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Estimating shear strength of high-level pillars supported with cemented backfilling using the HoekeBrown strength criterion
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作者 Kaizong Xia Congxin Chen +3 位作者 Xiumin Liu Yue Wang Xuanting Liu Jiahao Yuan 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第2期454-469,共16页
Deep metal mines are often mined using the high-level pillars with subsequent cementation backfilling(HLSCB)mining method.At the design stage,it is therefore important to have a reasonable method for determining the s... Deep metal mines are often mined using the high-level pillars with subsequent cementation backfilling(HLSCB)mining method.At the design stage,it is therefore important to have a reasonable method for determining the shear strength of the high-level pillars(i.e.cohesion and internal friction angle)when they are supported by cemented backfilling.In this study,a formula was derived for the upper limit of the confining pressure σ3max on a high-level pillar supported by cemented backfilling in a deep metal mine.A new method of estimating the shear strength of such pillars was then proposed based on the Hoek eBrown failure criterion.Our analysis indicates that the horizontal stress σhh acting on the cemented backfill pillar can be simplified by expressing it as a constant value.A reasonable and effective value for σ3max can then be determined.The value of s3max predicted using the proposed method is generally less than 3 MPa.Within this range,the shear strength of the high-level pillar is accurately calculated using the equivalent MohreCoulomb theory.The proposed method can effectively avoid the calculation of inaccurate shear strength values for the high-level pillars when the original HoekeBrown criterion is used in the presence of large confining pressures,i.e.the situation in which the cohesion value is too large and the friction angle is too small can effectively be avoided.The proposed method is applied to a deep metal mine in China that is being excavated using the HLSCB method.The shear strength parameters of the high-level pillars obtained using the proposed method were input in the numerical simulations.The numerical results show that the recommended level heights and sizes of the high-level pillars and rooms in the mine are rational. 展开更多
关键词 Deep metal mines high-level pillars HoekeBrown strength criterion Cemented backfilling Confining pressure Shear strength
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The Prevalence of Human Cytomegalovirus Viremia among HIV-1 Infected Individuals Undergoing Antiretroviral Therapy
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作者 Farag A. Bleiblo Souad A. M. Moftah +4 位作者 Madiha W. M. El-Awamie Samira F. M. Bo Hagar Asma A. Elamari Aida M. M. Elakeili Aseem Kumar 《Journal of Biosciences and Medicines》 2023年第10期46-54,共9页
HIV infection is an emerging health issue in Libya, particularly among young adults. Human cytomegalovirus (HCMV) is a prevalent infectious agent that presents with subclinical and fatal diseases in immunosuppressed i... HIV infection is an emerging health issue in Libya, particularly among young adults. Human cytomegalovirus (HCMV) is a prevalent infectious agent that presents with subclinical and fatal diseases in immunosuppressed individuals including HIV-infected individuals. Although the impact of HCMV infection in HIV-positive patients is well documented in several regions, epidemiologic estimates concerning HCMV co-infection among HIV-infected individuals remain limited in Libya. Hence, this cross-sectional study was undertaken to derive data regarding the prevalence of active HCMV viremia among HIV-infected individuals undergoing antiretroviral therapy (ART) from Libya. A total of 90 consented HIV-infected subjects followed by the National Center for Disease Control (NCDC) of Benghazi/Libya were recruited in this study and investigated for HCMV-IgG, HCMV-IgM specific antibodies, detection of HCMV lower matrix phosphoprotein (pp65) antigen, and detection of HCMV-DNA using qPCR to assess the prevalence of HCMV viremia. We determined that 77 (85.56%) of subjects were seropositive for HCMV-IgG antibodies, whereas the seropositivity for HCMV-IgM was 3.33% (3/90 subjects). Our results also revealed that 4.44% (4/90) of participants had viral antigenemia based on the laboratory diagnosis of HCMV-pp65. Regarding the PCR, we were able to detect the DNA of HCMV only in 3/90 subjects (3.33%) suggesting an active viremic condition. The detection of HCMV DNA along with the HCMV-pp65 in HIV-positive individuals highlights the necessity of early diagnosis to manage the progression of the disease. Furthermore, we highly recommend the use of anti-HCMV therapy in viremic individuals in combination with ART to reduce the burden of HCMV complications. 展开更多
关键词 HCMV HIV IgG IGM qPCR viremia PREVALENCE
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Leave or Stay?Antecedents of High-level Talent Migration in the Pearl River Delta Megalopolis of China:from a Perspective of Regional Differentials in Housing Prices
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作者 SHEN Chen WANG Yang +1 位作者 ZUO Jian Raufdeen RAMEEZDEEN 《Chinese Geographical Science》 SCIE CSCD 2023年第6期1068-1081,共14页
Rapid urbanization and population growth have triggered an increase in urban housing demand and rising housing prices,which can influence the migration intention of high-level talents.Much work within the literature h... Rapid urbanization and population growth have triggered an increase in urban housing demand and rising housing prices,which can influence the migration intention of high-level talents.Much work within the literature has focused more on the migration of the general public.However,antecedents of migration intention and the impact of housing prices on the migration of high-level talents remain unclear.Therefore,based on the push-pull theory,this study investigates the influencing factors of talent migration intention and explores the role of housing prices.This study reveals a complex mechanism underlying migration decisions by using logistic regression models and survey data of high-level talents in the Pearl River Delta(PRD)megalopolis of China.The results indicate that:1)in high house-price regions,social integration is the primary push factor,and the main factors for retaining talents are the expectation of future work and intimate family relationships;2)in medium house-price regions,the main factors that attract talents are the current salary level and close family ties;3)in low house-price regions,living convenience is a determining factor in retaining talents.This study provides a new perspective for talent mobility research and offers valuable inputs for retaining and attracting talents in different economic development regions.Findings are of great significance for formulating talent introduction policies and forming a new pattern of rational spatial docking and effective allocation of human resources. 展开更多
关键词 destination choice migration intention high-level talents house-price pressure push-pull theory the Pearl River Delta megalopolis of China
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An Exploratory Practice of Integration of Industry and Education in High-level Programming Language Course in the Background of New Engineering
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作者 Yu Zhang Xiaohong Su +3 位作者 Jianhong Zhai Yanhang Zhang Yongfeng Yuan Yulin Zhou 《计算机教育》 2023年第12期272-279,共8页
This paper analyzes some problems of the current teaching situation in the course High-level Programming Language,such as the lagging content of the course compared with technology development,the emphasis on theory r... This paper analyzes some problems of the current teaching situation in the course High-level Programming Language,such as the lagging content of the course compared with technology development,the emphasis on theory rather than on practice,the low enthusiasm of students for learning,and the weak practical ability of students.In response to the needs of enterprises for talents under the background of New Engineering,especially the cultivation of students’adaptability and practical abilities towards future industries to improve students’knowledge and problemsolving abilities to keep up with the modern technology,this paper proposes the ways and methods to reform and explore the teaching content and teaching methods by integrating industry and education,assisting teaching according to industrial demands,and lowering technology barriers of new technology.The practical effect is evaluated through a survey in class and the follow-up questionnaire after class,and the results show that the effect of the practice is effective. 展开更多
关键词 high-level programming language New Engineering Integration of Industry and education Practical project-based courses
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一线核苷(酸)类似物经治的慢性乙型肝炎患者低病毒血症的发生及治疗策略
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作者 郑嵘炅 鲁晓擘 《临床肝胆病杂志》 CAS 北大核心 2024年第5期880-883,共4页
强效低耐药口服抗病毒治疗可使HBV复制受到强力抑制,但部分患者接受恩替卡韦、替诺福韦酯、丙酚替诺福韦、艾米替诺福韦治疗48周及以上仍存在低病毒血症(LLV)。国内外多项研究结果提示,抗病毒治疗后LLV与慢性乙型肝炎肝纤维化进展、失... 强效低耐药口服抗病毒治疗可使HBV复制受到强力抑制,但部分患者接受恩替卡韦、替诺福韦酯、丙酚替诺福韦、艾米替诺福韦治疗48周及以上仍存在低病毒血症(LLV)。国内外多项研究结果提示,抗病毒治疗后LLV与慢性乙型肝炎肝纤维化进展、失代偿期肝硬化和肝细胞癌发生风险以及长期生存率降低密切相关。因此,本文聚焦有关一线核苷(酸)类似物治疗后LLV的发生及其危险因素和临床危害以及不同的治疗方案,以期为今后慢性乙型肝炎患者LLV的治疗提供参考。 展开更多
关键词 乙型肝炎 慢性 核苷类 核苷酸类 低病毒血症
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中国肾移植受者巨细胞病毒感染临床诊疗指南(2023版)
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作者 中华医学会器官移植学分会 中国医师协会器官移植医师分会 +6 位作者 中国医疗保健国际交流促进会肾脏移植学分会 丁小明 林俊 胡小鹏 戎瑞明 郑瑾 薛武军 《器官移植》 CAS CSCD 北大核心 2024年第3期303-322,共20页
近几年在实体器官移植(SOT)受者巨细胞病毒(CMV)感染诊疗领域,无论是诊断方法还是新型抗CMV药物都有了一些新的进展,对CMV感染的诊治产生了积极的影响。为了进一步规范中国肾移植术后CMV感染的管理,中华医学会器官移植学分会组织了国内... 近几年在实体器官移植(SOT)受者巨细胞病毒(CMV)感染诊疗领域,无论是诊断方法还是新型抗CMV药物都有了一些新的进展,对CMV感染的诊治产生了积极的影响。为了进一步规范中国肾移植术后CMV感染的管理,中华医学会器官移植学分会组织了国内多个学科相关领域专家,参考《中国实体器官移植受者巨细胞病毒感染诊疗指南(2016版)》和国内外已发表的最新文献和指南,制定了《中国肾移植受者巨细胞病毒感染诊疗指南(2023版)》,新版指南更新了CMV流行病学,CMV感染的危险因素和普遍性预防的研究进展,新增CMV感染定义,细化CMV血症和CMV病的诊断标准,并对新型抗CMV药物进行了介绍。 展开更多
关键词 肾移植 实体器官移植 巨细胞病毒 感染 病毒血症 巨细胞病毒病 普遍性预防 抢先治疗
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中华鲟IFNe2的抗病毒天然免疫作用
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作者 李由申 丁广义 +4 位作者 张书环 郭慧芝 周江 罗凯 许巧情 《水产学报》 CAS CSCD 北大核心 2024年第5期44-53,共10页
为探究中华鲟干扰素e2(AsIFNe2)的免疫调控作用,本实验通过原核表达获得了重组中华鲟干扰素e2蛋白(rAsIFNe2),并分析其对抗病毒相关基因的影响及其抗病毒活性。实时荧光定量PCR(RT-qPCR)结果显示,rAsIFNe2能显著激活中华鲟鳍细胞中干扰... 为探究中华鲟干扰素e2(AsIFNe2)的免疫调控作用,本实验通过原核表达获得了重组中华鲟干扰素e2蛋白(rAsIFNe2),并分析其对抗病毒相关基因的影响及其抗病毒活性。实时荧光定量PCR(RT-qPCR)结果显示,rAsIFNe2能显著激活中华鲟鳍细胞中干扰素刺激基因(IFN-stimulated genes,ISGs)的表达,如Mx、PKR、Viperin和ADAR4。此外,rAsIFNe2还能通过激活IRFs和IFNes基因的表达,从而帮助宿主细胞迅速建立抗病毒状态。在鲤春病毒血症病毒(SVCV)感染鲤上皮细胞(EPC)模型中,rAsIFNe2能够诱导EPC细胞中Mx、PKR和Viperin的表达,并降低EPC细胞中SVCV病毒G、N和P基因的表达,减少病变效应的产生。研究表明,AsIFNe2在宿主抗病毒天然免疫反应中发挥作用。本研究为深入了解中华鲟的干扰素免疫系统以及治疗病毒性疾病提供理论依据。 展开更多
关键词 中华鲟 干扰素 抗病毒 鲤春病毒血症病毒 免疫调控
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疫情常态化防控期间不规律随访对肾移植术后BK病毒再激活时的病毒载量及受者预后影响
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作者 吴周庭 王於尘 +4 位作者 曾文利 夏仁飞 邓文锋 徐健 苗芸 《器官移植》 CAS CSCD 北大核心 2024年第3期429-434,共6页
目的探讨在新型冠状病毒肺炎疫情常态化防控期间不规律随访对肾移植受者术后BK病毒(BKV)再激活情况及预后的影响。方法回顾性分析363例肾移植受者的临床资料,按随访时间分为疫情前随访组与疫情期间随访组,随访期限为1年。比较疫情前随... 目的探讨在新型冠状病毒肺炎疫情常态化防控期间不规律随访对肾移植受者术后BK病毒(BKV)再激活情况及预后的影响。方法回顾性分析363例肾移植受者的临床资料,按随访时间分为疫情前随访组与疫情期间随访组,随访期限为1年。比较疫情前随访组和疫情期间随访组的随访时间间隔,分析两组BKV感染情况,分析BKV感染进程与移植肾功能的相关性。结果疫情前随访共计1790例次,疫情期间随访共计2680例次。与疫情期间随访组比较,疫情前随访组术后3个月内、3~6个月、7~12个月的随访时间间隔较短,差异均有统计学意义(均为P<0.05)。在肾移植术后1年内,疫情前随访组35例(32%)检出BKV尿症、3例(3%)检出BKV血症、1例(1%)检出BKV相关肾病(BKVAN),疫情期间随访组53例(25%)检出BKV尿症、3例(1%)检出BKV血症、1例(1%)检出BKVAN,差异均无统计学意义(均为P>0.05)。疫情前随访组术后首次检出BKV尿症时间长于疫情期间随访组,首次再激活尿BKV载量小于疫情期间随访组,差异均有统计学意义(均为P<0.05)。首次再激活尿BKV载量与尿BKV载量峰值,BKV再激活后第1、3个月血清肌酐与基线血清肌酐差值呈正相关(均为P<0.05)。结论肾移植术后不规律随访可导致BKV再激活时间提前、首次尿BKV载量检出值更高,以及延迟诊断和干预,并造成不良预后。亟待建立远程随访体系以满足发生公共卫生事件时肾移植受者的随访需求。 展开更多
关键词 肾移植 BK病毒 术后随访 新型冠状病毒 疫情常态化 BK病毒血症 BK病毒尿症 BK病毒相关肾病
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基于高敏检测的乙肝肝硬化低病毒血症患者的预后分析
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作者 王泽红 石少媛 +2 位作者 牛彩琴 周丽 冯亦农 《山西医药杂志》 CAS 2024年第6期409-413,共5页
目的 探讨经核苷类药物治疗的乙肝肝硬化低病毒血症患者的临床特点及预后。方法 收集2020年至2022年就诊于太原市第三人民医院的经核苷类药物治疗乙型肝炎肝硬化患者,通过乙肝病毒高敏检测分为未测到靶标组、低于检测下限组、低病毒血症... 目的 探讨经核苷类药物治疗的乙肝肝硬化低病毒血症患者的临床特点及预后。方法 收集2020年至2022年就诊于太原市第三人民医院的经核苷类药物治疗乙型肝炎肝硬化患者,通过乙肝病毒高敏检测分为未测到靶标组、低于检测下限组、低病毒血症组,平均随访48周,观察患者临床特点、肝硬化相关并发症、肝细胞癌(HCC)发生率,评估其预后及影响因素。结果 251例经核苷类药物治疗乙肝肝硬化患者中低病毒血症组(HBV DNA 10~2 000 U/ml)25例,低于检测下限组(HBV DNA<10 U/ml)107例,未测到靶标组(HBV DNA未检测到)119例,3组间丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、白蛋白(ALB)、总胆红素(TBIL)、凝血酶原活动度(PTA)%差异有统计学意义。3组患者既往核苷类药物治疗史及干扰素治疗史具有统计学意义,多数患者接受1~2种核苷类药物抗病毒治疗,且过半患者可达到HBV DNA检测不到的效果。随访期间3组患者均发现新增肝硬化相关并发症,38例(15.1%)发生HCC,其中7例死亡。结论 HBV DNA控制越好,肝损伤越轻,肝脏合成功能越好。接受抗病毒治疗核苷类药物(NAs)或干扰素(IFN)能显著降低乙肝病毒DNA。乙型肝炎肝硬化患者不论抗病毒治疗完全应答与否,均应定期检查,及早发现肝硬化相关并发症、原发性肝癌并予积极治疗,降低相关死亡率。 展开更多
关键词 乙型肝炎 肝硬化 病毒血症 肝肿瘤 DNA检测
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恩替卡韦治疗后慢性乙型肝炎低病毒血症患者序贯联合艾米替诺福韦治疗的效果研究
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作者 向文耀 李仕雄 吕日英 《中国现代医学杂志》 CAS 2024年第8期15-20,共6页
目的 探讨在恩替卡韦(ETV)治疗后出现低病毒血症(LLV)的慢性乙型肝炎(CHB)患者,采取序贯联合艾米替诺福韦(TMF)治疗的临床效果。方法 选取2021年7月—2023年1月在贵港市人民医院感染科经ETV抗病毒治疗的CHB患者200例。根据治疗期间HBV ... 目的 探讨在恩替卡韦(ETV)治疗后出现低病毒血症(LLV)的慢性乙型肝炎(CHB)患者,采取序贯联合艾米替诺福韦(TMF)治疗的临床效果。方法 选取2021年7月—2023年1月在贵港市人民医院感染科经ETV抗病毒治疗的CHB患者200例。根据治疗期间HBV DNA水平,将患者分为完全病毒学应答组(64例)和LLV组(136例),分析两组临床资料。根据LLV组抗病毒治疗方案,分为3组:续用ETV为对照组(40例)、换用TMF为序贯组(45例)、ETV联合TMF为联合组(51例),持续治疗48周。比较3组治疗48周时HBV DNA转阴率、乙肝表面抗原(HBsAg)、E抗原(HBeAg)、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、肌酐(Cr)和肝硬度测定值(LSM)及不良反应发生率。结果 完全病毒学应答组HBeAg阳性率、HBV DNA、PLT、LSM、ALT、AST均低于LLV组(P <0.05)。治疗24周后,完全病毒学应答组Cr、AST、HBeAg阳性率、HBV DNA、PLT均低于LLV组(P <0.05)。治疗48周后,联合组Cr低于对照组和序贯组(P <0.05),HBsAg高于对照组和序贯组(P <0.05);序贯组ALT、AST均低于对照组(P <0.05);序贯组和联合组HBeAg转阴率、HBV DNA转阴率、PLT均高于对照组(P <0.05),LSM低于对照组(P <0.05)。对照组、序贯组、联合组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论 序贯或联合TMF治疗能更有效地提高ETV治疗后LLV患者完全病毒学应答率,并改善患者肝肾功能,减轻肝纤维化程度。 展开更多
关键词 慢性乙型肝炎 低病毒血症 恩替卡韦 艾米替诺福韦 肝功能
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接受核苷(酸)类似物抗病毒的慢性乙型肝炎患者发生低病毒血症危险因素分析
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作者 周安琪 孟舒婷 +1 位作者 吴应冬 张弦 《实用肝脏病杂志》 CAS 2024年第3期337-340,共4页
目的探讨接受核苷(酸)类似物(NAs)抗病毒治疗的慢性乙型肝炎(CHB)患者发生低病毒血症(LLV)的危险因素。方法2021年1月~2022年12月我院诊治的CHB患者98例,其中25例接受富马酸丙酚替诺福韦片(TAF)、43例接受恩替卡韦片(ETV)和30例接受替... 目的探讨接受核苷(酸)类似物(NAs)抗病毒治疗的慢性乙型肝炎(CHB)患者发生低病毒血症(LLV)的危险因素。方法2021年1月~2022年12月我院诊治的CHB患者98例,其中25例接受富马酸丙酚替诺福韦片(TAF)、43例接受恩替卡韦片(ETV)和30例接受替诺福韦二吡呋酯(TDF)治疗。纳入患者至少完成24周抗病毒治疗。采用Taqman实时荧光定量PCR法检测血清HBV DNA载量,使用HISCL-5000高敏化学发光免疫分析仪检测血清HBsAg和HBeAg水平。应用多因素Logistic回归分析影响LLV发生的危险因素。结果在治疗24周末,发现LLV者43例(43.9%),VR者55例(56.1%);LLV组应用ETV治疗、乙型肝炎家族史、合并脂肪肝占比、血清HBsAg和HBV DNA水平分别为60.4%、60.5%、55.8%、(4.6±0.9)lg IU/mL和(7.2±1.2)lg IU/mL,显著高于VR组【分别为30.9%、40.0%、43.6%、(3.5±0.7)lg IU/mL和(5.7±1.8)lg IU/mL,P<0.05】;在治疗12周和24周末,LLV组血清HBV DNA载量分别为(5.3±1.4)lg IU/mL和(0.5±0.3)lg IU/mL,显著高于VR组【分别为(3.4±1.1)lg IU/mL和(0.0±0.0)lg IU/mL,P<0.05】;经多因素Logistic回归分析,结果发现乙型肝炎家族史、合并脂肪肝、基线血清HBV DNA载量和治疗过程中病毒学应答反应速度均是影响LLV发生的独立危险因素(P<0.05)。结论部分CHB患者在接受NAs治疗过程中可能会发生LLV,了解这些容易导致LLV发生的危险因素并给予及时的监测和处理,可能对提高抗病毒疗效有帮助。 展开更多
关键词 慢性乙型肝炎 核苷(酸)类似物 低病毒血症 HBV DNA 治疗
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经治慢性乙型肝炎低病毒血症患者序贯或联合富马酸丙酚替诺福韦的临床疗效及其影响因素
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作者 程婉茜 李茜 杨大为 《肝脏》 2024年第3期289-292,共4页
目的探究经治慢性乙型肝炎低病毒血症患者序贯或联合富马酸丙酚替诺福韦的临床疗效及其影响因素。方法选取2021年2月至2022年4月南京市第二医院诊治慢性乙型肝炎患者98例,根据治疗48周后血清HBV DNA水平,将患者分为低病毒血症组(n=37)... 目的探究经治慢性乙型肝炎低病毒血症患者序贯或联合富马酸丙酚替诺福韦的临床疗效及其影响因素。方法选取2021年2月至2022年4月南京市第二医院诊治慢性乙型肝炎患者98例,根据治疗48周后血清HBV DNA水平,将患者分为低病毒血症组(n=37)和持续病毒学应答组(n=61)。比较患者临床特征和治疗中血清病毒载量,对造成患者低病毒学症的潜在因素进行logistic回归分析。结果低病毒血症组患者基线HBV DNA、HBsAg、HBeAg、AST以及接受ETV或TDF比例分别为8.9(6.9,10.8)log 10 IU/mL、4.4(3.6,4.9)log 10 IU/mL、87.5(0.5,1214.9)log 10 IU/mL、48.5(34.6,70.3)U/L和64.9%,显著高于持续病毒学应答组的5.0(4.1,7.2)log 10 IU/mL、2.9(2.4,3.7)log 10 IU/mL、0.4(0.1,3.8)log 10 IU/mL、25.0(20.8,43.6)U/L和41.0%,年龄、BMI、ALT、接受ALT治疗比例以及接受ETV或TDF联合peg-IFNα-2b治疗比例分别为(44.3±11.8)岁、(22.1±3.2)kg/m^(2)、43.1(27.2,67.7)U/L、18.9%和2.7%,显著低于持续病毒学应答组患者的(48.4±10.2)岁、(24.5±2.7)kg/m^(2)、65.5(39.3,103.7)U/L、42.6%和16.4%,差异均有统计学意义(P<0.05)。低病毒血症组患者HBV DNA基线水平和治疗24周时水平分别为8.9(6.9,10.8)log 10 IU/mL和4.9(3.8,5.9)%,显著高于持续病毒学应答组患者的5.0(4.1,7.2)log 10 IU/mL和1.0(0.5,1.4)%,治疗24周时下降值和治疗24周时下降比例分别为2.2(1.5,3.0)log 10 IU/mL和23.0(19.0,29.0)%,显著低于持续病毒学应答组患者的3.8(2.8,4.0)log 10 IU/mL和74.0(60.0,82.0)%,差异均有统计学意义(P<0.05)。相关性分析可知,患者HBV DNA水平(r=0.386)、基线HBsAg水平(r=0.265)、基线HBeAg水平(r=0.152)、基线AST水平(r=0.164)以及接受ETV或TDF治疗(r=0.422)与低病毒血症呈显著正相关,患者年龄(r=-0.085)、BMI(r=-0.095)、治疗中HBV DNA下降比例(r=-0.753)、基线ALT水平(r=-0.155)、接受TAF治疗(r=-0.231)以及接受ETV或TDF联合Peg-IFNα-2b治疗(r=-0.184)与低病毒血症呈显著负相关。结论血清病毒学水平是预后不佳的重要危险因素,转换用药或联合干扰素治疗可以在一定程度上预防低病毒血症的发生。 展开更多
关键词 慢性乙型肝炎 低病毒血症 临床特征
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慢性乙型肝炎患者低病毒血症的研究现状及挑战
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作者 王娇娇 蔡大川 《诊断学理论与实践》 2024年第1期23-29,共7页
虽然新生儿普遍接种慢性乙型肝炎病毒(hepatitis B virus,HBV)疫苗,HBV的感染率开始大幅下降,但2016年我国慢性HBV感染者仍有8600万例。2019年,全球有2.96亿例慢性HBV感染者,且每年约有82万人死于HBV感染所致的肝衰竭、肝硬化或肝细胞癌... 虽然新生儿普遍接种慢性乙型肝炎病毒(hepatitis B virus,HBV)疫苗,HBV的感染率开始大幅下降,但2016年我国慢性HBV感染者仍有8600万例。2019年,全球有2.96亿例慢性HBV感染者,且每年约有82万人死于HBV感染所致的肝衰竭、肝硬化或肝细胞癌(hepatocellular carcinoma,HCC)等相关疾病。多数慢性乙型肝炎患者经恩替卡韦、替诺福韦、丙酚替诺福韦等规范抗病毒治疗后,可以取得抑制病毒复制、延缓疾病进展的疗效。但随着人们对疾病更深层次的认识及检测技术的提升,临床发现部分患者经规范治疗48周后,血清HBV DNA低于2000 IU/mL,但持续或间歇地高于检测下限,即为低病毒血症状态。低病毒血症的发生机制目前尚不明确。相关研究已经表明,HBV低病毒血症影响患者的临床预后,主要表现为促进肝脏炎症、肝纤维化的进展及发生肝硬化失代偿、肝细胞癌、耐药的风险升高。对于HBV低病毒血症患者的治疗方案也尚未有明确建议。本文将对HBV低病毒血症的定义、可能的发生机制、临床意义及临床管理策略等方面进行介绍,为临床医师提供参考。 展开更多
关键词 乙型肝炎病毒感染 低病毒血症 核苷(酸)类似物
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Effect of drying cracks on swelling and self-healing of bentonite-sand blocks used as engineered barriers for radioactive waste disposal
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作者 Yu Tan Guangping Zhou +2 位作者 Huyuan Zhang Xiaoya Li Ping Liu 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第5期1776-1787,共12页
Experiments were conducted to evaluate the healing of drying cracks in air-dried bentonite-sand blocks after hydration and swelling in groundwater,providing justifications to simplify the protection of blocks prior to... Experiments were conducted to evaluate the healing of drying cracks in air-dried bentonite-sand blocks after hydration and swelling in groundwater,providing justifications to simplify the protection of blocks prior to installation in a high-level radioactive waste repository.Synthetic groundwater was prepared to represent the geochemistry of Beishan groundwater,and was used to hydrate the blocks during the swelling pressure and swelling strain measurements,as Beishan is the most promising site for China's repository.Healing of the surface cracks was recorded by photography,and healing of the internal cracks was visualized by CT images and hydraulic conductivity of air-dried blocks.The results indicate that the maximum swelling pressure and swelling strain are primarily affected by the geochemistry of Beishan groundwater,but not affected by the drying cracks.The maximum swelling pressure and swelling strain of air-dried blocks are comparable to or even higher than the pressure and strain of fresh blocks.The maximum swelling pressure measured in strong(i.e.high ion strength)Beishan groundwater was 44%of the pressure measured in deionized(DI)water,and the maximum swelling strain was reduced to 23%of the strain measured in DI water.Nevertheless,the remained swelling of the blocks hydrated in strong Beishan groundwater was sufficient to heal the surface and internal drying cracks,as demonstrated by the pictures of surface cracks and CT images.The hydraulic conductivity of the air-dried block permeated with strong groundwater was comparable(3.7×higher)to the hydraulic conductivity of the fresh block,indicating the self-healing of drying cracks after hydration and swelling in groundwater.A simplified method of protecting the block with plastic wraps before installation is recommended,since the remained swelling of the block hydrated in Beishan groundwater is sufficient to heal the drying cracks. 展开更多
关键词 Beishan groundwater chemistry Bentonite buffer Drying cracks high-level radioactive waste(HLW) SELF-HEALING SWELLING
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慢性乙型肝炎低病毒血症患者转阴的影响因素与治疗策略探讨
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作者 陶学萍 李丽娇 +2 位作者 漆阳红 邓勇 欧书强 《中国医学创新》 CAS 2024年第15期162-166,共5页
目的:对慢性乙型肝炎(CHB)低病毒血症患者转阴的影响因素进行分析,并对相关治疗策略进行探讨。方法:选取2019年1月—2022年1月于萍乡市第二人民医院感染科就诊的接受一线核苷(酸)类似物(NAs)药物进行抗病毒治疗的CHB患者120例为研究对... 目的:对慢性乙型肝炎(CHB)低病毒血症患者转阴的影响因素进行分析,并对相关治疗策略进行探讨。方法:选取2019年1月—2022年1月于萍乡市第二人民医院感染科就诊的接受一线核苷(酸)类似物(NAs)药物进行抗病毒治疗的CHB患者120例为研究对象。恩替卡韦或富马酸替诺福韦二吡呋酯治疗36周后,采用随机数字表法将未转阴患者(HBV DNA≥10 IU/mL)分为联合组(n=19)、换药组(n=19)、维持组(n=20),并采用不同治疗方案治疗12周,收集三组的一般资料,比较三组LLV的发生情况、HBV DNA、乙型肝炎e抗原(HBeAg)、乙型肝炎表面抗原(HBsAg)及肝硬度值(LSM)。同时,比较转阴患者与LLV患者的临床基线资料,并采用多因素logistic回归分析影响LLV发生的因素。结果:治疗36周后,CHB患者转阴62例,转阴率为51.67%,未转阴患者58例,占比48.33%。三种不同治疗方案中,维持组的LLV发生率最高,为85.00%,其次为联合组和换药组,分别为26.32%、10.53%。三组LLV发生率、HBeAg、HBsAg、LSM比较,差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示,年龄、HBsAg、HBeAg、LSM均是影响LLV转阴的因素(P<0.05)。结论:目前临床上的一线NAs药物治疗对LLV患者的转阴率还需要进一步的提高,可通过改变治疗的药物或联合其他NAs药物来提高患者的转阴率,对于LLV患者的治疗方案还仍需要进一步的讨论和改进。 展开更多
关键词 慢性乙型肝炎 低病毒血症 一线核苷(酸)类似物
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丙型病毒性肝炎供者器官在实体器官移植中的应用现状与展望
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作者 秦旨文 张武 《器官移植》 CAS CSCD 北大核心 2024年第3期390-397,共8页
丙型病毒性肝炎供者器官作为一种边缘性器官已经被应用于实体器官移植中,在有效缓解器官短缺现况的同时,也面临着一些挑战,如丙型肝炎病毒(HCV)传播。但随着直接抗病毒药物的出现和应用,丙型病毒性肝炎的治愈逐渐成为现实,这也为丙型病... 丙型病毒性肝炎供者器官作为一种边缘性器官已经被应用于实体器官移植中,在有效缓解器官短缺现况的同时,也面临着一些挑战,如丙型肝炎病毒(HCV)传播。但随着直接抗病毒药物的出现和应用,丙型病毒性肝炎的治愈逐渐成为现实,这也为丙型病毒性肝炎患者成为器官移植供者奠定了基础。目前,在抗病毒药物的辅助治疗下,丙型病毒性肝炎供者实体器官移植取得了一定的疗效。因此,本文总结丙型病毒性肝炎供者肾脏、心脏、肺脏及肝脏等移植的研究现状,就丙型病毒性肝炎供者在实体器官移植中的应用情况及抗病毒药物辅助治疗的安全有效性做一综述,探究丙型病毒性肝炎供者在实体器官移植中可行性,以期为扩大器官移植供体池提供参考,减少终末期疾病患者器官移植的等待时间。 展开更多
关键词 丙型病毒性肝炎 丙型肝炎病毒 边缘供者 实体器官移植 直接抗病毒药物 持续病毒学应答 病毒血症 供者短缺
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High-level radioactive waste disposal in China: update 2010 被引量:37
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作者 Ju Wang 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE 2010年第1期1-11,共11页
For geological disposal of high-level radioactive waste (HLW), the Chinese policy is that the spent nuclear fuel (SNF) should be reprocessed first, followed by vitrification and final disposal. The preliminary rep... For geological disposal of high-level radioactive waste (HLW), the Chinese policy is that the spent nuclear fuel (SNF) should be reprocessed first, followed by vitrification and final disposal. The preliminary repository concept is a shaft-tunnel model, located in saturated zones in granite, while the final waste form for disposal is vitrified high-level radioactive waste. In 2006, the government published a long-term research and development (R&D) plan for geological disposal of high-level radioactive waste. The program consists of three steps: (1) laboratory studies and site selection for a HLW repository (2006-2020); (2) underground in-situ tests (2021-2040); and (3) repository construction (2041-2050) followed by operation. With the support of China Atomic Energy Authority, comprehensive studies are underway and some progresses are made. The site characterization, including deep borehole drilling, has been performed at the most potential Beishan site in Gansu Province, Northwestern China. The data from geological and hydrogeological investigations, in-situ stress and permeability measurements of rock mass are presented in this paper. Engineered barrier studies are concentrated on the Gaomiaozi bentonite. A mock-up facility, which is used to study the thermo-hydro-mechano-chemical (THMC) properties of the bentonite, is under construction. Several projects on mechanical properties of Beishan granite are also underway. The key scientific challenges faced with HLW disposal are also discussed. 展开更多
关键词 geological disposal high-level radioactive waste R&D program site selection BENTONITE
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The Beishan underground research laboratory for geological disposal of high-level radioactive waste in China:Planning, site selection,site characterization and in situ tests 被引量:64
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作者 Ju Wang Liang Chen +1 位作者 Rui Su Xingguang Zhao 《Journal of Rock Mechanics and Geotechnical Engineering》 CSCD 2018年第3期411-435,共25页
With the rapid development of nuclear power in China, the disposal of high-level radioactive waste(HLW) has become an important issue for nuclear safety and environmental protection. Deep geological disposal is inte... With the rapid development of nuclear power in China, the disposal of high-level radioactive waste(HLW) has become an important issue for nuclear safety and environmental protection. Deep geological disposal is internationally accepted as a feasible and safe way to dispose of HLW, and underground research laboratories(URLs) play an important and multi-faceted role in the development of HLW repositories. This paper introduces the overall planning and the latest progress for China's URL. On the basis of the proposed strategy to build an area-specific URL in combination with a comprehensive evaluation of the site selection results obtained during the last 33 years, the Xinchang site in the Beishan area,located in Gansu Province of northwestern China, has been selected as the final site for China's first URL built in granite. In the process of characterizing the Xinchang URL site, a series of investigations,including borehole drilling,geological mapping, geophysical surveying,hydraulic testing and in situ stress measurements, has been conducted. The investigation results indicate that the geological,hydrogeological, engineering geological and geochemical conditions of the Xinchang site are very suitable for URL construction. Meanwhile, to validate and develop construction technologies for the Beishan URL, the Beishan exploration tunnel(BET), which is a 50-m-deep facility in the Jiujing sub-area, has been constructed and several in situ tests, such as drill-and-blast tests, characterization of the excavation damaged zone(EDZ), and long-term deformation monitoring of surrounding rocks, have been performed in the BET. The methodologies and technologies established in the BET will serve for URL construction.According to the achievements of the characterization of the URL site, a preliminary design of the URL with a maximum depth of 560 m is proposed and necessary in situ tests in the URL are planned. 展开更多
关键词 Beishan Xinchang site GRANITE Underground research laboratory(URL) high-level radioactive waste(HLW) Geological disposal
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New therapeutic options for persistent low-level viremia in patients with chronic hepatitis B virus infection:Increase of entecavir dosage 被引量:13
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作者 Guo-Qing Yin Jun Li +2 位作者 Bei Zhong Yong-Fong Yang Mao-Rong Wang 《World Journal of Gastroenterology》 SCIE CAS 2021年第8期666-676,共11页
Chronic hepatitis B virus(HBV)infection(CHB)is a public health concern worldwide.Current therapies utilizing nucleos(t)ide analogs(NA)have not resulted in a complete cure for CHB.Furthermore,patients on long-term NA t... Chronic hepatitis B virus(HBV)infection(CHB)is a public health concern worldwide.Current therapies utilizing nucleos(t)ide analogs(NA)have not resulted in a complete cure for CHB.Furthermore,patients on long-term NA treatment often develop low-level viremia(LLV).Persistent LLV,in addition to causing the progression of liver disease or hepatocellular carcinoma,may shed light on the current plight of NA therapy.Here,we review the literature on LLV,NA treatment,and various doses of entecavir to find a strategy for improving the efficacy of this antiviral agent.For LLV patients,three therapeutic options are available,switching to another antiviral monotherapy,interferon-αswitching therapy,and continuing monotherapy.In real-world clinical practice,entecavir overdose has been used in antiviral therapy for CHB patients with NA refractory and persistent LLV,which encouraged us to conduct further in-depth literature survey on dosage and duration related entecavir studies.The studies of pharmacodynamics and pharmacokinetics show that entecavir has the maximal selected index for safety,and has great potential in inhibiting HBV replication,in all of the NAs.In the particular section of the drug approval package published by the United States Food and Drug Administration,entecavir doses 2.5-20 mg/d do not increase adverse events,and entecavir doses higher than 1.0 mg/d might improve the antiviral efficacy.The literature survey led us to two suggestions:(1)Increasing entecavir dose to 1.0 mg/d for the treatment of NA naïve patients with HBV DNA>2×106 IU/mL is feasible and would provide better prognosis;and(2)Further research is needed to assess the long-term toxic effects of higher entecavir doses(2.5 and 5.0 mg/d),which may prove beneficial in treating patients with prior NA treatment,partial virological response,or LLV state. 展开更多
关键词 Chronic hepatitis B virus infection Low-level viremia Therapeutic options ENTECAVIR DOSE Efficacy
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Migration of Some Elements and Radionuclides across aGranite-Granite Contact Zone: A Natural Analoguefor Safe Disposal of High-Level Radwastes 被引量:4
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作者 LUO Xingzhang MIN Maozhong +4 位作者 ZHANG Guanghui LI Xianguo YANG Zhe ZHAI Liying Zhu Deling 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 1999年第4期418-428,共11页
Abstract Elements and natural radionuclides in the contact zone of two granites with different ages would migrate from one to the other because of the difference in their chemical contents and later water-rock interac... Abstract Elements and natural radionuclides in the contact zone of two granites with different ages would migrate from one to the other because of the difference in their chemical contents and later water-rock interactions. This migration could serve as an analogue for the near-field process of radwastes in a high-level radwaste deep geological disposal repository. 展开更多
关键词 high-level radwaste safe disposal granitic contact zone natural analogue
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