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...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。展开更多
This study demonstrates the influence of the Ag^(+)/PO_(4)^(3-)ratio in precursor solution on the crystal structural formation,morphology,physical properties,and photocatalytic performance of a Ag_(3)PO_(4)photocataly...This study demonstrates the influence of the Ag^(+)/PO_(4)^(3-)ratio in precursor solution on the crystal structural formation,morphology,physical properties,and photocatalytic performance of a Ag_(3)PO_(4)photocatalyst that is fabricated,using a facile precipitation method,from AgNO_(3)and Na2HPO_(4)·12H_(2)O.The material characterizations were carried out using x-ray diffraction(XRD),scanning electron microscopy(SEM),energy-dispersive x-ray spectroscopy(EDX),Brunauer–Emmett–Teller(BET)surface area,Fourier transform infrared(FTIR)absorption,Raman scattering,x-ray photoelectron spectroscopy(XPS),UV-vis absorption,and photoluminescence(PL).The results show that Ag_(3)PO_(4)crystallizes better when the excess PO_(4)^(3-)content increases,and the lattice parameters decrease slightly,while the crystal diameter and the particle size increase.This change is also observed in the Raman scattering and FTIR spectra with the increase in the vibration frequency of the[PO_(4)]group.The compression of the[PO_(4)]unit was also confirmed in the XPS spectra with the shift of P 2p peaks toward higher binding energy.The photocatalytic results showed that the samples synthesized from excess PO_(4)^(3-)solution exhibited higher photocatalytic performance compared to the sample with a Ag^(+)/PO_(4)^(3-)ratio of 3:1.A sample prepared from the precursor solution with a Ag^(+)/PO_(4)^(3-)ratio of 3:1.5 was optimal for RhB decomposition under both visible light and natural sunlight,completely decomposing 10 ppm RhB after 15 minutes of xenon lamp irradiation and after 60 minutes under solar light irradiation.This is attributed to the high crystallinity,small particle size and low electron–hole recombination rate of the sample.展开更多
文摘目的探讨(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。
基金Project supported by a scientific and technological project at the level of Ministry of Education and Training(Grant No.B2020-MDA-11).
文摘This study demonstrates the influence of the Ag^(+)/PO_(4)^(3-)ratio in precursor solution on the crystal structural formation,morphology,physical properties,and photocatalytic performance of a Ag_(3)PO_(4)photocatalyst that is fabricated,using a facile precipitation method,from AgNO_(3)and Na2HPO_(4)·12H_(2)O.The material characterizations were carried out using x-ray diffraction(XRD),scanning electron microscopy(SEM),energy-dispersive x-ray spectroscopy(EDX),Brunauer–Emmett–Teller(BET)surface area,Fourier transform infrared(FTIR)absorption,Raman scattering,x-ray photoelectron spectroscopy(XPS),UV-vis absorption,and photoluminescence(PL).The results show that Ag_(3)PO_(4)crystallizes better when the excess PO_(4)^(3-)content increases,and the lattice parameters decrease slightly,while the crystal diameter and the particle size increase.This change is also observed in the Raman scattering and FTIR spectra with the increase in the vibration frequency of the[PO_(4)]group.The compression of the[PO_(4)]unit was also confirmed in the XPS spectra with the shift of P 2p peaks toward higher binding energy.The photocatalytic results showed that the samples synthesized from excess PO_(4)^(3-)solution exhibited higher photocatalytic performance compared to the sample with a Ag^(+)/PO_(4)^(3-)ratio of 3:1.A sample prepared from the precursor solution with a Ag^(+)/PO_(4)^(3-)ratio of 3:1.5 was optimal for RhB decomposition under both visible light and natural sunlight,completely decomposing 10 ppm RhB after 15 minutes of xenon lamp irradiation and after 60 minutes under solar light irradiation.This is attributed to the high crystallinity,small particle size and low electron–hole recombination rate of the sample.
