Objective To explore the correlation of blood glucose variability with the outcome in patients with severe acute stroke.Methods This retrospective clinical study was performed on patients with severe acute stroke.Base...Objective To explore the correlation of blood glucose variability with the outcome in patients with severe acute stroke.Methods This retrospective clinical study was performed on patients with severe acute stroke.Based on the three months mRS score after discharge,they were divided into good outcome groups and poor outcome groups.The blood glucose on admission,mean blood glucose,blood glucose standard deviation,coefficient variation of blood glucose and other clinical data were compared between both groups.Multivariate logistic regression analysis was used to determine the independent predictors of poor outcome in patients with severe acute stroke.Results A total of 420 patients with severe acute stroke were included,207(49.3%)with good outcome groups,213(50.7%)with poor outcome groups.Multivariate logistic regression analysis showed that age,NIHSS score,GCS score,APACHEⅡscore,blood glucose standard deviation,coefficient of variation of blood glucose were independent predictors of poor outcome in patients with severe acute stroke on 3 months after discharge.Conclusion Blood glucose variability are the independent predictors of poor outcome of the three months after discharge in patients with severe acute stroke,the great range of glycemic excursion indicates poor outcome.展开更多
In this study,the effect of inclination angles relative to the building direction in the additively manufactured eutectic Al-5Mg-2Si alloy was investigated through the laser powder bed fusion(LPBF).The microstructures...In this study,the effect of inclination angles relative to the building direction in the additively manufactured eutectic Al-5Mg-2Si alloy was investigated through the laser powder bed fusion(LPBF).The microstructures and mechanical properties of the Al-5Mg-2Si alloy manufactured with different inclination angles(0°,30°,45°,60°and 90°)were reported and discussed.It is found that the“semicircular”melt pool(MP)in the load bearing face of 0°sample was eventually transformed into“stripe-like”MP in the 90°sample,accompanied by an increased fraction of melt pool boundaries(MPBs).Moreover,the microstructural analysis revealed that the columnar-to-equiaxed transition(CET)of theα-Al grains and eutectic Mg2Si was completed in the 90°sample,which were significantly refined with the average size of 10.6μm and 0.44μm,respectively.It is also found that the 90°sample exhibited good combination of strength and elongation(i.e.yield strength of 393 MPa,ultimate tensile strength of 483 MPa and elongation of 8.1%).The anisotropic mechanical properties were highly associated with the refined microstructures,thermal stress,and density of MPBs.Additionally,the CET driven by inclination angles was attributed to the variation of thermal conditions inside the local MPs.展开更多
文摘Objective To explore the correlation of blood glucose variability with the outcome in patients with severe acute stroke.Methods This retrospective clinical study was performed on patients with severe acute stroke.Based on the three months mRS score after discharge,they were divided into good outcome groups and poor outcome groups.The blood glucose on admission,mean blood glucose,blood glucose standard deviation,coefficient variation of blood glucose and other clinical data were compared between both groups.Multivariate logistic regression analysis was used to determine the independent predictors of poor outcome in patients with severe acute stroke.Results A total of 420 patients with severe acute stroke were included,207(49.3%)with good outcome groups,213(50.7%)with poor outcome groups.Multivariate logistic regression analysis showed that age,NIHSS score,GCS score,APACHEⅡscore,blood glucose standard deviation,coefficient of variation of blood glucose were independent predictors of poor outcome in patients with severe acute stroke on 3 months after discharge.Conclusion Blood glucose variability are the independent predictors of poor outcome of the three months after discharge in patients with severe acute stroke,the great range of glycemic excursion indicates poor outcome.
基金Project(52071343)supported by the National Natural Science Foundation of China。
文摘In this study,the effect of inclination angles relative to the building direction in the additively manufactured eutectic Al-5Mg-2Si alloy was investigated through the laser powder bed fusion(LPBF).The microstructures and mechanical properties of the Al-5Mg-2Si alloy manufactured with different inclination angles(0°,30°,45°,60°and 90°)were reported and discussed.It is found that the“semicircular”melt pool(MP)in the load bearing face of 0°sample was eventually transformed into“stripe-like”MP in the 90°sample,accompanied by an increased fraction of melt pool boundaries(MPBs).Moreover,the microstructural analysis revealed that the columnar-to-equiaxed transition(CET)of theα-Al grains and eutectic Mg2Si was completed in the 90°sample,which were significantly refined with the average size of 10.6μm and 0.44μm,respectively.It is also found that the 90°sample exhibited good combination of strength and elongation(i.e.yield strength of 393 MPa,ultimate tensile strength of 483 MPa and elongation of 8.1%).The anisotropic mechanical properties were highly associated with the refined microstructures,thermal stress,and density of MPBs.Additionally,the CET driven by inclination angles was attributed to the variation of thermal conditions inside the local MPs.
