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Venous Doppler flow patterns,venous congestion,heart disease and renal dysfunction:A complex liaison
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作者 Alessio Di Maria Rossella Siligato +1 位作者 Marta Bondanelli Fabio Fabbian 《World Journal of Cardiology》 2024年第1期5-9,共5页
The World Journal of Cardiology published an article written by Kuwahara et al that we take the pleasure to comment on.We focused our attention on venous congestion.In intensive care settings,it is now widely accepted... The World Journal of Cardiology published an article written by Kuwahara et al that we take the pleasure to comment on.We focused our attention on venous congestion.In intensive care settings,it is now widely accepted that venous congestion is an important clinical feature worthy of investigation.Evaluating venous Doppler profile abnormalities at multiple sites could suggest adequate treatment and monitor its efficacy.Renal dysfunction could trigger or worsen fluid overload in heart disease,and cardio-renal syndrome is a well-characterized spectrum of disorders describing the complex interactions between heart and kidney diseases.Fluid overload and venous congestion,including renal venous hypertension,are major determinants of acute and chronic renal dysfunction arising in heart disease.Organ congestion from venous hypertension could be involved in the development of organ injury in several clinical situations,such as critical diseases,congestive heart failure,and chronic kidney disease.Ultrasonography and abnormal Doppler flow patterns diagnose clinically significant systemic venous congestion.Cardiologists and nephrologists might use this valuable,noninvasive,bedside diagnostic tool to establish fluid status and guide clinical choices. 展开更多
关键词 Cardio-renal syndrome Fluid overload Venous congestion Acute kidney injury ULTRASOUND Doppler flow patterns
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4D-Flow MRI在肥厚型心肌病左室流出道血流评估中的价值探索
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作者 徐晶 陈秀玉 +3 位作者 尹刚 闫伟鹏 陆敏杰 赵世华 《磁共振成像》 CAS CSCD 北大核心 2024年第3期56-61,共6页
目的 探索四维血流(four-dimensional flow,4D-Flow)磁共振成像(magnetic resonance imaging,MRI)技术在左心室腔内应用的可行性。材料与方法 本研究为前瞻性、横断面研究,纳入2022年8月至2023年1月于我院接受心脏MRI检查的21例肥厚型... 目的 探索四维血流(four-dimensional flow,4D-Flow)磁共振成像(magnetic resonance imaging,MRI)技术在左心室腔内应用的可行性。材料与方法 本研究为前瞻性、横断面研究,纳入2022年8月至2023年1月于我院接受心脏MRI检查的21例肥厚型心肌病患者,采用3.0 T MRI扫描仪进行二维血流(tow-dimensional flow,2D-Flow)及4D-Flow成像,收集患者一周内进行的超声心动图检查结果。采用组内相关系数(inter-class correlation coefficient,ICC)、变异系数(coefficients of variation,COV)及Bland-Altman分析比较2D-Flow、4D-Flow评估左室流出道峰值流速的可重复性及一致性,并通过Pearson相关性分析探究二者与超声心动图测量结果的关系。结果 2D-Flow和4D-Flow观察者内/观察者间的ICC分别为0.999/0.999和0.995/0.992,COV分别为0.5%/0.5%和2.4%/2.6%。4D-Flow与超声心动图的测量结果呈中度相关,相关系数r值为0.574(P=0.006),但一致性较差,ICC为0.375(P=0.013)。2D-Flow与4D-Flow和超声心动图间无显著的一致性及相关性。结论 4D-Flow技术能够可视化心腔内血流模式,对左室流出道峰值流速的测量具有高度可重复性,且与超声心动图的测量结果具有显著的一致性。 展开更多
关键词 肥厚型心肌病 四维血流 二维血流 心脏磁共振 磁共振成像
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肝硬化患者4D flow MRI血流动力学参数与中医证型的相关性研究
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作者 胡勤勤 姜阳 +3 位作者 张玉龙 方玉 梁仁容 杨华 《中国中医急症》 2024年第6期982-985,989,共5页
目的探讨肝硬化患者4D flow MRI血流动力学参数与中医证型的相关性。方法将118例肝硬化患者依据中医辨证分为肝气郁结证、湿热蕴结证、肝肾阴虚证、脾肾阳虚证、瘀血阻络证5个证型,所有患者均行门静脉4D flow MRI检查,统计不同证型肝硬... 目的探讨肝硬化患者4D flow MRI血流动力学参数与中医证型的相关性。方法将118例肝硬化患者依据中医辨证分为肝气郁结证、湿热蕴结证、肝肾阴虚证、脾肾阳虚证、瘀血阻络证5个证型,所有患者均行门静脉4D flow MRI检查,统计不同证型肝硬化患者分布情况,观察门静脉系统(门静脉主干、脾静脉、肠系膜上静脉)的血流动力学参数,包括血流量、流速、壁剪切力等,比较不同证型患者门静脉血流动力学参数差异。结果肝硬化代偿期以肝气郁结证、湿热蕴结证为主,肝硬化失代偿期以脾肾阳虚、瘀血络阻证为主;A级以肝气郁结证、湿热蕴结证为主,B、C级以瘀血络阻证为主。瘀血络阻证肝硬化患者门静脉主干及脾静脉血流量明显高于肝气郁结证、湿热蕴结证患者(P<0.05);脾肾阳虚证门静脉主干血流量明显高于肝气郁结证肝硬化患者(P<0.05);瘀血络阻证肝硬化患者门静脉主干流速及剪切力较肝气郁结证和湿热蕴结证低。结论肝硬化患者中医辨证分型与门静脉血流动力学参数具有一定相关性,4D flow MRI可为肝硬化的中医辨证提供血流动力学参考。 展开更多
关键词 肝硬化 4D flow MRI 血流动力学 中医证型
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基于 Moldflow 的汽车中控台框架翘曲变形分析及优化
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作者 刘巨保 黄建军 +3 位作者 杨明 李峰 张亮 查翔 《塑料工业》 CAS CSCD 北大核心 2024年第3期83-88,共6页
以某汽车中控台框架为研究对象,测量试模样品发现其翘曲变形量超过了装配要求。通过Moldflow软件模拟了该塑件实际的注塑过程,翘曲变形量的模拟值与实测平均值的最大误差为5.98%,发现该塑件翘曲变形的主要因素为冷却不均和收缩不均。本... 以某汽车中控台框架为研究对象,测量试模样品发现其翘曲变形量超过了装配要求。通过Moldflow软件模拟了该塑件实际的注塑过程,翘曲变形量的模拟值与实测平均值的最大误差为5.98%,发现该塑件翘曲变形的主要因素为冷却不均和收缩不均。本文在原物料中添加质量分数为25%的玻璃纤维以及优化工艺参数后,翘曲变形量的模拟值与初始方案相比降低了86.22%。试模验证表明,优化后的翘曲变形量模拟值与实测平均值的最大误差为4.35%,证明了Moldflow软件模拟分析的准确性。试模后各检测点的最大翘曲变形量降到了1.6 mm以下,较优化之前降低了80%以上,为类似大型复杂注塑件的翘曲变形分析及优化提供了思路。 展开更多
关键词 注塑成型 中控台框架 翘曲变形 模流分析 玻璃纤维
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V Flow技术测量颈动脉壁面剪应力的一致性研究
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作者 加依达尔·沙亚哈提 周琛云 陈曼琳 《四川医学》 CAS 2024年第1期28-34,共7页
目的评价血流向量成像(V Flow)技术在测量健康成年人颈动脉壁面剪应力(WSS)中的一致性。方法于2021年2月至2021年3月招募健康成年志愿者20人,由2名不同年资的超声医师使用配备V Flow功能的Mindray Resona 7超声仪和3~9 MHz线阵探头进行... 目的评价血流向量成像(V Flow)技术在测量健康成年人颈动脉壁面剪应力(WSS)中的一致性。方法于2021年2月至2021年3月招募健康成年志愿者20人,由2名不同年资的超声医师使用配备V Flow功能的Mindray Resona 7超声仪和3~9 MHz线阵探头进行双侧颈动脉扫查,分别采集双侧颈总动脉远段、颈总动脉分叉至颈内动脉起始部两段动脉的动态V Flow图像,测量两侧颈总动脉远段的近心端、远心端、分叉处及颈内动脉起始部的前、后壁的WSS,使用组内相关系数(ICC)和Bland-Altman图评估组内一致性及组间一致性。结果双侧颈动脉前、后壁的4个不同节段之间WSS值差异均有统计学意义(P<0.05)。高年资超声医师2次测量结果的一致性结果显示,左侧颈总动脉远段的远心端一致性极好(ICC 0.779),右侧颈总动脉远段的近心端(ICC 0.605)、远心端(ICC 0.585)、颈内动脉起始部(ICC 0.457)、左侧颈总动脉分叉处(ICC 0.606)及颈内动脉起始部(ICC 0.702)一致性均较好;不同年资超声医师的测量结果显示,仅右侧颈总动脉分叉处(ICC 0.486)及左侧颈总动脉远段的远心端(ICC 0.576)一致性较好。结论V Flow技术可显示不同位点间颈动脉WSS之间的差异,其组内一致性较好,但在不同年资超声医师间存在一定的差异。 展开更多
关键词 颈动脉 动脉粥样硬化 壁面剪应力 V flow成像技术
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Impact of water table on hierarchically nested groundwater flow system
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作者 Jun Zhang Rong-zhe Hou +2 位作者 Kun Yu Jia-qiu Dong Li-he Yin 《Journal of Groundwater Science and Engineering》 2024年第2期119-131,共13页
Water table configuration gives rise to hierarchically nested groundwater flow systems.However,there remains a lack of comprehensive understanding regarding the controlling factors of water table and its impact on flo... Water table configuration gives rise to hierarchically nested groundwater flow systems.However,there remains a lack of comprehensive understanding regarding the controlling factors of water table and its impact on flow systems.Moreover,it remains challenging to identify characteristics of water table space variation through limited groundwater observations at the regional scale.Based on two ideal two-dimensional cross-section analytical models,this study presents a simplified approach to preliminarily assess the nonlinear interactions between water table variation and three driving factors:Topography,geol-ogy and climate.Two criteria,C1 and C2,are utilized to address issues at different scales ranging from basin to local:(i)the influence of various factors on water table configuration;and(ii)the influence of water table on groundwater flow pattern.Then,the Ordos Plateau is taken as an example to explore the role of the water table in nested groundwater systems using the provided approach and criterion.The applica-tion of this approach in the Ordos Plateau demonstrates its appropriateness as a practical method for prelim-inarily determining the characteristics of water table configuration and its impact on flow systems.The study explores the mechanism influencing spatial variation in the water table and improves understanding of the interaction between topography,geology,and climate on groundwater flow patterns. 展开更多
关键词 Water table configuration Groundwater flow pattern Analytical models Top boundary condi-tions Ordos Plateau
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Pedestrian flow through exit:Study focused on evacuation pattern
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作者 张博思 余志红 +2 位作者 孙柏林 郭紫钰 陈默 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第1期755-764,共10页
Experiments are conducted on the evacuation rate of pedestrians through exits with queued evacuation pattern and random evacuation pattern. The experimental results show that the flow rate of pedestrians is larger wit... Experiments are conducted on the evacuation rate of pedestrians through exits with queued evacuation pattern and random evacuation pattern. The experimental results show that the flow rate of pedestrians is larger with the random evacuation pattern than with the queued evacuation pattern. Therefore, the exit width calculated based on the minimum evacuation clear width for every 100 persons, which is on the assumption that the pedestrians pass through the exit in one queue or several queues, is conservative. The number of people crossing the exit simultaneously is greater in the random evacuation experiments than in the queued evacuation experiments, and the time interval between the front row and rear row of people is shortened in large-exit conditions when pedestrians evacuate randomly. The difference between the flow rate with a queued evacuation pattern and the flow rate with a random evacuation pattern is related to the surplus width of the exit, which is greater than the total width of all accommodated people streams. Two dimensionless quantities are defined to explore this relationship. It is found that the difference in flow rate between the two evacuation patterns is stable at a low level when the surplus width of the exit is no more than 45% of the width of a single pedestrian stream. There is a great difference between the flow rate with the queued evacuation pattern and the flow rate with the random evacuation pattern in a scenario with a larger surplus width of the exit. Meanwhile, the pedestrians crowd extraordinarily at the exit in these conditions as well, since the number of pedestrians who want to evacuate through exit simultaneously greatly exceeds the accommodated level. Therefore, the surplus width of exit should be limited especially in the narrow exit condition, and the relationship between the two dimensionless quantities mentioned above could provide the basis to some extent. 展开更多
关键词 EVACUATION exit width flow rate queued evacuation pattern random evacuation pattern
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基于Moldflow软件对薄壁件某塑料喷嘴的注塑方案优化研究
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作者 袁志华 符烜赫 袁博 《机械工程师》 2024年第3期14-17,共4页
喷嘴注塑产品的质量和性能很大程度上由注塑方案和工艺参数所决定,不当的注塑方案和工艺参数会导致充填不足、熔接线过多、翘曲变形量大等问题。为了可以减少生产周期,节约生产成本,利用三维软件UG对喷嘴进行建模,基于模流分析软件Moldf... 喷嘴注塑产品的质量和性能很大程度上由注塑方案和工艺参数所决定,不当的注塑方案和工艺参数会导致充填不足、熔接线过多、翘曲变形量大等问题。为了可以减少生产周期,节约生产成本,利用三维软件UG对喷嘴进行建模,基于模流分析软件Moldflow软件对喷嘴注塑产品进行分析和优化,通过比较点浇口和侧浇口两种方案的分析结果,最终确定该产品点浇口的方案更好。并通过设计正交实验,得到优化后的工艺参数。 展开更多
关键词 喷嘴 MOLDflow 模流分析 浇口位置 正交优化
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The roles of R2R3-MYBs in regulating complex pigmentation patterns in flowers
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作者 Baoqing Ding 《Horticultural Plant Journal》 SCIE CAS CSCD 2023年第6期1067-1078,共12页
Pigmentation patterns are ubiquitous in nature.Visually striking pigmentation patterns are not only aesthetically appealing,but also crucial to pollinator interaction and plant fitness.The formation of complex floral ... Pigmentation patterns are ubiquitous in nature.Visually striking pigmentation patterns are not only aesthetically appealing,but also crucial to pollinator interaction and plant fitness.The formation of complex floral pigmentation patterns mainly relies on the spatiotemporal expression of R2R3-MYB transcription factors and is often associated with certain floral development programs,such as floral organ identity,symmetry,which likely provide key information to initiate the patterning.For a complex pigmentation pattern to form,at least a pair of activator and inhibitor is required,despite their interaction might vary depending on the system being investigated.The regulation of pigmentation pattern involves multiple molecular mechanisms,such as transcriptional regulation,small RNA,transposon-mediated gene silencing,and methylation of gene body.Identifying these regulators can be facilitated by using single-cell and spatial transcriptomics as well as innovative plant transformation technologies.Moreover,plant organ development and pigmentation patterns are often interdependent,but current methods of describing patterns are static.Therefore,more precise and quantitative measurements are needed to elucidate the developmental mechanisms underlying complex pigmentation patterns in flowers. 展开更多
关键词 Pattern formation REACTION-DIFFUSION PETALS Prepattern R2R3-MYB ANTHOCYANIN CAROTENOID STRIPES Spots
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基于MoldFlow太阳能储能系统下盖成型模拟及应用
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作者 周先保 胡清根 傅海勇 《模具制造》 2024年第2期36-38,共3页
以太阳能储能系统下盖模流分析为例,反复修改流道和浇口截面尺寸与长度以及主流道位置,确定流道尺寸。运用MoldFlow对设计好的流道进行充填分析,以使成型达到流动平衡,并进行冷却、翘曲分析,预测成型缺陷,提出解决措施,为模具设计提供... 以太阳能储能系统下盖模流分析为例,反复修改流道和浇口截面尺寸与长度以及主流道位置,确定流道尺寸。运用MoldFlow对设计好的流道进行充填分析,以使成型达到流动平衡,并进行冷却、翘曲分析,预测成型缺陷,提出解决措施,为模具设计提供浇注系统和冷却系统方案和注射成型工艺参数,并应用于模具设计和实际生产。 展开更多
关键词 太阳能储能系统下盖 流动平衡 成型缺陷
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A transient production prediction method for tight condensate gas wells with multiphase flow
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作者 BAI Wenpeng CHENG Shiqing +3 位作者 WANG Yang CAI Dingning GUO Xinyang GUO Qiao 《Petroleum Exploration and Development》 SCIE 2024年第1期172-179,共8页
Considering the phase behaviors in condensate gas reservoirs and the oil-gas two-phase linear flow and boundary-dominated flow in the reservoir,a method for predicting the relationship between oil saturation and press... Considering the phase behaviors in condensate gas reservoirs and the oil-gas two-phase linear flow and boundary-dominated flow in the reservoir,a method for predicting the relationship between oil saturation and pressure in the full-path of tight condensate gas well is proposed,and a model for predicting the transient production from tight condensate gas wells with multiphase flow is established.The research indicates that the relationship curve between condensate oil saturation and pressure is crucial for calculating the pseudo-pressure.In the early stage of production or in areas far from the wellbore with high reservoir pressure,the condensate oil saturation can be calculated using early-stage production dynamic data through material balance models.In the late stage of production or in areas close to the wellbore with low reservoir pressure,the condensate oil saturation can be calculated using the data of constant composition expansion test.In the middle stages of production or when reservoir pressure is at an intermediate level,the data obtained from the previous two stages can be interpolated to form a complete full-path relationship curve between oil saturation and pressure.Through simulation and field application,the new method is verified to be reliable and practical.It can be applied for prediction of middle-stage and late-stage production of tight condensate gas wells and assessment of single-well recoverable reserves. 展开更多
关键词 tight reservoir condensate gas multiphase flow phase behavior transient flow PSEUDO-PRESSURE production prediction
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Debris Fan Produced by Failure of Canyon-Blocking Pyroclastic Flows
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作者 Michael L. Cummings 《Journal of Water Resource and Protection》 CAS 2024年第5期328-360,共33页
Ash-rich pyroclastic flows from the cataclysmic eruption of Mount Mazama (~7700 yr. B. P.), Cascade volcanic arc, Oregon, entered and blocked the narrow, bedrock-lined canyon of the Williamson River approximately 35 t... Ash-rich pyroclastic flows from the cataclysmic eruption of Mount Mazama (~7700 yr. B. P.), Cascade volcanic arc, Oregon, entered and blocked the narrow, bedrock-lined canyon of the Williamson River approximately 35 to 44 km from the source volcano. The blockage impounded a body of water which then released producing four stratigraphic units in the downstream debris fan. The four stratigraphic units are a boulder core comprised of locally sourced bedrock boulders and three sand-rich units including a fine-grained sand unit, a sandy pumice gravel (±basalt/hydrovolcanic tuff) unit, and a pumice pebble-bearing, crystal-rich sand unit. Hand-drilled auger holes up to ~1.6 m deep were used to obtain samples of the sand-rich units. Units were delimited using surface and down-hole observations, composition and texture, estimated density, statistical parameters of grain size, and vertical and lateral distribution of properties. Overtopping followed by rapid incision into the ash-rich pyroclastic flows progressively cleared the canyon, but a bedrock knickpoint near the head of the canyon limited the volume of debris available for transport to about 0.04 km<sup>3</sup> to 0.08 km<sup>3</sup>. Co-deposition of bedrock boulders and lithic-rich sand was followed by rapid deposition with minimal reworking of remobilized pyroclastics. Continued draining of the impounded lake sent hyperconcentrated flows onto the debris fan depositing pumice-rich gravels that graded upward to crystal-rich sands. 展开更多
关键词 Outburst Flood Mount Mazama Debris Fan Canyon Blockage Pyroclastic flows
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Diagnostic performance of intravascular ultrasound-based fractional flow reserve in evaluating of intermediate left main stenosis
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作者 Yong-Gang SUI Cheng YANG +11 位作者 Chang-Dong GUAN Yan-Lu XU Na-Qiong WU Wei-Xian YANG Yong-Jian WU Ke-Fei DOU Yue-Jin YANG Shu-Bin QIAO Wei YU Bo XU Sheng-Xian TU Jie QIAN 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2024年第1期34-43,共10页
BACKGROUND The recently introduced ultrasonic flow ratio(UFR),is a novel fast computational method to derive fractional flow reserve(FFR)from intravascular ultrasound(IVUS)images.In the present study,we evaluate the d... BACKGROUND The recently introduced ultrasonic flow ratio(UFR),is a novel fast computational method to derive fractional flow reserve(FFR)from intravascular ultrasound(IVUS)images.In the present study,we evaluate the diagnostic performance of UFR in patients with intermediate left main(LM)stenosis.METHODS This is a prospective,single center study enrolling consecutive patients with presence of intermediated LM lesions(diameter stenosis of 30%-80%by visual estimation)underwent IVUS and FFR measurement.An independent core laboratory assessed offline UFR and IVUS-derived minimal lumen area(MLA)in a blinded fashion.RESULTS Both UFR and FFR were successfully achieved in 41 LM patients(mean age,62.0±9.9 years,46.3%diabetes).An acceptable correlation between UFR and FFR was identified(r=0.688,P<0.0001),with an absolute numerical difference of 0.03(standard difference:0.01).The area under the curve(AUC)in diagnosis of physiologically significant coronary stenosis for UFR was 0.94(95%CI:0.87-1.01),which was significantly higher than angiographic identified stenosis>50%(AUC=0.66,P<0.001)and numerically higher than IVUS-derived MLA(AUC=0.82;P=0.09).Patient level diagnostic accuracy,sensitivity and specificity for UFR to identify FFR≤0.80 was 82.9%(95%CI:70.2-95.7),93.1%(95%CI:82.2-100.0),58.3%(95%CI:26.3-90.4),respectively.CONCLUSION In patients with intermediate LM diseases,UFR was proved to be associated with acceptable correlation and high accuracy with pressure wire-based FFR as standard reference.The present study supports the use of UFR for functional evaluation of intermediate LM stenosis. 展开更多
关键词 STENOSIS flow FRACTIONAL
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Temporal and spatial evolution of global major grain trade patterns
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作者 Ziqi Yin Jiaxuan Hu +3 位作者 Jing Zhang Xiangyang Zhou Lingling Li Jianzhai Wu 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第3期1075-1086,共12页
The complex and volatile international landscape has significantly impacted global grain supply security. This study uses a complex network analysis model to examine the evolution and trends of the global major grain ... The complex and volatile international landscape has significantly impacted global grain supply security. This study uses a complex network analysis model to examine the evolution and trends of the global major grain trade from 1990 to 2020, focusing on network topology, centrality ranking, and community structure. There are three major findings. First, the global major grain trade network has expanded in scale, with a growing emphasis on diversification and balance. During the study period, the United States, Canada, China, and Brazil were the core nodes of the network. Grain-exporting countries were mainly situated in Asia, the Americas, and Europe, and importing countries in Asia, Africa, and Europe. Second, a significant increase in the number of high centrality countries with high export capacity occurred, benefiting from natural advantages such as fertile land and favorable climates. Third, the main global grain trade network is divided into four communities, with the Americas-Europe community being the largest and most widespread. The formation of the community pattern was influenced by geographic proximity, driven by the core exporting countries. Therefore, the world needs to enhance the existing trade model, promote the multi-polarization of the grain trade network, and establish a global vision for the future community. Countries and regions should participate actively in global grain trade security governance and institutional reform, expand trade links with other countries, and optimize import and export policies to reduce trade risks. 展开更多
关键词 grain trade pattern evolution complex network
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Plant-based dietary patterns and risk of esophageal cancer:A prospective cohort study spanning 17 years
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作者 Xiaorui Zhang Feifan He +6 位作者 Jiayue Li Ru Chen Xinqing Li Li Li Fen Liu Shaoming Wang Wenqiang Wei 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2024年第1期36-45,共10页
Objective: Plant-based diets have multiple health benefits for cancers;however, little is known about the association between plant-based dietary patterns and esophageal cancer(EC).This study presents an investigation... Objective: Plant-based diets have multiple health benefits for cancers;however, little is known about the association between plant-based dietary patterns and esophageal cancer(EC).This study presents an investigation of the prospective associations among three predefined indices of plant-based dietary patterns and the risk of EC.Methods: We performed endoscopic screening for 15,709 participants aged 40-69 years from two high-risk areas of China from January 2005 to December 2009 and followed the cohort until December 31, 2022. The overall plant-based diet index(PDI), healthful plant-based diet index(h PDI), and unhealthful plant-based diet index(u PDI), were calculated using survey responses to assess dietary patterns. We applied Cox proportional hazard regression to estimate the multivariable hazard ratios(HRs) and 95% confidence intervals(95% CIs) of EC across 3plant-based diet indices and further stratified the analysis by subgroups.Results: The final study sample included 15,184 participants in the cohort. During a follow-up of 219,365person-years, 176 patients with EC were identified. When the highest quartile was compared with the lowest quartile, the pooled multivariable-adjusted HR of EC was 0.50(95% CI, 0.32-0.77) for h PDI. In addition, the HR per 10-point increase in the h PDI score was 0.42(95% CI, 0.27-0.66) for ECs. Conversely, u PDI was positively associated with the risk of EC, and the HR was 1.80(95% CI, 1.16-2.82). The HR per 10-point increase in the u PDI score was 1.90(95% CI, 1.26-2.88) for ECs. The associations between these scores and the risk of EC were consistent in most subgroups. These results remained robust in sensitivity analyses.Conclusions: A healthy plant-based dietary pattern was associated with a reduced risk of EC. Emphasizing the healthiness and quality of plant-based diets may be important for preventing the development of EC. 展开更多
关键词 Esophageal cancer DIET dietary pattern EPIDEMIOLOGY NUTRITION prospective cohort study
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A multichannel thermal bubble-actuated impedance flow cytometer with on-chip TIA based on CMOS-MEMS
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作者 Shengxun Cai Jianqing Nie +2 位作者 Kun Wang Yimin Guan Demeng Liu 《Journal of Semiconductors》 EI CAS CSCD 2024年第5期41-49,共9页
Electrochemical impedance spectroscopy(EIS)flow cytometry offers the advantages of speed,affordability,and portability in cell analysis and cytometry applications.However,the integration challenges of microfluidic and... Electrochemical impedance spectroscopy(EIS)flow cytometry offers the advantages of speed,affordability,and portability in cell analysis and cytometry applications.However,the integration challenges of microfluidic and EIS read-out circuits hinder the downsizing of cytometry devices.To address this,we developed a thermal-bubble-driven impedance flow cytometric application-specific integrated circuit(ASIC).The thermal-bubble micropump avoids external piping and equipment,enabling high-throughput designs.With a total of 36 cell counting channels,each measuring 884×220μm^(2),the chip significantly enhances the throughput of flow cytometers.Each cell counting channel incorporates a differential trans-impedance amplifier(TIA)to amplify weak biosensing signals.By eliminating the parasitic parameters created at the complementary metal-oxidesemiconductor transistor(CMOS)-micro-electromechanical systems(MEMS)interface,the counting accuracy can be increased.The on-chip TIA can adjust feedback resistance from 5 to 60 kΩto accommodate solutions with different impedances.The chip effectively classifies particles of varying sizes,demonstrated by the average peak voltages of 0.0529 and 0.4510 mV for 7 and 14μm polystyrene beads,respectively.Moreover,the counting accuracies of the chip for polystyrene beads and MSTO-211H cells are both greater than 97.6%.The chip exhibits potential for impedance flow cytometer at low cost,high-throughput,and miniaturization for the application of point-of-care diagnostics. 展开更多
关键词 EIS flow cytometry CMOS-MEMS thermal bubble LAB-ON-CHIP
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Clinical manifestation,lifestyle,and treatment patterns of chronic erosive gastritis:A multicenter real-world study in China
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作者 Ying-Yun Yang Ke-Min Li +18 位作者 Gui-Fang Xu Cheng-Dang Wang Hua Xiong Xiao-Zhong Wang Chun-Hui Wang Bing-Yong Zhang Hai-Xing Jiang Jing Sun Yan Xu Li-Juan Zhang Hao-Xuan Zheng Xiang-Bin Xing Liang-Jing Wang Xiu-Li Zuo Shi-Gang Ding Rong Lin Chun-Xiao Chen Xing-Wei Wang Jing-Nan Li 《World Journal of Gastroenterology》 SCIE CAS 2024年第9期1108-1120,共13页
BACKGROUND Although chronic erosive gastritis(CEG)is common,its clinical characteristics have not been fully elucidated.The lack of consensus regarding its treatment has resulted in varied treatment regimens.AIM To ex... BACKGROUND Although chronic erosive gastritis(CEG)is common,its clinical characteristics have not been fully elucidated.The lack of consensus regarding its treatment has resulted in varied treatment regimens.AIM To explore the clinical characteristics,treatment patterns,and short-term outcomes in CEG patients in China.METHODS We recruited patients with chronic non-atrophic or mild-to-moderate atrophic gastritis with erosion based on endoscopy and pathology.Patients and treating physicians completed a questionnaire regarding history,endoscopic findings,and treatment plans as well as a follow-up questionnaire to investigate changes in symptoms after 4 wk of treatment.RESULTS Three thousand five hundred sixty-three patients from 42 centers across 24 cities in China were included.Epigastric pain(68.0%),abdominal distension(62.6%),and postprandial fullness(47.5%)were the most common presenting symptoms.Gastritis was classified as chronic non-atrophic in 69.9%of patients.Among those with erosive lesions,72.1%of patients had lesions in the antrum,51.0%had multiple lesions,and 67.3%had superficial flat lesions.In patients with epigastric pain,the combination of a mucosal protective agent(MPA)and proton pump inhibitor was more effective.For those with postprandial fullness,acid regurgitation,early satiety,or nausea,a MPA appeared more promising.CONCLUSION CEG is a multifactorial disease which is common in Asian patients and has non-specific symptoms.Gastroscopy may play a major role in its detection and diagnosis.Treatment should be individualized based on symptom profile. 展开更多
关键词 Chronic erosive gastritis SYMPTOM Endoscopic findings Treatment pattern Real-world
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Numerical simulation on the multiphase flow and reoxidation of the molten steel in a two-strand tundish during ladle change
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作者 Jingcheng Wang Zhentong Liu +2 位作者 Wei Chen Hongliang Chen Lifeng Zhang 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2024年第7期1540-1553,共14页
A 3D mathematical model was proposed to investigate the molten steel–slag–air multiphase flow in a two-strand slab continuous casting(CC)tundish during ladle change.The study focused on the exposure of the molten st... A 3D mathematical model was proposed to investigate the molten steel–slag–air multiphase flow in a two-strand slab continuous casting(CC)tundish during ladle change.The study focused on the exposure of the molten steel and the subsequent reoxidation occurrence.The exposure of the molten steel was calculated using the coupled realizable k–εmodel and volume of fluid(VOF)model.The diffusion of dissolved oxygen was determined by solving the user-defined scalar(UDS)equation.Moreover,the user-defined function(UDF)was used to describe the source term in the UDS equation and determine the oxidation rate and oxidation position.The effect of the refilling speed on the molten steel exposure and dissolved oxygen content was also discussed.Increasing the refilling speed during ladle change reduced the refilling time and the exposure duration of the molten steel.However,the elevated refilling speed enlarged the slag eyes and increased the average dissolved oxygen content within the tundish,thereby exacerbating the reoxidation phenomenon.In addition,the time required for the molten steel with a high dissolved oxygen content to exit the tundish varied with the refilling speed.When the inlet speed was 3.0 m·s^(-1)during ladle change,the molten steel with a high dissolved oxygen content exited the outlet in a short period,reaching a maximum dissolved oxygen content of 0.000525wt%.Conversely,when the inlet speed was 1.8 m·s^(-1),the maximum dissolved oxygen content was 0.000382wt%.The refilling speed during the ladle change process must be appropriately decreased to minimize reoxidation effects and enhance the steel product quality. 展开更多
关键词 TUNDISH ladle change REOXIDATION multiphase flow numerical simulation
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Verification and Validation of High-Resolution Inviscid and Viscous Conical Nozzle Flows
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作者 Luciano K.Araki Rafael B.de R.Borges +1 位作者 Nicholas Dicati P.da Silva Chi-Wang Shu 《Communications on Applied Mathematics and Computation》 EI 2024年第1期533-549,共17页
Capturing elaborated flow structures and phenomena is required for well-solved numerical flows.The finite difference methods allow simple discretization of mesh and model equations.However,they need simpler meshes,e.g... Capturing elaborated flow structures and phenomena is required for well-solved numerical flows.The finite difference methods allow simple discretization of mesh and model equations.However,they need simpler meshes,e.g.,rectangular.The inverse Lax-Wendroff(ILW)procedure can handle complex geometries for rectangular meshes.High-resolution and high-order methods can capture elaborated flow structures and phenomena.They also have strong mathematical and physical backgrounds,such as positivity-preserving,jump conditions,and wave propagation concepts.We perceive an effort toward direct numerical simulation,for instance,regarding weighted essentially non-oscillatory(WENO)schemes.Thus,we propose to solve a challenging engineering application without turbulence models.We aim to verify and validate recent high-resolution and high-order methods.To check the solver accuracy,we solved vortex and Couette flows.Then,we solved inviscid and viscous nozzle flows for a conical profile.We employed the finite difference method,positivity-preserving Lax-Friedrichs splitting,high-resolution viscous terms discretization,fifth-order multi-resolution WENO,ILW,and third-order strong stability preserving Runge-Kutta.We showed the solver is high-order and captured elaborated flow structures and phenomena.One can see oblique shocks in both nozzle flows.In the viscous flow,we also captured a free-shock separation,recirculation,entrainment region,Mach disk,and the diamond-shaped pattern of nozzle flows. 展开更多
关键词 HIGH-RESOLUTION COMPRESSIBLE NAVIER-STOKES Free-shock separation Nozzle flow
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Extending homogeneous fluidization flow regime of Geldart-A particles by exerting axial uniform and steady magnetic field
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作者 Qiang Zhang Wankun Liu +1 位作者 Hengjun Gai Quanhong Zhu 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2024年第1期169-177,共9页
The homogeneous/particulate fluidization flow regime is particularly suitable for handling the various gas–solid contact processes encountered in the chemical and energy industry.This work aimed to extend such a regi... The homogeneous/particulate fluidization flow regime is particularly suitable for handling the various gas–solid contact processes encountered in the chemical and energy industry.This work aimed to extend such a regime of Geldart-A particles by exerting the axial uniform and steady magnetic field.Under the action of the magnetic field,the overall homogeneous fluidization regime of Geldart-A magnetizable particles became composed of two parts:inherent homogeneous fluidization and newly-created magnetic stabilization.Since the former remained almost unchanged whereas the latter became broader as the magnetic field intensity increased,the overall homogeneous fluidization regime could be extended remarkably.As for Geldart-A nonmagnetizable particles,certain amount of magnetizable particles had to be premixed to transmit the magnetic stabilization.Among others,the mere addition of magnetizable particles could broaden the homogeneous fluidization regime.The added content of magnetizable particles had an optimal value with smaller/lighter ones working better.The added magnetizable particles might raise the ratio between the interparticle force and the particle gravity.After the magnetic field was exerted,the homogeneous fluidization regime was further expanded due to the formation of magnetic stabilization flow regime.The more the added magnetizable particles,the better the magnetic performance and the broader the overall homogeneous fluidization regime.Smaller/lighter magnetizable particles were preferred to maximize the magnetic performance and extend the overall homogeneous fluidization regime.This phenomenon could be ascribed to that the added magnetizable particles themselves became more Geldart-A than-B type as their density or size decreased. 展开更多
关键词 FLUIDIZED-BED FLUIDIZATION Geldart-A particles flow regimes EXTEND Magnetic stabilization
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