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Repeatability,interocular correlation and agreement of optic nerve head vessel density in healthy eyes:a sweptsource optical coherence tomographic angiography study
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作者 Dan-Qi Fang Da-Wei Yang +2 位作者 Xiao-Ting Mai Carol Y Cheung Hao-Yu Chen 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第5期896-903,共8页
AIM:To assess the repeatability,interocular correlation,and agreement of quantitative swept-source optical coherence tomography angiography(OCTA)optic nerve head(ONH)parameters in healthy subjects.METHODS:Thir ty-thre... AIM:To assess the repeatability,interocular correlation,and agreement of quantitative swept-source optical coherence tomography angiography(OCTA)optic nerve head(ONH)parameters in healthy subjects.METHODS:Thir ty-three healthy subjects were enrolled.The ONH of both eyes were imaged four times by a swept-source-OCTA using a 3 mm×3 mm scanning protocol.Images of the radial peripapillary capillary were analyzed by a customized Matlab program,and the vessel density,fractal dimension,and vessel diameter index were measured.The repeatability of the four scans was determined by the intraclass correlation coefficient(ICC).The most well-centered optic disc from the four repeated scans was then selected for the interocular correlation and agreement analysis using the Pearson correlation coefficient,ICC and Bland-Altman plots.RESULTS:All swept-source-OCTA ONH parameters exhibited certain repeatability,with ICC>0.760 and coefficient of variation(CoV)≤7.301%.The obvious interocular correlation was observed for papillary vessel density(ICC=0.857),vessel diameter index(ICC=0.857)and fractal dimension(ICC=0.906),while circumpapillary vessel density exhibited moderate interocular correlation(ICC=0.687).Bland-Altman plots revealed an agreement range of-5.26%to 6.21%for circumpapillary vessel density.CONCLUSION:OCTA ONH parameters demonstrate good repeatability in healthy subjects.The interocular correlations of papillary vessel density,fractal dimension and vessel diameter index are high,but the correlation for circumpapillary vessel density is moderate. 展开更多
关键词 interocular correlation repeatability optic nerve head optical coherence tomography angiography vessel density
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Comparative analyses of mitogenomes in the social bees with insights into evolution of long inverted repeats in the Meliponini
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作者 Yu-Ran Li Zheng-Wei Wang +1 位作者 Richard T.Corlett Wen-Bin Yu 《Zoological Research》 SCIE CSCD 2024年第1期160-175,共16页
The insect mitogenome is typically a compact circular molecule with highly conserved gene contents.Nonetheless,mitogenome structural variations have been reported in specific taxa,and gene rearrangements,usually the t... The insect mitogenome is typically a compact circular molecule with highly conserved gene contents.Nonetheless,mitogenome structural variations have been reported in specific taxa,and gene rearrangements,usually the tRNAs,occur in different lineages.Because synapomorphies of mitogenome organizations can provide information for phylogenetic inferences,comparative analyses of mitogenomes have been given increasing attention.However,most studies use a very few species to represent the whole genus,tribe,family,or even order,overlooking potential variations at lower taxonomic levels,which might lead to some incorrect inferences.To provide new insights into mitogenome organizations and their implications for phylogenetic inference,this study conducted comparative analyses for mitogenomes of three social bee tribes(Meliponini,Bombini,and Apini)based on the phylogenetic framework with denser taxonomic sampling at the species and population levels.Comparative analyses revealed that mitogenomes of Apini and Bombini are the typical type,while those of Meliponini show diverse variations in mitogenome sizes and organizations.Large inverted repeats(IRs)cause significant gene rearrangements of protein coding genes(PCGs)and rRNAs in Indo-Malay/Australian stingless bee species.Molecular evolution analyses showed that the lineage with IRs have lower dN/dS ratios for PCGs than lineages without IRs,indicating potential effects of IRs on the evolution of mitochondrial genes.The finding of IRs and different patterns of gene rearrangements suggested that Meliponini is a hotspot in mitogenome evolution.Unlike conserved PCGs and rRNAs whose rearrangements were found only in the mentioned lineages within Meliponini,tRNA rearrangements are common across all three tribes of social bees,and are significant even at the species level,indicating that comprehensive sampling is needed to fully understand the patterns of tRNA rearrangements,and their implications for phylogenetic inference. 展开更多
关键词 Social bees PHYLOGENY Mitogenome structure Gene rearrangement Inverted repeats
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Changes in macrophage infiltration and podocyte injury in lupus nephritis patients with repeated renal biopsy: Report of three cases
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作者 Shi-Yuan Liu Hao Chen +8 位作者 Li-Jia He Chun-Kai Huang Pu Wang Zhang-Ru Rui Jue Wu Yang Yuan Yue Zhang Wen-Ju Wang Xiao-Dan Wang 《World Journal of Clinical Cases》 SCIE 2024年第1期188-195,共8页
BACKGROUND In this study,we retrospectively analysed macrophage infiltration and podocyte injury in three patients with diffuse proliferative lupus nephritis(LN)who un-derwent repeated renal biopsy.CASE SUMMARY Clinic... BACKGROUND In this study,we retrospectively analysed macrophage infiltration and podocyte injury in three patients with diffuse proliferative lupus nephritis(LN)who un-derwent repeated renal biopsy.CASE SUMMARY Clinical data of three diffuse proliferative LN patients with different pathological characteristics(case 1 was LN IV-G(A),case 2 was LN IV-G(A)+V,and case 3 was LN IV-G(A)+thrombotic microangiopathy)were reviewed.All patients underwent repeated renal biopsies 6 mo later,and renal biopsy specimens were studied.Macrophage infiltration was assessed by CD68 expression detected by immunohistochemical staining,and an immunofluorescence assay was used to detect podocin expression to assess podocyte damage.After treatment,Case 1 changed to LN III-(A),Case 2 remained as type V LN lesions,and Case 3,which changed to LN IV-S(A),had the worst prognosis.We observed reduced macro-phage infiltration after therapy.However,two of the patients with active lesions after treatment still showed macrophage infiltration in the renal interstitium.Before treatment,the three patients showed discontinuous expression of podocin.Notably,the integrity of podocin was restored after treatment in Case 1.CONCLUSION It may be possible to reverse podocyte damage and decrease the infiltrating ma-crophages in LN patients through effective treatment. 展开更多
关键词 Lupus nephritis MACrOPHAGE PODOCYTE repeat renal biopsy Thrombotic microangiopathy Case report
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Toward understanding the role of genomic repeat elements in neurodegenerative diseases
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作者 Zhengyu An Aidi Jiang Jingqi Chen 《Neural Regeneration Research》 SCIE CAS 2025年第3期646-659,共14页
Neurodegenerative diseases cause great medical and economic burdens for both patients and society;however, the complex molecular mechanisms thereof are not yet well understood. With the development of high-coverage se... Neurodegenerative diseases cause great medical and economic burdens for both patients and society;however, the complex molecular mechanisms thereof are not yet well understood. With the development of high-coverage sequencing technology, researchers have started to notice that genomic repeat regions, previously neglected in search of disease culprits, are active contributors to multiple neurodegenerative diseases. In this review, we describe the association between repeat element variants and multiple degenerative diseases through genome-wide association studies and targeted sequencing. We discuss the identification of disease-relevant repeat element variants, further powered by the advancement of long-read sequencing technologies and their related tools, and summarize recent findings in the molecular mechanisms of repeat element variants in brain degeneration, such as those causing transcriptional silencing or RNA-mediated gain of toxic function. Furthermore, we describe how in silico predictions using innovative computational models, such as deep learning language models, could enhance and accelerate our understanding of the functional impact of repeat element variants. Finally, we discuss future directions to advance current findings for a better understanding of neurodegenerative diseases and the clinical applications of genomic repeat elements. 展开更多
关键词 Alzheimer's disease ATAXIA deep learning long-read sequencing NEUrODEGENErATION neurodegenerative diseases Parkinson's disease repeat element structural variant
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GATA binding protein 2 mediated ankyrin repeat domain containing 26 high expression in myeloid-derived cell lines
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作者 Yang-Zhou Jiang Lan-Yue Hu +11 位作者 Mao-Shan Chen Xiao-Jie Wang Cheng-Ning Tan Pei-Pei Xue Teng Yu Xiao-Yan He Li-Xin Xiang Yan-Ni Xiao Xiao-Liang Li Qian Ran Zhong-Jun Li Li Chen 《World Journal of Stem Cells》 SCIE 2024年第5期538-550,共13页
BACKGROUND Thrombocytopenia 2,an autosomal dominant inherited disease characterized by moderate thrombocytopenia,predisposition to myeloid malignancies and normal platelet size and function,can be caused by 5’-untran... BACKGROUND Thrombocytopenia 2,an autosomal dominant inherited disease characterized by moderate thrombocytopenia,predisposition to myeloid malignancies and normal platelet size and function,can be caused by 5’-untranslated region(UTR)point mutations in ankyrin repeat domain containing 26(ANKRD26).Runt related transcription factor 1(RUNX1)and friend leukemia integration 1(FLI1)have been identified as negative regulators of ANKRD26.However,the positive regulators of ANKRD26 are still unknown.AIM To prove the positive regulatory effect of GATA binding protein 2(GATA2)on ANKRD26 transcription.METHODS Human induced pluripotent stem cells derived from bone marrow(hiPSC-BM)INTRODUCTION Ankyrin repeat domain containing protein 26(ANKRD26)acts as a regulator of adipogenesis and is involved in the regulation of feeding behavior[1-3].The ANKRD26 gene is located on chromosome 10 and shares regions of homology with the primate-specific gene family POTE.According to the Human Protein Atlas database,the ANKRD26 protein is localized to the Golgi apparatus and vesicles,and its expression can be detected in nearly all human tissues[4].Moreover,UniProt annotation revealed that ANKRD26 is localized in the centrosome and contains coiled-coil domains formed by spectrin helices and ankyrin repeats[5,6].The most common disease related to ANKRD26 is thrombocytopenia 2(THC2),which is a rare autosomal dominant inherited disease characterized by lifelong mild-to-moderate thrombocytopenia and mild bleeding[7-9].Caused by the variants in the 5’-untranslated region(UTR)of ANKRD26,THC2 is defined by a decrease in the number of platelets in circulating blood and results in increased bleeding and decreased clotting ability[8,10].Due to the point mutations that occur in the 5’-UTR of ANKRD26,its negative transcription factors(TFs),Runt related transcription factor 1(RUNX1)and friend leukemia integration 1(FLI1),lose their repression effect[11].The persistent expression of ANKRD26 increases the activity of the mitogen activated protein kinase and extracellular signal regulated kinase 1/2 signaling pathways,which are potentially involved in the regulation of thrombopoietin-dependent signaling and further impair proplatelet formation by megakaryocytes(MKs)[11].However,the positive regulators of ANKRD26,which might be associated with THC2 pathology,are still unknown. 展开更多
关键词 Ankyrin repeat domain containing 26 GATA binding protein 2 Thrombocytopenia 2 Transcriptional regulation Myeloid-derived cell lines
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DNA Tandem Repeats as Iterable Objects to Count Cell Divisions: A Computational Model
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作者 Marco Franco Giulio Regolini 《Advances in Bioscience and Biotechnology》 CAS 2024年第4期207-234,共28页
Cell lineages of nematodes are completely known: the adult male of Caenorhabditis elegans contains 1031 somatic cells, the hermaphrodite 959, not one more, not one less;cell divisions are strictly deterministic (as in... Cell lineages of nematodes are completely known: the adult male of Caenorhabditis elegans contains 1031 somatic cells, the hermaphrodite 959, not one more, not one less;cell divisions are strictly deterministic (as in the great majority of invertebrates) but so far nothing is known about the mechanism used by cells to count precise numbers of divisions. In vertebrates, each species has its invariable deterministic numbers of somites, vertebrae, fingers, and teeth: counting the number of iterations is a widespread process in living beings;nonetheless, it remains an unanswered question and a great challenge in cell biology. This paper introduces a computational model to investigate the possible role of satellite DNA in counting cell divisions, showing how cells may operate under Boolean logic algebra. Satellite DNA, made up of repeated monomers and subject to high epigenetic methylation rates, is very similar to iterable sequences used in programming: just like in the “iteration protocol” of algorithms, the epigenetic machinery may run over linear tandem repeats (that hold cell-fate data), read and orderly mark one monomer per cell-cycle (cytosine methylation), keep track and transmit marks to descendant cells, sending information to cell-cycle regulators. 展开更多
关键词 Satellite DNA Tandem-repeats EPIGENETICS
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Migration routes of the endangered Oriental Stork(Ciconia boyciana)from Xingkai Lake,China,and their repeatability as revealed by GPS tracking
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作者 Zeyu Yang Lixia Chen +8 位作者 Ru Jia Hongying Xu Yihua Wang Xuelei Wei Dongping Liu Huajin Liu Yulin Liu Peiyu Yang Guogang Zhang 《Avian Research》 SCIE CSCD 2023年第2期215-222,共8页
The Oriental Stork(Ciconia boyciana)is listed as'Endangered'on the International Union for the Conservation of Nature(IUCN)Red List of Threatened Species and is classified as a first category nationally protec... The Oriental Stork(Ciconia boyciana)is listed as'Endangered'on the International Union for the Conservation of Nature(IUCN)Red List of Threatened Species and is classified as a first category nationally protected bird species in China.Understanding this species'seasonal movements and migration will facilitate effective conservation to promote its population.We tagged 27 Oriental Stork nestlings at Xingkai Lake on the Sanjiang Plain in Heilongjiang Province,China,used GPS tracking to follow them over the periods of 2014-2017 and 2019-2022,and confirmed their detailed migratory routes using the spatial analysis function of ArcGIS 10.7.We discovered four migration routes during autumn migration:one common long-distance migration route in which the storks migrated along the coastline of Bohai Bay to the middle and lower reaches of the Yangtze River for wintering,one short-distance migration route in which the storks wintered in Bohai Bay and two other migration routes in which the storks crossed the Bohai Strait around the Yellow River and wintered in South Korea.There were no significant differences in the number of migration days,residence days,migration distances,number of stopovers and average number of days spent at stopover sites between the autumn and spring migrations(P>0.05).However,the storks migrated significantly faster in spring than in autumn(P=0.03).The same individuals did not exhibit a high degree of repetition in their migration timing and route selection in either autumn or spring migration.Even storks from the same nest exhibited considerable between-individual variation in their migration routes.Some important stopover sites were identified,especially in the Bohai Rim Region and on the Songnen Plain,and we further explored the current conservation status at these two important sites.Overall,our results contribute to the understanding of the annual migration,dispersal and protection status of the endangered Oriental Stork and provide a scientific basis for conservation decisions and the development of action plans for this species. 展开更多
关键词 Autumn migration GPS tracking Oriental stork repeatability Spring migration Stopover site
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基于R语言的疫情分析报告模块化输出——以新冠疫情为例
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作者 戴启刚 许可 +3 位作者 黄昊頔 戴文军 陆步来 鲍倡俊 《江苏预防医学》 CAS 2024年第1期60-64,共5页
目的探讨疫情分析中,基于R软件的模块化输出方法。方法以新冠疫情为例,基于可重复执行的R程序,利用officer软件包实现R程序和Office word的交互。结果通过在预先设定好格式的模板文档中插入书签,用R语言模块化输出数字、文字、图表。基... 目的探讨疫情分析中,基于R软件的模块化输出方法。方法以新冠疫情为例,基于可重复执行的R程序,利用officer软件包实现R程序和Office word的交互。结果通过在预先设定好格式的模板文档中插入书签,用R语言模块化输出数字、文字、图表。基于Office Excel数据,在R程序中使用Officer软件包实现生成流行病学报告的疫情分析自动化和可视化输出。结论R语言简洁高效、便于维护,可显著提高疫情分析的时效性和准确性。 展开更多
关键词 疫情分析 新冠感染 r语言 自动输出
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T/R双模微波功率模块技术及其应用
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作者 李建兵 邱立 +2 位作者 王斌 郭静坤 董雪雨 《强激光与粒子束》 CAS CSCD 北大核心 2024年第1期12-17,共6页
微波功率模块(MPM)是真空电子器件和固态电子器件组合而成的一种新型微波功率器件,具有频率高、频带宽、功率大、体积重量小等特点,它使常规行波管的应用变得更加便利和广泛。现代战争向雷达、电子战综合一体化方向发展,这就要求功放既... 微波功率模块(MPM)是真空电子器件和固态电子器件组合而成的一种新型微波功率器件,具有频率高、频带宽、功率大、体积重量小等特点,它使常规行波管的应用变得更加便利和广泛。现代战争向雷达、电子战综合一体化方向发展,这就要求功放既能工作在高峰值功率、低占空比的高模工作方式,也能工作在低峰值功率、准连续波的低模工作方式,针对这一需求,结合电子系统收发共孔径的要求,提出了T/R双模MPM技术。T/R双模MPM技术的核心是T/R双模行波管,基于三端口双向T/R行波管,通过在慢波系统的衰减器附近设置一个耦合口,实现行波管的信号反向接收功能;通过T/R双模行波管设计、双模放大均衡组件、双调制栅极电源等技术实现MPM的双模双向功能。T/R双模MPM应用前景广阔,特别是在基于无人机平台的作战应用中的具有明显优势。 展开更多
关键词 微波功率模块 T/r行波管 收发共孔径 功放 均衡器
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一种三维集成的Ku波段高功率T/R模块
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作者 陈兴 张超 +1 位作者 陈东博 赵永志 《半导体技术》 CAS 北大核心 2024年第6期569-574,共6页
基于硅基微电子机械系统(MEMS)三维(3D)异构集成工艺,设计并制作了用于相控阵天线系统的三维堆叠式Ku波段四通道高功率收发(T/R)模块。该模块由两层硅基封装堆叠而成,层间采用球栅阵列(BGA)植球堆叠,实现模块小型化;采用高低阻抗匹配建... 基于硅基微电子机械系统(MEMS)三维(3D)异构集成工艺,设计并制作了用于相控阵天线系统的三维堆叠式Ku波段四通道高功率收发(T/R)模块。该模块由两层硅基封装堆叠而成,层间采用球栅阵列(BGA)植球堆叠,实现模块小型化;采用高低阻抗匹配建模,保证低损耗输出,采用导热垫加微流道散热板达到了良好的散热效果,实现模块高功率输出;对模块的微波垂直互连结构和散热进行建模和仿真。测试结果表明,在14~18 GHz内发射通道饱和输出功率大于40 dBm,接收通道增益大于21 dB,噪声系数小于3.5 dB,模块尺寸仅为14.0 mm×14.0 mm×3.3 mm。该模块在兼顾高集成度的同时性能指标得到了进一步提升。 展开更多
关键词 硅基微电子机械系统(MEMS) 收发(T/r)模块 三维集成 高功率 散热设计
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一种4 GHz瞬时带宽的6~18 GHz超宽带T/R组件设计
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作者 王洁 武华锋 +2 位作者 李宁 廖原 周生华 《电子科技》 2024年第8期97-102,共6页
针对现代电子对抗设备的大瞬时带宽要求,文中设计了一种瞬时带宽4 GHz的6~18 GHz超宽带T/R组件。采用砖块式多芯片组件(Multi-Chip Module,MCM)和超宽带信号传输等技术实现了T/R组件高集成、小型化和模块化的要求。对T/R组件组成构架、... 针对现代电子对抗设备的大瞬时带宽要求,文中设计了一种瞬时带宽4 GHz的6~18 GHz超宽带T/R组件。采用砖块式多芯片组件(Multi-Chip Module,MCM)和超宽带信号传输等技术实现了T/R组件高集成、小型化和模块化的要求。对T/R组件组成构架、收发通道指标预算、宽带信号传输特性仿真和电磁兼容性设计进行了详细描述。测试结果显示,T/R组件在12 GHz工作带宽内具有良好的性能,发射功率大于35 dBm,接收增益大于20 dB,噪声系数小于5 dB,延时总量达762 ps。 展开更多
关键词 T/r组件 超宽带 6~18 GHz 延时 多芯片组件 微波单片集成电路
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MC1R基因在白羽乌骨鸡和黑羽乌骨鸡肌肉和皮肤中的表达分析
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作者 屠云洁 邹剑敏 +9 位作者 姬改革 巨晓军 赵伟东 郑国庆 刘一帆 章明 单艳菊 唐燕飞 蒋华连 束婧婷 《中国畜牧杂志》 CAS CSCD 北大核心 2024年第6期204-209,共6页
本试验旨在探明MC1R基因在白羽乌骨鸡和黑羽乌骨鸡黑色素沉积中的影响效应,为更好地开发利用地方乌骨鸡提供理论依据。以白羽乌骨鸡(丝羽乌骨鸡、竹丝鸡)和黑羽余干乌骨鸡为研究对象,屠宰拔毛后立刻测定胸部皮肤、大腿部皮肤的亮度L^(*)... 本试验旨在探明MC1R基因在白羽乌骨鸡和黑羽乌骨鸡黑色素沉积中的影响效应,为更好地开发利用地方乌骨鸡提供理论依据。以白羽乌骨鸡(丝羽乌骨鸡、竹丝鸡)和黑羽余干乌骨鸡为研究对象,屠宰拔毛后立刻测定胸部皮肤、大腿部皮肤的亮度L^(*)值,然后把测定过肤色的胸皮和大腿皮剪开,测定皮肤下面的胸肌、腿肌亮度L^(*)值,获得胸肌、腿肌、胸皮和大腿皮乌色度的变化趋势,同时比较MC1R基因在3种乌骨鸡的4种组织中的差异表达量。结果发现:2~17周龄期间,随着周龄的增加,3种乌骨鸡腿皮、胸皮、胸肌和腿肌L^(*)值均呈增加趋势;2周龄时MC1R在3种乌骨鸡胸肌、腿肌中的相对表达量较高,随后表达量呈现下降趋势,而在3种乌骨鸡胸皮和腿皮中的表达量变化趋势不同;2周龄时MC1R基因在黑羽余干乌骨鸡腿肌、胸皮和腿皮中的表达量显著大于2种白羽乌骨鸡;6周龄时MC1R基因在黑羽余干乌骨鸡腿肌和胸皮的表达量显著大于2种白羽乌骨鸡;10周龄时MC1R基因在黑羽余干乌骨鸡腿肌的表达量显著大于2种白羽乌骨鸡;10、12、17周龄时MC1R在丝羽乌骨鸡腿皮的表达量显著高于其他乌骨鸡;MC1R基因表达量与黑羽余干乌骨鸡肤色和肉色L^(*)值不相关,而与白羽乌骨鸡腿肌L^(*)值显著相关。结果提示,MC1R基因对白羽乌骨鸡和黑羽乌骨鸡黑色素沉积的影响效应不同,本研究为培育乌色度更高、不同羽色的乌骨鸡新品种提供了科学理论依据。 展开更多
关键词 乌骨鸡 MC1r 黑色素 基因表达 乌色度
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4R危机管理理论在结肠镜围检查期低血糖风险管理中的应用
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作者 郑桃花 高翔 +3 位作者 康梅 魏海霞 柳笑 张丽 《护理学报》 2024年第7期22-26,共5页
目的探讨4R危机管理理论在结肠镜诊疗围检查期患者低血糖风险管理中应用的效果。方法采用便利抽样法,选择2022年3-12月在青岛市某三级甲等医院消化内科住院的372例行结肠镜诊疗的患者为对照组,采用结肠镜诊疗围检查期常规低血糖管理方法... 目的探讨4R危机管理理论在结肠镜诊疗围检查期患者低血糖风险管理中应用的效果。方法采用便利抽样法,选择2022年3-12月在青岛市某三级甲等医院消化内科住院的372例行结肠镜诊疗的患者为对照组,采用结肠镜诊疗围检查期常规低血糖管理方法;选择2023年1-10月住院的372例行结肠镜诊疗的患者为观察组,实施基于4R危机管理理论的低血糖管理方案。比较2组患者结肠镜诊疗围检查期低血糖发生率、护士对结肠镜诊疗围检查期低血糖处置规范环节达标率、低血糖相关不良事件或并发症发生率的差异。结果观察组患者低血糖发生率低于对照组,护士对观察组患者低血糖处置规范环节达标率高于对照组,差异均具有统计学意义(P<0.05或P<0.001),2组患者低血糖相关不良事件或并发症发生率差异无统计学意义(P>0.05)。结论4R危机管理理论应用于结肠镜诊疗围检查期患者的低血糖管理中,能够有效降低患者低血糖发生率,提高护士对结肠镜诊疗围检查期低血糖处置正确率,值得在临床推广应用。 展开更多
关键词 4r危机管理 低血糖 结肠镜
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4R危机管理理论在120指挥调度管理中的应用研究 被引量:1
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作者 袁海 张辉 刘彦 《中国医疗管理科学》 2024年第1期47-51,共5页
“120”指挥调度作为整个院前医疗急救工作的“第一棒”,保障其安全高效运转尤其重要。通过总结淄博市医疗急救指挥中心在“120”指挥调度管理方面运用4R危机管理理论的实践,探讨如何更好地减少“120”指挥调度中危机事件的发生,进行相... “120”指挥调度作为整个院前医疗急救工作的“第一棒”,保障其安全高效运转尤其重要。通过总结淄博市医疗急救指挥中心在“120”指挥调度管理方面运用4R危机管理理论的实践,探讨如何更好地减少“120”指挥调度中危机事件的发生,进行相关制度建设,制定措施高效应对危机事件及事后恢复重建等,从而建立更安全、更高效的“120”指挥调度体系,让市民群众真正体验到高品质的院前急救服务。 展开更多
关键词 4r危机管理 “120”指挥调度 急救服务 院前医疗
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BCMA CAR-T治疗复发/难治性多发性骨髓瘤患者的长期疗效和影响因素分析
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作者 喻敏 孔繁聪 +2 位作者 周玉兰 齐凌 李菲 《中国肿瘤临床》 CAS CSCD 北大核心 2024年第7期342-347,共6页
目的:评价靶向B细胞成熟抗原(B cell maturation antigen,BCMA)嵌合抗原受体T细胞(chimeric antigen receptor-T cell,CAR-T)治疗复发/难治性多发性骨髓瘤(relapsed/refractory multiple myeloma,R/R MM)的长期疗效和安全性。方法:回顾... 目的:评价靶向B细胞成熟抗原(B cell maturation antigen,BCMA)嵌合抗原受体T细胞(chimeric antigen receptor-T cell,CAR-T)治疗复发/难治性多发性骨髓瘤(relapsed/refractory multiple myeloma,R/R MM)的长期疗效和安全性。方法:回顾性分析2018年7月至2023年7月在南昌大学第一附属医院接受BCMA CAR-T细胞治疗20例R/R MM患者的临床资料,随访日期截至2023年12月31日。应用Kaplan-Meier生存分析评估患者总生存(overall survival,OS)率和无进展生存(progression-free survival,PFS)率,并统计相关不良反应。结果:20例R/R MM患者,既往中位治疗线数为3(2~6)线,客观缓解率(objective response rate,ORR)为75%,完全缓解(complete response,CR)率为50%;中位随访时间29个月,中位PFS为26个月。10例CR的患者中,5例在末次随访时仍处于缓解状态,缓解持续时间最短为6个月,最长48个月。亚组分析中,髓外浸润、17p缺失遗传学异常和肿瘤高负荷患者PFS显著更差(P<0.05)。细胞因子释放综合征(cytokine release syndrome,CRS)是CAR-T细胞治疗最常见的不良反应,发生率为90%,3~4级CRS的发生率为35%;远期不良反应少,未发生CAR-T细胞治疗相关死亡。结论:BCMA CAR-T细胞是当前R/R MM治疗的有效方案,不良反应可控。髓外浸润和肿瘤高负荷的患者治疗有效,但持久反应欠佳,如何进一步巩固和维持患者的疗效,值得进一步设计前瞻性的临床研究并探究其差异性。 展开更多
关键词 嵌合抗原受体修饰T细胞 复发/难治 多发性骨髓瘤
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含R1234yf混合工质汽液相平衡的混合规则评估与预测研究
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作者 王林 江荣鼎 +2 位作者 张春晓 李修真 谈莹莹 《化工学报》 EI CSCD 北大核心 2024年第2期475-483,共9页
含R1234yf混合工质具有系统性能优良且对环境友好的特点,在当前制冷剂迭代中受到了广泛关注。汽液相平衡性质是混合工质的基础热物理性质,其理论计算至关重要。为提高含R1234yf混合工质汽液相平衡数据的计算精度,选取PR状态方程结合vdW... 含R1234yf混合工质具有系统性能优良且对环境友好的特点,在当前制冷剂迭代中受到了广泛关注。汽液相平衡性质是混合工质的基础热物理性质,其理论计算至关重要。为提高含R1234yf混合工质汽液相平衡数据的计算精度,选取PR状态方程结合vdW、WS、MHV1三种混合规则和NRTL活度系数模型评估了16种含R1234yf二元混合工质的汽液相平衡性质。结果表明,WS混合规则和MHV1混合规则计算性能优于vdW混合规则;vdW混合规则对大多数混合工质计算性能较好。最后提出一种预测模型预测含R1234yf混合工质汽液相平衡性质,预测的相对压力偏差值为0.49%,气相摩尔分数绝对偏差值为0.0031,预测偏差满足工程应用。 展开更多
关键词 r1234yf 混合物 汽液相平衡 混合规则 模型 预测
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V_(1)导联r'波振幅结合阻抗变化评价左束支区域起搏电极植入深度的研究
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作者 黄强辉 蒋粤萍 +2 位作者 詹碧鸣 黄钱伟 胡金柱 《中国循环杂志》 CSCD 北大核心 2024年第3期273-278,共6页
目的:探讨左束支区域起搏时,V_(1)导联r’波振幅结合阻抗变化判断电极植入的合适深度。方法:纳入2019年1月1日至2021年12月31日于南昌大学第二附属医院就诊的心脏结构正常、有起搏器植入指征并行左束支区域起搏的住院患者78例,收集患者... 目的:探讨左束支区域起搏时,V_(1)导联r’波振幅结合阻抗变化判断电极植入的合适深度。方法:纳入2019年1月1日至2021年12月31日于南昌大学第二附属医院就诊的心脏结构正常、有起搏器植入指征并行左束支区域起搏的住院患者78例,收集患者基线数据、术中数据和影像学资料,以及术后3、6、9和12个月的随访情况。将起搏时V_(1)导联r’波振幅、阻抗、电极植入深度进行线性相关性及回归分析。结果:78例患者中70例(89.7%)起搏时V_(1)导联QRS波末端出现r’波,8例(10.3%)QRS波表现为r S、RS型或终末端无r’波。线性相关性分析显示,r’波振幅与电极植入深度呈正相关(r=0.424,P<0.01),与阻抗呈负相关(r=-0.256,P=0.03);电极植入深度与阻抗无明显相关性(r=-0.132,P=0.27)。回归分析显示,电极植入深度是r’波振幅的重要影响因素(回归系数=0.056,P=0.000)。结合建立的回归模型和阻抗大小显示,V_(1)导联r’波振幅在0.24~0.69 mV范围内,阻抗在648.30~828.90Ω之间,电极植入深度6~11 mm最合适,穿孔风险小,且能较大概率成功夺获左束支,起搏参数满意,起搏QRS波时限较窄。在术中、术后48 h及12个月随访期间内,患者均未出现电极穿孔、血栓栓塞、心脏填塞、感染、导线脱位等并发症。结论:左束支区域起搏是一种安全可行的起搏方式。在左束支区域起搏时,V_(1)导联r’波振幅在一定合适范围内,并结合阻抗变化可指导左束支区域起搏,有助于降低电极穿孔的风险。 展开更多
关键词 左束支区域起搏 r’波振幅 电极穿孔 阻抗
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基于3R技术的军队院校装备教学研究与实践
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作者 王庆力 文桃 +2 位作者 王崴 杨洁 刘海平 《大学教育》 2024年第10期69-73,共5页
装备教学是工科类军队院校的重头工作,但因受限于现实条件而成了院校教学的一块硬骨头,信息技术的快速发展和应用为装备教学探索新的思路和新的方法提供了帮助。文章结合近年来对3R(VR/AR/MR)技术的教学研究和应用实践,从军队院校装备... 装备教学是工科类军队院校的重头工作,但因受限于现实条件而成了院校教学的一块硬骨头,信息技术的快速发展和应用为装备教学探索新的思路和新的方法提供了帮助。文章结合近年来对3R(VR/AR/MR)技术的教学研究和应用实践,从军队院校装备教学现状、3R技术在装备教学中的应用优势、3R技术在军队院校装备教学中的应用实践及其成效与经验四个方面进行了详细论述。 展开更多
关键词 军队院校 装备教学 3r技术
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非小细胞肺癌组织中circBIRC6、APPBP2表达及临床预后意义
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作者 陈丽萍 籍强 +5 位作者 陈艳红 史永兴 冯平 林卫佳 项保利 赵建清 《临床肺科杂志》 2024年第5期727-733,共7页
目的 探讨非小细胞肺癌(NSCLC)组织中环状核糖核酸杆状病毒IAP重复序列6(circBIRC6)、β淀粉样蛋白前体蛋白结合蛋白2(APPBP2)表达及临床预后意义。方法 收集2018年6月~2020年1月90例在河北北方学院附属第一医院行手术切除的NSCLC组织... 目的 探讨非小细胞肺癌(NSCLC)组织中环状核糖核酸杆状病毒IAP重复序列6(circBIRC6)、β淀粉样蛋白前体蛋白结合蛋白2(APPBP2)表达及临床预后意义。方法 收集2018年6月~2020年1月90例在河北北方学院附属第一医院行手术切除的NSCLC组织及癌旁组织,采用实时荧光定量聚合酶链式反应检测circBIRC6、APPBP2表达,并分析二者与NSCLC患者临床病理特征的关系。通过Pearson相关性分析NSCLC组织中circBIRC6与APPBP2 mRNA表达的相关性,Kaplan-Meier法绘制不同表皮生长因子受体(EGFR)基因突变、TNM分期和circBIRC6、APPBP2 mRNA表达的NSCLC患者生存曲线,多因素Cox回归分析NSCLC患者预后的影响因素。结果 与癌旁组织比较,NSCLC组织中circBIRC6、APPBP2 mRNA表达升高(P<0.05)。NSCLC组织中circBIRC6与APPBP2 mRNA表达呈正相关(r=0.817,P<0.001)。NSCLC患者不同分化程度、TNM分期、淋巴结转移组织中circBIRC6、APPBP2 mRNA表达比较有差异(P<0.05)。随访3年,90例NSCLC患者总生存率为55.56%(50/90)。EGFR基因突变阳性/阴性NSCLC患者总生存率比较无差异(P>0.05);TNM分期Ⅰ~Ⅱ期NSCLC患者总生存率高于Ⅲ期NSCLC患者(P<0.05);circBIRC6、APPBP2 mRNA高表达组生存率低于circBIRC6、APPBP2 mRNA低表达组(P<0.05)。低分化、TNM分期Ⅲ期、淋巴结转移和circBIRC6≥10.97、APPBP2 mRNA≥2.48为NSCLC患者死亡的独立危险因素[OR(95%CI)=3.586(1.080~11.909)、3.632(1.193~11.057)、3.197(1.060~9.640)、3.223(1.086~9.570)、2.767(1.022~7.492)]。结论 NSCLC组织中circBIRC6、APPBP2 mRNA高表达,与分化程度、TNM分期、淋巴结转移和预后有关。 展开更多
关键词 非小细胞肺癌 环状核糖核酸杆状病毒IAP重复序列6 β淀粉样蛋白前体蛋白结合蛋白2 临床病理特征 预后
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基于多源数据的铁路5G-R运用质量评估系统设计 被引量:1
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作者 梁轶群 李辉 +1 位作者 欧阳智辉 王文华 《铁道标准设计》 北大核心 2024年第2期185-191,共7页
铁路5G-R网络性能监控和故障排查技术研究是提升5G-R运用水平的重要手段,针对各类网络性能数据获取困难、铁路管理和技术人员对于5G-R网络运用质量关注的颗粒度不同、智能化手段支撑不足、缺乏系统级网络性能评估体系设计等问题,探究如... 铁路5G-R网络性能监控和故障排查技术研究是提升5G-R运用水平的重要手段,针对各类网络性能数据获取困难、铁路管理和技术人员对于5G-R网络运用质量关注的颗粒度不同、智能化手段支撑不足、缺乏系统级网络性能评估体系设计等问题,探究如何充分利用多源数据建立5G-R网络性能智能化评估系统以支撑智能铁路发展成为迫切需要。深入分析DPI、Uu接口、网管北向接口、路测等用于评估的数据源的特点和构成,并介绍各类数据的获取方法。提出基于劣化度理论的5G-R总体健康状态判断思路,并利用机器学习技术对网络异常和故障进行分析。在以上关键技术研究的基础上,提出基于微服务的5G-R运用质量评估系统架构。针对5G-R运用质量评估开展的关键技术研究和系统架构设计可为未来5G-R运维支撑系统研发提供技术支持。 展开更多
关键词 铁路通信 5G-r 运用质量 机器学习 劣化度 微服务
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