(1-3)-β-D葡聚糖联合降钙素原、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究

目的探讨(1-3)-β-D葡聚糖联合降钙素原(procalcitonin,PCT)、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究。方法回顾性选取我院2020年1月—2022年6月住院的120例艾滋病患者为研究对象。依据实验室结果,将其分为马尔尼菲篮状菌感染确诊组(血或组织液培育养出马尔尼菲篮状菌),简称A组(62例),及马尔尼菲篮状菌感染临床诊断组[根据临床症状、体征、血常规及(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞多指标诊断],简称B组(58例)。检测患者(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞的表达水平,采用受试者工作特征(receiver-operating characteristic,ROC)曲线下面积(area under the curve,AUC)评估上述指标联合检测对艾滋病患者感染马尔尼菲篮状菌的诊断效能。结果A组的(1-3)-β-D葡聚糖和PCT水平均高于B组,CD4^(+)T淋巴细胞个数低于B组(P<0.05);(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞联合检测的AUC为0.933,(1-3)-β-D葡聚糖单独检测的AUC是0.812,PCT单独检测的AUC为0.883,CD4^(+)T淋巴细胞单独检测的AUC是0.810,(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的AUC皆优于三项单独检测,表明(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的诊断价值皆优于单一指标诊断,且联合检测的特异度、约登指数分别为92.43%和0.580,均高于三项单独检测。结论(1-3)-β-D葡聚糖联合PCT和CD4^(+)T淋巴细胞多指标对艾滋病马尔尼菲篮状菌感染具有非常高的临床诊断价值,能够帮助医生分析出高危风险患者,及时制定治疗方案,同时也承担预后效果的判断依据,对治疗艾滋病马尔尼菲篮状菌感染具有非常重要的研究价值。

1例RHD-CE(3-7)-D基因重组与RHCE变异型患者的血清学与分子生物学分析

目的 研究分析1例Rh血型弱D、弱cE患者的血清学与分子生物学特征,为该类患者的临床安全输血提供实验依据。方法 采用微柱凝胶卡法对患者红细胞进行ABO、RhDCcEe抗原的鉴定,同时采用试管法进行血型复核,抗人球蛋白卡法筛查不规则抗体;采用PCR-SSP法对RhDCcEe(RhD、RhC、Rhc、RhE、Rhe)基因型进行检测;三代全长测序技术对RHD/RHCE基因序列进行测序分析。结果 微柱凝胶卡法鉴定ABO、RhD、RhCcEe血型抗原的结果为:A抗原(-)、B抗原(-)、RhD(1+)、RhC(4+)、Rhc(1+)、RhE(1+)、Rhe(4+)、对照孔(-);试管法ABO、RhD、RhCcEe抗原鉴定该患者表型为:A抗原(-)、B抗原(-)、RhD(w+)、RhC(4+)、Rhc(w+)、RhE(w+)、Rhe(4+),对照管(-);抗人球蛋白卡法筛查患者不规则抗体阴性;PCR-SSP法血型基因分型RhDCcEe结果:RhD(+)、RhC(+)、Rhc(+)、RhE(+)、Rhe(+);RHD/RHCE基因结果:RHD单倍体1为外显子1-10全缺失,而单倍体2为外显子RHD-CE基因重组融合,且确认其重组类型为RHD-CE(3-7)-D,起点在外显子2(g.20238-20312之间),终点在外显子8(g49184-50480之间),同时RHCE基因第6外显子存在新碱基点突变RHCE*cE(827C>A)。结论RHD-CE(3-7)-D基因重组融合与RHCE*cE(827C>A)新等位基因突变可能引起D、cE血型抗原弱表达,为临床安全输血提供了重要的实验数据支持。

基于二萘并[2,3-B∶2′,3′-D]呋喃基团的高效窄发射蓝光OLED器件

高效率窄光谱蓝色有机电致发光器件(OLED)是柔性显示领域的研究重点之一。本文以二萘并[2,3-B∶2′,3′-D]呋喃为弱电子受体、N-(4-联苯基)-1-萘胺作为电子给体设计合成了一种D-A-D型蓝光分子DPF-NA,其在正己烷溶液中的发射峰位于441 nm。理论计算与光物理测试结果显示DPF-NA具有杂化局域电荷转移激发态(HLCT)特性,兼具局域态(LE)高发光效率与电荷转移态(CT)高激子利用率特征,在二氯甲烷溶液中的光致发光量子效率(PLQY)为81.2%。基于质量分数3%DPF-NA掺杂浓度的OLED器件电致发光(EL)峰位于455 nm,半峰宽(FWHM)仅为26 nm,CIE(x,y)坐标为(0.14,0.08),最大外量子效率(EQEmax)为6.76%。

New 4-imino-4H-Chromeno[2,3-d]Pyrimidin-3(5H)-Amine: Synthesis, Cytotoxic Effects on Tumoral Cell Lines and in Silico ADMET Properties

The synthesis of new 4-imino-4H-chromeno[2,3-d]pyrimidin-3(5H)-amine in four steps including one step under microwave dielectric heating is reported. The structural identity of the synthesized compounds was established according to their spectroscopic analysis, such as FT-IR, NMR and mass spectroscopy. These new compounds were tested for their antiproliferative activities on seven representative human tumoral cell lines (Huh7 D12, Caco2, MDA-MB231, MDA-MB468, HCT116, PC3 and MCF7) and also on fibroblasts. Among them, only the compounds 6c showed micromolar cytotoxic activity on tumor cell lines (1.8 50 50 > 25 μM). Finally, in silico ADMET studies ware performed to investigate the possibility of using of the identified compound 6c as potential anti-tumor compound.

血浆(1-3)-β-D葡聚糖诊断新生儿侵袭性真菌感染的价值

探讨在针对新生儿侵袭性真菌感染的诊断中使用血浆(1-3)-β-D葡聚糖能够产生的诊断效能。方法 选取2021年1月到2022年2月因为侵袭性真菌感染于医院寻求医疗干预的新生儿总共60例作为本次研究的一部分研究对象记为1组;另外选取60例健康婴儿作为2组;统计、对比两组患者的血浆(1-3)-β-D葡聚糖水平、CD4+T淋巴细胞数水平;整理PCR技术针对1组患者诊断结果,将其与血浆(1-3)-β-D葡聚糖诊断侵袭性真菌感染的诊断效能进行对比。结果 研究结果显示1组患者的血浆(1-3)-β-D葡聚糖水平、CD4+T淋巴细胞数水平较之于2组患者存在明显差异,1组患者血浆(1-3)-β-D葡聚糖水平更高,而CD4+T淋巴细胞数水平明显更低;P<0.05。在针对诊断效能的考察上,血浆(1-3)-β-D葡聚糖诊断效能和PCR诊断结果之间在灵敏度、特异度方面差异不大,P>0.05。结论 针对罹患侵袭性真菌感染的新生儿使用血浆(1-3)-β-D葡聚糖进行检查,一定程度上能够确保诊断结果的严谨程度,可使用。

血浆(1,3)-β-D葡聚糖检测在侵袭性真菌感染诊断中的价值分析

研究血浆(1,3)-β-D葡聚糖检测技术(G实验)应用于侵袭性真菌感染(IFI)诊断中的应用价值。方法 选择我院在2023年1月至2024年1月期间收治的100例高危型侵袭型真菌感染患者,应用MB-80微生物快速检测动态系统以及对应的试剂对患者的血浆(1,3)-β-D葡聚糖进行检测,分析真菌培养、G实验和联合检测结果;三种方法的诊断效能;三种方法的ROC曲线。结果 确诊IFI阳性共28例,阴性共72例;联合检测的诊断效能高于真菌培养或者G实验。联合检测面积高于单一检测。结论 在侵袭性真菌感染的诊断中,应用血浆(1,3)-β-D葡聚糖检测,诊断效能良好,在和传统真菌培养技术联合检测下,可进一步提升诊断效能。

Parallel computing approach for efficient 3-D X-ray-simulated image reconstruction

Accurate 3-dimensional(3-D)reconstruction technology for nondestructive testing based on digital radiography(DR)is of great importance for alleviating the drawbacks of the existing computed tomography(CT)-based method.The commonly used Monte Carlo simulation method ensures well-performing imaging results for DR.However,for 3-D reconstruction,it is limited by its high time consumption.To solve this problem,this study proposes a parallel computing method to accelerate Monte Carlo simulation for projection images with a parallel interface and a specific DR application.The images are utilized for 3-D reconstruction of the test model.We verify the accuracy of parallel computing for DR and evaluate the performance of two parallel computing modes-multithreaded applications(G4-MT)and message-passing interfaces(G4-MPI)-by assessing parallel speedup and efficiency.This study explores the scalability of the hybrid G4-MPI and G4-MT modes.The results show that the two parallel computing modes can significantly reduce the Monte Carlo simulation time because the parallel speedup increment of Monte Carlo simulations can be considered linear growth,and the parallel efficiency is maintained at a high level.The hybrid mode has strong scalability,as the overall run time of the 180 simulations using 320 threads is 15.35 h with 10 billion particles emitted,and the parallel speedup can be up to 151.36.The 3-D reconstruction of the model is achieved based on the filtered back projection(FBP)algorithm using 180 projection images obtained with the hybrid G4-MPI and G4-MT.The quality of the reconstructed sliced images is satisfactory because the images can reflect the internal structure of the test model.This method is applied to a complex model,and the quality of the reconstructed images is evaluated.

血清25-羟维生素-D3 超敏C反应蛋白及心电图参数与ST段抬高型心肌梗死患者介入治疗后发生恶性心律失常的关系

目的:探讨血清25-羟维生素-D3(25-hydroxyvitamin D3,25-(OH)-D3)、超敏C反应蛋白(High sensitivity C-reactive protein,hs-CRP)、心电图参数变化与ST段抬高型心肌梗死(ST segment elevation myocardial infarction,STEMI)患者经皮冠脉介入术(Percutaneous coronary intervention,PCI)后发生恶性心律失常的关系。方法:选取我院2020年1月至2022年6月实施PCI治疗的193例STEMI患者作为研究对象,根据患者术后72h内是否发生恶性心律失常分为心律失常组38例、对照组155例,对比两组患者入院12h内的25-(OH)-D3、hs-CRP、血清电解质、血常规指标、血脂指标、心肌酶学指标,并对患者PCI术后实施连续动态心电图监测,对比两组患者心电图碎裂QRS波、校正Tp-e间期(Corrected Tp-e interval,Tp-ec)、QT离散度(QT dispersion,Qtd),并采用Logistic回归模型分析上述指标与STEMI患者PCI术后发生恶性心律失常的关系。结果:心律失常组患者的血清25-(OH)-D3水平低于对照组,心律失常组患者的血清hs-CRP、Tp-ec测定值、Qtd测定值、碎裂QRS波检出率均高于对照组,上述指标组间差异均具有统计学意义(P<0.05);心律失常组患者的白细胞(White blood cell,WBC)、肌钙蛋白I(Troponin I,cTnI)、肌酸激酶同工酶(Creatine kinase isoenzyme,CK-MB)、肌红蛋白(Myoglobin,MYO)、K+、Mg 2+水平均高于对照组患者,差异具有统计学意义(P<0.05);Logistic回归模型结果显示:cTnI、CK-MB、K+、hs-CRP、Tp-ec、Qtd增高,碎裂QRS波阳性会显著增大STEMI患者PCI后发生恶性心律失常的风险(P<0.05);血清25-(OH)-D3水平增高会降低STEMI患者PCI后发生恶性心律失常的风险(P<0.05)。结论:STEMI患者血清25-(OH)-D3水平降低、hs-CRP增高、PCI术后Tp-ec、Qtd增高、出现碎裂QRS波会增大患者出现恶性心律失常的风险。

Building 3-D Human Data Based on Handed Measurement and CNN

3-dimension(3-D)printing technology is growing strongly with many applications,one of which is the garment industry.The application of human body models to the garment industry is necessary to respond to the increasing personalization demand and still guarantee aesthetics.This paper proposes amethod to construct 3-D human models by applying deep learning.We calculate the location of the main slices of the human body,including the neck,chest,belly,buttocks,and the rings of the extremities,using pre-existing information.Then,on the positioning frame,we find the key points(fixed and unaltered)of these key slices and update these points tomatch the current parameters.To add points to a star slice,we use a deep learning model tomimic the form of the human body at that slice position.We use interpolation to produce sub-slices of different body sections based on the main slices to create complete body parts morphologically.We combine all slices to construct a full 3-D representation of the human body.

Conical Sonic-Supersonic Solutions for the 3-D Steady Full Euler Equations

This paper concerns the sonic-supersonic structures of the transonic crossflow generated by the steady supersonic flow past an infinite cone of arbitrary cross section.Under the conical assumption,the three-dimensional(3-D)steady Euler equations can be projected onto the unit sphere and the state of fluid can be characterized by the polar and azimuthal angles.Given a segment smooth curve as a conical-sonic line in the polar-azimuthal angle plane,we construct a classical conical-supersonic solution near the curve under some reasonable assumptions.To overcome the difficulty caused by the parabolic degeneracy,we apply the characteristic decomposition technique to transform the Euler equations into a new degenerate hyperbolic system in a partial hodograph plane.The singular terms are isolated from the highly nonlinear complicated system and then can be handled successfully.We establish a smooth local solution to the new system in a suitable weighted metric space and then express the solution in terms of the original variables.

Adaptive Window Based 3-D Feature Selection for Multispectral Image Classification Using Firefly Algorithm

Feature extraction is the most critical step in classification of multispectral image.The classification accuracy is mainly influenced by the feature sets that are selected to classify the image.In the past,handcrafted feature sets are used which are not adaptive for different image domains.To overcome this,an evolu-tionary learning method is developed to automatically learn the spatial-spectral features for classification.A modified Firefly Algorithm(FA)which achieves maximum classification accuracy with reduced size of feature set is proposed to gain the interest of feature selection for this purpose.For extracting the most effi-cient features from the data set,we have used 3-D discrete wavelet transform which decompose the multispectral image in all three dimensions.For selecting spatial and spectral features we have studied three different approaches namely overlapping window(OW-3DFS),non-overlapping window(NW-3DFS)adaptive window cube(AW-3DFS)and Pixel based technique.Fivefold Multiclass Support Vector Machine(MSVM)is used for classification purpose.Experiments con-ducted on Madurai LISS IV multispectral image exploited that the adaptive win-dow approach is used to increase the classification accuracy.

A"messenger zone hypothesis"based on the visual three-dimensional spatial distribution of motoneurons innervating deep limb muscles

Coordinated contraction of skeletal muscles relies on selective connections between the muscles and multiple classes of the spinal motoneuro ns.Howeve r,current research on the spatial location of the spinal motoneurons innervating differe nt muscles is limited.In this study,we investigated the spatial distribution and relative position of different motoneurons that control the deep muscles of the mouse hindlimbs,which were innervated by the obturator nerve,femoral nerve,inferior gluteal nerve,deep pe roneal nerve,and tibial nerve.Locations were visualized by combining a multiplex retrograde tracking technique compatible with three-dimensional imaging of solvent-cleared o rgans(3DISCO)and 3-D imaging technology based on lightsheet fluorescence microscopy(LSFM).Additionally,we propose the hypothesis that"messenger zones"exist as interlaced areas between the motoneuron pools that dominate the synergistic or antagonist muscle groups.We hypothesize that these interlaced neurons may participate in muscle coordination as messenger neurons.Analysis revealed the precise mutual positional relationships among the many motoneurons that innervate different deep muscles of the mouse.Not only do these findings update and supplement our knowledge regarding the overall spatial layout of spinal motoneurons that control mouse limb muscles,but they also provide insights into the mechanisms through which muscle activity is coordinated and the architecture of motor circuits.

基于小波变换的显微图像清晰度评价函数及3-D自动调焦技术

提出了基于小波变换的图像清晰度评价函数。采用大NA(数值孔径)和小NA的显微图像序列,比较分析了本文提出的评价函数和经典的归一化方差函数、熵函数、能量拉普拉斯函数以及另外两种基于小波变换评价函数的清晰度评价性能。同时采用带有标准偏差为25的高斯噪声显微图像序列,比较了这五种评价函数的抗噪能力。实验结果表明:提出的评价函数具有最高的聚焦精度和聚焦分辨率,且具有与抗噪能力最强的归一化方差函数相当的抗噪能力。提出了基于区域选择的自动聚焦方法,实现了处于不同深度的微操作对象的3-D自动聚焦。该评价函数和区域选择聚焦技术可以用于高精度的自动微操作作业中。进一步说明自动调焦是实现自动化微操作的关键技术,而其核心是清晰度评价函数的选取或构建。

三乙基苄基氯化铵催化下水介质中吡喃并[2，3-d]嘧啶衍生物的一步合成

以芳亚甲基丙二腈、1,3-二甲基巴比妥酸为原料,以水为溶剂,在100℃以三乙基苄基氯化铵(TEBAC)为催化剂合成了一系列的吡喃并[2,3-d]嘧啶衍生物,该方法具有反应条件温和,产率良好(78%～90%)和环境友好等优点.产物的结构通过IR,1H NMR和元素分析表征,并进一步通过X射线衍射分析确证.

超声辐射下水介质中三组分一锅合成吡喃并[2,3-d]嘧啶衍生物

报道了在超声波辐射下,水相中无催化剂下通过芳香醛与丙二腈、巴比妥酸的一锅反应,合成了一系列吡喃并[2,3-d]嘧啶衍生物.在超声波辐射下,不仅饱和芳香醛与丙二腈、巴比妥酸的一锅反应在室温下能高收率地进行,而对于α,β-不饱和醛以及二元醛与丙二腈、巴比妥酸的一锅反应也能在室温下顺利进行,获得较高的收率.产物的结构通过IR,1HNMR和元素分析表征.该方法具有操作简单和环境友好等优点。

用构造光系统实现3-D形貌测量的研究

介绍了一个用构造空间二进制编码进行非接触３Ｄ形貌测量的系统。它以一台ＬＣＤ投影仪为硬件基础，用８幅条纹投影图案对被测物体表面进行空间编码。用ＣＣＤ摄像机获取物体编码信息，用基于单一像素的三角法原理从摄像机图像中获取三维形貌数据。指出了二进制编码图案生成软件及其生成的条纹图案的特点。为了提高３Ｄ形貌测量的精度，分析了由摄像机和投影仪镜头造成的误差，建立了它们的透镜误差矫正公式，并取得了良好的实验结果。

3-D颞骨模型的制作与应用

目的探讨利用粉末堆积打印技术制作的高仿真3-D颞骨模型在解剖技能训练及模拟手术中的应用。方法利用高分辨率CT获取活体颞骨断层图像(正常人2例,慢性中耳炎患者2例),数据导入Mimics软件行图像分割及颞骨三维重建,以石膏粉末为原料,利用粉末堆积快速成型技术打印出颞骨模型,重要解剖结构与组织(听骨链、面神经、位听器、炎性渗出及胆脂瘤等)以不同颜色打印,并在显微镜下进行手术演练。结果颞骨模型的硬度与人骨相近,模型表面及内部骨性标志明显,解剖精确度高,钻磨触感接近真实,满足颞骨解剖技能训练及模拟手术的要求。结论利用粉末堆积打印技术能制作出仿真度更高、更接近实际人体解剖结构的颞骨模型,帮助临床医生在术前全面了解患者的颞骨及周围组织解剖结构与病变情况,制定和优化手术方案,减少并发症。

基于3-D数据的叶片萎蔫形态辨识方法

以西葫芦为试验对象,采用非接触式激光扫描获取植物叶片3-D形态信息,运用微分几何算法、二维傅里叶谱分析法、垂直投影叶面积法以及标准差法定义了4种植物萎蔫指数(TB_3D、RLWI-2DFT、RTPLA和RSD)用来定量刻画植物萎蔫状态。试验结果表明萎蔫指数能够很好地定量刻画植物萎蔫形态。其中TB_3D与太阳全辐射量、大气温度线性相关,决定系数取值范围分别为[0.710,0.721]和[0.513,0.589]。TB_3D与茎秆直径线性相关,决定系数为0.845。最后通过比较4种萎蔫指数刻画萎蔫状态的相关性,两两间决定系数大于0.736,结果表明4种指数的萎蔫表征效果基本一致。

3-D打印技术在个体化耳廓重建中的应用

目的探讨3D打印技术在个体化耳廓重建中的应用。方法通过高分辨率CT获取小耳畸形患者的颞骨断层图像,用mimics软件镜像重建患侧耳结构,用3-matic软件设计出3-D耳模,利用熔融沉积成型(FDM)技术和硅胶复模技术铸造出镜像耳硅胶耳廓模型与3-D硅胶耳模,前者用于患侧耳耳廓雕刻的模板,后者用于辅助耳甲腔、耳甲艇、三角窝、耳屏、对耳屏等耳廓亚结构的雕刻及颅耳角角度的维持。对比耳廓重建前后耳廓的大小、形态及耳廓表面解剖结构。结果再造耳颅耳角适中,耳廓解剖亚结构清晰,重建的耳廓形态逼真。结论 3-D打印技术的应用能优化个体化耳廓再造,为耳廓重建提供一种新的方法。

高密度3-D封装技术的应用与发展趋势

高密度3-D封装技术是国内外近几年飞速发展的微电子封装技术。它在2-D平面基础上向立体化发展,实现了一种新的更高层次的混合集成,因而具有更高的组装密度、更强的功能、更优的性能、更小的体积、更低的功耗、更快的速度、更小的延迟等优势。该技术正在加速未来电子整机系统的微小型化。主要介绍了近年来3-D封装应用状况和一种新型的封装技术——系统上封装SOP(System-on-Package)。