-132,共14页
生态环境损害赔偿数额的司法确定涉及技术与法律的交叉,亟待技术治理与法律治理的协同推进。生态环境损害赔偿范围存在“五项说”“四项说”“三项说”等争议,应采取“三项说”,即生态环境修复费用、修复期间服务功能的损失以及生态环... 生态环境损害赔偿数额的司法确定涉及技术与法律的交叉,亟待技术治理与法律治理的协同推进。生态环境损害赔偿范围存在“五项说”“四项说”“三项说”等争议,应采取“三项说”,即生态环境修复费用、修复期间服务功能的损失以及生态环境功能永久性损害造成的损失,生态环境损害鉴定评估得出的数额即可完全涵盖上述赔偿项目。司法实践中,赔偿数额的确定面临过度依赖鉴定意见、价值判断缺失等困境。应明确技术评估的法律意义为教育而非遵从,由此摆脱生态环境损害赔偿数额确定的技术依赖症。采取“形式审查—实质审查—二次调控”的审查进路,将价值衡量规则引入赔偿数额的司法审查过程,以实现技术标准与法律标准的互动与融合,并将生态环境损害赔偿磋商机制拓展至诉讼过程,赋予当事人以更为广泛和实质的参与权,增强技术论辩的对抗性,进而推动环境司法审判的专业化、科学化,助力环境法治现代化。 展开更多
关键词 环境损害 赔偿数额 司法审查 鉴定意见 价值衡量
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多器官损害的结节性硬化症1例并文献复习
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作者 魏菁琳 李忠浩 +1 位作者 翟真真 刘连培 《中国医药科学》 2024年第20期191-194,共4页
结节性硬化症(TSC)是一种常染色体显性遗传性疾病,是由TSC1、TSC2基因变异所致的罕见遗传病。目前临床可查询到的病例多为受累1~2处器官损害,多器官受累的病例较为罕见。目前山东大学齐鲁医院德州医院消化内科发现1例多系统受累的TSC,... 结节性硬化症(TSC)是一种常染色体显性遗传性疾病,是由TSC1、TSC2基因变异所致的罕见遗传病。目前临床可查询到的病例多为受累1~2处器官损害,多器官受累的病例较为罕见。目前山东大学齐鲁医院德州医院消化内科发现1例多系统受累的TSC,以腹腔积液为首发症状,同时合并心、肺、肾功能不全。现对本病例进行整理报道并文献复习,加强临床认识,为本病的诊治提供依据,避免误诊误治。 展开更多
关键词 结节性硬化症 多器官损害 影像学表现 文献复习
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