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Corneal collagen cross-linking in patients with keratoconus from the Dresden protocol to customized solutions:theoretical basis
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作者 Ciro Caruso Luca D’Andrea +4 位作者 Mario Troisi Michele Rinaldi Raffaele Piscopo Salvatore Troisi Ciro Costagliola 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第5期951-962,共12页
Keratoconus is an ectatic condition characterized by gradual corneal thinning,corneal protrusion,progressive irregular astigmatism,corneal fibrosis,and visual impairment.The therapeutic options regarding improvement o... Keratoconus is an ectatic condition characterized by gradual corneal thinning,corneal protrusion,progressive irregular astigmatism,corneal fibrosis,and visual impairment.The therapeutic options regarding improvement of visual function include glasses or soft contact lenses correction for initial stages,gas-permeable rigid contact lenses,scleral lenses,implantation of intrastromal corneal ring or corneal transplants for most advanced stages.In keratoconus cases showing disease progression corneal collagen crosslinking(CXL)has been proven to be an effective,minimally invasive and safe procedure.CXL consists of a photochemical reaction of corneal collagen by riboflavin stimulation with ultraviolet A radiation,resulting in stromal crosslinks formation.The aim of this review is to carry out an examination of CXL methods based on theoretical basis and mathematical models,from the original Dresden protocol to the most recent developments in the technique,reporting the changes proposed in the last 15y and examining the advantages and disadvantages of the various treatment protocols.Finally,the limits of non-standardized methods and the perspectives offered by a customization of the treatment are highlighted. 展开更多
关键词 corneal collagen cross linking KERATOCONUS custom fast protocol Dresden protocol lambert-beer law Bunsen-roscoe law
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Synthesis and Charcterization of Silane Crosslinked Hydrogel to pH Sensitive Study
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作者 Muhammad Awais Shahid Abdul Haseeb Tahir +1 位作者 Zeeshan Ahmad Muhammad Arslan 《American Journal of Analytical Chemistry》 CAS 2024年第5期165-176,共12页
Eco-friendly and biodegradable novel hydrogel were prepared by blending and solution casting method. The designed hydrogel is based on chitosan/ PEG600/Gurgam with carbon nanofiller along silane crosslinked (TEOS) wit... Eco-friendly and biodegradable novel hydrogel were prepared by blending and solution casting method. The designed hydrogel is based on chitosan/ PEG600/Gurgam with carbon nanofiller along silane crosslinked (TEOS) with pH sensitive response to controlled release of drug in biomedical materials and agriculture industry. The various concentration of carbon nanofiller is used to analyze its effect on the fabricated hydrogel characteristics by using FTIR, SEM, TGA, swelling studies (water, buffer and ionic solution). Spectra of FTIR reflected both established and newly developed groups (like hydrogel). COOH group presence is clearly observed in this range in the carbon filler reinforced hydrogel. The SEM micrographs show that CPG0.003 had a collection of polysaccharide chains as thin helices, which is attributed to the increase in the size of porosity. TGA shows to increase concentration of nanofiller enhanced the thermal stability of the designed hydrogels at temperature 25˚C to 550˚C mass loss percentage decrease upto 20% and increase thermal stability. This pH response made these resultant hydrogels as fruitful competitor against the many reported controlled release application. 展开更多
关键词 CHITOSAN Guargum HYDROGEL Carbon Nano Filler Silane cross linker pH Sensitive
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Asymmetric expression of CA2 and CA13 linked to calcification in the bilateral mandibular condyles cause crossed beaks in chickens
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作者 Lei Shi Yanyan Sun +14 位作者 Yunlei Li Hao Bai Jingwei Yuan Hui Ma Yuanmei Wang Panlin Wang Aixin Ni Linlin Jiang Pingzhuang Ge Shixiong Bian Yunhe Zong Jinmeng Zhao Adamu MIsa Hailai HTesfay Jilan Chen 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第7期2379-2390,共12页
Crossed beak is a complex mode of inheritance with prevalence ranging from 0.2 to 7.4% in at least 12 chicken strains worldwide.To reveal the intrinsic factors causing crossed beaks,genes expression patterns in bilate... Crossed beak is a complex mode of inheritance with prevalence ranging from 0.2 to 7.4% in at least 12 chicken strains worldwide.To reveal the intrinsic factors causing crossed beaks,genes expression patterns in bilateral mandibular condyle between affected and normal birds were characterized by RNA sequencing analysis in the present studies.Crossed beak was induced by short length of unilateral mandibular ramus,and a total of 110differentially expressed genes were up-or down-regulated in the affected(short)mandibular condyle side as compared to the normal side.Carbonic anhydrase 2(CA2)and Carbonic anhydrase 13(CA13)were enriched in the carbonate dehydratase activity,and high-expressed in mandibular condyle and osteoblasts(P<0.05).However,both were low-expressed in short mandibular condyle side of affected birds(P<0.05).The carbonate dehydratase inhibitor experiments confirmed that there is positive association between the calcification and carbonic anhydrase isoenzymes.Quantitative analysis with cetylpyridinium chloride showed a decrease in calcification when the cells were transfected with an anti-CA13 shRNA.Our research suggested that CA2 and CA13 are down-calcified in shortside mandibular condyle,and caused mandibular ramus to grow slowly.CA2 and CA13 have the critical role in crossed beaks by regulating calcification of mandibular condyle. 展开更多
关键词 CHICKEN crossed beak carbonic anhydrase CALCIFICATION CA2 CA13
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SHEL:a semantically enhanced hardware-friendly entity linking method
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作者 亓东林 CHEN Shudong +2 位作者 DU Rong TONG Da YU Yong 《High Technology Letters》 EI CAS 2024年第1期13-22,共10页
With the help of pre-trained language models,the accuracy of the entity linking task has made great strides in recent years.However,most models with excellent performance require fine-tuning on a large amount of train... With the help of pre-trained language models,the accuracy of the entity linking task has made great strides in recent years.However,most models with excellent performance require fine-tuning on a large amount of training data using large pre-trained language models,which is a hardware threshold to accomplish this task.Some researchers have achieved competitive results with less training data through ingenious methods,such as utilizing information provided by the named entity recognition model.This paper presents a novel semantic-enhancement-based entity linking approach,named semantically enhanced hardware-friendly entity linking(SHEL),which is designed to be hardware friendly and efficient while maintaining good performance.Specifically,SHEL's semantic enhancement approach consists of three aspects:(1)semantic compression of entity descriptions using a text summarization model;(2)maximizing the capture of mention contexts using asymmetric heuristics;(3)calculating a fixed size mention representation through pooling operations.These series of semantic enhancement methods effectively improve the model's ability to capture semantic information while taking into account the hardware constraints,and significantly improve the model's convergence speed by more than 50%compared with the strong baseline model proposed in this paper.In terms of performance,SHEL is comparable to the previous method,with superior performance on six well-established datasets,even though SHEL is trained using a smaller pre-trained language model as the encoder. 展开更多
关键词 entity linking(EL) pre-trained models knowledge graph text summarization semantic enhancement
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一种MAKLINK图多节点链路建模的路径规划研究
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作者 孙培刚 张全禹 许春和 《电子设计工程》 2024年第4期140-143,148,共5页
针对传统MAKLINK图规划路径线路改变时,其最优化路径易与环境约束条件冲突的问题,提出了在MAKLINK图中各链路上增加节点数目的方法,以提高系统建模的适应性和鲁棒性。设计的多节点链路通过dijkstra算法得到更为理想的次优化路径,由蚁群... 针对传统MAKLINK图规划路径线路改变时,其最优化路径易与环境约束条件冲突的问题,提出了在MAKLINK图中各链路上增加节点数目的方法,以提高系统建模的适应性和鲁棒性。设计的多节点链路通过dijkstra算法得到更为理想的次优化路径,由蚁群算法进行迭代计算获得最优化路径,实现了在保证路径适应度的前提下,提高优化路径对环境约束条件的适应性。实验结果表明,与基本MAKLINK图路径规划算法相比,多节点链路的建模路径规划算法可有效提高次优路径的建模精度,最优路径的适应度值较单节点链路减小了1.43%,具有一定的建模优势。 展开更多
关键词 MAKlink 多节点链路 DIJKSTRA算法 蚁群算法
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面向Link16的QualNet与虚拟机信息交互接口设计与实现
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作者 杨昊伟 龚鹏 +4 位作者 张继豪 王卫东 唐飞喜 周子骄 张广为 《兵工学报》 EI CAS CSCD 北大核心 2024年第4期1186-1195,共10页
Link16是美国国防部采用的高速视距战术数据链,广泛应用于美国海军、联合部队和北约部队,针对其开展测试评估具有重要军事意义。通过硬件在环技术将Link16实物设备接入到仿真测试中,可有效提高测试结果的真实性和准确性。然而当测试场... Link16是美国国防部采用的高速视距战术数据链,广泛应用于美国海军、联合部队和北约部队,针对其开展测试评估具有重要军事意义。通过硬件在环技术将Link16实物设备接入到仿真测试中,可有效提高测试结果的真实性和准确性。然而当测试场景需要进行实物设备组网测试时,仍会带来成本问题。为此,提出一种面向QualNet MAC层的Link16专属模型以及与之匹配的虚拟机信息交互接口。该模型可高逼真模拟Link16通信行为,实现Link16节点竞争接入、时隙划分、NPG分组等功能。并基于数据分布式服务实现了虚拟机交互接口,将运行在虚拟机的Link16设备模型接入QualNet测试场景。实验测试结果表明,所设计模型具有较高真实性和准确性且接口引入延时不超过1 ms,为大规模数据链网络测试提供一种新方法。 展开更多
关键词 交互接口 link16数据链 虚拟机 QualNet MAC层 网络仿真
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Long term efficacy and stability of corneal collagen cross linking for post-LASIK ectasia: an average of 80mo follow-up 被引量:1
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作者 Walid Sharif Zaid Rushdi Ali Khaled Sharif 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2019年第2期333-337,共5页
This study was designed to evaluate efficacy and stability of corneal collagen crosslinking(CXL) in halting the progression of post-laser in situ keratomileusis(LASIK) ectasia and provide long-term follow-up results w... This study was designed to evaluate efficacy and stability of corneal collagen crosslinking(CXL) in halting the progression of post-laser in situ keratomileusis(LASIK) ectasia and provide long-term follow-up results with an average of 80 mo. Patients with post-LASIK ectasia were treated with CXL between December 2007 and January 2012. Main outcome measures were uncorrected distance visual acuities(UDVA) and corrected distance visual acuities(CDVA), minimum and maximum keratometry(K) values, spherical and cylindrical refraction, and corneal thickness. The study evaluated 17 eyes for 13 patients(8 men, 5 women) with mean age of 31y(range 23 to 39) and mean follow-up of 80.7±15(range 57 to 102)mo. UDVA and CDVA improved from logMAR 0.53±0.36(20/63) to 0.49±0.4(20/50)(P=0.43) and from 0.18±0.17(20/28) to 0.16±0.16(20/27)(P=0.55) respectively. In 15 eyes UDVA and in 13 eyes CDVA either remained stable or improved ≥1 Snellen lines(88.2%) and(76.5%) respectively. Although statistically insignificant, spherical and cylindrical refraction decreased post-CXL from-1.26±2.87 to-0.38±2.32 diopters(D)(P=0.054) and from-3.80±2.47 to-3.04±2.18 D(P=0.13) respectively. Kmax significantly decreased from 44.23±3.76 to 42.85±3.08 D(P=0.013) and Kmin decreased from 41.07±3.61 to 40.00±2.65 D(P=0.057). Corneal thickness decreased from 470±42 to 460±41 μm, but was statistically non-significant(P=0.063). Therefore, CXL is effective in halting and partially reversing the progression of postLASIK ectasia on the long-term(mean follow-up of more than 80mo), thus highlighting the stability and maintained effect of CXL for such cases. 展开更多
关键词 post-LASIK ECTASIA post-LASIK ECTASIA CORNEAL COLLAGEN cross linking
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Self-Cross-Linked Tannin-Aminated Tannin Surface Coatings for Particleboard
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作者 Bengang Zhang Antonio Pizzi +2 位作者 Mathieu Petrissans Anelie Petrissans Colin Baptiste 《Journal of Renewable Materials》 EI 2023年第12期4097-4121,共25页
Aminated tannins were prepared by reacting mimosa condensed tannin extract with ammonia yielding the substitution of many,if not all of the tannin hydroxyl groups with–NH_(2)groups.A tannin-aminated tannin(ATT)partic... Aminated tannins were prepared by reacting mimosa condensed tannin extract with ammonia yielding the substitution of many,if not all of the tannin hydroxyl groups with–NH_(2)groups.A tannin-aminated tannin(ATT)particleboard coating was then prepared by reacting raw tannin extract with aminated tannin extract and thus cross-linking the two by substituting tannin’s hydroxyl groups with the–NH_(2)groups on the aminated tannin to form–NH-bridges between the two.The resulting particleboard coating gave encouraging results when pressed at 180℃for 3 min.Conversely,the system in which tannin was reacted/cross-liked with urea(ATU)by a similar amination reaction did not perform as well as the ATT system,and this even when a higher curing temperature and longer hot press time were used.In particular its water repellence was worse probably due to the presence of urea and such a system with lower reactivity.Nonetheless,substituting the tannin–OHs with the urea–NH_(2)groups appeared to also take place.ATT gave better results than ATU as regards water repellence and mechanical resistance as shown by the cross cut test.The ATT system was shown to be between 95%and 98%biosourced.The difference appeared to be due,by TMA analysis,to the much faster formation of the ATT hardened network leading to a better cross-linked polymer coating.The chemical species formed for both the ATT and ATU system were studied by MALDI ToF and CP MAS^(13)C NMR. 展开更多
关键词 Biocoatings PARTICLEBOARD aminated tannin cross-linked tannin-aminated tannin tannin-urea cross links water repellence cross cut test MALDI ToF ^(13)C NMR
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基于遗传算法与Hardy-Cross方法的矿井通风机控制
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作者 杜聿静 马建华 《煤矿机械》 2024年第8期54-57,共4页
针对矿井通风机系统控制的复杂问题,提出了一种遗传算法与Hardy-Cross方法相结合的矿井通风控制,强化了其在处理离散变量和非凸搜索空间中寻找全局最优解的能力。通过数学形式化定义问题并结合基尔霍夫定律,确立了通风机网络的优化模型... 针对矿井通风机系统控制的复杂问题,提出了一种遗传算法与Hardy-Cross方法相结合的矿井通风控制,强化了其在处理离散变量和非凸搜索空间中寻找全局最优解的能力。通过数学形式化定义问题并结合基尔霍夫定律,确立了通风机网络的优化模型。根据实际用风情况智能调节通风机的供风量,以实现能源节约和安全生产的目标。通过对某煤矿的通风案例深入研究和验证,风扇的配置在优化气流方面表现出了卓越性能。该研究不仅为矿山工程领域提供了新的优化思路和方法,也为通风机系统的管理提供了重要参考。 展开更多
关键词 矿井通风 遗传算法 通风机控制 Hardy-cross方法
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Correlation between corneal demarcation line depth in epithelium-off and trans-epithelium accelerated corneal cross linking and keratoconus progression 被引量:2
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作者 Mahmoud Abdel-Radi Zeiad Eldaly +3 位作者 Hazem Abdelmotaal Reham Abdelrahman Mohamed Sayed Kamel Soliman 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第6期907-912,共6页
AIM:To compare corneal demarcation line(DL)depth in both accelerated epithelium-off and trans-epithelium cross linking(CXL)using anterior segment optical coherence tomography(AS-OCT)and its relation to maximum keratom... AIM:To compare corneal demarcation line(DL)depth in both accelerated epithelium-off and trans-epithelium cross linking(CXL)using anterior segment optical coherence tomography(AS-OCT)and its relation to maximum keratometry(Kmax)progression in both techniques.METHODS:A prospective comparative interventional study where patients with mild to moderate keratoconus(KC)were classified into two groups:accelerated epitheliumoff and trans-epithelium CXL based on corneal pachymetry.Assessment of corneal DL depth was carried out after 3mo by AS-OCT.Kmax readings were evaluated after one year follow up using the Scheimpflug imaging system.RESULTS:Study included 74 eyes of 44 patients.Group A underwent epithelium-off CXL(41 eyes),while Group B underwent trans-epithelium CXL(33 eyes).At 3mo follow up,mean corneal DL depth in Group A was 219.9±58.4μm while in Group B was 127.2±7.8μm(P<0.05).The mean Kmaxchangedfrom51.9±3.9to51.3±4.2dioptersin Group A and from 53.1±4.1 to 53.6±5 diopters in Group B with insignificant difference in Kmax changes in either group(P>0.05).In addition,no significant change in corneal pachymetry was found in both groups(meanchange at 1y:6.4±4.7 and-10.1±2.3μm in Groups A and B respectively).CONCLUSION:Despite a significantly deeper corneal DL depth created by accelerated epithelium-off CXL technique compared to accelerated trans-epithelium CXL,there is no significant impact on keratoconus progression. 展开更多
关键词 anterior segment optical coherence tomography cross linking demarcation line KERATOCONUS
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Corneal collagen crosslinking in keratoconus and other eye disease 被引量:7
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作者 Adel Alhayek Pei-Rong Lu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2015年第2期407-418,共12页
Keratoconus is a condition characterized by biomechanical instability of the cornea, presenting in a progressive, asymmetric and bilateral way. Corneal collagen crosslinking(CXL) with riboflavin and Ultraviolet-A(UVA)... Keratoconus is a condition characterized by biomechanical instability of the cornea, presenting in a progressive, asymmetric and bilateral way. Corneal collagen crosslinking(CXL) with riboflavin and Ultraviolet-A(UVA) is a new technique of corneal tissue strengthening that combines the use of riboflavin as a photo sensitizer and UVA irradiation. Studies showed that CXL was effective in halting the progression of keratoconus over a period of up to four years. The published studies also revealed a reduction of max K readings by more than 2 D, while the postoperative spherical equivalent(SEQ) was reduced by an average of more than 1 D and refractive cylinder decreased by about1 D. The major indication for the use of CXL is to inhibit the progression of corneal ecstasies, such as keratoconus and pellucid marginal degeneration. CXL may also be effective in the treatment and prophylaxis of iatrogenic keratectasia, resulting from excessively aggressive photo ablation. This treatment has been used to treat infectious corneal ulcers with apparent favorable results. Most recent studies demonstrate the beneficial impact of CXL for iatrogenic ecstasies, pellucid marginal degeneration, infectious keratitis, bullous keratopathy and ulcerative keratitis. Several long-term and short-term complications of CXL have been studied and documented. The possibility of a secondary infection after the procedure exists because the patient is subject to epithelial debridement and the application of a soft contact lens. Formation of temporary corneal haze,permanent scars, endothelial damage, treatment failure,sterile infiltrates, bullous keratopathy and herpes reactivation are the other reported complications of this procedure. 展开更多
关键词 KERATOCONUS COLLAGEN corneal cross-linking ultraviolet radiation and riboflavin
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Clinical Observation of Transepithelial Corneal Collagen Cross-linking by Iontophoresis of Riboflavin in Treatment of Keratoconus 被引量:15
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作者 Na Li Zhengjun Fan +2 位作者 Xiujun Peng Xu Pang Chunyu Tian 《Eye Science》 CAS 2014年第3期160-164,共5页
Purpose: To evaluate the efficacy and safety of transepithelial collagen cross-linking by iontophoretic delivery of riboflavin in treatment of progressive keratoconus.Methods:.Eleven patients(15 eyes) with progressive... Purpose: To evaluate the efficacy and safety of transepithelial collagen cross-linking by iontophoretic delivery of riboflavin in treatment of progressive keratoconus.Methods:.Eleven patients(15 eyes) with progressive keratoconus were enrolled. After 0.1% riboflavin-distilled water solution was deliveried via transepithelial iontophpresis for 5 min with 1 m A current, and ultraviolet radiation(370 nm,.3 m W /cm2) was performed at a 1.5 cm distance for 30 min. The follow up were 6 months in all eyes. The uncorrected visual acuity, corrected visual acuity,endothelial cell counting, corneal thickness,.intraocular pressure, corneal curvature, corneal topography,.OCT and corneal opacity before and 6-month after surgery were analyzed.Results: At 6 month postoperatively, mean uncorrected visual acuity and corrected visual acuity changed from 0.36 to 0.30 and from 0.42 to 0.57 without statistical significance..The mean value of each index of corneal curvature declined without statistical significance.Kmax value dereased from 60.91 to59.91, and the astigmatism declined from 3.86 to 3.19. Central corneal thickness decreased from 460.93 μm to 455.40μm,.and thinnest corneal thickness declined from 450.87 μm to 440.60 μm with no statistical significance..Intraocular pressure was significantly elevated from 10.85 mm Hg to 12.62 mm Hg. Endothelial cell count did not change significantly. No corneal haze occurred. Mean depth of corneal demarcation line was 288.46 μm at 1 month postoperatively..Conclusion:.Transepithelial corneal collagen cross-linking by iontophoresis is effective and safe in the treatment of progressive keratoconus, and yields stable clinical outcomes during 6-month follow up..However,.long-term follow up is urgently required. 展开更多
关键词 角膜混浊 核黄素 皮胶原 临床观察 圆锥 离子 导入 联通
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PERVAPORATION PROPERTIES OF PDMS MEMBRANES CURED WITH DIFFERENT CROSS-LINKING REAGENTS FOR ETHANOL CONCENTRATION FROM AQUEOUS SOLUTIONS 被引量:5
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作者 李继定 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2009年第4期533-542,共10页
Ethanol perm-selective PDMS/PVDF composite membranes were prepared by curing polydimethylsiloxane (PDMS) with various cross-linking reagents,such as tetraethoxylsilane(TEOS),γ-aminopropyltriethoxylsilane(APTEOS), phe... Ethanol perm-selective PDMS/PVDF composite membranes were prepared by curing polydimethylsiloxane (PDMS) with various cross-linking reagents,such as tetraethoxylsilane(TEOS),γ-aminopropyltriethoxylsilane(APTEOS), phenyltrimethoxylsilane(PTMOS) and octyltrimethoxylsilane(OTMOS) as well.The cross-linking density and surface properties of the PDMS active layer were adjusted by varying cross-linking reagents.The pervaporation performance of PDMS membranes cured with different cross-linking reagents was investig... 展开更多
关键词 cross-linking PDMS Mass transfer coefficient ETHANOL/WATER PERVAPORATION
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Inhibiting effect of[HOEmim][BF_4]and[Amim]Cl ionic liquids on the cross-linking reaction of bituminous coal 被引量:3
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作者 Wang Lanyun Xu Yongliang +1 位作者 Wang Shaokun Song Zhipeng 《International Journal of Mining Science and Technology》 SCIE EI CSCD 2016年第2期353-359,共7页
In order to reduce the hazard of coal spontaneous combustion,the cross-linking reaction between O-containing functional groups of coal should be inhibited.So the inhibitory effect of an ionic liquid(IL) on the cross-l... In order to reduce the hazard of coal spontaneous combustion,the cross-linking reaction between O-containing functional groups of coal should be inhibited.So the inhibitory effect of an ionic liquid(IL) on the cross-linking reaction was studied.The O-containing functional groups change the weight loss and H_2O,CO_2,CO yields of bituminous coal before and after[H0Emim][BF_4]and[Amim]Cl pre-treatment and were detected by Fourier Transform Infrared spectroscopy(FT1R) and Thermo Gravimetric(TC) analysis.The results show that | AmimjCI has a weaker ability to inhibit the cross-linking reaction of bituminous coal compared to[HOEmim][BF_4].Besides,based on Quantum Chemistry calculation,it was found that the different inhibiting effects of |H0Emim][BF_4]and[Amim]Cl are greatly related to their anions and the H linked with C2 atom on the imidazole ring.The H-donor ability of coal will be enhanced by[HOEmim][BF_4]leading to a weaker cross-linking reaction of coal. 展开更多
关键词 交联反应 抑制作用 离子液体 烟煤 CL 红外光谱测定 含氧官能团 量子化学计算
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Systematic review and Meta-analysis comparing modified cross-linking and standard cross-linking for progressive keratoconus 被引量:1
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作者 Yang Liu Yi Liu +5 位作者 Ying-Nan Zhang Ai-Peng Li Jing Zhang Qing-Feng Liang Ying Jie Zhi-Qiang Pan 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2017年第9期1419-1429,共11页
AIM:To compare the effectiveness and safety between modified cross-linking(MC)and standard cross-linking(SC)in mild or moderate progressive keratoconus.METHODS:Eligible studies were retrieved from four electroni... AIM:To compare the effectiveness and safety between modified cross-linking(MC)and standard cross-linking(SC)in mild or moderate progressive keratoconus.METHODS:Eligible studies were retrieved from four electronic databases,including CENTRAL,Clinical Trials gov,Pup Med and OVID MEDLINE.We set post-surgical maximum K value(Kmax)as the primary outcome.In addition,uncorrected and corrected distant visual acuity(UDVA and UDVA),spherical equivalent(SE),endothelial cell density(ECD),central cornea thickness(CCT)and depth of demarcation line(DDL)were Meta-analyzed as secondary outcomes.Mean differences for these outcomes were pooled through either a random-effect model or fixed-effect model according to data heterogeneity.RESULTS:Twenty-four comparative studies either on accelerated cross-linking(AC)compared with SC or on transepithelial cross-linking(TC)compared with SC were included and pooled for analysis.The results indicated that MC was significantly inferior to SC at delaying Kmax deterioration[AC vs SC 0.49(95%CI:0.04-0.94,I2=75%,P=0.03);TC vs SC 1.15(95%CI:0.54-1.75,I2=50%,P=0.0002)].SE decreased significantly for SC when compared to AC[0.62(95%CI:0.38-0.86,I2=22%,P〈0.00001)].DDL of SC was more significantly deeper than that of TC[-133.49(95%CI:-145.94 to-121.04,I2=33%,P〈0.00001)].Other outcomes demonstrated comparable results between MC and SC.CONCLUSION:SC is more favorable at halting the progression of keratoconus,but visual acuity improvement showed comparable results between MCs and SC. 展开更多
关键词 progressive keratoconus cross-linking standardcross-linking accelerated cross-linking trans-epithelial cross-linking META-ANALYSIS
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Experimental study on the treatment of rabbit corneal melting after alkali burn with Collagen cross-linking 被引量:5
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作者 Xiao-Wei Gao, Ying Liu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2012年第2期147-150,共4页
AIM: To evaluate the effect of Collagen cross-linking on the prevention of melting in rabbit corneas after alkali burn. METHODS: Twenty New Zealand white rabbits were randomly divided into model control group and coll... AIM: To evaluate the effect of Collagen cross-linking on the prevention of melting in rabbit corneas after alkali burn. METHODS: Twenty New Zealand white rabbits were randomly divided into model control group and collagen cross-linking treatment group. The second group of rabbits received collagen cross linked treatment. Both groups were applied with antibiotic eye drops to prevent infection. The corneas were evaluated for melting, opacity, pathological and immunohistochemistry, record the changes when 28 days after the animals were killed. RESULTS: In the control group, 6 out of 8 rabbits showed corneal melting after injury (14 +/- 4) days, while two corneal perforated. In collagen cross-linking treatment group, one rabbit showed corneal melting after injury 23 days, without corneal perforation; corneal dissolution rate between the two groups was significantly different (P <0.05). Pathological examination suggested that in the treatment group, mild corneal edema, mild damage to collagen fibers, inflammatory cell infiltration was significantly less than the control group. Immunohistochemistry showed that corneal collagen fibers arranged in neat rows in the control group. CONCLUSION: Collagen cross-linking treatment not only can prevent and delay the corneal melting after alkali burn, but also can reduce the destruction of corneal collagen fibers and infiltration of inflammatory cells in the corneal tissue. 展开更多
关键词 collagen cross-linking corneal alkali burn corneal melting RABBIT
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A short-term study of corneal collagen cross-linking with hypo-osmolar riboflavin solution in keratoconic corneas 被引量:5
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作者 Shao-Feng Gu Zhao-Shan Fan +5 位作者 Li-Hua Wang Xiang-Chen Tao Yong Zhang Chun-Qin Wang Ya Wang Guo-Ying Mu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2015年第1期94-97,共4页
AIM: To report the 3mo outcomes of collagen crosslinking(CXL) with a hypo-osmolar riboflavin in thin corneas with the thinnest thickness less than 400 μm without epithelium.METHODS: Eight eyes in 6 patients with age ... AIM: To report the 3mo outcomes of collagen crosslinking(CXL) with a hypo-osmolar riboflavin in thin corneas with the thinnest thickness less than 400 μm without epithelium.METHODS: Eight eyes in 6 patients with age 26.2±4.8y were included in the study. All patients underwent CXL using a hypo-osmolar riboflavin solution after its de-epithelization. Best corrected visual acuity, manifest refraction, the thinnest corneal thickness, and endothelial cell density were evaluated before and 3mo after the procedure.RESULTS: The mean thinnest thickness of the cornea was 408.5 ±29.0 μm before treatment and reduced to369.8 ±24.8 μm after the removal of epithelium. With the application of the hypo-osmolar riboflavin solution, the thickness increased to 445.0 ±26.5 μm before CXL and recover to 412.5 ±22.7 μm at 3mo after treatment, P =0.659). Before surgery, the mean K-value of the apex of the keratoconus corneas was 57.6 ±4.0 diopters, and slightly decreased(54.7±4.9 diopters) after surgery(P =0.085). Mean best-corrected visual acuity was 0.55 ±0.23 logarithm of the minimal angle of resolution, and increased to 0.53±0.26 logarithm after surgery(P =0.879).The endothelial cell density was 2706.4 ±201.6 cells/mm2 before treatment, and slightly decreased( 2641. 2 ±218.2 cells/mm2) at last fellow up(P =0.002).CONCLUSION: Corneal collagen cross-linking with a hypo-osmolar riboflavin in thin corneas seems to be a promising treatment. Further study should be done to evaluate the safety and efficiency of CXL in thin corneas for the long-term. 展开更多
关键词 corneal collagen cross-linking KERATOCONUS hypo-osmolar riboflavin thin corneas
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一种改进的Link16信号检测方法
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作者 薛燕 高春芳 杨欣 《现代雷达》 CSCD 北大核心 2024年第1期39-44,共6页
直接序列扩频、高速跳频与跳时相结合的技术,造成了对Link16信号的检测具有相当的难度。文中针对突发Link16信号脉冲宽度强规律性,借鉴双滑动窗算法在突发信号检测上的应用,提出了改进后基于相关处理的双滑动窗Link16信号检测方法,该方... 直接序列扩频、高速跳频与跳时相结合的技术,造成了对Link16信号的检测具有相当的难度。文中针对突发Link16信号脉冲宽度强规律性,借鉴双滑动窗算法在突发信号检测上的应用,提出了改进后基于相关处理的双滑动窗Link16信号检测方法,该方法可实现复杂电磁环境下对Link16信号的高灵敏度、高概率检测,同时正确估算出脉宽、码速率等参数信息。仿真实验数据验证了理论分析的正确性和所述方法的有效性,相较于其他Link16信号检测方法,改进后的基于相关处理的双滑动窗检测算法明显提高了在低信噪比下对Link16信号的检测能力。 展开更多
关键词 link16信号 双窗滑动相关 突发信号检测
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Corneal collagen cross-linking and liposomal amphotericin B combination therapy for fungal keratitis in rabbits 被引量:4
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作者 Zhao-Qin Hao Jin-Xin Song +7 位作者 Shi-Yin Pan Lin Zhang Yan Cheng Xian-Ning Liu Jie Wu Xiang-Hua Xiao Wei Gao Hai-Feng Zhu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2016年第11期1549-1554,共6页
AIM: To observe the therapeutic effect of corneal collagen cross-linking(CXL) in combination with liposomal amphotericin B in fungal corneal ulcers.METHODS: New Zealand rabbits were induced fungal corneal ulcers b... AIM: To observe the therapeutic effect of corneal collagen cross-linking(CXL) in combination with liposomal amphotericin B in fungal corneal ulcers.METHODS: New Zealand rabbits were induced fungal corneal ulcers by scratching and randomly divided into 3groups, i.e. control, treated with CXL, and combined therapy of CXL with 0.25% liposomal amphotericin B(n =5 each). The corneal lesions were documented with slit-lamp and confocal microscopy on 3, 7, 14, 21 and 28 d after treatment. The corneas were examined with transmission electron microscopy(TEM) at 4wk.RESULTS: A rabbit corneal ulcer model of Fusarium was successfully established. The corneal epithelium defect areas in the two treatment groups were smaller than that in the control group on 3, 7, 14 and 21d(P 〈0.05). The corneal epithelium defect areas of the combined group was smaller than that of the CXL group(P 〈0.05) on 7 and 14 d, but there were no statistical differences on 3, 21 and 28 d. The corneal epithelium defects of the two treatment groups have been healed by day 21. The corneal epithelium defects of the control group were healed on 28 d. The diameters of the corneal collagen fiber bundles(42.960 ±7.383 nm in the CXL group and 37.040±4.160 nm in the combined group) were thicker than that of the control group(24.900±1.868 nm),but there was no difference between the two treatment groups. Some corneal collagen fiber bundles were distorted and with irregular arrangement, a large number of fibroblasts could be seen among them but no inflammatory cells in both treatment groups. CONCLUSION: CXL combined with liposomal amphotericin B have beneficial effects on fungal corneal ulcers. The combined therapy could alleviate corneal inflammattions, accelerate corneal repair, and shorten the course of disease. 展开更多
关键词 corneal collagen cross-linking liposomalamphotericin B fungal keratitis confocal microscope RABBIT
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Clinical Evaluation of Pranoprofen Combined with Fluorometholone Eye Drops on Postoperative Reaction of Corneal Cross-linking 被引量:4
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作者 Xu Pang Zhengjun Fan +2 位作者 Xiujun Peng Hongzhen Jia Tengfei Wu 《Eye Science》 CAS 2012年第4期173-177,共5页
Purpose:To evaluate the efficacy and safety of pranoprofen eye drops for reducing postoperative ocular pain and inflammation after corneal cross-linking (CXL). Methods:Twenty-seven patients (38 eyes) with keratoconus ... Purpose:To evaluate the efficacy and safety of pranoprofen eye drops for reducing postoperative ocular pain and inflammation after corneal cross-linking (CXL). Methods:Twenty-seven patients (38 eyes) with keratoconus undergoing CXL were examined and randomly divided into control (12 cases; 18 eyes) and experimental groups (15 cases;20 eyes).The patients in the control group were given fluorometholone eye drops,and those in the experimental group were administered with fluorometholone combined with pranoprofen eye drops.Corneal irritation and haze were compared between the two groups at 1 month postoperatively. Results:At 1 to 3 days after surgery,the corneal irritation in the experimental group was significantly reduced compared with that in the control group (P<0.05), but there was no significant difference on 5 to 7 days postoperatively (P>0.05). The average degree of haze in the experimental group was significantly lower than that in the control group 1 month after surgery (P<0.05), but there was no significant difference in the best-corrected vision acuity and intraocular pressure between the two groups. There were 2 cases with >20 mmHg intraocular pressure in the control group. Conclusion:The combined use of fluorometholone and pranoprofen can significantly reduce inflammatory response,alleviate corneal irritation at early stage after CXL,effectively prevent and control the average of haze,and reduce the incidence of steroid-induced ocular hypertension after surgery. 展开更多
关键词 交联反应 滴眼液 角膜 评价 临床 眼睛 炎症反应
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