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Gut microbiome:A revolution in typeⅡdiabetes mellitus
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作者 Madhan Jeyaraman Tejaswin Mariappan +5 位作者 Naveen Jeyaraman Sathish Muthu Swaminathan Ramasubramanian Gabriel Silva Santos Lucas Furtado da Fonseca JoséFábio Lana 《World Journal of Diabetes》 SCIE 2024年第9期1874-1888,共15页
TypeⅡdiabetes mellitus(T2DM)has experienced a dramatic increase globally across countries of various income levels over the past three decades.The persistent prevalence of T2DM is attributed to a complex interplay of... TypeⅡdiabetes mellitus(T2DM)has experienced a dramatic increase globally across countries of various income levels over the past three decades.The persistent prevalence of T2DM is attributed to a complex interplay of genetic and environmental factors.While numerous pharmaceutical therapies have been developed,there remains an urgent need for innovative treatment approaches that offer effectiveness without significant adverse effects.In this context,the exploration of the gut microbiome presents a promising avenue.Research has increasingly shown that the gut microbiome of individuals with T2DM exhibits distinct differences compared to healthy individuals,suggesting its potential role in the disease’s pathogenesis and progression.This emerging field offers diverse applications,particularly in modifying the gut environment through the administration of prebiotics,probiotics,and fecal microbiome transfer.These interventions aim to restore a healthy microbiome balance,which could potentially alleviate or even reverse the metabolic dysfunctions associated with T2DM.Although current results from clinical trials have not yet shown dramatic effects on diabetes management,the groundwork has been laid for deeper investigation.Ongoing and future clinical trials are critical to advancing our understanding of the microbiome’s impact on diabetes.By further elucidating the mechanisms through which microbiome alterations influence insulin resistance and glucose metabolism,researchers can develop more targeted interventions.The potential to harness the gut microbiome in developing new therapeutic strategies offers a compelling prospect to transform the treatment landscape of T2DM,potentially reducing the disease’s burden significantly with approaches that are less reliant on traditional pharmaceuticals and more focused on holistic,systemic health improvements. 展开更多
关键词 typediabetes Gut microbiome PROBIOTICS PREBIOTICS Fecal microbiota transplantation
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Recognition and Anticipation of Diabetic Foot Ulcer in Type Ⅱ Diabetic Patients using Multi-layered Fuzzy Model
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作者 Sai Surya Varshith Nukala Jayashree Jayaraman +1 位作者 Vijayashree Jayaraman Rishi Raghu 《Journal of Harbin Institute of Technology(New Series)》 CAS 2024年第4期13-23,共11页
Diabetes mellitus is associated with foot ulcers,which frequently pave the way to lower-extremity amputation.Neuropathy,trauma,deformity,high plantar pressures,and peripheral vascular disease are the most common under... Diabetes mellitus is associated with foot ulcers,which frequently pave the way to lower-extremity amputation.Neuropathy,trauma,deformity,high plantar pressures,and peripheral vascular disease are the most common underlying causes.Around 15%of diabetic patients are affected by diabetic foot ulcer in their lifetime.64 million people are affected by diabetics in India and 40000 amputations are done every year.Foot ulcers are evaluated and classified in a systematic and thorough manner to assist in determining the best course of therapy.This paper proposes a novel model which predicts the threat of diabetic foot ulcer using independent agents for various input values and a combination of fuzzy expert systems.The proposed model uses a classification system to distinguish between each fuzzy framework and its parameters.Based on the severity levels necessary prevention,treatment,and medication are recommended.Combining the results of all the fuzzy frameworks derived from its constituent parameters,a risk-specific medication is recommended.The work also has higher accuracy when compared to other related models. 展开更多
关键词 DIABETIC ULCER typediabetic fuzzy model
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Analysis of a Type Ⅱ Snowstorm Process in the Early Spring of 2022 in Ulanqab
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作者 Haofeng GUO 《Meteorological and Environmental Research》 2024年第2期4-9,共6页
Based on the observation data of meteorological stations,Doppler radar observation data of Ulanqab City,and ERA-5 reanalysis data,a snowstorm process in Ulanqab City from March 17 to 18,2022 was analyzed.The results s... Based on the observation data of meteorological stations,Doppler radar observation data of Ulanqab City,and ERA-5 reanalysis data,a snowstorm process in Ulanqab City from March 17 to 18,2022 was analyzed.The results show that this was a type Ⅱ snowstorm process generated under the joint influence of upper trough and ground low inverted trough and frontal cyclone.The main period of snowfall can be divided into two time stages,and the total snowfall was more in the south and less in the north,which was consistent with that of average specific humidity field.Water vapor conditions provided by strong water vapor transport and convergence,strong upward movement shown by large vertical velocity field,and the suction action of high-and low-layer divergence and convergence were the reasons for the hourly heavy snowfall on the 18^(th).During the process,radar echoes were mainly sheet-shaped,and composite reflectivity was 15-25 dBZ in most areas.The zero speed line in the first period was positively"S"-shaped,and there was warm advection and southwest wind.On the morning of the 18^(th),after the cold front transited the city,Ulanqab City was gradually controlled by northwest wind,and the snow tended to end. 展开更多
关键词 typesnowstorm Influencing system Diagnostic analysis Radar echo characteristics
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逐步Ⅱ型删失下Burr Type X分布的参数估计
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作者 李翠 李荣 《高师理科学刊》 2024年第10期13-20,共8页
针对逐步Ⅱ型删失数据下Burr Type X分布的参数估计问题,提出模型参数的一种新的贝叶斯估计及相应的最大后验密度(HPD)置信区间.假设伽玛分布为待估参数的先验分布,考虑待估参数的条件后验分布未知、单峰且近似对称,选取以正态分布为提... 针对逐步Ⅱ型删失数据下Burr Type X分布的参数估计问题,提出模型参数的一种新的贝叶斯估计及相应的最大后验密度(HPD)置信区间.假设伽玛分布为待估参数的先验分布,考虑待估参数的条件后验分布未知、单峰且近似对称,选取以正态分布为提议分布的Metropolis-Hastings(MH)算法生成后验样本,基于后验样本在平方误差损失函数下得到待估参数的贝叶斯估计和HPD置信区间.将基于MH算法得到的贝叶斯估计和HPD置信区间与基于EM算法得到的极大似然估计和置信区间在均方误差准则和精度意义下进行比较.Monte-Carlo模拟结果表明,基于MH算法得到的估计在均方误差准则下优于基于EM算法得到的极大似然估计,基于MH算法得到的HPD置信区间长度小于基于EM算法得到的置信区间长度. 展开更多
关键词 Burr type X分布 逐步型删失 极大似然估计 贝叶斯估计 EM算法
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Experimental method to explore the adaptation degree of type-Ⅱand all-solid-state Z-scheme heterojunction structures in the same degradation system 被引量:1
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作者 Zheao Huang Shuo Zhao Ying Yu 《Chinese Journal of Catalysis》 SCIE EI CAS CSCD 北大核心 2020年第10期1522-1534,共13页
TiO2 nanoparticles were prepared using the hydrothermal method and modified with CgN to syn-thesize a Type-Ⅱheterojunction semiconductor photocatalyst,TiO2-C;Na.In addition,a carbon layerwas coated onto the TiO2 nano... TiO2 nanoparticles were prepared using the hydrothermal method and modified with CgN to syn-thesize a Type-Ⅱheterojunction semiconductor photocatalyst,TiO2-C;Na.In addition,a carbon layerwas coated onto the TiO2 nanoparticles and the obtained material was uniformly covered on thesurface of CaNa to form an all-solid-state Z-scheme semiconductor photocatalyst,TiO2-C-C3N4,Through characterization by XRD,XPS,SEM,TEM,BET,photoelectrochemical experiments,UV-visible diffuse reflection,and PL spectroscopy,the charge transfer mechanism and band gappositions for the composite photocatalysts were analyzed.The Type-Ⅱand all-solid-state Z-schemeheterojunction structures were compared.By combining microscopic internal mechanisms withmacroscopic experimental phenomena,the relationship between performance and structure wasverified.Experimental methods were used to explore the adaptation degree of different photocata-lytic mechanisms using the same degradation system.This study highlights effective photocatalystdesign to meet the requirements for specific degradation conditions. 展开更多
关键词 TiO2-C3N4 TiO2-C-C3N4 Photodegradation type-heterojunction semiconductor Z-scheme heterojunction structure SEMICONDUCTOR
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2D/2D type-Ⅱ Cu2ZnSnS4/Bi2WO6 heterojunctions to promote visible-light-driven photo-Fenton catalytic activity 被引量:3
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作者 Li Guo Kailai Zhang +5 位作者 Xuanxuan Han Qiang Zhao Yuanyuan Zhang Mian Qi Danjun Wang Feng Fu 《Chinese Journal of Catalysis》 SCIE EI CAS CSCD 北大核心 2020年第3期503-513,共11页
In this work,a set of novel Cu2ZnSnS4/Bi2WO6(CZTS/BWO)two-dimensional(2 D)/two-dimensional(2 D)type-Ⅱheterojunctions with different CZTS weight ratios(1%,2%,and 5%)were successfully synthesized via a brief secondary ... In this work,a set of novel Cu2ZnSnS4/Bi2WO6(CZTS/BWO)two-dimensional(2 D)/two-dimensional(2 D)type-Ⅱheterojunctions with different CZTS weight ratios(1%,2%,and 5%)were successfully synthesized via a brief secondary solvothermal process.The successful formation of the heterojunctions was affirmed by characterization methods such as X-ray photoelectron spectroscopy and high-resolution transmission electron microscopy.The photocatalytic activity results showed that the prepared CZTS/BWO heterojunctions had excellent photocatalytic behaviors for organic degradation,especially when the mass fraction of CZTS with respect to BWO in the composite was 2%.Moreover,the addition of hydrogen peroxide(H2O2)could further improve the dye and antibiotic degradation efficiencies.The reinforced photocatalytic and photo-Fenton degradation performance were primarily attributable to the introduction of BWO,which afforded increased active sites,expanded the solar spectral response range,and accelerated the cycle of Cu(Ⅱ)/Cu(Ⅰ);after four cycling times,its catalytic activity did not decrease significantly.In addition,reasonable hypotheses of the photocatalytic and photo-Fenton catalytic mechanisms were formulated.This study is expected to provide a visual approach for designing a novel photo-Fenton catalyst to jointly utilize the photocatalytic and Fenton activities,which can be better applied to the purification of residual organics in wastewater. 展开更多
关键词 Cu2ZnSnS4 Bi2WO6 2D/2D type-heterojunction PHOTO-FENTON Photocatalysis
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Efficient development of Type-Ⅱ TiO_2 heterojunction using electrochemical approach for an enhanced photoelectrochemical water splitting performance
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作者 Yuanxing Fang Yiwen Ma Xinchen Wang 《Chinese Journal of Catalysis》 SCIE EI CAS CSCD 北大核心 2018年第3期438-445,共8页
Type‐II‐heterojunction TiO2nanorod arrays(NAs)are achieved by a combination of reduced and pristine TiO2NAs through a simple electrochemical reduction.The heterojunction‐structured TiO2NAs exhibit an enhanced photo... Type‐II‐heterojunction TiO2nanorod arrays(NAs)are achieved by a combination of reduced and pristine TiO2NAs through a simple electrochemical reduction.The heterojunction‐structured TiO2NAs exhibit an enhanced photo‐efficiency,with respect to those of pristine TiO2NAs and completely reduced black TiO2.The improved efficiency can be attributed to a synergistic effect of two contributions of the partially reduced TiO2NAs.The light absorption is significantly increased,from theUV to the visible spectrum.Moreover,the type II structure leads to enhanced separation and transport of the electrons and charges.The proposed electrochemical approach could be applied to various semiconductors for a control of the band structure and improved photoelectrochemical performance. 展开更多
关键词 type II heterojunction structure Photoelectrochemical water splitting TIO2 Electrochemical reduction MODIFICATION
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Nanomorphology in A–D–A type small molecular acceptors-based bulk heterojunction polymer solar cells 被引量:1
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作者 Delong Liu Ying Zhang Gang Li 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2019年第8期104-123,I0001,I0005,共22页
Recent developments in acceptor–donor–acceptor(A–D–A) type non-fullerene acceptors have led to substantial improvements in bulk-heterojunction polymer solar cells efficiency. The device performance strongly depend... Recent developments in acceptor–donor–acceptor(A–D–A) type non-fullerene acceptors have led to substantial improvements in bulk-heterojunction polymer solar cells efficiency. The device performance strongly depends on photoactive layer morphology, as the molecular packing, donor–acceptor interface and phase separation significantly affect the charge-transfer states and charge carrier dynamics. In this review, we start with a brief introduction of the techniques most effectively utilized to characterize multiphase morphology. Then, we summarize recent progress in A–D–A type acceptors, with the emphasis on understanding the molecular structure–morphology–performance relationships. Finally, an outlook on correlating morphological characteristics with photovoltage losses is presented for further improving device performance. 展开更多
关键词 Polymer solar cells BULK heterojunction Nanomorphology Non-fullerene ACCEPTOR A–D–A type SMALL molecules
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Clinical and genetic diagnosis of autosomal dominant osteopetrosis typeⅡin a Chinese family:A case report
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作者 Hong-Ping Gong Yan Ren +4 位作者 Pan-Pan Zha Wen-Yan Zhang Jin Zhang Zhi-Wen Zhang Chun Wang 《World Journal of Clinical Cases》 SCIE 2023年第3期700-708,共9页
BACKGROUND Osteopetrosis is a rare genetic disorder characterized by increased bone density due to defective bone resorption of osteoclasts.Approximately,80%of autosomal dominant osteopetrosis type II(ADO-II)patients ... BACKGROUND Osteopetrosis is a rare genetic disorder characterized by increased bone density due to defective bone resorption of osteoclasts.Approximately,80%of autosomal dominant osteopetrosis type II(ADO-II)patients were usually affected by heterozygous dominant mutations in the chloride voltage-gated channel 7(ClCN7)gene and present early-onset osteoarthritis or recurrent fractures.In this study,we report a case of persistent joint pain without bone injury or underlying history.CASE SUMMARY We report a 53-year-old female with joint pain who was accidentally diagnosed with ADO-II.The clinical diagnosis was based on increased bone density and typical radiographic features.Two heterozygous mutations in the ClCN7 and Tcell immune regulator 1(TCIRG1)genes by whole exome sequencing were identified in the patient and her daughter.The missense mutation(c.857G>A)occurred in the CLCN7 gene p.R286Q,which is highly conserved across species.The TCIRG1 gene point mutation(c.714-20G>A)in intron 7(near the splicing site of exon 7)had no effect on subsequent transcription.CONCLUSION This ADO-II case had a pathogenic CLCN7 mutation and late onset without the usual clinical symptoms.For the diagnosis and assessment of the prognosis for osteopetrosis,genetic analysis is advised. 展开更多
关键词 OSTEOPETROSIS Autosomal dominant osteopetrosis type DIAGNOSIS Genetic analysis Case report
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鲤疱疹病毒二型(CyHV-Ⅱ)疫苗研究进展
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作者 吴琳娇 孙丽芳 +4 位作者 朱春华 张红 董盼盼 陈磊清 吴允昆 《中国农业科技导报》 CAS CSCD 北大核心 2024年第2期137-144,共8页
鲤疱疹病毒Ⅱ型(Cyprinid herpesvirus Ⅱ,CyHV-Ⅱ)对任何发育时期的金鱼、鲫鱼及其杂交品种均具有感染能力,能够引起金鱼疱疹病(goldfish haematopoietic necrosis, GFHN),是一种传染性强且死亡率极高的疫病,给我国金鱼和鲫鱼养殖业造... 鲤疱疹病毒Ⅱ型(Cyprinid herpesvirus Ⅱ,CyHV-Ⅱ)对任何发育时期的金鱼、鲫鱼及其杂交品种均具有感染能力,能够引起金鱼疱疹病(goldfish haematopoietic necrosis, GFHN),是一种传染性强且死亡率极高的疫病,给我国金鱼和鲫鱼养殖业造成巨大经济损失,鱼用疫苗的研发是预防和治疗该疫病最有效的办法。综述了CyHV-Ⅱ灭活疫苗、亚单位疫苗、核酸疫苗、活载体疫苗和纳米递送疫苗的研究进展,并对鱼用疫苗纳米材料的应用前景进行了探讨,以期为金鱼疱疹病害防治和鱼用疫苗研究提供新技术方法和新思路策略。 展开更多
关键词 鲤疱疹病毒二型(CyHV-) 免疫途径 纳米材料 疫苗类型
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改良经腹食管裂孔入路行Siewert Ⅱ型食管胃结合部腺癌根治术的经验总结
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作者 杨根荣 胡宝利 韦海涛 《河南医学研究》 CAS 2024年第13期2343-2346,共4页
目的探讨改良经腹食管裂孔入路实施SiewertⅡ型食管胃结合部腺癌根治术的创新性和优势,总结此改良术式的经验。方法回顾性分析2022年2月至2023年3月接受改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌12例病例资料。结... 目的探讨改良经腹食管裂孔入路实施SiewertⅡ型食管胃结合部腺癌根治术的创新性和优势,总结此改良术式的经验。方法回顾性分析2022年2月至2023年3月接受改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌12例病例资料。结果12例手术均顺利完成,术中应用切割闭合器打开部分左侧膈肌,联合左侧胸腔辅助操作孔完成下纵膈淋巴结清扫及消化道重建,手术时间(209.0±38.3)min,下纵膈淋巴结清扫数(7.1±2.7)枚,食管切除长度(7.7±0.8)cm,术中出血(168.2±83.1)mL,术后住院时间(11.6±1.8)d。结论改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌安全可行,此术式下纵隔淋巴结清扫及消化道重建的难度显著降低,保证足够的食管切缘长度,适合在临床广泛开展。 展开更多
关键词 改良经腹食管裂孔入路 Siewert型食管胃结合部腺癌 Orvil管形吻合 经验
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8-isoPGF2α、Metrnl、LC3B-Ⅱ/LC3B-Ⅰ与T2MD患者血糖在目标范围内时间的相关性及预测糖尿病周围神经病变的价值
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作者 徐云 陈雪辉 +3 位作者 白立炜 耿锐娜 孟祥雨 覃艳 《海南医学》 CAS 2024年第10期1390-1395,共6页
目的探讨8-异前列腺素F2α(8-isoPGF2α)、镍纹样蛋白(Metrnl)、微管相关蛋白3B-Ⅱ(LC3B-Ⅱ)/微管相关蛋白-Ⅰ(LC3B-Ⅰ)与2型糖尿病(T2MD)患者血糖在目标范围内时间(TIR)的相关性及对糖尿病周围神经病变(DPN)预测价值。方法选取2020年5... 目的探讨8-异前列腺素F2α(8-isoPGF2α)、镍纹样蛋白(Metrnl)、微管相关蛋白3B-Ⅱ(LC3B-Ⅱ)/微管相关蛋白-Ⅰ(LC3B-Ⅰ)与2型糖尿病(T2MD)患者血糖在目标范围内时间(TIR)的相关性及对糖尿病周围神经病变(DPN)预测价值。方法选取2020年5月至2022年10月新乡医学院第一附属医院收治的187例T2DM患者进行前瞻性研究,根据是否合并DPN分为DPN组(n=48)和无DPN组(n=139)。比较两组患者及根据TIR四分位数分组的患者8-isoPGF2α、Metrnl、LC3B-Ⅱ/LC3B-Ⅰ水平,采用Pearson相关性分析8-isoPGF2α、Metrnl、LC3B-Ⅱ/LC3B-Ⅰ与TIR相关性,采用多因素Logistic回归分析DPN的相关影响因素;绘制受试者工作特征曲线(ROC)评价8-isoPGF2α、Metrnl、LC3B-Ⅱ预测DPN的价值。结果DPN组患者的TIR为(51.43±7.68)%,明显低于无DPN组的(56.94±8.12)%,差异有统计学意义(P<0.05);DPN组患者的8-isoPGF2α、Metrnl分别为(162.78±51.33)pg/mL、(259.18±74.42)pg/mL,明显高于无DPN组的(129.56±43.00)pg/mL、(208.37±65.61)pg/mL,LC3B-Ⅱ/LC3B-Ⅰ为0.89±0.27,明显低于无DPN组的1.15±0.31,差异均有统计学意义(P<0.05);根据TIR第25、50、75百分位数将全部患者分为Q1~Q4四组,8-isoPGF2α、Metrnl在Q4组最低,LC3B-Ⅱ/LC3B-Ⅰ在Q4组最高;8-isoPGF2α、Metrnl随着TIR降低逐渐升高,LC3B-Ⅱ/LC3B-Ⅰ随着TIR降低而降低,四组间比较差异均有统计学意义(P<0.05);Pearson相关性分析结果显示,8-isoPGF2α、Metrnl与TIR呈显著负相关(r=-0.786、-0.665,P<0.01),LC3B-Ⅱ/LC3B-Ⅰ与TIR呈显著正相关(r=0.711,P<0.01);多因素Logistic回归分析结果显示,TIR、LC3B-Ⅱ/LC3B-Ⅰ是DPN的独立相关保护因素(P<0.05),8-isoPGF2α、Metrnl是DPN的独立相关危险因素(P<0.05);ROC分析结果显示,单一指标中,Metrnl预测DPN的AUC最大(0.830),特异度最高(87.05%),8-isoPGF2α+Metrnl+LC3B-Ⅱ预测DPN的AUC为0.923(95%CI:0.875~0.957),大于Metrnl,预测敏感度为87.50%,特异度为85.61%(P<0.05)。结论8-isoPGF2α、Metrnl、LC3B-Ⅱ/LC3B-Ⅰ与T2MD患者TIR有关,均是患者并发DPN的预警因素。联合检测三者能为临床分层管理和早期识别DPN高风险人群提供参考。 展开更多
关键词 8-异前列腺素F2Α 镍纹样蛋白 微管相关蛋白3B-/微管相关蛋白-Ⅰ 2型糖尿病 血糖在目标范围内时间 糖尿病周围神经病变 相关性 预测价值
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Interface Formation of Several Heterojunctions Concerning Ⅳ and Ⅱ-Ⅵ Semiconductors
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作者 班大雁 薛剑耿 +3 位作者 方容川 徐世宏 陆尔东 徐彭寿 《Rare Metals》 SCIE EI CAS CSCD 1997年第3期1-7,共7页
The interface formations of the heterojunctions concerning Ⅳ and Ⅱ Ⅵ semiconductors were studied via synchrotron radiation photoemission spectroscopy. Experimental results show that the overlayer growths of Si... The interface formations of the heterojunctions concerning Ⅳ and Ⅱ Ⅵ semiconductors were studied via synchrotron radiation photoemission spectroscopy. Experimental results show that the overlayer growths of Si or Ge on Ge, ZnSe and ZnS substrates are in compliance with an ideal two dimensional (2D) growth mode. However, deviations from 2D mode were also observed during the interfaces formation of Ge/CdTe and Si/CdTe, and are ascribed to large lattice mismatching and interfacial reaction. 展开更多
关键词 Interface formation and heterojunctions Synchrotron radiation photoemission
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经鼻高流量湿化氧疗联合莫西沙星溶液雾化吸入在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭中的疗效观察
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作者 杨艳 马希刚 余红波 《宁夏医学杂志》 CAS 2024年第8期684-687,共4页
目的探讨经鼻高流量湿化氧疗(HFNC)联合莫西沙星溶液雾化吸入在慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭中的疗效。方法纳入86例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者,分为对照组(n=43)、观察组(n=43)。对照组予以经鼻高流量湿化氧疗治... 目的探讨经鼻高流量湿化氧疗(HFNC)联合莫西沙星溶液雾化吸入在慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭中的疗效。方法纳入86例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者,分为对照组(n=43)、观察组(n=43)。对照组予以经鼻高流量湿化氧疗治疗,观察组予以经鼻高流量湿化氧疗联合莫西沙星溶液雾化吸入治疗,比较2组患者治疗前后的6 min步行距离(6 MWD),改良医学研究学会呼吸困难量表(MMRC)、慢性阻塞性肺疾病评估量表(CAT)评分,动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、血浆内皮素-1(EF-1)、组织金属蛋白酶抑制剂-1(TIMP-1)、基质金属蛋白酶-9(MMP-9)、第1 s用力呼气容积(FEV_(1))、第1 s用力呼气容积与用力肺活量的比值(FEV_(1)/FVC)、丙二醛(MDA)、超氧化物歧化酶(SOD)的水平。结果观察组治疗后6 MWD较对照组长(P<0.05),MMRC评分、CAT评分较对照组低(P<0.05);观察组PaO_(2)、FEV_(1)、FEV_(1)/FVC、SOD水平较对照组高(P<0.05);观察组PaCO_(2)、EF-1、TIMP-1、MMP-9、MDA水平较对照组低(P<0.05)。结论经鼻高流量湿化氧疗联合莫西沙星溶液雾化吸入在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的应用可以显著提高患者的运动能力、呼吸功能、生活质量、血气指标和肺功能,同时减少炎症反应和氧化应激。 展开更多
关键词 经鼻高流量湿化氧疗 莫西沙星溶液雾化吸入 慢性阻塞性肺疾病 型呼吸衰竭 呼吸功能
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基于问题为导向的安全管理对无创呼吸机治疗Ⅱ型呼吸衰竭患者自我管理能力、血气及炎性反应情况的影响
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作者 李闪闪 王岚 +1 位作者 宋欣欣 杨亚旭 《四川生理科学杂志》 2024年第5期954-956,共3页
目的:研究基于问题为导向的安全管理对无创呼吸机治疗Ⅱ型呼吸衰竭患者自我管理能力、血气及炎性反应情况的影响。方法:我院2021年2月至2022年12月期间91例行无创呼吸机治疗Ⅱ型呼吸衰竭患者随机分为对照组和观察组。对照组45例实施常... 目的:研究基于问题为导向的安全管理对无创呼吸机治疗Ⅱ型呼吸衰竭患者自我管理能力、血气及炎性反应情况的影响。方法:我院2021年2月至2022年12月期间91例行无创呼吸机治疗Ⅱ型呼吸衰竭患者随机分为对照组和观察组。对照组45例实施常规干预,观察组46例联合以问题为导向的安全教育管理。干预前及干预4 w后,采用血气分析仪检测两组患者血氧分压(Arterial partial pressure of oxygen,PaO_(2))、二氧化碳分压(Partial pressure of carbon dioxide in artery,PaCO_(2))、血氧饱和度(Spot oxygen saturation,SpO_(2))水平;采用酶联免疫吸附法检测白细胞介素-6(Interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)及超敏C反应蛋白(Hypersensitive C-reactive protein,hs-CRP)水平;采用自我护理能力(Exercise of Self-Care Agency Scale,ESCA)量表评估两组患者自我管理能力。结果:与干预前相比,两组PaO_(2)、SpO_(2)、健康认知水平、自我责任感、自我管理技能和自我概念评分均升高,IL-6、TNF-α、hs-CRP、PaCO_(2)水平均降低(P<0.05)。其中观察组变化更为显著(P<0.05)。结论:基于问题为导向的安全管理对无创呼吸机治疗Ⅱ型呼吸衰竭患者效果确切,能够改善患者血气水平,降低炎症反应水平,提高自我管理能力。 展开更多
关键词 安全教育管理 型呼吸衰竭 自我管理能力 炎症反应
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基于Cre-loxP重组酶系统构建肺泡Ⅱ型上皮细胞特异性敲除SENP1基因小鼠
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作者 杨坤 章容 +4 位作者 吴越 雷小平 谌云川 康兰 董文斌 《中国组织工程研究》 CAS 北大核心 2025年第14期2943-2950,共8页
背景:前期在体外成功构建了SENP1基因沉默的人肺泡上皮细胞系,在细胞水平上研究了SENP1在高氧性肺损伤中的作用。目的:基于Cre-loxP重组酶系统构建肺泡Ⅱ型上皮细胞特异性敲除SENP1基因小鼠模型。方法:将SENP1^(flox/-)小鼠自交得到SENP... 背景:前期在体外成功构建了SENP1基因沉默的人肺泡上皮细胞系,在细胞水平上研究了SENP1在高氧性肺损伤中的作用。目的:基于Cre-loxP重组酶系统构建肺泡Ⅱ型上皮细胞特异性敲除SENP1基因小鼠模型。方法:将SENP1^(flox/-)小鼠自交得到SENP1^(flox/flox)和SENP1^(flox/-)小鼠;将Sftpc-Cre^(+/+)小鼠与野生型小鼠交配获得更多的Sftpc-Cre^(+/-)小鼠。将Sftpc-Cre^(+/+)或子代Sftpc-Cre^(+/-)小鼠与SENP1^(flox/-)或子代SENP1^(flox/flox)小鼠进行杂交,获得SENP1^(flox/-)Sftpc-Cre^(+/-)双杂合小鼠。将SENP1^(flox/-)Sftpc-Cre^(+/-)小鼠与SENP1^(flox/flox)小鼠杂交,获得SENP1^(flox/flox)Sftpc-Cre^(+/-)小鼠。剪鼠尾提取基因组DNA,行PCR扩增,扩增产物经琼脂糖凝胶电泳确定小鼠基因型。取SENP1^(flox/flox)和SENP1^(flox/flox)Sftpc-Cre^(+/-)小鼠肺组织行免疫荧光双标实验及Western blot以验证SENP1敲除效果;取SENP1^(flox/flox)和SENP1^(flox/flox)Sftpc-Cre^(+/-)小鼠心、肝、肺、肾组织行苏木精-伊红染色以观察两组小鼠各脏器的组织形态。结果与结论:琼脂糖凝胶电泳正确筛选出SENP1^(flox/flox)Sftpc-Cre^(+/-)小鼠。免疫荧光双标实验显示,与SENP1^(flox/flox)小鼠相比,SENP1^(flox/flox)Sftpc-Cre^(+/-)小鼠肺组织中SENP1的平均荧光强度降低(P<0.01),且SENP1和Sftpc未见明显共定位(P<0.01)。Western blot结果显示,与SENP1^(flox/flox)小鼠相比,SENP1^(flox/flox)Sftpc-Cre^(+/-)小鼠肺组织中SENP1蛋白表达降低(P<0.001)。苏木精-伊红染色结果显示SENP1^(flox/flox)和SENP1^(flox/flox)Sftpc-Cre^(+/-)小鼠的心、肝、肺和肾脏组织形态无明显改变。该研究利用Cre-loxP重组酶系统成功构建了肺泡Ⅱ型上皮细胞特异性敲除SENP1基因小鼠,为后续研究SENP1基因在以肺泡Ⅱ型上皮细胞为主要损伤细胞的肺疾病如支气管肺发育不良、特发性肺纤维化中的作用提供了良好的工具。 展开更多
关键词 SENP1 Cre-loxP重组酶系统 肺泡型上皮细胞 条件性基因敲除 小鼠
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体外二氧化碳清除治疗Ⅱ型呼吸衰竭的临床初探
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作者 万静怡 鲁杨 +3 位作者 户俊凯 马旭 闫国胜 张宏涛 《中国血液净化》 CSCD 2024年第4期245-249,共5页
目的探讨体外二氧化碳清除(extracorporeal carbon dioxide removal,ECCO_(2)R)治疗接受连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)合并Ⅱ型呼吸衰竭患者的临床疗效。方法回顾性分析2020年12月—2022年7月就诊于... 目的探讨体外二氧化碳清除(extracorporeal carbon dioxide removal,ECCO_(2)R)治疗接受连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)合并Ⅱ型呼吸衰竭患者的临床疗效。方法回顾性分析2020年12月—2022年7月就诊于重症监护室(intensive care unit,ICU)应用ECCO_(2)R治疗合并Ⅱ型呼吸衰竭的CRRT患者(干预组)11例和同期未应用ECCO_(2)R治疗的合并Ⅱ型呼吸衰竭的CRRT患者(对照组)11例,收集患者开始治疗前和治疗24小时后的血气分析结果,比较患者治疗前后动脉血二氧化碳分压(PaCO_(2))、pH值、动脉血氧分压(PaO_(2))、碱剩余(BE)、碳酸氢根(HCO_(3)^(-))、乳酸(Lac)等指标的变化。结果与对照组相比,应用ECCO_(2)R治疗前干预组PaCO_(2)较高(Z=2.988,P=0.002),治疗后差异无统计学意义(Z=-0.230,P=0.847);应用ECCO_(2)R治疗24小时后干预组pH值(t=-3.656,P=0.002)、BE(t=3.185,P=0.001)、HCO_(3)^(-)(t=2.791,P=0.004)、Lac(Z=-2.397,P=0.016)较对照组高。干预组应用ECCO_(2)R治疗后,pH值较治疗前升高(t=-2.948,P=0.008),PaCO_(2)较治疗前下降(Z=-3.447,P<0.001)。结论EC-CO_(2)R可纠正合并Ⅱ型呼吸衰竭CRRT患者的高碳酸血症,但能否改善预后尚需大样本临床研究。 展开更多
关键词 体外二氧化碳清除 连续性肾脏替代治疗 型呼吸衰竭 高碳酸血症
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Ⅱ型子宫内膜癌患者癌组织中IMP3、PTEN表达及其临床意义
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作者 李颖 马媛 李凯丽 《实用癌症杂志》 2024年第5期753-756,共4页
目的分析Ⅱ型子宫内膜癌(EC)患者癌组织中胰岛素样生长因子Ⅱ信使RNA结合蛋白3(IMP3)和磷酸酶与张力蛋白同源物(PTEN)的表达情况,并探讨其临床意义。方法收集60例Ⅱ型EC患者手术切除的癌组织及20例对应癌旁组织的存档石蜡标本,采用免疫... 目的分析Ⅱ型子宫内膜癌(EC)患者癌组织中胰岛素样生长因子Ⅱ信使RNA结合蛋白3(IMP3)和磷酸酶与张力蛋白同源物(PTEN)的表达情况,并探讨其临床意义。方法收集60例Ⅱ型EC患者手术切除的癌组织及20例对应癌旁组织的存档石蜡标本,采用免疫组织化学法(IHC)检测标本中IMP3、PTEN蛋白表达情况;分析IMP3、PTEN蛋白表达与EC患者临床病理特征及预后的关系。结果EC患者癌组织中IMP3阳性表达率高于癌旁组织,PTEN阳性表达率低于癌旁组织,差异均有统计学意义(P<0.05)。EC患者癌组织IMP3阳性表达率与肌层浸润深度、FIGO分期及淋巴结转移有关(P<0.05),即肌层浸润深度越深、FIGO分期越晚、合并淋巴结转移者IMP3阳性表达率越高。PTEN阳性表达率与FIGO分期、淋巴结转移有关(P<0.05),即FIGO分期越晚、合并淋巴结转移者PTEN阳性表达率越低。Spearman相关性分析结果显示,EC患者癌组织中IMP3和PTEN蛋白表达无显著相关性(P>0.05)。IMP3阳性组整体生存情况差于IMP3阴性组,PTEN阳性组整体生存情况优于PTEN阴性组(P<0.05)。结论Ⅱ型EC患者癌组织中IMP3表达上调,而PTEN表达下调,二者表达异常可能参与了Ⅱ型EC的发生与发展,且IMP3阳性表达、PTEN阴性表达与Ⅱ型EC患者不良预后相关。 展开更多
关键词 型子宫内膜癌 胰岛素样生长因子信使RNA结合蛋白3 磷酸酶与张力蛋白同源物 预后
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无创呼吸机标准化治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的效果分析
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作者 唐艳茹 《中国标准化》 2024年第12期261-264,共4页
目的:分析无创呼吸机标准化治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的效果。方法:抽取2021年9月—2023年10月在长江大学附属仙桃市第一人民医院接受治疗的86例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者,应用计算机1:1分组,每组各43例。将实... 目的:分析无创呼吸机标准化治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的效果。方法:抽取2021年9月—2023年10月在长江大学附属仙桃市第一人民医院接受治疗的86例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者,应用计算机1:1分组,每组各43例。将实施常规治疗的作为对照组,在常规治疗基础上采用无创呼吸机标准治疗的为研究组。分析治疗效果。结果:研究组肺功能各项指标改善效果显著优于对照组(P<0.05);研究组血气指标改善效果优于对照组(P<0.05);研究组较对照组慢性阻塞性肺疾病评估测试评分(CAT)更高,6 min步行距离更远(P<0.05)。结论:慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者应用无创呼吸机采取标准化治疗效果良好,对于患者的肺功能和血气指标均有较高的改善效果,并且不良反应更少,预后显著。 展开更多
关键词 慢性阻塞性肺疾病 型呼吸衰竭 无创呼吸机 肺功能 血气指标
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纤维支气管镜吸痰灌洗在重症肺炎并发Ⅱ型呼吸衰竭患者中的应用
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作者 豆灿灿 吕喜兰 戚彩艳 《中国初级卫生保健》 2024年第5期97-99,103,共4页
目的:探讨不同吸痰方式即纤维支气管镜吸痰灌洗和常规吸痰管吸痰在重症肺炎并发Ⅱ型呼吸衰竭患者中的应用效果。方法:选取2021年12月—2022年11月商丘市立医院收治的94例重症肺炎并发Ⅱ型呼吸衰竭患者,采用随机数字表法将其分为对照组(n... 目的:探讨不同吸痰方式即纤维支气管镜吸痰灌洗和常规吸痰管吸痰在重症肺炎并发Ⅱ型呼吸衰竭患者中的应用效果。方法:选取2021年12月—2022年11月商丘市立医院收治的94例重症肺炎并发Ⅱ型呼吸衰竭患者,采用随机数字表法将其分为对照组(n=47)和观察组(n=47)。给予对照组患者常规吸痰管吸痰,给予观察组患者纤维支气管镜吸痰灌洗。观察两组患者症状控制情况、血气指标及炎性反应指标。结果:干预后,观察组患者临床肺部感染评分、急性生理性与慢性健康状况评分较对照组患者低,发热时间及机械通气时间较对照组患者短,差异均有统计学意义(t值分别为3.422、5.216、7.668和6.945,P值均<0.05);干预后,观察组患者动脉血氧分压、动脉血氧饱和度较对照组患者高,动脉二氧化碳分压较对照组患者低,差异均有统计学意义(t值分别为2.822、6.252和7.705,P值均<0.05);干预后,观察组患者降钙素原(PCT)、C-反应蛋白(CRP)、白细胞介素(IL)-6及可溶性细胞间黏附分子-1(sICAM-1)水平较对照组患者低,差异均有统计学意义(t值分别为7.167、7.368、3.093和10.081,P值均<0.05)。结论:与常规吸痰管吸痰相比,纤维支气管镜吸痰灌洗能对重症肺炎并发Ⅱ型呼吸衰竭患者血气水平进行调节,改善炎症反应,进而控制临床症状。 展开更多
关键词 纤维支气管镜吸痰灌洗 吸痰管吸痰 重症肺炎并发型呼吸衰竭
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