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Tubular Heat Enhancement Using Twisted Tape Inserts with Large Holes
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作者 Ali Jaber Abdulhamed Aws Al-Akam +1 位作者 Wisam J.Khudhayer Ali Sabri Allw 《Energy Engineering》 EI 2024年第2期273-290,共18页
Heat augmentation techniques play a vital role in the heating and cooling processes in industries,including solar collectors and many applications that utilize heat exchangers.Several studies are based on inserting fi... Heat augmentation techniques play a vital role in the heating and cooling processes in industries,including solar collectors and many applications that utilize heat exchangers.Several studies are based on inserting fillers inside the tubes to enhance heat transfer.This investigation considered the effects of twisted tapes with large holes on a tubular heat exchanger’s(HX)heat transmission,pressure drop,and thermal boosting factor.In the experimental section,counter-swirl flow generators used twisted tapes with pairs of 1.0 cm-diameter holes and changes in porosity(Rp)at 1.30%and 2.70%.In the experiments,air was utilized as a working fluid in a tube with a circular cross-section.The turbulent flow was considered,with Reynolds numbers(Re)domain from 4800 to 9500,and a boundary condition with a uniform wall heat flux was constructed.The findings expound that when the number of holes rose,the Nusselt number(Nu),the factor of friction(f),and the thermal enhancement factor(η)all increased as well.Additionally,as the friction factor increased,the Nusselt number of the tape-equipped tube was noticeably higher.Additionally,it was discovered that the friction factor was between 70%and 94%lower than the values of the tube without tape,while the(Nu)was between 87%and 97%higher than the conventional tube values.The maximum value ofηis 89%.According to the experimental results,empirical correlations for Nu,f,andηwere also generated. 展开更多
关键词 TUBULAR heat exchanger tape inserts twisted tape
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血清NT-proBNP、HMGB1及sTREM-1水平在脓毒症急性肺损伤预后评估中的价值
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作者 王晓林 李静 +2 位作者 范志强 佟庆 黄艳丽 《川北医学院学报》 CAS 2024年第2期222-225,共4页
目的:分析血清N末端脑钠肽前体(NT-proBNP)、高迁移率族蛋白B1(HMGB1)、可溶性髓系细胞触发受体-1(sICAM-1)水平与在脓毒症急性肺损伤(ALI)预后评估中的价值。方法:选取104例脓毒症ALI患者为研究对象(ALI组),以肺部超声评分(LUS)将其分... 目的:分析血清N末端脑钠肽前体(NT-proBNP)、高迁移率族蛋白B1(HMGB1)、可溶性髓系细胞触发受体-1(sICAM-1)水平与在脓毒症急性肺损伤(ALI)预后评估中的价值。方法:选取104例脓毒症ALI患者为研究对象(ALI组),以肺部超声评分(LUS)将其分为轻度组(n=50)、中度组(n=36)、重度组(n=18);另选取80例单纯性脓毒症患者为对照组。采用酶联免疫吸附法检测血清NT-proBNP、HMGB1、sICAM-1水平,以脓毒症ALI患者28 d预后情况将其分为生存组和死亡组,绘制受试者工作特征曲线(ROC)评估NT-proBNP、HMGB1、sICAM-1及联合预测预后的价值。结果:脓毒症ALI组NT-proBNP、HMGB1、sTREM-1水平均高于对照组(P<0.05);不同严重程度的脓毒症ALI组患者NT-proBNP、HMGB1、sTREM-1值比较,差异均有统计学意义(P<0.05),且均表现为脓毒症ALI轻度组患者<中度组<重度组(P<0.05);Spearman相关性分析显示,NT-proBNP、HMGB1、sTREM-1与严重程度正相关(P<0.05);生存组NT-proBNP、HMGB1、sTREM-1水平均低于死亡组(P<0.05),三者联合检测预测预后的曲线下面积高于单一指标预测。结论:脓毒症ALI患者血清NT-proBNP、HMGB1、sTREM-1水平较高,三者联合检测对于预后有较高的评估价值。 展开更多
关键词 脓毒症 急性肺损伤 nt-PROBNP HMGB1 STREM-1 预后
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HBP、NT-proBNP及β_(2)-MG与脓毒血症病情严重程度的相关性及预后评估价值
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作者 苟鑫 封凯旋 +2 位作者 马斌 王小兵 黄晓丽 《检验医学与临床》 CAS 2024年第12期1759-1763,共5页
目的探讨肝素结合蛋白(HBP)、氨基末端脑钠肽前体(NT-proBNP)及β_(2)-微球蛋白(β_(2)-MG)与脓毒血症病情严重程度的相关性,并分析其对患者预后的评估价值。方法选取2021年9月至2023年6月在上海市第六人民医院金山分院诊治的脓毒血症患... 目的探讨肝素结合蛋白(HBP)、氨基末端脑钠肽前体(NT-proBNP)及β_(2)-微球蛋白(β_(2)-MG)与脓毒血症病情严重程度的相关性,并分析其对患者预后的评估价值。方法选取2021年9月至2023年6月在上海市第六人民医院金山分院诊治的脓毒血症患者69例作为研究对象,对其临床资料进行回顾性分析。按病情严重程度将患者分为一般脓毒血症组(23例)、严重脓毒血症组(23例)和脓毒血症休克组(23例),另选取同期在上海市第六人民医院金山分院住院的非脓毒血症患者23例为对照组。根据28 d病死率将脓毒血症患者分为生存组和死亡组。检测并比较各组患者血清HBP、NT-proBNP、β_(2)-MG水平及急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分,采用Pearson相关分析血清HBP、NT-proBNP、β_(2)-MG水平与APACHEⅡ评分的相关性,并利用受试者工作特征(ROC)曲线分析其对脓毒血症患者死亡的预测价值。结果一般脓毒血症组、严重脓毒血症组、脓毒血症休克组血清HBP、NT-proBNP、β_(2)-MG水平及APACHEⅡ评分均高于对照组(P<0.05);HBP、NT-proBNP、β_(2)-MG水平及APACHEⅡ评分表现为一般脓毒血症组<严重脓毒血症组<脓毒血症休克组,任意两组间比较,差异均有统计学意义(P<0.05)。死亡组血清HBP、NT-proBNP、β_(2)-MG水平及APACHEⅡ评分均高于生存组(P<0.05)。Pearson相关分析结果显示,脓毒血症患者血清HBP、NT-proBNP、β_(2)-MG水平与APACHEⅡ评分呈正相关(r=0.645、0.776、0.593,P<0.05)。ROC曲线分析结果显示,HBP、NT-proBNP、β_(2)-MG联合检测预测脓毒血症患者死亡的AUC为0.870(95%CI:0.730~1.000),明显高于HBP、NT-proBNP、β_(2)-MG单独检测的AUC[0.768(95%CI:0.598~0.937)、0.792(95%CI:0.653~0.932)、0.814(95%CI:0.645~0.984)],差异均有统计学意义(Z=2.705,P=0.007;Z=2.496,P=0.013;Z=2.126,P=0.033)。结论检测血清HBP、NT-proBNP、β_(2)-MG水平有助于判断脓毒血症患者病情严重程度及评估患者预后,3项指标联合检测可预测患者死亡风险。 展开更多
关键词 脓毒血症 肝素结合蛋白 氨基末端脑钠肽前体 β_(2)-微球蛋白 病情严重程度 预后
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沙库巴曲缬沙坦联合冻干重组人脑利钠肽治疗心力衰竭的疗效及对NT-proBNP的影响
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作者 陈吉丽 王艳飞 吕彩萍 《生命科学仪器》 2024年第1期53-55,58,共4页
目的探讨沙库巴曲缬沙坦联合冻干重组人脑利钠肽治疗心力衰竭的疗效及对NT-proBNP的影响。方法选取2022年4月至2023年5月云南省昆明市第一人民医院心内科收治的150例心力衰竭患者为研究对象,根据就诊时间分为两组。参照组采用沙库巴曲... 目的探讨沙库巴曲缬沙坦联合冻干重组人脑利钠肽治疗心力衰竭的疗效及对NT-proBNP的影响。方法选取2022年4月至2023年5月云南省昆明市第一人民医院心内科收治的150例心力衰竭患者为研究对象,根据就诊时间分为两组。参照组采用沙库巴曲缬沙坦治疗,实验组在参照组基础上使用冻干重组人脑利钠肽治疗。对比两组治疗效果、心功能、血浆BNP、NT-proBNP水平及不良反应发生情况。结果实验组治疗总有效率高于参照组,差异有统计学意义(P<0.05)。实验组干预后心率低于参照组,每搏量及LVEF均高于参照组,差异有统计学意义(P<0.05)。实验组干预后血浆BNP、NT-proBNP水平均低于参照组,差异有统计学意义(P<0.05)。实验组不良反应发生率低于参照组,差异有统计学意义(P<0.05)。结论沙库巴曲缬沙坦联合冻干重组人脑利钠肽治疗心力衰竭可显著提高疗效,降低血浆BNP及NT-proBNP水平,改善患者心功能,减少不良反应。 展开更多
关键词 沙库巴曲缬沙坦 冻干重组人脑利钠肽 心力衰竭 nt-PROBNP
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Effect of the Arrangement of a New-Type of Turbulator Inserts on Heat Pipe Exchanger Performances
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作者 Ibtisam A.Hasan Wafa Maki 《Fluid Dynamics & Materials Processing》 EI 2023年第10期2749-2759,共11页
This research tests the effect of introducing turbulators of a new type into a circular tube heat exchanger under a constant and uniform longitudinal heatflux condition.A 45 mm diameter copper tube with a length of 1,3... This research tests the effect of introducing turbulators of a new type into a circular tube heat exchanger under a constant and uniform longitudinal heatflux condition.A 45 mm diameter copper tube with a length of 1,350 mm is utilized with a solid disk being inserted inside the tube,which consists of three sections,each one containing two slots.The slot is cut at a 45 degree angle toward the inner tube surface,which results in diverging theflow toward the inner hot tube surface in order to enhance the heat transfer process.Air is considered as the workingfluid with Prandtl number 0.71.The Reynolds number spans the interval from 6,000–13,500,which indicates that the consideredflow is turbulent.The heat exchanger performance is studied and analyzed in terms of average Nusselt number.The experimental results show that the Nusselt number value is directly proportional to the increase of the Reynolds number,and the number of turbulators inserts.With the use of three novel turbulators,the heat transfer was about 3.15 times higher than that in the smooth tube and the friction factor was about 1.11. 展开更多
关键词 Heat pipe exchanger heat transfer inserts(nt inserts) turbulators(novel turbulators) disk(solid disk)
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基于NT的心理调适干预对稳定型心绞痛患者心理健康、希望水平及生存质量的影响
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作者 赵艳 杨杰 张继伟 《罕少疾病杂志》 2024年第1期132-133,共2页
目的探讨基于叙事疗法(NT)的心理调适干预对稳定型心绞痛患者心理健康、希望水平及生存质量的影响。方法选取2020年5月-2022年4月本院收治的200例稳定型心绞痛患者,随机将患者分为NT组和常规干预组,每组各100例,常规干预组患者采用常规... 目的探讨基于叙事疗法(NT)的心理调适干预对稳定型心绞痛患者心理健康、希望水平及生存质量的影响。方法选取2020年5月-2022年4月本院收治的200例稳定型心绞痛患者,随机将患者分为NT组和常规干预组,每组各100例,常规干预组患者采用常规基础护理干预,NT组在常规干预组的基础上采用基于NT的心理调适干预,两组患者均持续干预3个月。在干预前后,比较NT组和常规干预组患者的汉密尔顿抑郁量表(HAMD)评分和汉密尔顿焦虑量表(HAMA),比较两组患者的Herth希望量表(HHI)、比较两组患者身体活动受限程度(PL)评分。结果与干预前相比,干预后NT组和常规干预组患者HAMD评分、HAMA评分均降低,干预后,NT组患者HAMD评分、HAMA评分均低于常规干预组(P<0.05);与干预前相比,干预后NT组和常规干预组患者PL评分、HHI评分升高,干预后,NT组PL评分、HHI评分高于对照组(P<0.05)。结论基于NT的心理调适干预能够减轻稳定性心绞痛患者负性情绪,提高患者生活希望和生存质量。 展开更多
关键词 基于nt的心理调适干预 稳定型心绞痛 心理健康 希望水平 生存质量
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CD73/NT5E在胶质母细胞瘤中的研究进展
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作者 邵将 李琳 +4 位作者 郭岩松 孙程圆 温稀超 郑克彬 史彦芳 《实用医学杂志》 CAS 北大核心 2024年第3期428-431,438,共5页
胶质瘤是最常见的原发性中枢神经系统肿瘤,主要来源于神经胶质细胞,具有侵袭性强、易复发、预后差的特点。胶质母细胞瘤是恶性程度最高的高级别胶质瘤,临床治疗方法为手术切除为主,辅以放化疗及电场治疗等综合治疗,但治疗效果并不令人... 胶质瘤是最常见的原发性中枢神经系统肿瘤,主要来源于神经胶质细胞,具有侵袭性强、易复发、预后差的特点。胶质母细胞瘤是恶性程度最高的高级别胶质瘤,临床治疗方法为手术切除为主,辅以放化疗及电场治疗等综合治疗,但治疗效果并不令人满意。CD73是一种与腺苷代谢相关的新型免疫检查点,近年来随着肿瘤免疫治疗领域的迅速发展,发现CD73可以通过抑制抗肿瘤免疫反应和促进血管生成来促进肿瘤进展。本文系统综述了CD73的作用机制,并讨论其在胶质瘤中的生物学作用及应用,旨在为胶质瘤患者的治疗提供潜在的治疗方案。 展开更多
关键词 胶质母细胞瘤 CD73/nt5E 腺苷 免疫检查点 免疫治疗
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氯吡格雷联合阿司匹林对急性脑梗死IL-18、IL-33、NT-pro BNP的影响
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作者 王勇 黄春 《中国医学创新》 CAS 2024年第3期73-76,共4页
目的:分析氯吡格雷联合阿司匹林对急性脑梗死患者血清白细胞介素(IL)-18、IL-33及N末端B型利钠肽原(NT-proBNP)水平及疗效的影响。方法:选取萍乡市人民医院2020年7月—2021年8月收治的急性脑梗死患者72例,以随机数字表法分组,对照组(n=... 目的:分析氯吡格雷联合阿司匹林对急性脑梗死患者血清白细胞介素(IL)-18、IL-33及N末端B型利钠肽原(NT-proBNP)水平及疗效的影响。方法:选取萍乡市人民医院2020年7月—2021年8月收治的急性脑梗死患者72例,以随机数字表法分组,对照组(n=36)在常规治疗基础上使用氯吡格雷治疗,试验组(n=36)在对照组基础上使用阿司匹林治疗,两组均连续服药4周,比较两组炎症因子、NT-proBNP水平,并比较临床疗效及用药不良反应。结果:两组治疗7 d后IL-6、IL-18、IL-33、NT-pro BNP水平均低于治疗前,且试验组均低于对照组,差异均有统计学意义(P<0.05)。试验组临床总有效率为97.22%,高于对照组的77.78%,差异有统计学意义(P<0.05)。试验组总用药不良反应发生率为11.11%,与对照组的8.33%比较,差异无统计学意义(P>0.05)。结论:氯吡格雷联合阿司匹林治疗急性脑梗死,可更好地发挥药效,提高临床效果,降低IL-6、IL-18、IL-33、NT-pro BNP水平,安全有效。 展开更多
关键词 氯吡格雷 阿司匹林 急性脑梗死 白细胞介素-18 白细胞介素-33 N末端B型利钠肽原
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NT超声检测结合无创DNA检测用于高龄孕妇产前筛查的价值分析
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作者 陆丰华 丁杨 王智慧 《实用妇科内分泌电子杂志》 2024年第3期102-104,共3页
目的探讨胎儿颈项透明层(NT)超声检测结合无创DNA检测用于高龄孕妇产前筛查的应用价值。方法选取本院486例进行产检、分娩的高龄单胎孕妇的临床资料,根据孕妇选择产前筛查方法不同,将其分为NT组(n=127例)和联合组(n=359例)。NT组采用NT... 目的探讨胎儿颈项透明层(NT)超声检测结合无创DNA检测用于高龄孕妇产前筛查的应用价值。方法选取本院486例进行产检、分娩的高龄单胎孕妇的临床资料,根据孕妇选择产前筛查方法不同,将其分为NT组(n=127例)和联合组(n=359例)。NT组采用NT超声检测,联合组采用NT超声检测结合无创DNA检测,对比两组胎儿染色体疾病的检出率和漏诊率。结果以羊水穿刺检测结果为金标准,NT组胎儿染色体疾病的检出率为66.67%,联合组胎儿染色体疾病的检出率为80.00%,联合组的检出率高于NT组;NT组漏诊率为33.33%,联合组漏诊率为20.00%,联合组的检测漏诊率低于NT组。结论NT超声检测结合无创DNA检测对高龄孕妇产前筛查有效,胎儿染色体疾病的检出率高,漏诊率低。 展开更多
关键词 nt超声检测 无创DNA检测 高龄孕妇
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miR-21、NT-proBNP、CTGF在心房颤动患者中的表达及对预后的预测价值分析
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作者 张丽莉 马蕊 +1 位作者 朱玫玉 蔡静波 《中国处方药》 2024年第6期181-185,共5页
目的分析miR-21、氨基末端B型利钠肽前体(NT-proBNP)、结缔组织生长因子(Connective tissue growth factor,CTGF)在心房颤动(Atrial fibrillation,AF)患者中的表达及对预后的预测价值。方法纳入2020年1月~2022年1月100例治疗的AF患者为... 目的分析miR-21、氨基末端B型利钠肽前体(NT-proBNP)、结缔组织生长因子(Connective tissue growth factor,CTGF)在心房颤动(Atrial fibrillation,AF)患者中的表达及对预后的预测价值。方法纳入2020年1月~2022年1月100例治疗的AF患者为研究对象,作为房颤组,另选取50例健康人作为对照组。对比2组研究对象miR-21、NT-proBNP、CTGF水平,比较miR-21、NT-proBNP、CTGF在房颤未复发与复发患者中的表达情况;绘制ROC曲线评价3者联合检测对AF患者复发情况的预测价值。结果2组研究对象基线资料对比,高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、Cr、hs-CRP、D-二聚体对比,差异具有统计学意义(P<0.05)。房颤组miR-21、NT-proBNP、CTGF水平显著高于对照组,差异具有统计学意义(P<0.05)。持续性房颤患者miR-21、NT-proBNP、CTGF水平显著升高,差异具有统计学意义(P<0.05)。1年内复发患者miR-21、NT-proBNP、CTGF水平显著升高,差异具有统计学意义(P<0.05)。ROC曲线显示:3者联合检测预测AF患者1年复发的灵敏度(94.2%)、特异度(91.8%)、AUC(93.4%)均高于单一指标检测。结论miR-21、NT-proBNP、CTGF在AF患者中表达明显增加,与AF持续时间呈正相关;miR-21、NT-proBNP、CTGF在AF复发组患者中表达水平明显升高,且三者联合对AF患者术后复发有预测价值。 展开更多
关键词 MIR-21 nt-PROBNP CTGF 心房颤动 预后
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利伐沙班、华法林对ACS患者介入治疗后NT-proBNP、D-D及Fg水平的影响
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作者 夏俊涛 李峰 +4 位作者 余快 胡丽 陈黎 周乐玲 田林 《分子诊断与治疗杂志》 2024年第6期1130-1133,1142,共5页
目的 分析利伐沙班、华法林对急性冠脉综合征(ACS)患者介入治疗后N端B型脑钠肽前体(NT-proBNP)、D-二聚体(D-D)及纤维蛋白原(Fg)水平的影响。方法 选取武胜县人民医院2020年7月至2023年2月期间收治的行经皮冠状动脉介入治疗的ACS患者142... 目的 分析利伐沙班、华法林对急性冠脉综合征(ACS)患者介入治疗后N端B型脑钠肽前体(NT-proBNP)、D-二聚体(D-D)及纤维蛋白原(Fg)水平的影响。方法 选取武胜县人民医院2020年7月至2023年2月期间收治的行经皮冠状动脉介入治疗的ACS患者142例,遵循单盲法原则,根据治疗方案不同分为对照组70例(予以华法林治疗)与观察组72例(予以利伐沙班治疗)。对比两组临床疗效、血脂水平[甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)]、NT-proBNP、D-D、Fg水平,比较两组随访期间出现的心血管不良事件以及用药期间的不良反应发生情况。结果 观察组治疗后的临床有效率高于对照组,差异有统计学意义(P<0.05);治疗3个月后,两组TG、TC、LDL-C、HDL-C水平均下降,且观察组低于对照组,差异有统计学意义(P<0.05);治疗3个月后,两组NT-proBNP、D-D、Fg水平均下降,且观察组低于对照组,差异有统计学意义(P<0.05);观察组在治疗期间出现的心血管不良事件的总发生率低于对照组,差异有统计学意义(P<0.05);观察组在用药期间出现的不良反应的总发生率低于对照组,差异有统计学意义(P<0.05)。结论 在ACS患者介入治疗后,应用利伐沙班的治疗效果相对更为显著,其可有效改善患者血脂水平、凝血功能,减少心血管不良事件的发生风险,且具有一定的安全性。 展开更多
关键词 利伐沙班 华法林 ACS 介入治疗 nt-PROBNP D-D FG
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Investigation of Fracture Strength of Current Post Materials (Peek, Fiber, Cast Metal) in Different Ferrule Conditions
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作者 Başak Topdaği Funda Bayindir 《Open Journal of Stomatology》 2024年第3期153-172,共20页
Aim: The fracture resistance of the post materials used nowadays significantly impacts the fracture type of the post material. The current study aimed to examine the impact of the fracture resistance of PEEK posts, wh... Aim: The fracture resistance of the post materials used nowadays significantly impacts the fracture type of the post material. The current study aimed to examine the impact of the fracture resistance of PEEK posts, whose use as a post material has not yet become widespread, on the fracture pattern that will occur. Materials and Methods: Sixty-six extracted upper central incisor human teeth were used in the study. Six groups of posts were produced from metal, fiber, and PEEK materials (n = 11). Afterward, the fracture resistance test was applied to the samples. Samples were classified according to fracture type as repairable or irreparable. The ANOVA and test were used in statistical analysis. Post-hoc tests were carried out using Tukey’s and Tamhane’s T2 tests. On the other hand, Pearson’s chi-square test and the Fisher-Freeman-Halton test were conducted for comparisons between categorical variables. The statistical significance level was accepted as p Results: According to the fracture resistance test results, the groups where metal personal posts were used displayed higher fracture resistance in comparison with all other groups. According to the results of the optical microscope examination, the incidence of repairable fractures was significantly higher in the PEEK post group with ferrule preparation (p 0.05). Conclusion: In the absence of the ferrule effect, fractures are catastrophic, regardless of the material used. The use of PEEK as a post material contributes to keeping fractures at a repairable level. 展开更多
关键词 Component Formatting Style STYLING INSERT
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Current Topics in Acute Abdomen: Causes, Diagnostics, and Emerging Therapies
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作者 Lucas de Oliveira Varca Maria Carolina de Almeida Santo 《Journal of Biosciences and Medicines》 2024年第5期171-177,共7页
Acute abdomen is a serious clinical condition that requires immediate attention due to its association with intense pain and rapid progression. This article reviews important aspects of the causes, diagnostics, and tr... Acute abdomen is a serious clinical condition that requires immediate attention due to its association with intense pain and rapid progression. This article reviews important aspects of the causes, diagnostics, and treatments of acute abdomen. The research highlights the diversity of etiologies, ranging from the most common, such as acute appendicitis, to the less frequent, such as intestinal perforations by foreign bodies. Complex diagnostic methods, including clinical examinations and imaging such as computed tomography, are essential to guide accurate diagnosis, given the overlap of symptoms among different conditions. Therapeutic approaches range from conservative treatments with clinical observation and antibiotic therapy to urgent surgical interventions, such as appendectomy and cholecystectomy. Laparoscopy stands out as a promising approach, offering advantages in terms of recovery and post-operative morbidity. However, the impact of the COVID-19 pandemic has brought additional challenges to the diagnosis and treatment of acute abdomen, with delays and difficulties in accessing healthcare. This review underscores the importance of a multidisciplinary approach and constant updates among healthcare professionals in addressing acute abdomen, aiming for accurate diagnoses and appropriate therapeutic interventions to improve clinical outcomes and reduce morbidity and mortality associated with this complex clinical condition. 展开更多
关键词 Component Formatting STYLE STYLING INSERT
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Natural Gas Power Plants in the System Security Role—The Situation and Solutions in Brazil
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作者 Ciro Galvão Hirdan Katarina de Medeiros Costa +2 位作者 Eduardo Guedes Pereira Edmilson Moutinho dos Santos Dorel Soares Ramos 《Energy and Power Engineering》 2024年第4期151-178,共28页
This study aims to apply a methodology to analyze the regulatory obstacles for the development of thermal power plants in a country. The study uses Brazil as an application case, although mostly of the findings can be... This study aims to apply a methodology to analyze the regulatory obstacles for the development of thermal power plants in a country. The study uses Brazil as an application case, although mostly of the findings can be useful to other countries. It also discusses other policies and actions by the government that may contribute to the growth of natural gas-fired power plants. Using deductive and comparative research methods, the first part of this method focuses on the stage of thermoelectric power generation in Brazil. The subsequent sections present the role of the integration of gas and electricity sectors, the main obstacles to the expansion of natural-gas power generation, how the country has deal with the expansion of natural-gas power generation, as well as how other obstacles has been faced. In raising the research question, when comparing the research results of selected countries, it should be noticed the impact that the experience and lessons elsewhere have had on policies formulation on Brazil. Our conclusions pointed out that adequate policies for the natural gas-electricity Brazilian market integration make advisable the unification of electricity and natural gas agencies. We recommended developing a mathematical model to support decision-making on natural gas and electricity integration. 展开更多
关键词 Component Formatting Style STYLING INSERT
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Enhancing hydrogen evolution and oxidation kinetics through oxygen insertion into nickel lattice
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作者 Wanli Liang Xiyu Gong +9 位作者 Jinchang Xu Zixuan Dan Fanyan Xie Hulei Yu Hao-Fan Wang Yanshuo Jin Hongjuan Wang Yonghai Cao Hui Meng Hao Yu 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2024年第8期529-539,I0012,共12页
Nickel-based materials,including metallic Ni and Ni oxide,have been widely studied in the exploration of non-precious-metal hydrogen electrocatalysts,but neither pure Ni nor NiO is ideal for the hydrogen evolution rea... Nickel-based materials,including metallic Ni and Ni oxide,have been widely studied in the exploration of non-precious-metal hydrogen electrocatalysts,but neither pure Ni nor NiO is ideal for the hydrogen evolution reaction(HER)and hydrogen oxidation reaction(HOR).In this paper,an oxygen insertion strategy was applied on nickel to regulate its hydrogen electrocatalytic performance,and the oxygen-inserted nickel catalyst was successfully obtained with the assistance of tungsten dioxide support(denoted as O-Ni/WO_(2)).The partial insertion of oxygen in Ni maintains the face-centered cubic arrangement of Ni atoms,simultaneously expanding the lattice and increasing the lattice spacing.Consequently,the adsorption strength of^(*)H and^(*)OH on Ni is optimized,thus resulting in superior electrocatalytic performance of0-Ni/WO_(2)in alkaline HER/HOR.The Tafel slope of O-Ni/WO_(2)@NF for HER is 56 mV dec^(-1),and the kinetic current density of O-Ni/WO_(2)for HOR reaches 4.85 mA cm^(-2),which is ahead of most currently reported catalysts.Our proposed strategy of inserting an appropriate amount of anions into the metal lattice could provide more possibilities for the design of high-performance catalysts. 展开更多
关键词 Hydrogen evolution Hydrogen oxidation NICKEL Oxygen insertion Adsorption free energy
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血清RDW、NT-proBNP水平联合检测对老年急性心力衰竭患者发生MACE的预测价值
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作者 荆娇莹 朱继法 张晓 《淮海医药》 CAS 2024年第2期142-146,共5页
目的:分析急性心力衰竭(AHF)患者红细胞分布宽度(RDW)、氨基末端B型脑钠肽前体(NT-proBNP)水平及与心功能分级的相关性,探讨二者联合检测对AHF患者发生主要不良心血管事件(MACE)的预测价值。方法:选取某院2018年2月—2020年9月收治的136... 目的:分析急性心力衰竭(AHF)患者红细胞分布宽度(RDW)、氨基末端B型脑钠肽前体(NT-proBNP)水平及与心功能分级的相关性,探讨二者联合检测对AHF患者发生主要不良心血管事件(MACE)的预测价值。方法:选取某院2018年2月—2020年9月收治的136例AHF患者为AHF组,选取同期90例慢性心力衰竭(CHF)患者为CHF组,同期100例健康体检者为健康组,比较三组NT-proBNP、RDW水平。比较不同心功能分级AHF患者血清NT-proBNP、RDW水平及与心功能分级的相关性。随访1年,根据AHF患者是否发生MACE,评估血清RDW、NT-proBNP水平联合检测对AHF患者发生MACE的预测价值。结果:AHF组血清RDW、NT-proBNP水平[(16.79±1.82)%、(6086.22±973.74)pg/mL]高于CHF组[(14.86±1.32)%、(3168.57±875.69)pg/mL]和健康组[(12.81±0.73)%、(128.96±33.64)pg/mL],差异均有统计学意义(P<0.05)。Ⅱ级、Ⅲ级、Ⅳ级AHF患者血清RDW分别为(14.67±0.56)%、(17.62±0.74)%、(19.27±0.46),血清NT-proBNP分别为(5715.64±784.31)pg/mL、(6234.45±850.53)pg/mL、(6512.39±913.03)pg/mL,随着AHF患者心功能分级增加,血清RDW、NT-proBNP水平逐渐升高,差异均有统计学意义(P<0.05)。心功能分级与血清RDW(r=0.607)、NT-proBNP(r=0.614)水平呈正相关(P<0.05)。发生MACE的AHF患者血清RDW、NT-proBNP水平[(18.46±1.63)%、(6481.70±754.38)pg/mL]高于未发生MACE的AHF患者[(16.47±1.42)%、(6009.90±669.75)pg/mL](P<0.05);血清RDW、NT-proBNP水平联合检测预测AHF患者发生MACE的AUC、敏感度、特异度分别为0.944、90.91%、88.60%(P<0.001)。结论:老年AHF患者血清RDW、NT-proBNP处于较高水平,其水平变化与AHF患者心功能分级呈正相关,二者联合检测对AHF患者发生MACE具有较高的预测价值。 展开更多
关键词 急性心力衰竭 红细胞分布宽度 氨基末端B型脑钠肽前体 主要不良心血管事件
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NT5E在上消化道癌中的研究进展
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作者 赵世幸 田云霄 《中文科技期刊数据库(引文版)医药卫生》 2024年第6期0122-0128,共7页
NT5E是一种由NT5E基因编码的糖基磷脂酰肌醇锚定的细胞表面蛋白,在不同组织上广泛表达,NT5E通过多种免疫调节途径促进肿瘤细胞的发生、发展和免疫逃逸。NT5E靶向阻断可能成为一些肿瘤有效的肿瘤免疫治疗及辅助免疫治疗靶点。上消化道癌... NT5E是一种由NT5E基因编码的糖基磷脂酰肌醇锚定的细胞表面蛋白,在不同组织上广泛表达,NT5E通过多种免疫调节途径促进肿瘤细胞的发生、发展和免疫逃逸。NT5E靶向阻断可能成为一些肿瘤有效的肿瘤免疫治疗及辅助免疫治疗靶点。上消化道癌,包括胃癌、食管癌,细胞中NT5E表达水平对肿瘤发生、发展有重要意义,目前多种上消化道癌的抗NT5E相关药物临床试验正在进行中。本文综述了NT5E作为治疗靶点的可能性及机制,以及NT5E在上消化道癌中的意义。 展开更多
关键词 nt5E CD73 肿瘤微环境 胃癌 食管癌
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An efficient method for constructing a random insertional mutant library for forward genetics in Nannochloropsis oceanica
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作者 Zhongyi ZHANG Hang LIU +5 位作者 Xiaohui PAN Yanan ZONG Leili FENG Lixian LIU Li GUO Guanpin YANG 《Journal of Oceanology and Limnology》 SCIE CAS CSCD 2024年第1期216-225,共10页
Insertional mutation,phenotypic evaluation,and mutated gene cloning are widely used to clone genes from scratch.Exogenous genes can be integrated into the genome during non-homologous end joining(NHEJ)of the double-st... Insertional mutation,phenotypic evaluation,and mutated gene cloning are widely used to clone genes from scratch.Exogenous genes can be integrated into the genome during non-homologous end joining(NHEJ)of the double-strand breaks of DNA,causing insertional mutation.The random insertional mutant library constructed using this method has become a method of forward genetics for gene cloning.However,the establishment of a random insertional mutant library requires a high transformation efficiency of exogenous genes.Many microalgal species show a low transformation efficiency,making constructing random insertional mutant libraries difficult.In this study,we established a highly efficient transformation method for constructing a random insertional mutant library of Nannochloropsis oceanica,and tentatively tried to isolate its genes to prove the feasibility of the method.A gene that may control the growth rate and cell size was identified.This method will facilitate the genetic studies of N.oceanica,which should also be a reference for other microalgal species. 展开更多
关键词 Nannochloropsis oceanica genetic transformation random insertional mutant library zeocin pretreatment forward genetics
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Velamentous Cord Insertion: Interest of Antenatal Diagnosis and Review of the Literature
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作者 Karam Harou Aboubacar Sidiki Sidibe +1 位作者 Hicham Abdelkhalki Abderaouf Soummani 《Open Journal of Obstetrics and Gynecology》 2024年第2期234-239,共6页
Velamentous insertion of the umbilical cord corresponds to the insertion of the cord directly on amniotic membranes. It is a rare situation whose frequency varies from 0.5% to 1.69% of single pregnancies. It must be d... Velamentous insertion of the umbilical cord corresponds to the insertion of the cord directly on amniotic membranes. It is a rare situation whose frequency varies from 0.5% to 1.69% of single pregnancies. It must be diagnosed during the morphological ultrasound of the 2nd trimester, actively looking for the association with a vasa previa, due to the risk of fetal haemorrhagic threat. We report an antenatal diagnosis of velamentous cord insertion and its management with literature review. 展开更多
关键词 Velamentous Cord Insertion Vasa Previa Antenatal Diagnosis Ultrasound Doppler Benckiser’s Hemorrhage
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Establishment and validation of a predictive model for peripherally inserted central catheter-related thrombosis in patients with liver cancer
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作者 Xiao-Fei Chen Hao-Jun Wu +3 位作者 Tang Li Jia-Bin Liu Wen-Jie Zhou Qiang Guo 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第7期2221-2231,共11页
BACKGROUND Peripherally inserted central catheters(PICCs)are commonly used in hospitalized patients with liver cancer for the administration of chemotherapy,nutrition,and other medications.However,PICC-related thrombo... BACKGROUND Peripherally inserted central catheters(PICCs)are commonly used in hospitalized patients with liver cancer for the administration of chemotherapy,nutrition,and other medications.However,PICC-related thrombosis is a serious complication that can lead to morbidity and mortality in this patient population.Several risk factors have been identified for the development of PICC-related thrombosis,including cancer type,stage,comorbidities,and catheter characteristics.Understanding these risk factors and developing a predictive model can help healthcare providers identify high-risk patients and implement preventive measures to reduce the incidence of thrombosis.AIM To analyze the influencing factors of PICC-related thrombosis in hospitalized patients with liver cancer,construct a predictive model,and validate it.METHODS Clinical data of hospitalized patients with liver cancer admitted from January 2020 to December 2023 were collected.Thirty-five cases of PICC-related thrombosis in hospitalized patients with liver cancer were collected,and 220 patients who underwent PICC placement during the same period but did not develop PICC-related thrombosis were randomly selected as controls.A total of 255 samples were collected and used as the training set,and 77 cases were collected as the validation set in a 7:3 ratio.General patient information,case data,catheterization data,coagulation indicators,and Autar Thrombosis Risk Assessment Scale scores were analyzed.Univariate and multivariate unconditional logistic regression analyses were performed on relevant factors,and the value of combined indicators in predicting PICC-related thrombosis in hospitalized patients with liver cancer was evaluated using receiver operating characteristic(ROC)curve analysis.RESULTS Univariate analysis showed statistically significant differences(P<0.05)in age,sex,Karnofsky performance status score(KPS),bedridden time,activities of daily living impairment,parenteral nutrition,catheter duration,distant metastasis,and bone marrow suppression between the thrombosis group and the non-thrombosis group.Other aspects had no statistically significant differences(P>0.05).Multivariate regression analysis showed that age≥60 years,KPS score≤50 points,parenteral nutrition,stage III to IV,distant metastasis,bone marrow suppression,and activities of daily living impairment were independent risk factors for PICC-related thrombosis in hospitalized patients with liver cancer(P<0.05).Catheter duration of 1-6 months and catheter duration>6 months were protective factors for PICC-related thrombosis(P<0.05).The predictive model for PICC-related thrombosis was obtained as follows:P predictive probability=[exp(Logit P)]/[1+exp(Logit P)],where Logit P=age×1.907+KPS score×2.045+parenteral nutrition×9.467+catheter duration×0.506+tumor-node-metastasis(TNM)staging×2.844+distant metastasis×2.065+bone marrow suppression×2.082+activities of daily living impairment×13.926.ROC curve analysis showed an area under the curve(AUC)of 0.827(95%CI:0.724-0.929,P<0.001),with a corresponding optimal cut-off value of 0.612,sensitivity of 0.755,and specificity of 0.857.Calibration curve analysis showed good consistency between the predicted occurrence of PICC-related thrombosis and actual occurrence(P>0.05).ROC analysis showed AUCs of 0.888 and 0.729 for the training and validation sets,respectively.CONCLUSION Age,KPS score,parenteral nutrition,TNM staging,distant metastasis,bone marrow suppression,and activities of daily living impairment are independent risk factors for PICC-related thrombosis in hospitalized patients with liver cancer,while catheter duration is a protective factor for the disease.The predictive model has an AUC of 0.827,indicating high predictive accuracy and clinical value. 展开更多
关键词 Liver cancer Peripherally inserted central catheters THROMBOSIS Model Verify
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