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1,6-二磷酸果糖联合西药改善慢性心力衰竭患者心功能的meta分析和GRADE质量评价 被引量:1
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作者 查玉玲 李军 《中国医药导报》 CAS 2023年第20期81-85,共5页
目的 系统评价1,6-二磷酸果糖联合西药改善慢性心力衰竭(CHF)患者心功能的效果及证据级别。方法 检索中国知网、万方数据库、维普网、中国生物医学文献服务系统、Pub Med、Web of Science建库至2022年11月有关1,6-二磷酸果糖用于治疗CH... 目的 系统评价1,6-二磷酸果糖联合西药改善慢性心力衰竭(CHF)患者心功能的效果及证据级别。方法 检索中国知网、万方数据库、维普网、中国生物医学文献服务系统、Pub Med、Web of Science建库至2022年11月有关1,6-二磷酸果糖用于治疗CHF患者的随机对照研究。利用Endnote 20.0、Review Manager 5.4.1、GRADE profiler进行文献管理、meta分析和结局指标的证据质量评价。结果 共纳入9篇文献,涉及771例观察对象,其中试验组388例,对照组383例。meta分析结果显示,试验组左室射血分数(MD=5.00,95%CI:4.91~5.09,P=0.000 01)、E/A(MD=0.10,95%CI:0.04~0.16,P=0.000 08)、心排血指数(MD=0.61,95%CI:0.38~0.83,P=0.00001)、心排血量(MD=0.73,95%CI:0.36~1.10,P=0.0001)高于对照组。GRADE质量评价提示纳入文献证据级别为低级。结论 1,6-二磷酸果糖联合西药可改善CHF患者心功能,但仍需高级别证据支持。 展开更多
关键词 1 6-二磷酸果糖 慢性心力衰竭 心功能 META分析 grade质量评价
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Influencing factors on as-cast and heat treated 400-18 ductile iron grade characteristics 被引量:11
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作者 I.Riposan M.Chisamera S.Stan 《China Foundry》 SCIE CAS 2007年第4期300-303,共4页
As-cast and heat-treated 400-18 ductile iron (DI) grade was obtained in different foundry conditions, as metallic charge, Mg-treatment alloy and inoculation. It was found that the Pearlitic Influence Factor (P) an... As-cast and heat-treated 400-18 ductile iron (DI) grade was obtained in different foundry conditions, as metallic charge, Mg-treatment alloy and inoculation. It was found that the Pearlitic Influence Factor (P) and Anti- nodulizing Complex Factor (K1) have an important influence on property of DI, depending on the Mn and P level, the metallurgical quality of iron melt, rare earth (RE) and inoculation. It was also found that the influence of Mn is depended on the phosphorus and residual elements level in ductile iron. Less than 0.03%P and 0.2%Mn and P〈2.0 are the basic conditions to obtain as-cast ferritic structure. At the same lower level of Mn and P, the increasing of residual elements (P〉2.0) determines presence of pearlite in as-cast structure, while ferrite structure is obtained after a short annealing heat treatment. Lower level of phosphorus (P〈0.025%) and residual elements (Px〈2.0) allow to use relative high Mn content (0.32%-0.38%), in condition of ferritic structure, including in as-cast state. High P (0.04%- 0.045%) and Mn (0.25%-0.35%) content stabilized peadite, especially at lower level of residual elements (P 〈2.0). Antinodulizing action of elements was counteracted up to K1=2.0 level, by RE included in Mg-treatment alloy, which are beneficial for K1〈1.2 and compulsory for K1〉1.2. Si has a significant influence on the mechanical properties of heat treated ductile irons: an important decreasing of elongation level and a moderate increasing of yield and tensile strength and their ratio in 150-170 HB typical hardness field. A typical final chemical composition for as-cast 400-18 ductile iron could include 3.5%-3.7%C, 2.4%-2.5%Si, max.0.18%Mn, max.0.025%P, max.0.01%S, 0.04%-0.05%Mg for Px〈1.5 and K1〈1.1. High purity pig iron, RE-bearing FeSiMg and powerful inoculant are also recommended. 展开更多
关键词 ductile iron 400-18 grade metallic charge pearliUc and anti-nodulizing factors CHEMISTRY
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A148GRADE105-85铸件的热处理工艺研究
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作者 刘艳斌 杨志荣 杨迪 《大型铸锻件》 2014年第2期35-36,39,共3页
通过研究石油钻井平台用A148GRADE105-85铸件的热处理工艺,确定了电机座、电机盖的调质热处理工艺。采用910℃水淬1.5 min后转油冷+610℃回火的工艺方法,可以生产出力学性能符合要求的电机座、电机盖。
关键词 A148grade105-85铸件 调质热处理工艺 力学性能
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Vibration analysis of axisymmetric functionally graded viscothermoelastic spheres 被引量:3
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作者 D.K.Sharma J.N.Sharma +1 位作者 S.S.Dhaliwal V.Walia 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2014年第1期100-111,共12页
The present study focuses on the analysis of free vibrations of axisymmetric functionally graded hollow spheres. The material is assumed to be graded in radial di- rection with a simple power law. Matrix Frrbenious me... The present study focuses on the analysis of free vibrations of axisymmetric functionally graded hollow spheres. The material is assumed to be graded in radial di- rection with a simple power law. Matrix Frrbenious method of extended power series is employed to derive the analytical solutions for displacement, temperature, and stresses. The dispersion relations for the existence of various types of pos- sible modes of vibrations in the considered hollow sphere are derived in a compact form. In order to explore the character- istics of vibrations, the secular equations are further solved by using fixed point iteration numerical technique with the help of MATLAB software. The numerical results have been presented graphically for polymethyl methecrylate materials in respect of natural frequencies, frequency shift, inverse quality factor, displacement, temperature change, and radial stress. 展开更多
关键词 Functionally graded Stresses Vibrations Fr6benius - Dispersion - Spherical structures
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The effect of alphastatin peptide suppressing the hypoxia-induced vasculogenic mimicry formation of glioma 被引量:1
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作者 Zhang Xi Guo Shiwen Wei Chunyan 《Journal of Medical Colleges of PLA(China)》 CAS 2010年第5期267-274,共8页
Objective:To investigate the vasculogenic mimicry formation induced by hypoxia in Ⅱ-Ⅲ human glioma cell and the effect of alphastatin peptide suppressing the hypoxia-induced vasculogenic mimicry formation and the me... Objective:To investigate the vasculogenic mimicry formation induced by hypoxia in Ⅱ-Ⅲ human glioma cell and the effect of alphastatin peptide suppressing the hypoxia-induced vasculogenic mimicry formation and the mechanism.Methods:MTT,Transwell and three-dimentional culture were used to detect the proliferation,migration and tubule formation of SHG44.The expression of vascular endothelial growth factor-α(VEGF-α),erythropoietin-producing hepatocellular carcinoma-A2 (EphA2) and matrix metalloproteinases 2 (MMP2) was detected by RT-PCR and Western blotting analysis.Results:The OD 490 in hypoxia group was 0.60±0.06 and in control group was 0.46±0.05.The number of cell migration was 178.71±18.81 in hypoxia group and 85.86±17.92 in control group.The tubule formation was 56.80±12.21 in hypoxia group and 4.20±2.62 in control group.The proliferation,migration and tubule formation in hypoxia group were significantly higher than that in control group.The expression of VEGF-α,EphA2 and MMP2 was upregulated in hypoxia.When various concentrations of alphastatin (100,1 000,10 000 nmol/L) were added to hypoxia group,the numbers of cell migration were 142.57±12.12,92.71±17.68,30.00±7.72 and the tubule formation were 47.71±10.58,18.86±8.40,8.43±5.62.The cell migration and tubule formation were significantly suppressed by alphastatin in a dose-dependent manner.In alphastatin group,the phosphorylation of EphA2 protein (P=0.037,F=4.629) and activation of MMP2 protein (P=0.005,F=9.331) were significantly suppressed but there was no change in VEGF-α protein.Conclusion:Ⅱ-Ⅲ human glioma cell is able to form vasculogenic mimicry induced by hypoxia and alphastatin peptide can suppress the hypoxia-induced vasculogenic mimicry.VEGF-α induced EphA2 phospharilation and MMP2 activation maybe the key pathway to form vasculogenic mimicry. 展开更多
关键词 HYPOXIA - grade glioma Vasculogenic mimicry Alphastatin MECHANISM
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Exact solution for the rotational flow of a generalized second grade fluid in a circular cylinder
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作者 I.Siddique D.vieru 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2009年第6期777-785,共9页
This paper deals with the rotational flow of a generalized second grade fluid, within a circular cylinder, due to a torsional shear stress. The fractional calculus approach in the constitutive relationship model of a ... This paper deals with the rotational flow of a generalized second grade fluid, within a circular cylinder, due to a torsional shear stress. The fractional calculus approach in the constitutive relationship model of a second grade fluid is introduced. The velocity field and the resulting shear stress are determined by means of the Laplace and finite Hankel transforms to satisfy all imposed initial and boundary conditions. The solutions corresponding to second grade fluids as well as those for Newtonian fluids are obtained as limiting cases of our general solutions. The influence of the fractional coefficient on the velocity of the fluid is also analyzed by graphical illustrations. 展开更多
关键词 Generalized second grade fluid - Exact solutions . Fractional calculus - Velocity field ~ Shear stress
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基于GRADE系统的茶摄入量与心血管疾病死亡率关系的剂量-反应荟萃分析 被引量:2
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作者 刘克锋 薛莹 +4 位作者 鲁春云 张旭锋 闫书妹 康建 赵杰 《中华心血管病杂志》 CAS CSCD 北大核心 2021年第5期496-502,共7页
目的:探讨茶每日摄入量与心血管疾病(CVD)死亡率的关系。方法:检索PubMed、EMbase、The Cochrane、中国生物医学文献数据库、中国知网和万方数据库,搜集有关茶摄入量与CVD死亡率的相关研究,检索时限均从建库至2020年6月。由2名研究者独... 目的:探讨茶每日摄入量与心血管疾病(CVD)死亡率的关系。方法:检索PubMed、EMbase、The Cochrane、中国生物医学文献数据库、中国知网和万方数据库,搜集有关茶摄入量与CVD死亡率的相关研究,检索时限均从建库至2020年6月。由2名研究者独立筛选、提取文献。评价纳入研究的偏倚风险,进行剂量-反应荟萃分析,对研究结果进行敏感性分析和发表偏倚分析,并对结局指标进行证据体的GRADE分级。结果:共纳入21篇队列或病例对照研究,包括1304978名受试者,其中CVD死亡人数为38222例,纳入研究质量评分均≥6分。剂量-反应荟萃分析结果显示,茶摄入量每天每增加1杯CVD死亡率下降约3%(95%CI 0.95~0.98,P<0.05),且存在一种非线性剂量反应关系(P<0.05);与不喝茶的人群相比较,每天喝1~8杯茶的人群的CVD死亡率分别降低8%(RR=0.92,95%CI 0.89~0.95),13%(RR=0.87,95%CI 0.84~0.91),15%(RR=0.85,95%CI 0.82~0.89),15%(RR=0.85,95%CI 0.81~0.89),16%(RR=0.84,95%CI 0.80~0.89),16%(RR=0.84,95%CI 0.81~0.88),16%(RR=0.84,95%CI 0.81~0.87),16%(RR=0.84,95%CI 0.80~0.88)。传统荟萃分析结果显示,与不喝茶的人群相比,每天喝茶大于1杯的人群CVD死亡率可以降低14%(RR=0.86,95%CI 0.81~0.91,I 2=73.2%,P<0.05)。亚组分析结果显示,与相对应的不喝茶的人群相比,每天喝茶大于1杯的男性CVD死亡率降低24%,女性降低14%,欧美人群降低12%,亚洲人群降低15%,饮用绿茶的人群降低15%,不吸烟人群降低20%,差异均具有统计学意义(P均<0.05);饮用红茶的人群降低8%,吸烟人群降低3%,差异无统计学意义(P均>0.05)。偏倚分析结果显示Begg=0.42,Egger=0.62,表明漏斗图两侧分布对称,提示不存在发表偏倚。敏感性分析结果显示排除任何一篇文献结局指标效应量未发生明显变化,表明结果稳健可信。GRADE评价显示结局指标的证据分级均为低等级别。结论:每日饮用茶水能够降低CVD死亡率,推荐每天饮用适量茶水。 展开更多
关键词 心血管疾病 死亡率 剂量-反应 荟萃分析 grade分级
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