期刊文献+
共找到121篇文章
< 1 2 7 >
每页显示 20 50 100
《汉语大词典》“小的”、“小底”条考辨
1
作者 刘丰年 《安庆师范学院学报(社会科学版)》 2013年第5期11-13,共3页
《汉语大词典》是一部大型的、历史性的汉语辞典,所收词目约三十七万条。其重在探索语词的历史发展,给我们学习和研究汉语词汇提供了非常大的便利。但是"白璧微瑕",笔者发现其"小"字下所收词目"小的"、&q... 《汉语大词典》是一部大型的、历史性的汉语辞典,所收词目约三十七万条。其重在探索语词的历史发展,给我们学习和研究汉语词汇提供了非常大的便利。但是"白璧微瑕",笔者发现其"小"字下所收词目"小的"、"小底"二词释义,或有失误,或交代不清,有就缪补正之必要。 展开更多
关键词 《汉语大词典》 小底 小的
下载PDF
基于改进YOLOv8的轻量化小麦病害检测方法 被引量:17
2
作者 马超伟 张浩 +3 位作者 马新明 王键霖 张永爽 张小艾 《农业工程学报》 EI CAS CSCD 北大核心 2024年第5期187-195,共9页
为提高小麦病害检测精度,实现将模型方便快速部署到移动端,该研究提出了一种基于改进YOLOv8的轻量化小麦病害检测方法。首先,使用PP-LCNet模型替换YOLOv8网络结构的骨干网络,并在骨干网络层引入深度可分离卷积(depthwise separable conv... 为提高小麦病害检测精度,实现将模型方便快速部署到移动端,该研究提出了一种基于改进YOLOv8的轻量化小麦病害检测方法。首先,使用PP-LCNet模型替换YOLOv8网络结构的骨干网络,并在骨干网络层引入深度可分离卷积(depthwise separable convolution, DepthSepConv)结构,减少模型参数量,提升模型检测性能;其次,在颈部网络部分添加全局注意力机制(global attention mechanism, GAM)模块,强化特征中语义信息和位置信息,提高模型特征融合能力;然后,引入轻量级通用上采样内容感知重组(content-aware reassembly of features,CARAFE)模块,提高模型对重要特征的提取能力;最后,使用Wise-IoU(weighted interpolation of sequential evidence for intersection over union)边界损失函数代替原损失函数,提升网络边界框回归性能和对小目标病害的检测效果。试验结果表明,对于大田环境下所采集的小麦病害数据集,改进后模型的参数量及模型大小相比原YOLOv8n基线模型分别降低了12.5%和11.3%,同时精确度(precision)及平均精度均值(mean average precision,m AP)相较于原模型分别提高了4.5和1.9个百分点,优于其他对比目标检测算法,可为小麦病害检测无人机等移动端检测装备的部署和应用提供参考。 展开更多
关键词 图像识别 深度学习 目标检测 轻量化 小麦病害 YOLOv8 PP-LCNet
下载PDF
“冬烘”“小的子”“的篤”考源 被引量:1
3
作者 楊琳 《汉语史学报》 CSSCI 2018年第2期79-84,共6页
"冬烘"形容人之糊塗迂腐,然理據不明。"冬烘"二字本身與糊塗義没有關係,應該都是記音字。文章認爲"冬"的近親是"懵懂""顛懂"之"懂"。"懵懂"同義連文,義爲糊塗... "冬烘"形容人之糊塗迂腐,然理據不明。"冬烘"二字本身與糊塗義没有關係,應該都是記音字。文章認爲"冬"的近親是"懵懂""顛懂"之"懂"。"懵懂"同義連文,義爲糊塗。不少方言稱年老糊塗爲"顛懂",亦爲同義連文,"顛"指瘋癲失智,"懂"指糊塗。"懂"源自"憧","憧"即"冬烘"之"冬"的本字。"憧"由"童"分化而來,兒童蒙昧無知,故"童"引申爲愚昧無知。"烘"的本字爲《説文》訓爲"愚也"的"戇",《廣韻·送韻》音呼貢切。"小的子"指小孩子,但來源構造與"小的"不同。聯繫"狗的子""潑的子"等詞來看,"的子"爲一詞,"小"是"的子"的修飾成分。"的子"之"的"本字爲"滴",水滴爲小點兒,常用來形容事物之小少。"的篤"本字爲"滴涿"。"滴涿"既指水液滴落(動詞),也指滴落之水滴,比喻矮小。 展开更多
关键词 冬烘 顛懂 酩酊 小的 狗的子 的篤
原文传递
Control Effect of Sublimed Sulfur Paired with Acaricide on Bee Mites 被引量:7
4
作者 余玉生 张祖芸 +2 位作者 卢焕仙 赵洪木 张学文 《Agricultural Science & Technology》 CAS 2011年第2期241-243,共3页
[Objective] This study aimed to compare the effects of sublimed sulfur and acaricide on controlling bee mites.[Method] Three independent experiments were carried out in the same apiary during 2007-2009.[Results] The r... [Objective] This study aimed to compare the effects of sublimed sulfur and acaricide on controlling bee mites.[Method] Three independent experiments were carried out in the same apiary during 2007-2009.[Results] The results showed that this method is effective in eliminating mites settled on combs or hidden during pupae phase,but not in controlling the mites parasitized on adult bees.The control effect on killing Varroa destructor after treated appeared optimal in the first day and then decreased,and that on killing Tvopilaelaps clareae happened in the second day.The results indicated that the effect would be much better if the bees can be treated 1 time to 2 times again in the following 2-5 days after the first treatment.Back to data pool,we found that the treatment of sublimed sulfur paired with acaricide is effective in controlling V.destructor and T.clareae.[Conclusion] This technique could facilitate the apicultural production in the regions suffered from V.destructor and T.clareae. 展开更多
关键词 Sublimed sulfur ACARICIDE Varroa destructor Tvopilaelaps clareae Control effect
下载PDF
Security Assurance for One-stage Resection of Left Colon Cancer with Acute Obstruction—Thorough and Prompt Enteral Decompression without Contamination 被引量:12
5
作者 彭淑牖 何小伟 +3 位作者 刘颖斌 李江涛 王建伟 钱浩然 《The Chinese-German Journal of Clinical Oncology》 CAS 2005年第1期8-10,65,共4页
Objective: Thorough, prompt enteral decompression technique without contamination was de- veloped to ensure safety for emergent colon resection and primary anastomosis. Methods: After isolating the mesentery, the “to... Objective: Thorough, prompt enteral decompression technique without contamination was de- veloped to ensure safety for emergent colon resection and primary anastomosis. Methods: After isolating the mesentery, the “to be resected colon segment” was cut at its lower end, then the proximal cut end was put into a plastic bag which was adhered to one side of the operating table. After releasing the clamp, the content could ?ow into this bag. The operator could squeeze the bowel with two hands by turns, from proximal to farness, and from small bowel to large bowel, until the entire bowel content was fully discharged. Then the upper end of this “to be resected colon segment” was cut, and was removed together with the plastic bag. Results: 31 cases of left colon cancer with acute obstruction were decompressed with this technique. They all recovered smoothly, without anastomosis ?stula. Another 6 cases of hepatic seg- mentectomy with incidental colonectomy were decompressed with this technique and had the same results. This technique was also used in di?erent kinds of acute small intestinal obstruction and gained satisfactory results. Conclusion: This technique could be considered as the preferable choice for intraoperative enteral decompression. 展开更多
关键词 enteral decompression left colon one-stage anastomosis peritoneal contamination
下载PDF
“还是+动/小句[+的]+好”序列探析
6
作者 张娜 《南阳理工学院学报》 2009年第5期15-18,共4页
"还是+动/小句[+的]+好"是现代汉语口语中常见的一种句法结构形式。如何正确地把握该序列的结构、语义和语用价值,具有重要的理论意义。然而多年来的汉语语法研究一直未对此做出明确而合理的解释。我们认为,"还是+动/小... "还是+动/小句[+的]+好"是现代汉语口语中常见的一种句法结构形式。如何正确地把握该序列的结构、语义和语用价值,具有重要的理论意义。然而多年来的汉语语法研究一直未对此做出明确而合理的解释。我们认为,"还是+动/小句[+的]+好"结构在实际语言运用中表现为"还是+动/小句[+的]+好"和"还是+动/小句+的+好"两种形式;其中的"的"按照言语交际中语义理解的不同可分别视为结构助词和衬音助词。 展开更多
关键词 “还是+动/小句[+的]+好” 还是
下载PDF
Hepatic encephalopathy: Ever closer to its big bang 被引量:6
7
作者 Pablo A Souto Ariel R Marcotegui +2 位作者 Lisandro Orbea Juan Skerl Juan Carlos Perazzo 《World Journal of Gastroenterology》 SCIE CAS 2016年第42期9251-9256,共6页
Hepatic encephalopathy(HE) is a neuropsychiatric disorder that commonly complicates the course of patients with liver disease. Despite the fact that the syndrome was probably first recognized hundreds of years ago, th... Hepatic encephalopathy(HE) is a neuropsychiatric disorder that commonly complicates the course of patients with liver disease. Despite the fact that the syndrome was probably first recognized hundreds of years ago, the exact pathogenesis still remains unclear. Minimal hepatic encephalopathy(MHE) is the earliest form of HE and is estimated to affect more that 75% of patients with liver cirrhosis. It is characterized by cognitive impairment predominantly attention, reactiveness and integrative function with very subtle clinical manifestations. The development of MHE is associated with worsen in driving skills, daily activities and the increase of overall mortality. Skeletal muscle has the ability to shift from ammonia producer to ammonia detoxifying organ. Due to its large size, becomes the main ammonia detoxifying organ in case of chronic liver failure and muscular glutaminesynthase becomes important due to the failing liver and brain metabolic activity. Gut is the major glutamine consumer and ammonia producer organ in the body. Hepatocellular dysfunction due to liver disease, results in an impaired clearance of ammonium and in its interorgan trafficking. Intestinal bacteria, can also represent an extra source of ammonia production and in cirrhosis, small intestinal bacterial overgrowth and symbiosis can be observed. In the study of HE, to get close to MHE is to get closer to its big bang; and from here, to travel less transited roads such as skeletal muscle and intestine, is to go even closer. The aim of this editorial is to expose this road for further and deeper work. 展开更多
关键词 AMMONIA Skeletal muscle Minimal hepatic encephalopathy HYPERAMMONEMIA
下载PDF
Implications of small-bowel transit time in the detection rate of capsule endoscopy: A multivariable multicenter study of patients with obscure gastrointestinal bleeding 被引量:10
8
作者 Carlo Maria Girelli Marco Soncini Emanuele Rondonotti 《World Journal of Gastroenterology》 SCIE CAS 2017年第4期697-702,共6页
AIMTo define the role of small-bowel transit time in the detection rate of significant small-bowel lesions.METHODSSmall-bowel capsule endoscopy records, prospectively collected from 30 participating centers in the Lom... AIMTo define the role of small-bowel transit time in the detection rate of significant small-bowel lesions.METHODSSmall-bowel capsule endoscopy records, prospectively collected from 30 participating centers in the Lombardy Registry from October 2011 to December 2013, were included in the study if the clinical indication was obscure gastrointestinal bleeding and the capsule reached the cecum. Based on capsule findings, we created two groups: P2 (significant findings) and P0-1 (normal/negligible findings). Groups were compared for age, gender, small-bowel transit time, type of instrument, modality of capsule performance (outpatients vs inpatients), bowel cleanliness, and center volume.RESULTSWe retrieved and scrutinized 1,433 out of 2,295 capsule endoscopy records (62.4%) fulfilling the inclusion criteria. Patients were 67 &#x000b1; 15 years old, and 815 (57%) were males. In comparison with patients in the P0-1 group, those in the P2 group (n = 776, 54%) were older (P &#x0003c; 0.0001), had a longer small-bowel transit time (P = 0.0015), and were more frequently examined in low-volume centers (P &#x0003c; 0.001). Age and small-bowel transit time were correlated (P &#x0003c; 0.001), with age as the sole independent predictor on multivariable analysis. Findings of the P2 group were artero-venous malformations (54.5%), inflammatory (23.6%) and protruding (10.4%) lesions, and luminal blood (11.5%).CONCLUSIONIn this selected, prospectively collected cohort of small-bowel capsule endoscopy performed for obscure gastrointestinal bleeding, a longer small-bowel transit time was associated with a higher detection rate of significant lesions, along with age and a low center volume, with age serving as an independent predictor. 展开更多
关键词 Capsule endoscopy Small-bowel transit time Detection rate Diagnostic yield Small bowel Obscure gastrointestinal bleeding PROKINETICS Suspect small-bowel bleeding
下载PDF
A pedunculated polyp-shaped small-bowel lymphangioma causing gastrointestinal bleeding and treated by double-balloon enteroscopy 被引量:5
9
作者 Akihiko Kida Koichiro Matsuda +7 位作者 Satoshi Hirai Akiyoshi Shimatani Yousuke Horita Katsushi Hiramatsu Mitsuru Matsuda Hidero Ogino Shin Ishizawa Yatsugi Noda 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第34期4798-4800,共3页
We report a rare case of a small-bowel lymphangioma causing massive gastrointestinal (GI) bleeding that we successfully diagnosed and treated using double-balloon enteroscopy (DBE). An 81-year-old woman suffering from... We report a rare case of a small-bowel lymphangioma causing massive gastrointestinal (GI) bleeding that we successfully diagnosed and treated using double-balloon enteroscopy (DBE). An 81-year-old woman suffering from repeated GI bleeding of unknown origin underwent a capsule endoscopy at a previous hospital. She was suspected of having bleeding from the jejunum, and was referred to our department for diagnosis and treatment. An oral DBE revealed a 20 mm × 10 mm, regularly surfaced, white to yellowish, elongated, pedunculated jejunal polyp with small erosions at 10 cm distal to the ligament of Treiz. Since no other source of bleeding was identified by endoscopy in the deep jejunum, anendoscopic polypectomy (EP) was performed for this lesion. A subsequent histopathological examination of the resected polyp showed clusters of lymphatic vessels with marked cystic dilatation in the submucosa and the deep layer of the lamina propria mucosae. These characteristics are consistent with the typical features of small-bowel lymphangioma with erosions. Although clip-ping hemostasis was performed during EP, re-bleeding occurred. Finally, a complete hemostasis was achieved by performing an additional argon plasma coagulation. 展开更多
关键词 Small-bowel lymphangioma Gastrointesti-nal bleeding Double-balloon enteroscopy
下载PDF
Improved Formula for Estimating Added Resistance of Ships in Engineering Applications 被引量:2
10
作者 Shukui Liu Baoguo Shang +1 位作者 Apostolos Papanikolaou Victor Bolbot 《Journal of Marine Science and Application》 CSCD 2016年第4期442-451,共10页
The authors previously introduced a semi-empirical formula that enabled fast estimation of the added resistance of ships in head waves, and in this study the formula is further refined for easy use in engineering appl... The authors previously introduced a semi-empirical formula that enabled fast estimation of the added resistance of ships in head waves, and in this study the formula is further refined for easy use in engineering applications. It includes an alternative ship draft correction coefficient, which better accounts for the wave pressure decay with ship’s draft. In addition, it only uses the speed and main characteristics of the ship and wave environment as input, and has been simplified to the extent that it can be readily processed using a pocket calculator. Extensive validations are conducted for different ship types at low to moderate speeds in various typical irregular sea conditions, and encouraging results are obtained. This relevant and topical research lies within the framework of the recent IMO MEPC.232(65) (2013) EEDI guidelines for estimating the minimum powering of ships in adverse weather conditions, which specify for the use of simple methods in current Level 2 assessment within engineering applications.Keywords: added resistance, minimum power, IMO regulation, EEDI regulation, weather coefficient, semi-empirical formulas, ships, head waves 展开更多
关键词 added resistance minimum power IMO regulation EEDI regulation weather coefficient semi-empirical formulas SHIPS head waves
下载PDF
Indole phytoalexin derivatives induce mitochondrialmediated apoptosis in human colorectal carcinoma cells 被引量:5
11
作者 Viera Tischlerova Martin Kello +1 位作者 Mariana Budovska Jan Mojzis 《World Journal of Gastroenterology》 SCIE CAS 2017年第24期4341-4353,共13页
To investigate the mechanism of the antiproliferative effect of synthetic indole phytoalexin derivatives on human colorectal cancer cell lines. METHODSChanges in cell proliferation and the cytotoxic effect of the test... To investigate the mechanism of the antiproliferative effect of synthetic indole phytoalexin derivatives on human colorectal cancer cell lines. METHODSChanges in cell proliferation and the cytotoxic effect of the tested compounds on human colorectal cancer cell lines and human fibroblasts were evaluated using MTS and BrdU assay, allowing us to choose the most potent substance. Cell cycle alterations were analyzed using flow cytometric analysis. The apoptosis-inducing effect of compound K-453 on the HCT116 cell line was examined with annexin V/PI double staining using flow cytometry, as well as acridine orange/propidium iodide (AO/PI) staining. The flow cytometry method also allowed us to measure changes in levels or activation states of other factors associated with apoptosis, such as poly (ADP-ribose) polymerase (PARP), caspase-3 and -9, cytochrome c, Bcl-2 family proteins, and also the integrity of the mitochondrial membrane. To evaluate activity of the transcription factors and proteins involved in signaling pathways we used Western blot analysis together with flow cytometry. RESULTSAmong the ten tested compounds, compound K-453 {(±)-trans-1,2-dimethoxy-2’-(3,5-bis-trifluoromethylphenylamino)spiro{indoline-3,5’[4’,5’]dihydrothiazol} exhibited the most potent activity with IC<sub>50</sub> = 32.22 ± 1.14 μmol/L in human colorectal HCT116 cells and was thus selected for further studies. Flow cytometric analysis revealed a K-453-induced increase in the population of cells with sub-G<sub>1</sub> DNA content, which is considered as a marker of apoptotic cell death. The apoptosis-inducing effect of compound K453 was also confirmed by annexin V/PI double staining and AO/PI staining. The apoptosis was associated with the loss of mitochondrial membrane potential, PARP cleavage, caspase-3 and caspase-9 activation, release of cytochrome c, as well as changes in the levels of Bcl-2 family members. Moreover, flow cytometry showed that compound K-453 stimulates phosphorylation of p38 MAPK but decreases phosphorylation of Akt and Erk 1/2. Activation of p38 MAPK was also confirmed using Western blot analysis. This analysis also revealed down-regulation of NF-κB1 (p50) and RelA (p65) proteins and the loss of their anti-apoptotic activity. CONCLUSIONIn our study compound K-453 exhibited an antiproliferative effect by induction of intrinsic apoptosis as well as modulation of several signaling pathways. 展开更多
关键词 Colorectal carcinoma Indole phytoalexins ANTIPROLIFERATIVE Apoptosis Intrinsic pathway
下载PDF
Usefulness of dynamic contrast-enhanced MR imaging in the evaluation of pulmonary isolated lesions 被引量:3
12
作者 Zhiyong Li Tingting Zhang Jianlin Wu Wei Liu Qiang Wei Bin Xu Rui Han 《The Chinese-German Journal of Clinical Oncology》 CAS 2010年第6期334-336,共3页
Objective: The aim of our study was to investigate the value of dynamic contrast-enhanced MRI for evaluating differential diagnosis of pulmonary isolated lesions. Methods: Twenty-nine consecutive patients enrolled i... Objective: The aim of our study was to investigate the value of dynamic contrast-enhanced MRI for evaluating differential diagnosis of pulmonary isolated lesions. Methods: Twenty-nine consecutive patients enrolled in this study, all of whom underwent DCE-MRI examinations and received a histologic and clinical diagnosis. Among these, lung tuberculoma 7 cases, harmatoma 3 cases, peripheral lung cancer 19 cases. DCE-MRI was acquired with 3D LAVA technique, total 18 phases were acquired, scanner time of per phase was 5-7″. After contrasting agent, twice successive scanning was acquired at 10″ and 50″. Then 1′30″, 2′, 2′30″, 3′, 3′30″, 4′, 5′, 6′, 7′, 8′, 9′, 10′, 11′, 12′ performed scanning. Region of interest was placed on the Maximum level in the tumors. According to Schaefer's standard, four types of time signal intensity curve (TIC) were classified, which were A, B, C and D. Compared the dynamic parameters between benign and malignant nodules. Results: Lung tuberculoma may display three curves: A type 1 case, ring-shaped enhancement 4 cases (periphery ring A type, central region D type), D type 2 cases. Harmatoma may display three curves: A type 1 case, C type 2 case. Peripheral lung cancer may display A type. Except 2 cases D type lung tuberculoma, we compared curve data of 8 cases benign nodules (including tuberculoma Atype and periphery ring Atype, harmatoma Atype and C type) and lung cancer. SlEP%: benign nodules 0.7885 ±0.5543, lung cancer 1.2623 ±0.3059, P 〈 0.05; MER: benign nodules 1.0007 ± 0.4251, lung cancer 1.3694 ±0.2740, P 〈 0.05; washout: P 〉 0.05. Conclusion: Lung MR imaging is helpful to diagnosis and differential diagnosis of isolated benign and malignant nodules. SIEP% and MER could offer valuable information. The evolution of global tuberculosis may be from A type to ring-shaped ennoblement to D type. It was easy to do right diagnosis to lung tuberculoma with ring-shaped ennoblement and D type. Peripheral lung cancer commonly displayed A type and needed identification with acute inflammation. So, it is important to anti-inflammatory follow-up for a few A type nodules. 展开更多
关键词 non-small cell lung carcinoma dynamic contrast-enhanced MRI time signal intensity curve diagnosis
下载PDF
The Extremal Problem on Cartan-egg Domain of the First Type 被引量:2
13
作者 SU Jian-bing LI Hai-tao 《Chinese Quarterly Journal of Mathematics》 CSCD 2011年第3期343-349,共7页
In this paper,we study the extremal problem on Cartan-egg domain of the first type by using some inequalities.The extremal mapping and extremal value between the first type of Cartan-egg domain and the unit ball when ... In this paper,we study the extremal problem on Cartan-egg domain of the first type by using some inequalities.The extremal mapping and extremal value between the first type of Cartan-egg domain and the unit ball when k≤1 and k=2,m=2 are constructed. 展开更多
关键词 extremal problem Cartan-egg domain the minimal circumscribed ellipsoid
下载PDF
Subclinical atherosclerosis is linked to small intestinal bacterial overgrowth via vitamin K2-dependent mechanisms 被引量:9
14
作者 Francesca Romana Ponziani Maurizio Pompili +3 位作者 Enrico Di Stasio Maria Assunta Zocco Antonio Gasbarrini Roberto Flore 《World Journal of Gastroenterology》 SCIE CAS 2017年第7期1241-1249,共9页
To assess the rate of matrix Gla-protein carboxylation in patients with small intestinal bacterial overgrowth (SIBO) and to decipher its association with subclinical atherosclerosis.METHODSPatients with suspected SIBO... To assess the rate of matrix Gla-protein carboxylation in patients with small intestinal bacterial overgrowth (SIBO) and to decipher its association with subclinical atherosclerosis.METHODSPatients with suspected SIBO who presented with a low risk for cardiovascular disease and showed no evidence of atherosclerotic plaques were included in the study. A glucose breath test was performed in order to confirm the diagnosis of SIBO and vascular assessment was carried out by ultrasound examination. Plasma levels of the inactive form of MGP (dephosphorylated-uncarboxylated matrix Gla-protein) were quantified by ELISA and vitamin K2 intake was estimated using a food frequency questionnaire.RESULTSThirty-nine patients were included in the study. SIBO was confirmed in 12/39 (30.8%) patients who also presented with a higher concentration of dephosphorylated-uncarboxylated matrix Gla-protein (9.5 μg/L vs 4.2 μg/L; P = 0.004). Arterial stiffness was elevated in the SIBO group (pulse-wave velocity 10.25 m/s vs 7.68 m/s; P = 0.002) and this phenomenon was observed to correlate linearly with the levels of dephosphorylated-uncarboxylated matrix Gla-protein (β = 0.220, R<sup>2</sup> = 0.366, P = 0.03). Carotid intima-media thickness and arterial calcifications were not observed to be significantly elevated as compared to controls.CONCLUSIONSIBO is associated with reduced matrix Gla-protein activation as well as arterial stiffening. Both these observations are regarded as important indicators of subclinical atherosclerosis. Hence, screening for SIBO, intestinal decontamination and supplementation with vitamin K2 has the potential to be incorporated into clinical practice as additional preventive measures. 展开更多
关键词 Small intestinal bacterial overgrowth Vitamin K DYSBIOSIS ATHEROSCLEROSIS Cardiovascular disease risk
下载PDF
Efficacy of thalidomide therapy in pediatric Crohn's disease with evidence of tuberculosis 被引量:3
15
作者 Lin Wang Yan Hong +2 位作者 Jie Wu Ying-Kit Leung Ying Huang 《World Journal of Gastroenterology》 SCIE CAS 2017年第43期7727-7734,共8页
AIM To evaluate the efficacy of thalidomide for treating troublesome cases of pediatric Crohn's disease(CD) with tuberculosis infection.METHODS A retrospective study of clinical outcome among children treated with... AIM To evaluate the efficacy of thalidomide for treating troublesome cases of pediatric Crohn's disease(CD) with tuberculosis infection.METHODS A retrospective study of clinical outcome among children treated with thalidomide was conducted. All patients had evidence of tuberculosis infection with a failure of anti-tuberculosis treatment for more than one year,and were subsequently diagnosed with CD. All the patients received thalidomide treatment with a starting dose of 1.2-2.5 mg/kg per day. Remission was defined as pediatric CD activity index less than or equal to 10.RESULTS Ten patients with CD were treated with thalidomide at an average age of 7.2 years and followed up for a median of 22.2 mo. Clinical remission rate was 60% after 9-12 mo of thalidomide treatment. One patient with no response had an interleukin-10 receptor alpha gene mutation. Erythrocyte sedimentation rate,C-reactive protein and platelet count showed a dramatic decrease; hemoglobin level and weight improved significantly after thalidomide treatment when compared with the baseline values.CONCLUSION Thalidomide is an effective and safe drug for remission of CD in pediatric patients who have been treated for tuberculosis. 展开更多
关键词 Inflammatory bowel disease Intestinal tuberculosis Anti-tubercular treatment THALIDOMIDE CHILDREN
下载PDF
Genetic alterations in hepatocellular carcinoma: An update 被引量:14
16
作者 Zhao-Shan Niu Xiao-Jun Niu Wen-Hong Wang 《World Journal of Gastroenterology》 SCIE CAS 2016年第41期9069-9095,共27页
Hepatocellular carcinoma(HCC) is one of the leading causes of cancer-related deaths worldwide. Although recent advances in therapeutic approaches for treating HCC have improved the prognoses of patients with HCC, this... Hepatocellular carcinoma(HCC) is one of the leading causes of cancer-related deaths worldwide. Although recent advances in therapeutic approaches for treating HCC have improved the prognoses of patients with HCC, this cancer is still associated with a poor survival rate mainly due to late diagnosis. Therefore, a diagnosis must be made sufficiently early to perform curative and effective treatments. There is a need for a deeper understanding of the molecular mechanisms underlying the initiation and progression of HCC because these mechanisms are critical for making early diagnoses and developing novel therapeutic strategies. Over the past decade, much progress has been made in elucidating the molecular mechanisms underlying hepatocarcinogenesis. In particular, recent advances in next-generation sequencing technologies have revealed numerous genetic alterations, including recurrently mutated genes and dysregulated signaling pathways in HCC. A better understanding of the genetic alterations in HCC could contribute to identifying potential driver mutations and discovering novel therapeutic targets in the future. In this article, we summarize the current advances in research on the genetic alterations, including genomic instability, single-nucleotide polymorphisms, somatic mutations and deregulated signaling pathways, implicated in the initiation and progression of HCC. We also attempt to elucidate some of the genetic mechanisms that contribute to making early diagnoses of and developing molecularly targeted therapies for HCC. 展开更多
关键词 Genetic alterations Chromosomal instability Somatic mutations Signaling pathways Hepatocellular carcinoma
下载PDF
High levels of serum platelet-derived growth factor-AA and human epidermal growth factor receptor-2 are predictors of colorectal cancer liver metastasis 被引量:7
17
作者 Hong-Da Pan Yi-Fan Peng +1 位作者 Gang Xiao Jin Gu 《World Journal of Gastroenterology》 SCIE CAS 2017年第7期1233-1240,共8页
AIM To develop predictive markers in blood for colorectal cancer liver metastasis.METHODS Twenty colorectal cancer patients were selected and divided into two groups. Group A consisted of 10 patients whose pathologica... AIM To develop predictive markers in blood for colorectal cancer liver metastasis.METHODS Twenty colorectal cancer patients were selected and divided into two groups. Group A consisted of 10 patients whose pathological TNM stage was ⅢC(T3-4N2M0), while another 10 patients with synchronous liver metastasis(TNM stage Ⅳ) were recruited for group B. During the surgical procedure, a 10-ml drainage vein(DV) blood sample was obtained from the DV of the tumor-bearing segment prior to the ligation of the DV. At the same time, a 10-ml peripheral vein(PV) blood sample was collected via peripheral venipuncture. The serum levels of 24 molecules that are potentially involved in the mechanism of liver metastasis in both DV blood and PV blood were analyzed by using high-throughput enzyme-linked immunosorbent assay technology.RESULTS Univariate analysis revealed that platelet-derivedgrowth factor AA(PDGFAA) in DV blood(d PDGFAA)(P = 0.001), PDGFAA in PV blood(p PDGFAA)(P = 0.007), and human epidermal growth factor receptor-2 in PV blood(p HER2)(P = 0.001), p MMP7(P = 0.028), pR ANTES(P = 0.013), and pE GF(P = 0.007) were significantly correlated with synchronous liver metastasis. Multivariate analysis identified d PDGFAA(HR = 1.001, P = 0.033) and p HER2(HR = 1.003, P = 0.019) as independent predictive factors for synchronous liver metastasis. Besides, high peripheral HER2 level may also be a risk factor for metachronous liver metastasis, although the difference did not reach statistical significance(P = 0.06). Significant correlations were found between paired DV and PV blood levels for PDGFAA(r = 0.794, P < 0.001), but not for HER2(r = 0.189, P = 0.424).CONCLUSION PDGFAA in tumor drainage and HER2 in PV blood may be useful predictive factors for synchronous liver metastasis of colorectal cancer. 展开更多
关键词 Platelet-derived growth factor AA Human epidermal growth factor receptor-2 Colorectal cancer Liver metastasis
下载PDF
Restoration of energy level in the early phase of acute pediatric pancreatitis 被引量:10
18
作者 Dóra Mosztbacher Nelli Farkas +10 位作者 Margit Solymár Gabriella Pár Judit Bajor ákos Szucs József Czimmer Katalin Márta Alexandra Mikó Zoltán Rumbus Péter Varjú Péter Hegyi Andrea Párniczky 《World Journal of Gastroenterology》 SCIE CAS 2017年第6期957-963,共7页
Acute pancreatitis (AP) is a serious inflammatory disease with rising incidence both in the adult and pediatric populations. It has been shown that mitochondrial injury and energy depletion are the earliest intracellu... Acute pancreatitis (AP) is a serious inflammatory disease with rising incidence both in the adult and pediatric populations. It has been shown that mitochondrial injury and energy depletion are the earliest intracellular events in the early phase of AP. Moreover, it has been revealed that restoration of intracellular ATP level restores cellular functions and defends the cells from death. We have recently shown in a systematic review and meta-analysis that early enteral feeding is beneficial in adults; however, no reviews are available concerning the effect of early enteral feeding in pediatric AP. In this minireview, our aim was to systematically analyse the literature on the treatmentof acute pediatric pancreatitis. The preferred reporting items for systematic review(PRISMA-P) were followed, and the question was drafted based on participants, intervention, comparison and outcomes: P: patients under the age of twenty-one suffering from acute pancreatitis; I: early enteral nutrition (per os and nasogastric- or nasojejunal tube started within 48 h); C: nil per os therapy; O: length of hospitalization, need for treatment at an intensive care unit, development of severe AP, lung injury (including lung oedema and pleural effusion), white blood cell count and pain score on admission. Altogether, 632 articles (Pub Med: 131; EMBASE: 501) were found. After detailed screening of eligible papers, five of them met inclusion criteria. Only retrospective clinical trials were available. Due to insufficient information from the authors, it was only possible to address length of hospitalization as an outcome of the study. Our mini-meta-analysis showed that early enteral nutrition significantly(SD = 0.806, P = 0.034) decreases length of hospitalization compared with nil per os diet in acute pediatric pancreatitis. In this minireview, we clearly show that early enteral nutrition, started within 24-48 h, is beneficial in acute pediatric pancreatitis. Prospective studies and better presentation of research are crucially needed to achieve a higher level of evidence. 展开更多
关键词 pediatric pancreatitis enteral nutrition nil per os diet ATP restoration length of hospitalization
下载PDF
Pancreaticoduodenectomy for duodenal papilla carcinoma: A single-centre 9-year retrospective study of 112 patients with long-term follow-up 被引量:6
19
作者 Pei-Long Lian Yuan Chang +3 位作者 Xiu-Chun Xu Zhen Zhao Xian-Qiang Wang Ke-Sen Xu 《World Journal of Gastroenterology》 SCIE CAS 2017年第30期5579-5588,共10页
AIM To retrospectively evaluate the factors that influence long-term outcomes of duodenal papilla carcinoma (DPC) after standard pancreaticoduodenectomy (SPD). METHODS This is a single-centre, retrospective study incl... AIM To retrospectively evaluate the factors that influence long-term outcomes of duodenal papilla carcinoma (DPC) after standard pancreaticoduodenectomy (SPD). METHODS This is a single-centre, retrospective study including 112 DPC patients who had a SPD between 2006 and 2015. Associations between serum levels of CA19-9 and CEA and various clinical characteristics of 112 patients with DPC were evaluated by the. 2 test and Fisher's exact test. The patients were followed-up every 3 mo in the first two years and at least every 6 mo afterwards, with a median follow-up of 60 mo (ranging from 4 mo to 168 mo). Survival analysis was conducted using the Kaplan-Meier survival and Cox proportional hazards model analysis. The difference in survival curves was evaluated with a log-rank test. RESULTS In 112 patients undergoing SPD, serum levels of CA19-9 was associated with serum levels of CEA and drainage mode (the P values were 0.000 and 0.033, respectively); While serum levels of CEA was associated with serum levels of CA19-9 and differentiation of the tumour (the P values were 0.000 and 0.033, respectively). The serum levels of CA19-9 and CEA were closely correlated (chi(2) = 13.277, r = 0.344, P = 0.000). The overall 5-year survival was 50.00% for 112 patients undergoing SPD. The Kaplan-Meier survival analysis showed that increased serum levels of CA19-9, CEA, and total bilirubin were correlated with a poor prognosis, as well as a senior grade of infiltration depth, lymph node metastases, and TNM stage(the P values were 0.033, 0.018, 0.015, 0.000, 0.000 and 0.000, respectively). Only the senior grade of infiltration depth and TNM stage retained their significance when adjustments were made for other known prognostic factors in Cox multivariate analysis (RR = 2.211, P = 0.022 and RR = 2.109, P = 0.047). CONCLUSION For patients with DPC, the serum levels of CA19-9 and CEA were closely correlated, and play an important role in poor survival. Increased serum levels of total bilirubin and lymph node metastases were also correlated with a poor prognosis. The senior grade of infiltration depth and TNM stage can serve as independent prognosis indexes in the evaluation of patients with DPC after SPD. 展开更多
关键词 Duodenal papilla carcinoma CA19-9 CEA SURVIVAL PANCREATICODUODENECTOMY
下载PDF
VARIATIONAL DATA ASSIMILATION USING WAVELET BACKGROUND ERROR COVARIANCE: INITIALIZATION OF TYPHOON KAEMI (2006) 被引量:6
20
作者 张卫民 曹小群 +3 位作者 肖庆农 宋君强 朱小谦 王舒畅 《Journal of Tropical Meteorology》 SCIE 2010年第4期333-340,共8页
Background error covariance plays an important role in any variational data assimilation system, because it determines how information from observations is spread in model space and between different model variables. ... Background error covariance plays an important role in any variational data assimilation system, because it determines how information from observations is spread in model space and between different model variables. In this paper, the use of orthogonal wavelets in representation of background error covariance over a limited area is studied. Based on the WRF model and its 3D-VAR system, an algorithm using orthogonal wavelets to model background error covariance is developed. Because each wavelet function contains information on both position and scale, using a diagonal correlation matrix in wavelet space gives the possibility to represent some anisotropic and inhomogeneous characteristics of background error covariance. The experiments show that local correlation functions are better modeled than spectral methods. The formulation of wavelet background error covariance is tested with the typhoon Kaemi (2006). The results of experiments indicate that the subsequent forecasts of typhoon Kaemi’s track and intensity are significantly improved by the new method. 展开更多
关键词 variational data assimilation background error covariance orthogonal wavelet TYPHOON
下载PDF
上一页 1 2 7 下一页 到第
使用帮助 返回顶部