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從簡帛與傳世文獻看“側”和“旁”的歷時演變
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作者 胡波 《出土文献综合研究集刊》 2018年第2期319-333,共15页
先秦兩漢,表“旁邊”義的方位詞主要有“側”“旁”兩個。“側”始見於西周,“旁”則晚至戰國早中期。據考察,在秦簡、馬王堆帛書古醫書及張家山漢簡法律文書等簡帛文獻中,表“旁邊”義時只用“旁”不用“側”;在傳世文獻中,戰國晚期之... 先秦兩漢,表“旁邊”義的方位詞主要有“側”“旁”兩個。“側”始見於西周,“旁”則晚至戰國早中期。據考察,在秦簡、馬王堆帛書古醫書及張家山漢簡法律文書等簡帛文獻中,表“旁邊”義時只用“旁”不用“側”;在傳世文獻中,戰國晚期之前幾乎僅用“側”,但自此之後“旁”迅速盛行,大有取代“側”之勢,至《史記》時代“旁”就已佔據絕對優勢。綜合“側”和“旁”在簡帛和傳世文獻中的使用情況來看,至遲在西漢早期“旁”對“側”的歷時替換就已完成。 展开更多
关键词 先秦兩漢 文獻 “側” “旁” 歷時演變
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学科融合视域下张载“旁求合道”的治学路径探微
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作者 田富强 《唐都学刊》 2023年第6期42-49,共8页
张载创立的关学,是宋代以降关中地域文化中最为璀璨的奇葩,是儒学的分支、宋明理学的重要组成部分,这与创始人多学科融合下“旁求合道”的治学路径密切相关。多学科融合能够促进理论创新,“旁求合道”需要“愚公移山”的精神及成就“远... 张载创立的关学,是宋代以降关中地域文化中最为璀璨的奇葩,是儒学的分支、宋明理学的重要组成部分,这与创始人多学科融合下“旁求合道”的治学路径密切相关。多学科融合能够促进理论创新,“旁求合道”需要“愚公移山”的精神及成就“远器”的志向,从而成就宏阔的学术理想。在张载学术生涯的不同阶段,都能博采诸家学说,其学术转向过程中的“所弃之学”与后转之学具有内在关联,其中的鉴式功能与阶式功能共同推进张载的学术理论创新,尤其是阶式功能在“旁求合道”的多学科融合中发挥了独创性作用。从而造就了张载阔达、深邃的学术思想和家国情怀,创立了具有全国乃至世界性影响的关学。探寻张载“旁求合道”的治学路径,对当下多学科融合发展具有重要的启示意义。 展开更多
关键词 学科融合 张载 “旁求合道” 治学路径 创立关学
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旁热式高压合成腔体内温场分布的有限元模拟 被引量:4
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作者 李瑞 韩奇钢 +3 位作者 贾晓鹏 马红安 任国仲 刘景和 《金刚石与磨料磨具工程》 CAS 北大核心 2009年第2期9-12,共4页
本文借助有限元模拟方法,揭示了高压合成金刚石工艺过程中的温场分布特征。在忽略大形变的近似条件下,数值模拟让我们能够观察到在高压极端条件下无法实际测量到的定量信息。直观的数值结果表明:在"旁热式"腔体内,外围石墨管... 本文借助有限元模拟方法,揭示了高压合成金刚石工艺过程中的温场分布特征。在忽略大形变的近似条件下,数值模拟让我们能够观察到在高压极端条件下无法实际测量到的定量信息。直观的数值结果表明:在"旁热式"腔体内,外围石墨管处温度最高,中心次之,两端最低。这为进一步的工艺设计提供了理论依据。经比较发现:"旁热式"高压合成腔体内的温度差低于"直热式"近25%。 展开更多
关键词 高压合成 有限元模拟 “旁热式”工艺 温度场
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声学多普勒流速仪(ADCP)“旁辨”区数据处理方法的探讨 被引量:6
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作者 范东华 谌业良 《水道港口》 2006年第S1期39-42,共4页
声学多普勒流速仪(ADCP)是目前世界上最为先进的河流流速流量实时测量设备,文中通过对其“旁辨”区进行讨论,结合实测数据利用线性相关理论求得ADCP“旁辨”区中的流速值。
关键词 声学多普勒流速仪 “旁辨”区 三维点式流速仪 线性相关
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肋骨冷弯加工时克服“旁弯”的理论计算及应用
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作者 茅云生 郑军林 王呈方 《中国造船》 EI CSCD 北大核心 2004年第2期67-72,共6页
船体肋骨通常是通过冷弯加工成形的 ,由于大部分肋骨是不对称型材 ,因此在冷弯加工成形时 ,会出现“旁弯”现象 ,这是有碍成形质量的变形 ,必须加以矫正才能进行安装。本文通过力学分析阐述“旁弯”产生的原因 ,以及消除“旁弯”所需的... 船体肋骨通常是通过冷弯加工成形的 ,由于大部分肋骨是不对称型材 ,因此在冷弯加工成形时 ,会出现“旁弯”现象 ,这是有碍成形质量的变形 ,必须加以矫正才能进行安装。本文通过力学分析阐述“旁弯”产生的原因 ,以及消除“旁弯”所需的弯曲力矩 ,并进行了实例计算 ,最后提出了在肋骨冷弯机上解决“旁弯”的垂弯装置。 展开更多
关键词 船体肋骨 冷弯加工 成形加工 “旁弯” 弯曲力矩 冷弯机 船舶
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释方(旁)的字形和本义 被引量:2
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作者 董性茂 《福建师大福清分校学报》 2004年第3期39-41,共3页
目前学术界对"方"字字形说解各说其是,"旁"字字形《说文》误解未见有人匡正,这都影响对"方""旁"的本义的认知。从"旁"的古文字字形看,它是在"方"之上加"凡"。... 目前学术界对"方"字字形说解各说其是,"旁"字字形《说文》误解未见有人匡正,这都影响对"方""旁"的本义的认知。从"旁"的古文字字形看,它是在"方"之上加"凡"。从方、旁的词义及其引申义列的整理可以发现"方"是"旁"的简化,"旁"是"方"的繁体,该是一个字,其本义是"侧旁"。 展开更多
关键词 字形 本义
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“侧”与“旁(傍páng)”的历时替换
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作者 牛慧芳 《吉林省教育学院学报》 2009年第8期98-100,共3页
本文通过对《汉书》中出现的"侧旁(傍páng)"这组同义词细致的描写,并与先秦两汉时期的使用情况进行了比较:战国中晚期以前,表"旁边"义主要用"侧","旁(傍)"少见。从战国中后期开始,"... 本文通过对《汉书》中出现的"侧旁(傍páng)"这组同义词细致的描写,并与先秦两汉时期的使用情况进行了比较:战国中晚期以前,表"旁边"义主要用"侧","旁(傍)"少见。从战国中后期开始,"旁(傍)"表"旁侧"义多见,且用法也多样化了。到西汉的《史记》,"旁(傍)"无论从用法还是从词频上都已占绝对优势。《汉书》中,"旁(傍)"的主导地位继续得以巩固。"旁(傍páng)"取代"侧"的过程在《汉书》时代已基本完成。 展开更多
关键词 “侧” “旁(傍)” 发展演变
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藏药“旁玛”抗炎、止痛的药理观察
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作者 次尼 巴桑德吉 +1 位作者 格央 小尼玛 《西藏科技》 2010年第3期45-45,47,共2页
目的:通过对藏药"旁玛"抗炎、止痛的药理观察,探讨该药的抗炎、止痛的药效学作用,为临床上寻找安全、有效、具有藏医特色的抗炎、止痛药品提供依据。方法:研究藏药"旁玛"不同提取部分(水浸膏、醇浸膏)对小鼠耳部肿... 目的:通过对藏药"旁玛"抗炎、止痛的药理观察,探讨该药的抗炎、止痛的药效学作用,为临床上寻找安全、有效、具有藏医特色的抗炎、止痛药品提供依据。方法:研究藏药"旁玛"不同提取部分(水浸膏、醇浸膏)对小鼠耳部肿胀和小鼠痛觉影响。结果:藏药"旁玛"的水浸膏和醇浸膏组表现出明显的抗炎作用并有一定的镇痛作用。 展开更多
关键词 藏药“旁玛” 抗炎 止痛
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Effects of ginkgolide B on neuronal discharges in paraventricular nucleus of rat hypothalamic slices 被引量:2
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作者 林悦 王茹 +2 位作者 王昕 何瑞荣 武宇明 《Neuroscience Bulletin》 SCIE CAS CSCD 2008年第6期345-350,共6页
Objective To study the central role of ginkgolide B (BN52021) in regulating cardiovascular function of nerve center by examining the effects of ginkgolide B on the electrical activity of rat paraventricular nucleus ... Objective To study the central role of ginkgolide B (BN52021) in regulating cardiovascular function of nerve center by examining the effects of ginkgolide B on the electrical activity of rat paraventricular nucleus (PVN) neurons in hypothalamic slice preparation and to elucidate the mechanism involved. Methods Extracellular single-unit discharge recording technique. Results (1) In response to the application of ginkgolide t3 (0.1, 1, 10 μmol/L; n = 27) into the perfusate for 2 rain, the spontaneous discharge rates (SDR) of 26 (26/27, 96.30%) neurons were significantly decreased in a dose-dependent manner. (2) Pretreatment with L-glutamate (L-Glu, 0.2 mmol/L) led to a marked increase in the SDR of all 8 (100%) neurons in an epileptiform pattern. The increased discharges were suppressed significantly after ginkgolide B (1 μmol/L) was applied into the perfusate for 2 min. (3) In 8 neurons, perfusion of the selective L-type calcium channel agonist, Bay K 8644 (0.1 μmol/L), induced a significant increase in the discharge rates of 8 (8/8, 100%) neurons, while ginkgolide B (1μmol/L) applied into the perfusate, could inhibit the discharges of 8 (100%) neurons. (4) In 8 neurons, the broad potassium channels blocker, tetraethylammonium (TEA, 1 mmol/L) completely blocked the inhibitory effect of ginkgolide B (1 μmol/L). Conclusion These results suggest that ginkgolide B can inhibit the electrical activity of paraventricular neurons. The inhibitory effect may be related to the blockade of L-type voltage-activated calcium channel and potentially concerned with delayed rectifier potassium channel (KDR). 展开更多
关键词 paraventricular hypothalamic nucleus ginkgolide B L-GLUTAMATE Bay K 8644 TEA
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New details indicated by different stainings during conjugation of ciliated protozoa Paramecium 被引量:2
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作者 高欣 杨仙玉 +3 位作者 朱嘉骏 袁进强 王逸雯 宋敏国 《Zoological Research》 CAS CSCD 北大核心 2011年第6期651-656,共6页
During conjugation of Paramecium caudatum, nuclear events occur in a scheduled program. Morphological studies on nuclear behavior during conjugation of P. caudatum have been performed since the end of the 19th century... During conjugation of Paramecium caudatum, nuclear events occur in a scheduled program. Morphological studies on nuclear behavior during conjugation of P. caudatum have been performed since the end of the 19th century. Here we report on new details concerning the conjugation of P. caudatum through the staining of conjugating ceils with protargol, carbol fuchsin solution, Hoechst 33342 and immunofluorescence labeling with monoclonal antibody of anti-a tubulin. 1) The crescent nucleus is a characteristic of the meiotic prophase of P. caudatum, has an unstained area. We stained this area with protargol, which was separated from the chromatin area and was not detected by the other stainings. 2) In regards to the four meiotic products, it has long been considered that only one product enters the paroral cone region (PC) and survives after meiosis. However, our protargol and immunofluorescence labeling results indicated that PC entrance of the meiotic product happened before the completion of meiosis instead of after. 3) In our previous study, protargol staining indicated the presence of a swollen structure around the central part of the "U" and "V" shaped spindles connecting the two types of prospective pronuclei. However, immunofluorescence labeling with anti-a tubulin antibodies gave a different image from protargol. All these observations form the basis for further studies of their molecular mechanisms. 展开更多
关键词 PARAMECIUM CONJUGATION CRESCENT PC entrance Connecting spindles
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Speech enhancement based on leakage constraints DF-GSC 被引量:1
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作者 邹采荣 陈国明 赵力 《Journal of Southeast University(English Edition)》 EI CAS 2007年第4期507-511,共5页
In order to improve the performance of general sidelobe canceller (GSC) based speech enhancement, a leakage constraints decision feedback generalized sidelobe canceller(LCDF-GSC) algorithm is proposed. The method ... In order to improve the performance of general sidelobe canceller (GSC) based speech enhancement, a leakage constraints decision feedback generalized sidelobe canceller(LCDF-GSC) algorithm is proposed. The method adopts DF-GSC against signal mismatch, and introduces a leakage factor in the cost function to deal with the speech leakage problem which is caused by the part of the speech signal in the noise reference signal. Simulation results show that although the signal-to-noise ratio (SNR) of the speech signal through LCDF-GSC is slightly less than that of DF-GSC, the IS measurements show that the distortion of the former is less than that of the latter. MOS (mean opinion score) scores also indicate that the LCDF-GSC algorithm is better than DF- GSC and the Weiner filter algorithm, 展开更多
关键词 speech enhancement general sidelobe canceller (GSC) speech leakage
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Surgical Resection of Right or Total Caudate Lobe of the Liver Including the Paracaval Portion 被引量:1
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作者 王义 陈汉 +3 位作者 吴孟超 姜小清 尉公田 孙延富 《The Chinese-German Journal of Clinical Oncology》 CAS 2003年第1期14-17,58,共5页
Objective To explore the method for and experience of the right or total caudate lobectomies including the paracaval portion. Methods The right posterior approach was employed for right caudate lobectomy and the lef... Objective To explore the method for and experience of the right or total caudate lobectomies including the paracaval portion. Methods The right posterior approach was employed for right caudate lobectomy and the left lateral approach for total caudate lobectomy. Prior to liver parenchymal transection, dissection was made to separate the caudate lobe and the tumor from the retrohepatic inferior vena cava (IVC). The transection was carried out by forceps and finger fracture with or without some kind of hepatic vascular occlusion. Results A total of 7 right and 6 total caudate lobectomies were performed, all including resection of the paracaval portion. There were no operative deaths or severe complications. The mean intraoperative blood loss was 896 ml (range: 250–2 000 ml). Among the 13 hepatectomies, 10 were done under portal triad clamping with a mean clamp time of 25 min (range: 10–83 min). There was a mean postoperative hospital stay of 12 days (range: 9–22 days). Conclusion Athough deeply located and in close proximity to the trunk of the main hepatic veins and the portal pedicle, the caudate lobe including paracaval portion can be safely resected either alone or combined with liver resection. Key words hepatectomy - liver neoplasms - inferior vena cava-surgery 展开更多
关键词 HEPATECTOMY liver neoplasms inferior vena cava-surgery
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以生命的精神价值为中心——方东美论中国哲学的“通性与特点” 被引量:2
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作者 余秉颐 《中国哲学史》 CSSCI 2003年第2期47-52,共6页
方东美认为 ,作为中国哲学主流的儒家、道家、大乘佛家三派哲学的相互贯通之处 ,既是中国哲学的通性 ,又是中国哲学的特点。笔者分析了方东美的论述 ,并指出 :他关于“旁通统贯论”、“道论”、“人格超升论”的阐述 ,实际上表明了他对... 方东美认为 ,作为中国哲学主流的儒家、道家、大乘佛家三派哲学的相互贯通之处 ,既是中国哲学的通性 ,又是中国哲学的特点。笔者分析了方东美的论述 ,并指出 :他关于“旁通统贯论”、“道论”、“人格超升论”的阐述 ,实际上表明了他对于中国哲学的基本精神和价值取向的理解 ,表明了他如下的观念 :中国哲学是以人的生命的精神价值为中心的哲学。本文认为 ,方东美的论述作为对于中国哲学基本精神的一种阐释 ,尤其是其中对于中国哲学基本价值取向的理解 ,应该说是比较准确的。 展开更多
关键词 方东美 中国哲学 生命 精神价值 “旁通统贯论” 道论 个人品格崇高论 儒家 道家 大乘佛家
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读上博简《孔子诗论》札记 被引量:2
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作者 冯胜君 《古籍整理研究学刊》 2002年第2期11-13,共3页
本文考证了上博简《孔子诗论》中的“旁德”,“业(■)”,并对几处篇名提出新解。
关键词
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Distribution of Oxytocin Hypothamic-Picuitary-Ovary Axis in Guangxi Local Buffalo 被引量:6
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作者 凌泽继 韩涛 +7 位作者 李瑞明 秦津 谢莹雪 许典新 杨柄壮 潘琼 奉倩 宋小白 《Agricultural Science & Technology》 CAS 2010年第5期138-143,154,共7页
To study the association of oxytocin (OT)'s distribution in hypothalamatic,pituitary and ovary,and understand how the OT secrete releasing in hypothalamus,pituitary and ovaries,the paraffin section immunohistochem... To study the association of oxytocin (OT)'s distribution in hypothalamatic,pituitary and ovary,and understand how the OT secrete releasing in hypothalamus,pituitary and ovaries,the paraffin section immunohistochemistry SuperPicTureTM two step method was used to detect the distribution of OT in hypothalamatic-pituitary-ovary axis of five femal Guangxi local buffalo. The test results could provide morphology according to study the OT's synthesis and mechanism of action,and could play reference and directions part in breeding Guangxi local buffalo. The test results display:oxytocin immuno reactive (OT-IR) neuronsw eremainly distributed arcuate nucleus,supraoptic nucleus and paraventricular nucleus,and OT-IR neurons was also found in ventromedial nucleus,ventrolateralis nucleus,suprachiasmaticus nucleus,dorsomedial nucleus,mamillary body,anterior hypothalamic nucleus and so on. The OT immunoactive production was found in pituitary and few OT-IR nerve fibers extended to post pituitary from hypophyseal stalk and medium eminence. In ovaries,OT immunoactive productions were only distributed in germinal epithelium cells,granulosa cells and lutein cells. The OT was first discovered in singulorum link of hypothalamatic-pituitary-ovary axis of Guangxi local buffalo. The OT immunoactive neurons were first discovered in every main nucleus of Guangxi local buffalo hypothalamus,especially distributed in arcuate nucleus,supraoptic nucleus and paraventricular nucleus. 展开更多
关键词 OT Guangxi local buffalo Hypothalamuses-pituitary-ovary axis Immunohistochemistry SuperPicTureTM two step method
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Multimode Interference Optical Power Splitter in Proton-Exchange LiNbO_3 Waveguides
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作者 马慧莲 王明华 《Journal of Semiconductors》 EI CAS CSCD 北大核心 2003年第2期137-140,共4页
The self imaging effect in graded index waveguides using annealed proton exchange (APE) technique in lithium niobate (LiNbO 3) waveguides is analyzed and simulated using the three dimensional nonparaxial beam pro... The self imaging effect in graded index waveguides using annealed proton exchange (APE) technique in lithium niobate (LiNbO 3) waveguides is analyzed and simulated using the three dimensional nonparaxial beam propagation method (BPM).On this basis,a 1×8 multimode interference (MMI) optical power splitter by APE technique in X cut LiNibO 3 with Y propagation substrate is fabricated.Measurements show that the device has realized eight powers splittings. 展开更多
关键词 MMI optical power splitter nonparaxial BPM APE LiNbO 3 waveguides
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Ac/Ds Transposition Activity in Transgenic Rice Population and DNA Flanking Sequence of Ds Insertion Sites 被引量:6
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作者 朱正歌 付亚萍 +4 位作者 肖晗 胡国成 斯华敏 于永红 孙宗修 《Acta Botanica Sinica》 CSCD 2003年第1期102-107,共6页
The Agrobacterium mediated transgenic rice ( Oryza saliva L.) population with inserts of maize transposon Activator/Dissociation (Ac/Ds) was investigated. DNA sequences flanking the T-DNA were analyzed with inverse PC... The Agrobacterium mediated transgenic rice ( Oryza saliva L.) population with inserts of maize transposon Activator/Dissociation (Ac/Ds) was investigated. DNA sequences flanking the T-DNA were analyzed with inverse PCR. Results showed that 65.4% of the T-DNA was integrated in different locations of rice genome, and some T-DNA flanking sequences were located on certain chromosomes. A number of T-DNA was found to have inserted into protein coding regions. In order to induce transposition of the inserted Ds elements, 354 crosses of Ac x Ds and Ds x Ac were constructed. The excision frequency of Ds element trans-activated by Ac transposase was 22.7% in the F-2 populations, and the transposition was confirmed with analyses of DNA sequences flanking the Ds elements. In addition to the transposition due to 'cut-paste' mechanism, Ds can replicate itself and integrate into a new locus, and inaccurate excisions were also found. A proportion of DNA segments flanking the Ds elements showed no homologies to sequences published in GenBank, of which two were registered under the accession numbers AF355153 and AF355770. The strategy of using transposon tagging for rice genomics study was discussed. 展开更多
关键词 transposon Ac/Ds transposition activity flanking sequence Oryza sativa
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Analysis of the Flanking Sequence and EventSpecific Detection of Transgenic Line W-4 of Brassica napus 被引量:1
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作者 陈松 申爱娟 +1 位作者 周晓婴 戚存扣 《Agricultural Science & Technology》 CAS 2014年第7期1089-1094,共6页
The genetically modified high-oleic rapeseed (Brassica napus L.) line W-4 was obtained by transforming a binary vector which harbored an inverted repeat expression cassette of fad2 gene into the rapeseed cultivar We... The genetically modified high-oleic rapeseed (Brassica napus L.) line W-4 was obtained by transforming a binary vector which harbored an inverted repeat expression cassette of fad2 gene into the rapeseed cultivar Westar.The transformation was mediated by Agrobacterium.The flanking sequences to both the left and right borders of T-DNA insertion site were amplified by thermal asymmetric interlaced PCR (TAIL-PCR) from the genomic DNA of the transgenic rapeseed line W-4.The flanking sequences to the right border was 290 bp in length and the nucleotide composition was 31.27% for G+C content while 68.73% for A+T content.The flanking sequence to the left border was 365 bp in length and the G+C content was 32.6% and the A+T content was 67.4%,indicating that the T-DNA was integrated in the A/T-rich region.Further more,sequence alignment analysis showed a deletion of 62 bp including the right border of pCNFIRnos and the integration of the whole left border except a change of G to A.That was to say,the integration of the T-DNA in the transgenic line W-4 not involved in the vector sequences.Based on both flanking sequences as well as the left and right borders of the T-DNA sequences,two pairs of specific primers TLF/TLR and TRF/TRR were designed.Using the primers the event-specific PCR detection method for transgenic rapeseed line W-4 was established.By the PCR,two fragments of 485 and 405 bp were amplified from the W-4 genomic DNA as expected,while no products were amplified from the genomic DNA of other transgenic rapeseed lines and non-transgenic rapeseed line.And by the PCR it is possible to detect the W-4 genomic DNA from a mixed sample of genomic DNA.The limit of the detection for the qualitative PCR assay was 0.1%.The method developed in this work is highly specific,sensitive and suitable for event-specific detection of the transgenic rapeseed line W-4. 展开更多
关键词 Transgenic rapeseed Flanking sequences Event-specific detection
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Off-pump coronary artery bypass grafting versus on-pump coronary artery bypass grafting: which is better in patients with chronic obstructive pulmonary disease? 被引量:9
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作者 朱亚彬 许建屏 +3 位作者 刘志勇 杨丹宁 李旭东 李鸿雁 《Journal of Zhejiang University Science》 CSCD 2004年第8期1005-1008,共4页
To evaluate the clinic outcome of off-pump coronary bypass grafting (OPCABG) of patients with coronary heart disease and chronic obstructive pulmonary disease, we collected and analyzed 1998-2002 data on 28 patients w... To evaluate the clinic outcome of off-pump coronary bypass grafting (OPCABG) of patients with coronary heart disease and chronic obstructive pulmonary disease, we collected and analyzed 1998-2002 data on 28 patients with these two diseases who had received off-pump coronary bypass operation in our hospital, and compared with data on those who also had the same two diseases but received on-pump coronary artery bypass at same time. There were no operation-related death;one died of respiratory failure 14 days after operation while staying in hospital; there were more respiratory complications in the conventional coronary artery bypass grafting group (CCABG) than in the OPCABG group; and the PaO2/FiO2 in the CCABG group was higher than that in the OPCABG group during operation because of CPB, but lower than that in the OPCABG group 6-12 hours after operation. OPCABG seemed more suitable than CCABG for coronary artery disease patients with chronic obstructive pulmonary disease due to less damage to their oxygen-exchange capability and the fewer respiratory complications. 展开更多
关键词 Chronic obstructive pulmonary disease Coronary artery heart disease Off-pump bypass On-pump bypass Respiratory function
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Sevoflurane Versus Propofol for Myocardial Protection in Patients Undergoing Coronary Artery Bypass Grafting Surgery: a Meta-analysis of Randomized Controlled Trials 被引量:11
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作者 Yun-tai Yao Li-huan Li 《Chinese Medical Sciences Journal》 CAS CSCD 2009年第3期133-141,共9页
Objective To systematically review randomized controlled trials to compare myocardial protection profiles of sevoflurane with propofol in patients undergoing coronary artery bypass grafting (CABG) surgery. Methods ... Objective To systematically review randomized controlled trials to compare myocardial protection profiles of sevoflurane with propofol in patients undergoing coronary artery bypass grafting (CABG) surgery. Methods Electronic databases were searched to identify all randomized controlled trials comparing sevoflurane with propofol for protecting myocardium in adult patients undergoing CABG surgery. Two authors independently extracted patients' perioperative data, including patients' baseline characteristics, surgical variables, and outcome data. For continuous variables, treatment effects were calculated as weighted mean difference (WMD) and 95% confidential interval (C/). For dichotomous data, treatment effects were calculated as odds ratio (OR) and 95% CI. Each outcome was tested for heterogeneity, and randomized-effects or fixed-effects model was used in the presence or absence of significant heterogeneity (Q test P〈0.05). Sensitivity analyses were done by examining the influence of statistical model on estimated treatment effects. Publication bias was explored through visual inspection of funnel plots of the outcomes. Statistical significance was defined as P〈0.05. Results Our search yielded 13 studies including 696 patients, and 402 patients were allocated into sevoflurane group and 294 into propofol group. There was no significant difference in postoperative mechanical ventilation time, inotropic support, mortality, myocardial infarction, and atrial fibrillation between the two groups (all P〉0.05). Patients randomized into sevoflurane group had higher post-bypass cardiac index (WMD=0.39, 95% CI: 0.18 to 0.60, P=0.0003), lower troponin I level (WMD=-0.82, 95% CI:-0.87 to -0.85, P=0.0002), lower incidence of myocardial ischemia (OR=0.37, 95% CI: 0.16 to 0.83, P=0.02), shorter ICU and hospital stay length (WMD=-10.99, 95% CI: -12.97 to -9.01, P〈0.00001; WMD=-0.78, 95% CI: -1.00 to -0.56, P〈0.00001, respectively). Conclusion This meta-analysis has found some evidence showing that sevoflurane has better myocardial protection than propofol in CABG surgery. 展开更多
关键词 SEVOFLURANE PROPOFOL myocardial protection coronary artery bypass grafting META-ANALYSIS
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