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Improvement of inflammatory response and gastrointestinal function in perioperative of cholelithiasis by Modified Xiao-Cheng-Qi decoction 被引量:2
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作者 Bao-Fang Sun Fan Zhang +4 位作者 Qiang-Pu Chen Qiang Wei Wen-Tao Zhu Hai-Bin Ji Xing-Yuan Zhang 《World Journal of Clinical Cases》 SCIE 2023年第4期830-843,共14页
BACKGROUND In the perioperative period of biliary surgery,various factors can induce the release of a large number of inflammatory factors,leading to an imbalance in proinflammatory and anti-inflammatory responses and... BACKGROUND In the perioperative period of biliary surgery,various factors can induce the release of a large number of inflammatory factors,leading to an imbalance in proinflammatory and anti-inflammatory responses and resulting in gastrointestinal(GI)dysfunction.Enhanced Recovery After Surgery protocols in biliary surgery have been shown to reduce the stress response and accelerate postoperative recovery.It is crucial to reduce the inflammatory response and promote the recovery of GI function after biliary surgery,both of which are the basis and key for perioperative care and postoperative recovery.AIM To better understand the effects of Modified Xiao-Cheng-Qi decoction(MXD)on inflammatory response and GI function in the perioperative management of cholelithiasis and their correlation.METHODS This was a prospective randomized placebo-controlled trial,in which 162 patients who received biliary tract surgery were randomly assigned to three groups:MXD group,XD group,and placebo-control group.The observed parameters included frequency of bowel sounds,time of first flatus and defecation,time of diet,and amount of activity after surgery.The serum levels of C-reactive protein(CRP),interleukin(IL)-6,IL-10,serum amyloid A protein(SAA),and substance P were measured by the enzyme-linked immunosorbent assay.Then,the spearman correlation coefficient was used to analyze the relationship between the indicators of GI function and inflammation.RESULTS Compared to the placebo-control,improvements in GI function were observed in the MXD groups including reduced incidence of nausea,vomiting,and bloating;and earlier first exhaust time,first defecation time,and feeding time after surgery(P<0.05).On the 1st and 2nd d after surgery,IL-6,CRP and SAA levels in MXD group were lower than that in placebo control,but substance P level was higher,compared to the control(P<0.05).Functional diarrhea occurred in both MXD and XD groups without any other adverse effects,toxic reactions,and allergic reactions.Diarrhea was relieved after the discontinuation of the investigational remedies.Bowel sounds at 12 h after surgery,the occurring time of the first flatus,first defecation,postoperative liquid diet and semiliquid diet were significantly correlated with levels of IL-6,CRP,SAA and substance P on second day after surgery(P<0.05).CONCLUSION Treatment with MXD can relieve inflammatory response and improve GI function after surgery.Moreover,there are significant correlations between them.Furthermore,it does not cause serious adverse reactions. 展开更多
关键词 Modified Xiao-cheng-qi Decoction CHOLELITHIASIS Inflammatory response Gastrointestinal function enhanced Recovery After Surgery PERIOPERATIVE
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TLR signaling that induces weak inflammatory response and SHIP1 enhances osteogenic functions 被引量:2
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作者 Manoj Muthukuru Richard P Darveau 《Bone Research》 SCIE CAS 2014年第4期218-230,共13页
Toll-like receptor (TLR)-mediated inflammatory response could negatively affect bone metabolism. In this study, we determined how osteogenesis is regulated during inflammatory responses that are downstream of TLR si... Toll-like receptor (TLR)-mediated inflammatory response could negatively affect bone metabolism. In this study, we determined how osteogenesis is regulated during inflammatory responses that are downstream of TLR signaling. Human primary osteoblasts were cultured in collagen gels. Pam3CSK4 (P3C) and Escherichia coli lipopolysaccharide (EcLPS) were used as TLR2 and TLR4 ligand respectively. Porphyromonas gingivalis LPS having TLR2 activity with either TLR4 agonism (Pg1690) or TLR4 antagonism (Pg1449) and mutant E. coli LPS (LPxE/LPxF/WSK) were used. IL-lp, SH2-containing inositol phosphatase-1 (SHIP1) that has regulatory roles in osteogenesis, alkaline phosphatase and mineralization were analyzed. 3α-Aminocholestane (3AC) was used to inhibit SHIP1. Our results suggest that osteoblasts stimulated by P3C, poorly induced IL-1β but strongly upregulated SHIP1 and enhanced osteogenic mediators. On the contrary, EcLPS significantly induced IL-1β and osteogenic mediators were not induced. While Pg1690 downmodulated osteogenic mediators, Pg1449 enhanced osteogenic responses, suggesting that TLR4 signaling annuls osteogenesis even with TLR2 activity. Interestingly, mutant E. coli LPS that induces weak inflammation upregulated osteogenesis, but SHIP1 was not induced. Moreover, inhibiting SHIP1 significantly upregulated TLR2-mediated inflammatory response and downmodulated osteogenesis. In conclusion, these results suggest that induction of weak inflammatory response through TLR2 (with SHIP1 activity) and mutant TLR4 ligands could enhance osteogenesis. 展开更多
关键词 TLR signaling that induces weak inflammatory response and SHIP1 enhances osteogenic functions SHIP FIGURE
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Response Surface Methodology-Based SERS for Determination of Gymnodimine
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作者 Siyang Chan Yaoyi Wu +2 位作者 Yifan Liu Donghang Yin Fei Wang 《American Journal of Analytical Chemistry》 2023年第8期305-325,共21页
Gymnodimine (GYM), a fast-acting marine toxin, is destructive to aquaculture and human health through contaminated shellfish. The current detection methods in GYM have definite drawbacks in operation, such as the dema... Gymnodimine (GYM), a fast-acting marine toxin, is destructive to aquaculture and human health through contaminated shellfish. The current detection methods in GYM have definite drawbacks in operation, such as the demand for delicate instruments and the consumption of time. Therefore, silver colloid was utilized as a surface-enhanced Raman scattering (SERS) desirable substrate for sensitive and rapid detection of GYM in lake and shellfish samples. The theoretical spectrum of GYM is calculated by density functional theory (DFT), and the substrate performance is evaluated by a rhodamine 6 G probe. Under the optimal SERS experimental condition calculated by the response surface methodology, the low limit of detection of 0.105 μM with R<sup>2</sup> of 0.9873 and a broad linearity range of 0.1 - 10 μM was achieved for GYM detection. In addition, the substrate was satisfyingly applied to detect gymnodimine in the lake and shellfish matrix samples with LOD as low as 0.148 μM and 0.170 μM, respectively. These results demonstrated a promising SERS platform for detecting marine toxins in seafood for food safety and pharmaceutical research. 展开更多
关键词 Surface-enhanced Raman Scattering Gymnodimine Ag Colloid Box-Behnken Design response Surface Methodology
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Combined Drought and Heat Stress in Rice: Responses, Phenotyping and Strategies to Improve Tolerance 被引量:1
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作者 Maria Vera Jesus DA COSTA Yamunarani RAMEGOWDA +3 位作者 Venkategowda RAMEGOWDA Nataraja N.KARABA Sheshshayee M.SREEMAN Makarla UDAYAKUMAR 《Rice science》 SCIE CSCD 2021年第3期233-242,共10页
Simultaneous occurrence of drought and heat stress will have significant negative impact on rice yield,especially under upland conditions.The projected increase in global temperatures and reduced precipitation will in... Simultaneous occurrence of drought and heat stress will have significant negative impact on rice yield,especially under upland conditions.The projected increase in global temperatures and reduced precipitation will increase the frequency of occurrence and intensity of these stresses,threatening rice production.Despite recognizing the importance of combined stress in rice,the knowledge generated in this area is very limited.Though complex,understanding combined stress tolerance of rice under water saving cultivation is more critical towards development of climate resilient rice cultivars.Here,we summarized the effects of combined stress on rice physiology with more emphasis on reproductive stage.Omics responses,phenotyping and physiology challenges and potential strategies for improving combined stress tolerance in rice are also discussed. 展开更多
关键词 RICE drought stress heat stress combined stress FLOWERING grain filling omics response PHENOTYPING genetic enhancement
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Hepatocellular carcinoma Liver Imaging Reporting and Data Systems treatment response assessment: Lessons learned and future directions 被引量:2
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作者 Anum Aslam Richard Kinh Gian Do +7 位作者 Avinash Kambadakone Bradley Spieler Frank H Miller Ahmed M Gabr Resmi A Charalel Charles Y Kim David C Madoff Mishal Mendiratta-Lala 《World Journal of Hepatology》 CAS 2020年第10期738-753,共16页
Hepatocellular carcinoma(HCC)is a leading cause of morbidity and mortality worldwide,with rising clinical and economic burden as incidence increases.There are a multitude of evolving treatment options,including locore... Hepatocellular carcinoma(HCC)is a leading cause of morbidity and mortality worldwide,with rising clinical and economic burden as incidence increases.There are a multitude of evolving treatment options,including locoregional therapies which can be used alone,in combination with each other,or in combination with systemic therapy.These treatment options have shown to be effective in achieving remission,controlling tumor progression,improving disease free and overall survival in patients who cannot undergo resection and providing a bridge to transplant by debulking tumor burden to downstage patients.Following locoregional therapy(LRT),it is crucial to provide treatment response assessment to guide management and liver transplant candidacy.Therefore,Liver Imaging Reporting and Data Systems(LI-RADS)Treatment Response Algorithm(TRA)was created to provide a standardized assessment of HCC following LRT.LIRADS TRA provides a step by step approach to evaluate each lesion independently for accurate tumor assessment.In this review,we provide an overview of different locoregional therapies for HCC,describe the expected post treatment imaging appearance following treatment,and review the LI-RADS TRA with guidance for its application in clinical practice.Unique to other publications,we will also review emerging literature supporting the use of LI-RADS for assessment of HCC treatment response after LRT. 展开更多
关键词 Hepatocellular carcinoma Liver Imaging Reporting and Data Systems Treatment response Algorithm Locoregional therapy Liver Imaging Reporting and Data Systems Treatment response equivocal Arterial phase hyper enhancement Stereotactic body radiotherapy
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Edaravone protects against oxygen-glucose-serum deprivation/restoration-induced apoptosis in spinal cord astrocytes by inhibiting integrated stress response 被引量:2
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作者 Bin Dai Ting Yan +7 位作者 Yi-xing Shen You-jia Xu Hai-bin Shen Dong Chen Jin-rong Wang Shuang-hua He Qi-rong Dong Ai-liang Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第2期283-289,共7页
We previously found that oxygen-glucose-serum deprivation/restoration(OGSD/R) induces apoptosis of spinal cord astrocytes, possibly via caspase-12 and the integrated stress response, which involves protein kinase R-... We previously found that oxygen-glucose-serum deprivation/restoration(OGSD/R) induces apoptosis of spinal cord astrocytes, possibly via caspase-12 and the integrated stress response, which involves protein kinase R-like endoplasmic reticulum kinase(PERK), eukaryotic initiation factor 2-alpha(eIF2α) and activating transcription factor 4(ATF4). We hypothesized that edaravone, a low molecular weight, lipophilic free radical scavenger, would reduce OGSD/R-induced apoptosis of spinal cord astrocytes. To test this, we established primary cultures of rat astrocytes, and exposed them to 8 hours/6 hours of OGSD/R with or without edaravone(0.1, 1, 10, 100 μM) treatment. We found that 100 μM of edaravone significantly suppressed astrocyte apoptosis and inhibited the release of reactive oxygen species. It also inhibited the activation of caspase-12 and caspase-3, and reduced the expression of homologous CCAAT/enhancer binding protein, phosphorylated(p)-PERK, p-eIF2α, and ATF4. These results point to a new use of an established drug in the prevention of OGSD/R-mediated spinal cord astrocyte apoptosis via the integrated stress response. 展开更多
关键词 nerve regeneration edaravone apoptosis astrocytes integrated stress response reactive oxygen species PERK eIF2α activating transcription factor 4 CCAAT/enhancer binding protein homologous protein caspase-3 caspase-12 neural regeneration
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Dynamics of host immune responses to SARS-CoV-2 被引量:1
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作者 Reza Taherkhani Sakineh Taherkhani Fatemeh Farshadpour 《World Journal of Clinical Cases》 SCIE 2021年第18期4480-4490,共11页
Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),the most recent global health threat,is spreading throughout the world with worrisome speed,and the current wave of coronavirus disease 2019(COVID-19)seems t... Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),the most recent global health threat,is spreading throughout the world with worrisome speed,and the current wave of coronavirus disease 2019(COVID-19)seems to have no mercy.While this mysterious virus challenges our ability to control viral infections,our opportunities to control the COVID-19 pandemic are gradually fading.Currently,pandemic management relies on preventive interventions.Although prevention is a good strategy to mitigate SARS-CoV-2 transmission,it still cannot be considered an absolute solution to eliminate this pandemic.Currently,developing a potent immunity against this viral infection seems to be the most promising strategy to drive down this ongoing global tragedy.However,with the emergence of new challenges in the context of immune responses to COVID-19,the road to control this devastating pandemic seems bumpier;thus,it is pivotal to characterize the dynamics of host immune responses to COVID-19,in order to develop efficient prophylactic and therapeutic tools.This begs the question of whether the effector mechanisms of the immune system are indeed potent or a possible contributing factor to developing more severe and lethal forms of COVID-19.In this review,the possible role of the immunopathologic phenomena including antibody-dependent enhancement,cytokine storm,and original antigenic sin in severity and mortality of COVID-19 will be discussed. 展开更多
关键词 SARS-CoV-2 COVID-19 Immune response Antibody-dependent enhancement Cytokine storm Original antigenic sin
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Effective Dielectric Response of Nonlinear Composites of Coated Metal Inclusions
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作者 陈国庆 吴亚敏 《Chinese Physics Letters》 SCIE CAS CSCD 2007年第6期1724-1727,共4页
The effective dielectric response of the composites in which nondilute coated metal particles are randomly embedded in a linear host is investigated. Two types of coated particles are considered, one is that the core ... The effective dielectric response of the composites in which nondilute coated metal particles are randomly embedded in a linear host is investigated. Two types of coated particles are considered, one is that the core is nonlinear, the other is that the shell is nonlinear. We derive general expressions for the effective linear dielectric function and the effective third-order nonlinear susceptibility, and take one step forward to perform numerical calculations on the coated metal/dielectric composites. Numerical results show that the effective linear and nonlinear dielectric responses can be greatly enhanced near the surface plasmon resonant frequency. Moreover, the resonant peaks are found within a range from 0.46ωp to 0.57ωp for spherical particles and from 0.59ωp to 0.70ωp for cylindrical inclusions. In the frequency region, the resonant peak can achieve the maximum, according to an optimal structural parameter and volume fraction. The resonant frequency exhibits a redshift with the increasing structural parameter k or volume fraction f or dimensionality factor D. 展开更多
关键词 AC response enhancement SURFACE SPHERES MEDIA
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Silicon-Based Grid Structure Photodiode with Selective UV Enhancement
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作者 WANGYing CHENBing-ruo LIUYu-ping 《Wuhan University Journal of Natural Sciences》 EI CAS 2005年第3期529-533,共5页
Aiming at boosting the low ultraviolet (UV)re-sponsivity induced by thenegative impact of the surface 'dead layer' in silicon-based conventional photodiode (CPD), Siphotodiodes with five different structures, ... Aiming at boosting the low ultraviolet (UV)re-sponsivity induced by thenegative impact of the surface 'dead layer' in silicon-based conventional photodiode (CPD), Siphotodiodes with five different structures, including both the novel grid structurephotodiode(GSPD)and CPD, have been manufactured using thermal diffusion process and tested. The results show thatthe UV responsivity around 365 nm of GSPD could be as high as 6 times that of CPD, while the highvisible (VIS) responsivity is sharply suppressed by the employment of grid shaped junction (GSJ) inthe GSPD, which has realized the expectation of selective UV enhancement with prospect forapplication. 展开更多
关键词 responsIVITY selective ultraviolet enhancement grid-shaped junction silicon ultraviolet photodiode
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Application of Monodisperse Thermo-Responsive Composite Microgels with Core-Shell Structure Based on Au@Ag Bimetallic Nanorod as Core in Surface Enhanced Raman Spectroscopy Substrate 被引量:1
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作者 董旭 陈思远 査刘生 《Journal of Donghua University(English Edition)》 EI CAS 2016年第1期112-116,共5页
The monodisperse Au@Ag bimetallic nanorod is encapsulated by crosslinked poly( N-isopropylacrylamide)( PNIPAM) to produce thermo-responsive composite microgel with well-defined core-shell structure( Au@ Ag NR@ PNIPAM ... The monodisperse Au@Ag bimetallic nanorod is encapsulated by crosslinked poly( N-isopropylacrylamide)( PNIPAM) to produce thermo-responsive composite microgel with well-defined core-shell structure( Au@ Ag NR@ PNIPAM microgel)by seed-precipitation polymerization method using butenoic acid modified Au @ Ag NRs as seeds. When the temperature of the aqueous medium increases from 20℃ to 50℃,the localized surface plasmon resonance( LSPR) band of the entrapped Au @ Ag NR is pronouncedly red-shifted because of the decreased spatial distances between them as a result of shrinkage of the microgels,leading to their plasmonic coupling. The temperature tunable plasmonic coupling is demonstrated by temperature dependence of the surface enhanced Raman spectroscopy( SERS) signal of 1-naphthol in aqueous solution. Different from static plasmonic coupling modes from nanostructured assembly or array system of noble metals,the proposed plasmonic coupling can be dynamically controlled by environmental temperature. Therefore, the thermo responsive hybrid microgels have potential applications in mobile LSPR or SERS microsensors for living tissues or cells. 展开更多
关键词 smart composite microgels core-shell structure Au@Ag bimetallic nanorods thermo-responsiveness surface enhanced Raman spectroscopy(SERS)
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宽波段响应硅雪崩光电探测器研究
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作者 彭红玲 卫家奇 +6 位作者 宋春旭 王天财 曹澎 陈剑 邓杰 ZHUANG Qian-Dong 郑婉华 《红外与毫米波学报》 SCIE EI CAS CSCD 北大核心 2024年第4期464-471,共8页
本文基于目前对宽波段探测器的应用需求,设计了一种在250~1100 nm范围有较高响应的硅雪崩光电探测器(Si APD),不需要拼接即可实现紫外-可见-近红外波段光的高效探测。分别对硅的紫外增强和(近)红外增强进行了分析,在此基础上,为获得宽... 本文基于目前对宽波段探测器的应用需求,设计了一种在250~1100 nm范围有较高响应的硅雪崩光电探测器(Si APD),不需要拼接即可实现紫外-可见-近红外波段光的高效探测。分别对硅的紫外增强和(近)红外增强进行了分析,在此基础上,为获得宽波段响应Si APD,对器件结构进行模拟设计,采用光背入射等方式,提高短波吸收,同时保证近红外吸收。模拟优化的Si APD器件峰值波长940 nm左右,在250 nm和1100 nm处响应光电流均超过峰值的15%,这种结构的器件适用于多光谱及未来高精度探测等应用领域。 展开更多
关键词 硅雪崩光电探测器 宽波段响应探测器 紫外增强 近红外增强
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响应面法优化芷江鸭美拉德风味增益工艺
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作者 杨慧 魏颖娟 +5 位作者 付复华 张帆 康克浪 李志坚 彭珍 于美娟 《Agricultural Science & Technology》 CAS 2024年第1期38-45,共8页
为优化芷江鸭休闲产品的风味,以芷江鸭鸭胸肉为原料,耦合原位美拉德反应,在工艺耦合位点、美拉德反应体系基料种类及添加量的单因素试验的基础上采用响应面设计,以反应体系吸光度为指标,对其工艺参数进行优化。结果表明原位美拉德风味... 为优化芷江鸭休闲产品的风味,以芷江鸭鸭胸肉为原料,耦合原位美拉德反应,在工艺耦合位点、美拉德反应体系基料种类及添加量的单因素试验的基础上采用响应面设计,以反应体系吸光度为指标,对其工艺参数进行优化。结果表明原位美拉德风味增益的最佳工艺条件为:蛋氨酸0.06%,半胱氨酸0.07%,木糖0.4%,最佳耦合位点为炒制。此条件下美拉德反应体系吸光值为0.783,验证实际吸光值为0.780,感官综合评分可达89.65分。 展开更多
关键词 芷江鸭 美拉德反应 响应面 风味增益
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EZH2调控卵巢癌细胞生物学行为的机制研究
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作者 朱玲 王科 +3 位作者 赵峰 李思齐 王书奎 邵启祥 《临床检验杂志》 CAS 2024年第7期542-547,共6页
目的探讨组蛋白甲基化转移酶Zeste同源物增强子2(enhancer of zeste homolog 2,EZH2)调控卵巢癌(ovarian cancer,OC)生物学行为的机制,为寻找OC治疗的新靶点提供实验支持。方法采用EZH2小干扰RNA(small interfered RNA,siRNA)在不同OC... 目的探讨组蛋白甲基化转移酶Zeste同源物增强子2(enhancer of zeste homolog 2,EZH2)调控卵巢癌(ovarian cancer,OC)生物学行为的机制,为寻找OC治疗的新靶点提供实验支持。方法采用EZH2小干扰RNA(small interfered RNA,siRNA)在不同OC细胞系中敲减EZH2,并使用qRT-PCR、Western blot分析干扰siEZH2 mRNA和蛋白质的效率。进一步采用CCK-8法、细胞划痕试验、Transwell试验以及流式细胞术检测干扰EZH2后对OC细胞增殖、迁移及侵袭能力和凋亡水平等生物学行为的影响。采用Western blot分析干扰EZH2后,早期生长反应因子1(early growth response 1,EGR1)和H3K27me3蛋白的表达水平,并分析EZH2调控OC细胞生物学行为的机制。结果转染siEZH2后,OC细胞系中EZH2 mRNA的表达水平显著低于阴性对照组,差异有统计学意义(P<0.05),且A2780细胞中EZH2蛋白的表达水平亦明显下调(P<0.05)。Western blot检测结果表明,EGR1以及H3K27me3蛋白水平出现了不同程度地降低。转染siEZH2-1后,转染组A2780细胞的增殖能力显著低于阴性对照组(P<0.05);细胞划痕试验和Transwell试验结果显示,转染siEZH2-1后细胞的迁移和侵袭能力显著减弱(P<0.05);流式细胞术结果显示,转染siEZH2-1后细胞凋亡水平显著增强(P<0.05)。结论EZH2在OC细胞系中高表达,并促进A2780细胞的增殖、迁移、侵袭和抗凋亡。但EZH2并非通过其H3K27me3转移酶功能调控EGR1的表达而调控影响OC的生物学行为。 展开更多
关键词 卵巢癌 组蛋白甲基化转移酶Zeste同源物增强子2 早期生长反应因子1
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多模态超声对浸润性乳腺癌新辅助化疗后腋窝淋巴结病理完全缓解的预测价值
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作者 林文金 林振湖 +3 位作者 梁荣喜 陈聪 林礼务 薛恩生 《福建医科大学学报》 2024年第2期101-108,共8页
目的探讨多模态超声对浸润性乳腺癌患者新辅助化疗(NAC)后转移性腋窝淋巴结病理完全缓解(pCR)的预测价值。方法选取行腋窝淋巴结常规超声、经皮超声造影(pCEUS)和剪切波弹性成像(SWE)检查的NAC前临床N 1期乳腺癌患者148例,其中训练集112... 目的探讨多模态超声对浸润性乳腺癌患者新辅助化疗(NAC)后转移性腋窝淋巴结病理完全缓解(pCR)的预测价值。方法选取行腋窝淋巴结常规超声、经皮超声造影(pCEUS)和剪切波弹性成像(SWE)检查的NAC前临床N 1期乳腺癌患者148例,其中训练集112例,测试集36例。以腋窝淋巴结清扫术后病理结果为“金标准”,分为腋窝淋巴结pCR组和腋窝淋巴结病理未完全缓解(npCR)组,比较2组乳腺癌患者原发灶T分期、分子分型、腋窝淋巴结短径、长径/短径比、淋巴门结构、实质厚度、实质回声、边界、彩色多普勒超声(CDFI)血流类型、淋巴结造影增强模式、淋巴管连续性、淋巴结平均弹性模量(E mean)、最大弹性模量(E_(max))、最小弹性模量(E _(min))、标准差(SD)和弹性模量比值比(E _(ratio))等相关因素的差异,筛选出与腋窝淋巴结pCR相关的独立影响因素,构建logistic回归模型。在测试集中采用受试者工作特征(ROC)曲线、Hosmer-Lemeshow拟合优度检验、校准曲线和决策曲线综合评价模型的预测性能。结果训练集112例患者中,腋窝淋巴结pCR组49例,npCR组63例。单因素分析结果提示,腋窝淋巴结pCR组与npCR组的乳腺癌分子分型、淋巴结门结构、实质厚度、E mean、E_(max)、E _(min)、SD、E _(ratio)、造影增强类型和淋巴管连续性比较,差别有统计学意义(P<0.05)。多因素分析结果提示,乳腺癌HER2+型、淋巴结实质厚度≤0.38 cm、E_(max)<10.0 kPa、造影呈均匀/环形增强为腋窝淋巴结pCR的保护因素(P<0.05)。以多模态超声指标构建腋窝淋巴结pCR回归模型,预测模型的曲线下面积为0.831(95%CI:0.749~0.923,P<0.05),灵敏度为87.8%,特异度为70.9%。Hosmer-Lemeshow拟合优度检验、校准曲线和决策曲线结果表明,该预测模型在准确性、区分度、校准度和临床获益各方面的性能较好。结论多模态超声可有效识别NAC后腋窝淋巴结pCR病例,为临床N 1期乳腺癌患者NAC后腋窝淋巴结手术方式的选择提供影像学依据。 展开更多
关键词 多模态超声 腋窝淋巴结 病理完全缓解 经皮超声造影 剪切波弹性成像
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经直肠超声造影评估前列腺癌新辅助内分泌治疗反应的价值
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作者 赵云歆 张贝 +5 位作者 王晓莲 周诗卉 蔡秋琼 康慧莉 孙剑 姚广力 《肿瘤影像学》 2024年第3期315-322,共8页
目的:探讨经直肠超声造影(contrast-enhanced transrectal ultrasound)时间-强度曲线(time-intensity curve,TIC)参数评估前列腺癌(prostate cancer,PCa)患者对新辅助内分泌治疗(neoadjuvant hormonal therapy,NHT)的反应程度。方法:纳... 目的:探讨经直肠超声造影(contrast-enhanced transrectal ultrasound)时间-强度曲线(time-intensity curve,TIC)参数评估前列腺癌(prostate cancer,PCa)患者对新辅助内分泌治疗(neoadjuvant hormonal therapy,NHT)的反应程度。方法:纳入27例接受NHT的PCa患者的临床资料,根据术后病理学检查结果分为有效组(n=16)和无效组(n=11)。对比两组患者临床病理学特征、治疗前后血清前列腺特异性抗原(prostate-specific antigen,PSA)和CETRUS检查指标及其变化率,以筛选与NHT反应性有关的潜在指标。进一步采用相关性分析评价其在评估患者对NHT反应方面的价值。结果:有效组和无效组在临床病理学特征、治疗前的血清PSA和C E T R U S检查指标方面的差异无统计学意义(均P>0.05)。治疗后,仅有效组的TIC曲线下面积(area under curve,AUC)低于无效组(560 dB·s vs 710 dB·s),其变化率大于无效组(-27.1%vs-5.3%)(均P<0.05)。相关性分析显示AUC变化率与组织学反应评分之间的相关性略高于治疗后AUC(r为-0.690 vs-0.630)。结论:CETRUS TIC参数中,NHT后的AUC及其变化率在评估PCa患者对NHT反应方面具有较好的价值。其中,AUC变化率可能与治疗反应程度更相关。 展开更多
关键词 前列腺癌 新辅助内分泌治疗 经直肠超声造影 时间-强度曲线 前列腺特异性抗原 治疗反应
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融合选择性稀疏采样的细粒度图像分类
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作者 孙红 陈玉娟 宋冬豪 《小型微型计算机系统》 CSCD 北大核心 2024年第6期1460-1465,共6页
常用的细粒度分类方法通过提取局部信息学习细粒度特征,容易忽视周围环境因素影响问题,造成分类精度下降.针对这一问题提出了一个简单有效的框架,称为选择性稀疏采样.通过类峰值响应产生稀疏注意定位有信息的对象部分,根据图像内容选择... 常用的细粒度分类方法通过提取局部信息学习细粒度特征,容易忽视周围环境因素影响问题,造成分类精度下降.针对这一问题提出了一个简单有效的框架,称为选择性稀疏采样.通过类峰值响应产生稀疏注意定位有信息的对象部分,根据图像内容选择动态数量的稀疏注意,生成判别性和补充性两个分支进行视觉表示,使得特征部分和全局信息相辅相成.对于容易产生混淆的部分,引入了一个“梯度增强”损失,只关注每个样本的混淆类,为补充性分支提供更多的细节特征.通过实验结果表明,该方法在常用数据集的基准测试中分别达到了88.6%,92.8%和94.8%的精确度,验证了该方法的有效性. 展开更多
关键词 细粒度图像分类 选择稀疏采样 类峰值响应 梯度增强 卷积神经网络
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致密油气窜波及控制体系适用性评价
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作者 李俊键 席艺霖 +1 位作者 张媌 臧传贞 《新疆石油天然气》 CAS 2024年第1期68-76,共9页
我国致密油藏分布广泛,储量占比大,开发潜力巨大。此类油藏目前注气开发较多,基质渗透率、孔隙度均较低,油气流动通道主要为裂缝。但油藏裂缝跨尺度发育,受储层非均质性和黏性指进的影响,注气提高采收率技术受限,在裂缝及高渗条带存在... 我国致密油藏分布广泛,储量占比大,开发潜力巨大。此类油藏目前注气开发较多,基质渗透率、孔隙度均较低,油气流动通道主要为裂缝。但油藏裂缝跨尺度发育,受储层非均质性和黏性指进的影响,注气提高采收率技术受限,在裂缝及高渗条带存在时易形成气窜,对地层能量补充带来了诸多问题。选择泡沫和CO_(2)响应性凝胶配制气窜波及控制体系,并通过物理实验模拟评价其性能和在致密油藏的适用性;利用商业数值模拟软件表征CO_(2)注气吞吐及地下成胶反应。经过对国内某致密油藏的数值模拟研究,证明CO_(2)响应性凝胶对注气吞吐有明显的增产效果,采收率增加3.1%,验证了CO_(2)响应性凝胶体系在致密油藏开发中具有良好的应用前景。 展开更多
关键词 致密油藏 气窜 裂缝 CO_(2)响应性凝胶 提高采收率 注气吞吐
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基于加速康复外科理念的护理干预在腹腔镜胆囊切除术患者围手术期的应用效果 被引量:3
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作者 烟晓丽 姚利 +1 位作者 杨翔 刘海平 《中国医药导报》 CAS 2024年第8期166-170,共5页
目的 探讨基于加速康复外科(ERAS)理念的护理干预在腹腔镜胆囊切除术(LC)患者围手术期的应用效果。方法 选取2021年1月至2022年3月河北省邯郸市中心医院接受LC治疗的100例患者为研究对象,采用随机数字表法将其分为常规组和干预组,各50... 目的 探讨基于加速康复外科(ERAS)理念的护理干预在腹腔镜胆囊切除术(LC)患者围手术期的应用效果。方法 选取2021年1月至2022年3月河北省邯郸市中心医院接受LC治疗的100例患者为研究对象,采用随机数字表法将其分为常规组和干预组,各50例。常规组实施常规围手术期护理,干预组在常规组的基础上行ERAS理念下围手术期护理。观察并比较两组应激反应指标水平变化、术后疼痛程度、并发症发生情况及患者术后康复速度。结果 术后24 h,两组皮质醇、肾上腺素水平均高于术前1 h,且干预组术前1 h、术后24 h时指标水平低于常规组,差异有统计学意义(P<0.05);干预组术后视觉模拟评分法评分、并发症总发生率低于常规组,差异有统计学意义(P<0.05);干预组术后首次下床、肛门首次排气、首次排便、停止输液及住院时间均短于常规组,差异有统计学意义(P<0.05)。结论 基于ERAS理念围手术期干预模式用于LC治疗患者,可避免患者出现强烈应激反应,缓解疼痛感,预防并发症发生,缩短患者术后康复时间。 展开更多
关键词 腹腔镜胆囊切除术 围手术期护理 快速康复理念 应激反应 疼痛
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基于ERAS理念的家庭参与式护理对斜视患儿术后恢复的影响 被引量:1
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作者 倪晓丽 毛盼 张楠楠 《海南医学》 CAS 2024年第1期139-142,共4页
目的探讨基于加速康复外科(ERAS)理念的家庭参与式护理对斜视患儿术后恢复的影响。方法选择2022年7月至2023年1月郑州大学第一附属医院河医院区收治的200例斜视患儿为研究对象,按随机数表法将患儿分为观察组和对照组,每组各100例。对照... 目的探讨基于加速康复外科(ERAS)理念的家庭参与式护理对斜视患儿术后恢复的影响。方法选择2022年7月至2023年1月郑州大学第一附属医院河医院区收治的200例斜视患儿为研究对象,按随机数表法将患儿分为观察组和对照组,每组各100例。对照组患儿给予常规护理,观察组患儿接受基于ERAS理念的家庭参与式护理,均连续护理3个月。比较两组患儿护理前及护理3个月后的视力、视觉模拟疼痛评分(VAS)、应激反应(收缩压、舒张压、心率),采用生活质量简表(SF-36)评估两组患儿护理前及护理3个月后的生活质量变化,并统计两组患儿的并发症发生情况。结果护理前,两组患儿的视力、VAS评分比较差异均无统计学意义;护理后,两组患儿的视力均显著升高,且观察组患儿的视力为0.98±0.16,明显高于对照组的0.76±0.14,而VAS评分均显著降低,且观察组患儿的VAS评分为(3.71±0.59)分,明显低于对照组的(4.89±0.62)分,差异均有统计学意义(P<0.05);护理前,两组患儿的应激反应指标比较差异均无统计学意义;护理后,两组患儿的舒张压、收缩压、心率均显著升高,但观察组患儿的舒张压、收缩压、心率分别为(95.10±4.19)mm Hg、(108.31±7.12)mm Hg、(109.45±5.93)次/min,明显低于对照组的(99.57±5.01)mm Hg、(121.45±6.09)mm Hg、(130.47±6.73)次/min,差异均有统计学意义(P<0.05);护理前,两组患儿的生理功能、生理职能、情感职能、精神健康评分比较差异均无统计学意义;护理后,两组患儿的上述指标均显著升高,且观察组分别为(72.09±4.18)分、(73.09±5.09)分、(70.19±5.29)分、(71.28±4.29)分,明显高于对照组的(63.29±4.21)分、(64.28±4.98)分、(63.28±4.87)分、(63.09±4.19)分,差异均有统计学意义(P<0.05);观察组患儿的并发症总发生率为6.00%,明显低于对照组的18.00%,差异有统计学意义(P<0.05)。结论基于ERAS理念的家庭参与式护理可促进斜视患儿术后视力恢复,缓解疼痛及应激反应,提高患儿生活质量,降低并发症,安全性高,值得临床推广运用。 展开更多
关键词 斜视 加速康复外科理念 家庭参与式护理 视力 生活质量 应激反应 并发症
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pH响应型壳聚糖/表面活性剂体系构筑及其提高采收率效果研究
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作者 吴海荣 苟聪博 +3 位作者 张志琦 刘怀珠 杨红斌 侯吉瑞 《当代化工》 CAS 2024年第3期620-630,659,共12页
壳聚糖分子本身具有大量的亲水位点(氨基),但仅含有少量的疏水位点(乙酰氨基)。同时,由于疏水基团的随机排布所产生的空间位阻,进一步减弱了其在油水界面吸附的能力。表面活性剂与壳聚糖分子之间能够形成混合吸附层,增大了界面膜强度,... 壳聚糖分子本身具有大量的亲水位点(氨基),但仅含有少量的疏水位点(乙酰氨基)。同时,由于疏水基团的随机排布所产生的空间位阻,进一步减弱了其在油水界面吸附的能力。表面活性剂与壳聚糖分子之间能够形成混合吸附层,增大了界面膜强度,减缓液滴之间的聚并,进而协同增强乳状液的稳定性,提高了乳状液的耐温耐盐性能。将阴离子表面活性剂SDS和两性离子表面活性剂BS12与壳聚糖进行复配。通过水溶液分散体系稳定性及油水界面张力等因素对复配比例进行优化筛选,构筑出壳聚糖/表面活性剂的pH响应乳状液增效体系。借助动态光散射(DLS)、静态多重光散射(S-MLS)、界面张力及SEM等表征手段,研究了壳聚糖/表面活性剂复配体系及其形成的乳状液的pH响应行为,进而探明了壳聚糖与表面活性剂分子之间的协同增效作用机理。结果表明:壳聚糖/BS12展示出pH响应性能,兼具良好的提高采收率效果,为刺激响应型驱油体系的开发与应用提供了理论指导。 展开更多
关键词 壳聚糖 表面活性剂 PH响应 乳状液 提高采收率
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