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Evaluating the effectiveness of ultrasound-assisted wound debridement in managing diabetic foot ulcers:A systematic review and meta-analysis
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作者 rui yang Geng Chen +5 位作者 Qing-Yun Pan Yao Yao Yan-Fen Li Hai-Ting Chen Chang-Jiang Lei Xia Liang 《World Journal of Diabetes》 2025年第2期246-256,共11页
BACKGROUND Diabetic foot ulcers(DFUs)present a significant clinical challenge due to their high prevalence and profound impact on morbidity.Ultrasound-assisted wound debridement(UAWD)has emerged as a potential therape... BACKGROUND Diabetic foot ulcers(DFUs)present a significant clinical challenge due to their high prevalence and profound impact on morbidity.Ultrasound-assisted wound debridement(UAWD)has emerged as a potential therapeutic modality to improve healing outcomes in DFU management.AIM To evaluate the efficacy of UAWD in treating DFUs on wound closure rates,treatment duration,and quality of life outcomes.METHODS This systematic review and meta-analysis followed PRISMA guidelines,systematically searching PubMed,Embase,Web of Science,and the Cochrane Library with no date restrictions.Randomized controlled trials(RCTs)that evaluated the efficacy of UAWD in DFU treatment were included.Data were independently extracted by two reviewers,with discrepancies resolved through consensus or third-party consultation.The risk of bias was assessed using the Cochrane tool.χ2 and I2 statistics assessed heterogeneity,informing the use of fixed or random-effects models for meta-analysis,supplemented by sensitivity analysis and publication bias assessment through funnel plots and Egger's test.RESULTS From 1255 articles,seven RCTs met the inclusion criteria.The studies demonstrated that UAWD significantly reduced DFU healing time(standardized mean difference=-0.78,95%CI:-0.97 to-0.60,P<0.001)and increased healing rates(odds ratio=9.96,95%CI:5.99 to 16.56,P<0.001)compared to standard care.Sensitivity analysis confirmed the stability of these results,and no significant publication bias was detected.CONCLUSION UAWD is a promising adjunctive treatment for DFUs,significantly reducing healing times and increasing healing rates.These findings advocate for the integration of UAWD into standard DFU care protocols. 展开更多
关键词 Diabetic foot ulcers Ultrasound-assisted wound debridement Healing time Healing rates META-ANALYSIS
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黄河流域特色保护类村庄种群分布动态与生境选择 被引量:2
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作者 王玲 芮旸 +1 位作者 罗飞 孙玮鸿 《西北大学学报(自然科学版)》 CAS CSCD 北大核心 2024年第3期500-512,共13页
基于种群生态学理论,将黄河流域971个国家级特色保护类村庄视作一个地理种群。综合GIS空间分析和数理统计方法,明晰这一种群的分布动态和生境选择特征,进而应用地理探测器对比揭示影响该种群分布的生态因子。结果表明:(1)黄河流域特色... 基于种群生态学理论,将黄河流域971个国家级特色保护类村庄视作一个地理种群。综合GIS空间分析和数理统计方法,明晰这一种群的分布动态和生境选择特征,进而应用地理探测器对比揭示影响该种群分布的生态因子。结果表明:(1)黄河流域特色保护类村庄的分布密度随种群增长而大幅提高,分布模式随尺度变大由显著聚集转为不显著离散,分布格局随时间推移由多中心向单中心演化,但集聚中心一直位于河谷盆地;(2)黄河流域特色保护类村庄具有“聚中低山区、向阳坡斜坡、喜温暖湿润、近黄河干流”的偏好,趋向中等人口密度、经济欠发达地区分布,主要位于国道沿线30 km、省道沿线10 km、中心城市周边20~80 km、历史城镇周边60 km、旅游景区和文保单位周边20 km范围内;(3)影响特色保护类村庄种群分布的生态因子具有综合性、非等价性和限定性,在黄河流域以文保单位和海拔为主导。 展开更多
关键词 特色保护类村庄 地理种群 空间分布 生境选择 黄河流域
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Spatial Heterogeneity of Agricultural Science and Technology Parks Technology Diffusion: A Case Study of Yangling ASTP 被引量:2
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作者 WANG Zhao LIU Jianhong +2 位作者 LI Tongsheng REN Wanying rui yang 《Chinese Geographical Science》 SCIE CSCD 2021年第4期629-645,共17页
Agricultural science and technology parks(ASTPs) represent an important growth pole in China’s agricultural modernization.Clarifying their diffusion laws can optimize the technological diffusion process and improve i... Agricultural science and technology parks(ASTPs) represent an important growth pole in China’s agricultural modernization.Clarifying their diffusion laws can optimize the technological diffusion process and improve its efficiency. Our study uses disaggregated spatial information in its model to analyze ASTP technology diffusion in a heterogeneous space. We constructed a comprehensive index system to evaluate the diffusion environmental quality and introduced the heterogeneous diffusion equation to calculate the technological diffusion probability. We applied this framework to a real-world scenario: the apple planting technology diffusion of the Yangling ASTP in the Loess Plateau, China. The results indicated: (1)the technological diffusion environment of the Loess Plateau advantageous apple producing area showed strong spatial heterogeneity caused by climate, topography, and external transportation links.(2) Under the combined effects of distance and spatial heterogeneity, the spatial diffusion pattern of the Yangling ASTP apple technology was expansion diffusion supplemented by hierarchical diffusion and banded diffusion, and (3) ASTP technology diffusion showed a strong distance attenuation effect, and the frictional effect of distance can be decreased by improving the diffusion environmental quality. These laws can promote regional balanced ASTP-driven development. 展开更多
关键词 agricultural science and technology park(ASTP) heterogeneous environments diffusion environment diffusion probability heterogeneous space diffusion equation
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全域土地综合整治视域下的乡村空间重构路径——以汉中市谢村镇26个村庄为例 被引量:2
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作者 董鹏达 董欣 +2 位作者 朱菁 芮旸 任历 《南方建筑》 CSCD 北大核心 2024年第4期42-53,共12页
全域土地综合整治是推进乡村空间重构、建设和美乡村的重要手段。为破解乡村资源利用与要素整合方面的短板,实现乡村全域全要素协调发展。在明晰全域土地综合整治与乡村空间重构逻辑关联的基础上,以具备典型特征的汉中市谢村镇26个村庄... 全域土地综合整治是推进乡村空间重构、建设和美乡村的重要手段。为破解乡村资源利用与要素整合方面的短板,实现乡村全域全要素协调发展。在明晰全域土地综合整治与乡村空间重构逻辑关联的基础上,以具备典型特征的汉中市谢村镇26个村庄为例,基于“人-地-产”耦合互动的分析框架,构建了乡村空间重构评价模型。运用GIS空间分析等技术,定量测度乡村空间重构耦合度与协调度的时空演变规律,并通过诊断模型等方法揭示了影响乡村发展的主要障碍因子。进一步将重构指数与协调度相结合,划分全域土地综合整治的分区格局,并提出相应的整治模式。根据弱势系统识别结果,提出了差异化的乡村空间重构路径:以盘活低效用地为核心,重构全域空间;以开展环境整治为途径,塑造宜居空间;以保护历史文化为抓手,保障宜业空间。 展开更多
关键词 全域土地综合整治 乡村空间重构 乡村空间规划 “人-地-产”耦合互动 乡村振兴
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东南沿海传统村落人口外流格局及驱动机制的微观研究 被引量:2
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作者 金淘 芮旸 +2 位作者 林静怡 王玲 罗飞 《地理与地理信息科学》 CSCD 北大核心 2024年第1期99-105,113,共8页
该文以浙闽粤三省959个国家级传统村落为样本,综合运用加权核密度估计、克里金插值等方法,在村级尺度多维刻画东南沿海传统村落人口外流的空间格局,利用相关系数和地理探测器定量探测影响因子的作用,进而从地理资本视角分析影响因子的... 该文以浙闽粤三省959个国家级传统村落为样本,综合运用加权核密度估计、克里金插值等方法,在村级尺度多维刻画东南沿海传统村落人口外流的空间格局,利用相关系数和地理探测器定量探测影响因子的作用,进而从地理资本视角分析影响因子的作用机理并构建驱动机制。结果表明:①东南沿海传统村落人口外流的地形分异和山区集聚格局显著,重心位于闽北山区,核心源区位于浙西南山区;②地形条件、人地关系、城村联系和经济收入是影响人口外流率村际差异的显著因子,人均耕地面积与其他因子的协同作用是主导驱动力;③传统村落人口外流是海拔、坡度、地形起伏度等7个显著因子协同作用的结果,是生态资本、区位资本和经济资本的函数。 展开更多
关键词 乡村人口外流 人口流动格局 驱动机制 传统村落 东南沿海地区
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Mutagenesis of SlNAC4 by CRISPR/Cas9 alters gene expression and softening of ripening tomato fruit
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作者 Ying Gao Yi-Ping Zhang +5 位作者 Zhong-Qi Fan Yuan Jing Jian-Ye Chen Donald Grierson rui yang Da-Qi Fu 《Vegetable Research》 2021年第1期66-77,共12页
Softening is one of the key fruit quality traits,which results from the selective expression of cell wall metabolism genes during ripening.The identification of transcription factors(TFs)that regulate fruit softening ... Softening is one of the key fruit quality traits,which results from the selective expression of cell wall metabolism genes during ripening.The identification of transcription factors(TFs)that regulate fruit softening is an important field in order to understand and control fruit softening.In tomato,NAC(NAM,ATAF,and CUC)TFs members have been demonstrated to be involved in fruit ripening regulation,including NAC-NOR(nonripening),NOR-like1,SlNAC4,SlNAC1.Here,we generated slnac4 mutant knockout(CR-SlNAC4)tomato plant by a clustered regularly interspaced short palindromic repeats genomic targeting system(CRISPR/Cas9)and SlNAC4 overexpressing(OE-SlNAC4)plant.In addition to confirming the previously reported results that SlNAC4 positively regulates fruit ripening,we found that SlNAC4 has a strong effect on tomato fruit softening.Compared with the control fruit,fruit softening was inhibited in slnac4 fruit and conversely was accelerated in OE-SlNAC4 tomato fruit.Through RNA-sequencing(RNA-seq)analysis,we found that expression levels of SlEXP1(expansin)and SlCEL2(endo-β-1,4 glucanase)genes involved in cell wall metabolism were significantly different in WT(wild type)/slnac4 and WT/OE-SlNAC4 fruit.Further study showed that these genes contained a NAC TF binding domain in their promoter regions.In vitro electrophoretic mobility shift assays(EMSA)and dual-luciferase reporter assays(DLR)demonstrated that these two genes were the direct targets of SlNAC4 binding and transactivation.The results enriched the function of SlNAC4 and provided a new dimension in understanding the regulation of tomato fruit softening. 展开更多
关键词 CRISPR/Cas9 FIR METABOLISM
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PC基电解液对Li/CrO_(x)一次电池高倍率性能的影响
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作者 杨睿 李惠 +5 位作者 孟庆飞 李文杰 吴际良 方永进 黄驰 曹余良 《物理化学学报》 SCIE CAS CSCD 北大核心 2024年第9期62-68,共7页
Li/CrO_(x)电池具有高能量密度和优异的倍率性能,成为高性能一次锂电池的研究热点。而基于发展具有宽温域和高介电常数的碳酸丙烯酯(PC)电解液体系,对于开发功率高和环境耐受性强的锂一次电池具有重要的应用价值。在本工作中,我们研究了... Li/CrO_(x)电池具有高能量密度和优异的倍率性能,成为高性能一次锂电池的研究热点。而基于发展具有宽温域和高介电常数的碳酸丙烯酯(PC)电解液体系,对于开发功率高和环境耐受性强的锂一次电池具有重要的应用价值。在本工作中,我们研究了CrO_(x)在PC基电解液中的放电行为,筛选了适配于大电流放电的电解液体系:1 mol·L^(-1)LiTFSI PC:DOL(1,3-二氧环戊烷)=1:2;并揭示了在PC基电解液中影响CrO_(x)大电流放电的规律:Li^(+)溶剂化鞘层中溶剂分子配位数以及参与配位的粒子类型,会极大地影响Li/CrO_(x)电池体系的倍率放电性能。低的配位数以及阴离子参与的溶剂化鞘层结构更加适配Li/CrO_(x)电池体系,能够实现大电流放电。这些规律的认识对于推动PC基电解液应用于大倍率Li/CrO_(x)电池体系具有重要指导意义。 展开更多
关键词 铬氧化物 电解液 溶剂化结构 碳酸丙烯酯 锂一次电池
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Reliability analysis of slope stability by neural network,principal component analysis,and transfer learning techniques 被引量:1
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作者 Sheng Zhang Li Ding +3 位作者 Menglong Xie Xuzhen He rui yang Chenxi Tong 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第10期4034-4045,共12页
The prediction of slope stability is considered as one of the critical concerns in geotechnical engineering.Conventional stochastic analysis with spatially variable slopes is time-consuming and highly computation-dema... The prediction of slope stability is considered as one of the critical concerns in geotechnical engineering.Conventional stochastic analysis with spatially variable slopes is time-consuming and highly computation-demanding.To assess the slope stability problems with a more desirable computational effort,many machine learning(ML)algorithms have been proposed.However,most ML-based techniques require that the training data must be in the same feature space and have the same distribution,and the model may need to be rebuilt when the spatial distribution changes.This paper presents a new ML-based algorithm,which combines the principal component analysis(PCA)-based neural network(NN)and transfer learning(TL)techniques(i.e.PCAeNNeTL)to conduct the stability analysis of slopes with different spatial distributions.The Monte Carlo coupled with finite element simulation is first conducted for data acquisition considering the spatial variability of cohesive strength or friction angle of soils from eight slopes with the same geometry.The PCA method is incorporated into the neural network algorithm(i.e.PCA-NN)to increase the computational efficiency by reducing the input variables.It is found that the PCA-NN algorithm performs well in improving the prediction of slope stability for a given slope in terms of the computational accuracy and computational effort when compared with the other two algorithms(i.e.NN and decision trees,DT).Furthermore,the PCAeNNeTL algorithm shows great potential in assessing the stability of slope even with fewer training data. 展开更多
关键词 Slope stability analysis Monte Carlo simulation Neural network(NN) Transfer learning(TL)
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热屏结构对300 mm半导体级单晶硅生长过程温度分布影响的数值模拟
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作者 倪浩然 陈亚 +7 位作者 王黎光 芮阳 赵泽慧 马成 刘洁 张兴茂 赵延祥 杨少林 《人工晶体学报》 CAS 北大核心 2024年第7期1196-1211,共16页
半导体级单晶硅是芯片的基础核心材料,不仅要求控制杂质浓度,还对晶体的缺陷有很高的要求。原生点缺陷浓度作为衡量晶体品质的重要指标之一,需要通过热场的优化、晶体生长温度场的调整、晶体生长过程中晶棒温度分布的控制,以及V/G值(拉... 半导体级单晶硅是芯片的基础核心材料,不仅要求控制杂质浓度,还对晶体的缺陷有很高的要求。原生点缺陷浓度作为衡量晶体品质的重要指标之一,需要通过热场的优化、晶体生长温度场的调整、晶体生长过程中晶棒温度分布的控制,以及V/G值(拉速与晶棒内轴向温度梯度比值)的优化来调控。本文采用ANSYS软件中流体计算模块Fluent的有限体积分析法,研究了不同热屏结构对300 mm半导体级直拉单晶硅温度分布的影响。针对二段式热屏,模拟了不同热屏角度下拉晶初期(400 mm)、中期(800和1400 mm)和末期(2000 mm)三个等径阶段的温度分布、固液界面轴向温度梯度和V/G值。通过分析各阶段V/G值的变化,在相对较大的温度梯度下,寻找到了一种V/G值更接近临界值ζ且径向均一性更优的热屏结构,为控制缺陷的浓度提供更好的条件。通过对晶棒热历史的讨论,优化热屏结构以缩短降温周期,为控制缺陷的尺寸提供更好的条件。模拟计算结果表明,热屏夹角为110°、热屏下段厚度为70 mm、热屏内壁与晶棒间距为30 mm时,其结构设计能够提供低缺陷单晶硅生产的温度分布条件。 展开更多
关键词 半导体级单晶硅 有限体积分析 热屏结构 温度场 流场 V/G值 缺陷
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Molecular mechanism of flowering time regulation in Brassica rapa:similarities and differences with Arabidopsis 被引量:1
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作者 Na Li rui yang +1 位作者 Shuxing Shen Jianjun Zhao 《Horticultural Plant Journal》 SCIE CAS CSCD 2024年第3期615-628,共14页
Properly regulated flowering time is pivotal for successful plant reproduction.The floral transition from vegetative growth to reproductive growth is regulated by a complex gene regulatory network that integrates envi... Properly regulated flowering time is pivotal for successful plant reproduction.The floral transition from vegetative growth to reproductive growth is regulated by a complex gene regulatory network that integrates environmental signals and internal conditions to ensure that flowering takes place under favorable conditions.Brassica rapa is a diploid Cruciferae species that includes several varieties that are cultivated as vegetable or oil crops.Flowering time is one of the most important agricultural traits of B.rapa crops because of its influence on yield and quality.The transition to flowering in B.rapa is regulated by several environmental and developmental cues,which are perceived by several signaling pathways,including the vernalization pathway,the autonomous pathway,the circadian clock,the thermosensory pathway,and gibberellin(GA)signaling.These signals are integrated to control the expression of floral integrators BrFTs and BrSOC1s to regulate flowering.In this review,we summarized current research advances on the molecular mechanisms that govern flowering time regulation in B.rapa and compare this to what is known in Arabidopsis. 展开更多
关键词 Flowering time Brassica rapa VERNALIZATION PHOTOPERIOD
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Lateral circumflex femoral artery perforator flap for the reconstruction of head soft tissue defects:Cross-region venous anastomosis 被引量:1
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作者 Gongxue Zhang Wenhu Jin +3 位作者 Ziyang Zhang Lei Shi rui yang Dali Wang 《Chinese Journal of Plastic and Reconstructive Surgery》 2024年第3期111-115,共5页
Background:Owing to its unique characteristics,the lateral circumflex femoral artery perforator(LCFAP)flap is often preferred for repairing head wounds with exposed skulls.However,given the vascular distribution in th... Background:Owing to its unique characteristics,the lateral circumflex femoral artery perforator(LCFAP)flap is often preferred for repairing head wounds with exposed skulls.However,given the vascular distribution in the head,particularly the veins,can lead to postoperative complications such as venous congestion of the flap.The rates of vascular exploration and necrosis in these flaps are significantly higher than in other body regions.Therefore,it is crucial to identify a safe and effective method for venous anastomosis of free flaps in the head region.Methods:This retrospective case series study included 10 patients with large head soft tissue defects treated at the Burn and Plastic Surgery Department of the Affiliated Hospital of Zunyi Medical University from January 2020 to December 2022.The head defects were reconstructed using LCFAP flaps,with flap veins anastomosed to the external jugular vein in the neck,either directly or via a bridging technique.Results:Among the 10 adult patients with massive head wound defects,7(70%)were men.The patients’mean age was 53.0 years(48–59 years).The wound defects were caused by trauma in 6(60%)patients and by tumors in 4(40%)patients.Postoperatively,no significant complications occurred,and all LCFAP flap survived without necrosis.Conclusion:The descending branch of the LCFAP flap effectively repairs massive head wound defects.The venous anastomosis method for this flap is associated with a low incidence of venous complications and a high patency rate,making it a clinically valuable reference. 展开更多
关键词 Descending branch of lateral External jugular vein Wound repair Perforator flap
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基于时频感知双路径Conformer的语音增强
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作者 芮阳 高勇 《通信技术》 2024年第4期338-346,共9页
近年来,Conformer在语音领域的应用表现较为突出。该模块通过结合多头自注意力机制和卷积神经网络,能够同时关注短时和长时序列信息,从而在语音处理任务中表现出卓越的性能。在此基础上提出了一种基于时频感知双路径Conformer的语音增... 近年来,Conformer在语音领域的应用表现较为突出。该模块通过结合多头自注意力机制和卷积神经网络,能够同时关注短时和长时序列信息,从而在语音处理任务中表现出卓越的性能。在此基础上提出了一种基于时频感知双路径Conformer的语音增强网络(TFDPCNet)。首先,该网络将改进的Conformer结构作为核心,采用双路径结构,构成时频感知的双路径Conformer模块(TFDP-Conformer),增强了整体网络的时频提取能力;同时,为了减小时频特征融合的难度,提出了注意力门控交叉融合模块(AGCF),通过额外的注意力门进一步增强了网络训练过程中时频特征的交互,提高了时频特征的利用率;最后,引用度量鉴别器,并对其进行适当剪枝,使得增强后的音频和原始音频在量化评价指标上保持更高的一致性。实验结果表明,相比于TSTNN算法,TFDPCNet在主观和客观指标上都有明显提高。 展开更多
关键词 语音增强 双路径Conformer 时频域 注意力门控交叉融合 度量鉴别器
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Progress on immuno-microenvironment and immune-related therapies in patients with pseudomyxoma peritonei
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作者 Qidi Zhao Tian Wei +6 位作者 Ru Ma Yubin Fu rui yang Yandong Su yang Yu Bing Li Yan Li 《Cancer Biology & Medicine》 SCIE CAS CSCD 2024年第7期586-605,共20页
Pseudomyxoma peritonei(PMP) is an indolent malignant syndrome. The standard treatment for PMP is cytoreductive surgery combined with intraperitoneal hyperthermic chemotherapy(CRS + HIPEC). However, the high recurrence... Pseudomyxoma peritonei(PMP) is an indolent malignant syndrome. The standard treatment for PMP is cytoreductive surgery combined with intraperitoneal hyperthermic chemotherapy(CRS + HIPEC). However, the high recurrence rate and latent clinical symptoms and signs are major obstacles to further improving clinical outcomes. Moreover, patients in advanced stages receive little benefit from CRS + HIPEC due to widespread intraperitoneal metastases. Another challenge in PMP treatment involves the progressive sclerosis of PMP cell-secreted mucus, which is often increased due to activating mutations in the gene coding for guanine nucleotide-binding protein alpha subunit(GNAS). Consequently, the development of other PMP therapies is urgently needed. Several immune-related therapies have shown promise, including the use of bacterium-derived non-specific immunogenic agents, radioimmunotherapeutic agents, and tumor cell-derived neoantigens, but a well-recognized immunotherapy has not been established. In this review the roles of GNAS mutations in the promotion of mucin secretion and disease development are discussed. In addition, the immunologic features of the PMP microenvironment and immune-associated treatments are discussed to summarize the current understanding of key features of the disease and to facilitate the development of immunotherapies. 展开更多
关键词 Pseudomyxoma peritonei tumor immuno-microenvironment immune-related therapy mucin 2 GNAS mutation
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Different people,different wild:Comparing and mapping wilderness representation in Wuyishan National Park,China
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作者 Aifang Weng Lingyun Liao +7 位作者 Yue Cao Steve Carver Li Lin Siyuan Shen Zhengduo Xu Jianwen Dong Siren Lan rui yang 《Geography and Sustainability》 CSCD 2024年第1期144-156,共13页
It is essential to better integrate wilderness representations of different stakeholders into wilderness conservation.The way in which local residents and other stakeholders frame the construction of wilderness of pro... It is essential to better integrate wilderness representations of different stakeholders into wilderness conservation.The way in which local residents and other stakeholders frame the construction of wilderness of protected areas in developing countries are poorly understood.In these areas,land use policy and decision may lead to conflicts.This study aims to explore existing public wilderness representations using a questionnaire survey(n=514)administered amongst tourists and other stakeholders in the Wuyishan National Park,in southeast China.The spatial differences in public representations of wilderness across different stakeholder groups were compared against expert knowledge.We found that integrated wilderness representation maps of different stakeholder groups were consistent,namely'area where wild animals live','area with no human influence','a barren and lonely area'.However,three sub-representations of the individual stakeholders varied significantly.Moreover,expert-based wilderness mapping did not reflect public representations accurately,and an integrated wilder-ness quality map considering wilderness representations across both stakeholders and experts can better identify detailed wilderness areas.Our study provides new insights and technical support for future exploration of wilder-ness conservation and mapping in China and other countries with insufficient awareness of wilderness values and investigations in a regional scale. 展开更多
关键词 Wilderness mapping Public participation Environment perception Protected areas
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Percutaneous ultrasound-guided coaxial core needle biopsy for the diagnosis of multiple splenic lesions: A case report
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作者 Sha-Hong Pu Wu-Yong-Ga Bao +2 位作者 Zhen-Peng Jiang rui yang Qiang Lu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第2期616-621,共6页
BACKGROUND The overlap of imaging manifestations among distinct splenic lesions gives rise to a diagnostic dilemma.Consequently,a definitive diagnosis primarily relies on his-tological results.The ultrasound(US)-guide... BACKGROUND The overlap of imaging manifestations among distinct splenic lesions gives rise to a diagnostic dilemma.Consequently,a definitive diagnosis primarily relies on his-tological results.The ultrasound(US)-guided coaxial core needle biopsy(CNB)not only procures sufficient tissue to help clarify the diagnosis,but reduces the incidence of puncture-related complications.CASE SUMMARY A 41-year-old female,with a history of pulmonary tuberculosis,was admitted to our hospital with multiple indeterminate splenic lesions.Gray-scale ultrasono-graphy demonstrated splenomegaly with numerous well-defined hypoechoic ma-sses.Abdominal contrast-enhanced computed tomography(CT)showed an en-larged spleen with multiple irregular-shaped,peripherally enhancing,hypodense lesions.Positron emission CT revealed numerous abnormal hyperglycemia foci.These imaging findings strongly indicated the possibility of infectious disease as the primary concern,with neoplastic lesions requiring exclusion.To obtain the precise pathological diagnosis,the US-guided coaxial CNB of the spleen was ca-rried out.The patient did not express any discomfort during the procedure.CONCLUSION Percutaneous US-guided coaxial CNB is an excellent and safe option for obtaining precise splenic tissue samples,as it significantly enhances sample yield for exact pathological analysis with minimum trauma to the spleen parenchyma and sur-rounding tissue. 展开更多
关键词 SPLEEN Splenic disease Ultrasound BIOPSY Ultrasound-guided coaxial core needle biopsy Case report
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Potential treatment approaches for malignant peritoneal mesothelioma:in vivo and in vitro experimental study of natural killer cell immunotherapy
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作者 Heliang Wu Yi Wang +12 位作者 Yulin Lin Ru Ma Xuemei Du Yandong Su rui yang Zhiran yang Xinli Liang Yinguang Zhang Xiaoqing Liang Zhonghe Ji Chunning Lai Yajing Huang Yan Li 《Cancer Biology & Medicine》 CSCD 2024年第11期1078-1094,共17页
Objective:Malignant peritoneal mesothelioma(MPM)is a rare primary malignant tumor with an extremely poor prognosis that currently lacks effective treatment options.This study investigated the in vitro and in vivo effi... Objective:Malignant peritoneal mesothelioma(MPM)is a rare primary malignant tumor with an extremely poor prognosis that currently lacks effective treatment options.This study investigated the in vitro and in vivo efficacy of natural killer(NK)cells for treatment of MPM.Methods:An in vitro study was conducted to assess the cytotoxicity of NK cells from umbilical cord blood to MPM cells with the use of a high-content imaging analysis system,the Cell Counting Kit-8 assay,and Wright-Giemsa staining.The level of NK cell effector molecule expression was detected by flow cytometry and enzyme-linked immunosorbent assays.The ability of NK cells to kill MPM cells was determined based on live cell imaging,transmission electron microscopy,and scanning electron microscopy.An in vivo study was conducted to assess the efficacy and safety of NK cell therapy based on the experimental peritoneal cancer index,small animal magnetic resonance imaging,and conventional histopathologic,cytologic,and hematologic studies.Results:NK cells effectively killed MPM cells through the release of effector molecules(granzyme B,perforin,interferon-γ,and tumor necrosis factor-α)in a dose-and density-dependent manner.The NK cell killing process potentially involved four dynamic steps:chemotaxis;hitting;adhesion;and penetration.NK cells significantly reduced the tumor burden,diminished ascites production,and extended survival with no significant hematologic toxicity or organ damage in NOG mice.Conclusions:NK cell immunotherapy inhibited proliferation of MPM cells in vitro and in vivo with a good safety profile. 展开更多
关键词 Malignant peritoneal mesothelioma natural killer cells IMMUNOTHERAPY cell immunotherapy intraperitoneal injection
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Runoff Characteristics of Different Stands in Dongjiang Lake Reservoir Area
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作者 Zhangquan ZENG Yaqin XIAO +5 位作者 Dewei XIAO Qinxiang SHAN Ni ZHANG yang SONG Canming ZHANG rui yang 《Meteorological and Environmental Research》 2024年第4期36-38,共3页
Different forest stands in the Dongjiang Lake Reservoir area of Zixing were selected as the research objects to study the characteristics of runoff generation in different forest stands.The results showed that there w... Different forest stands in the Dongjiang Lake Reservoir area of Zixing were selected as the research objects to study the characteristics of runoff generation in different forest stands.The results showed that there was no significant difference in annual runoff among M3,M1,and M5,and no significant difference between each forest stand and the control.The order was M3(22.75 mm)>M1(21.77 mm)>M5(20.14 mm).Forest vegetation generates less runoff through vegetation restoration compared to the control,indicating that forest vegetation reconstruction and restoration are beneficial for soil and water conservation. 展开更多
关键词 Dongjiang Lake Reservoir area STAND Surface runoff Forest management
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不同麻醉方式对直肠癌患者免疫功能的影响 被引量:7
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作者 王晖 杨春艳 +2 位作者 宋宇龙 杨瑞 王臻 《中国现代医学杂志》 CAS 2018年第24期70-76,共7页
目的探讨不同麻醉方式对二氧化碳CO_2气腹腹腔镜下直肠癌手术患者围手术期免疫功能的影响。方法选取2013年1月-2015年12月该院行直肠癌手术的患者94例。比较单纯全身麻醉(GA)、硬脊膜外腔麻醉复合全身麻醉(EA)及EA下6%羟乙基淀粉液急性... 目的探讨不同麻醉方式对二氧化碳CO_2气腹腹腔镜下直肠癌手术患者围手术期免疫功能的影响。方法选取2013年1月-2015年12月该院行直肠癌手术的患者94例。比较单纯全身麻醉(GA)、硬脊膜外腔麻醉复合全身麻醉(EA)及EA下6%羟乙基淀粉液急性高容量血液稀释(EA+AHH)麻醉对患者术中一般情况、麻醉情况、围手术期不良反应、随访1个月内并发症发生情况及术前、术中和术后不同时间点患者细胞、体液免疫及血清炎症因子水平变化的影响。结果EA+AHH组术中血压波动、术后苏醒即刻视觉模拟评分(VAS)、不良反应及随访期内感染率低于其他两组;CD3^+、CD4^+、自然杀伤细胞(NK)水平及补体C3、C4水平下降幅度低于其他两组;血清炎症因子水平升高幅度低于其他两组(P<0.05)。结论EA+AHH麻醉方案可改善CO_2气腹腹腔镜下直肠癌手术患者术后细胞和体液免疫状态,降低术后感染风险,值得临床推广应用。 展开更多
关键词 急性高容量血液稀释 硬脊膜外腔复合全身麻醉 CO2气腹 直肠癌 免疫功能
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肥胖儿童心率变异特征与血脂代谢、脂肪细胞因子含量的相关性分析 被引量:6
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作者 张京杨 曹晓晓 +4 位作者 文红霞 杨睿 王文娟 王充亮 李敏 《中国现代医学杂志》 CAS 北大核心 2017年第18期79-82,共4页
目的分析肥胖儿童心率变异特征与血脂代谢、脂肪细胞因子含量的相关性。方法选取2014年6月-2016年7月该院收治的肥胖儿童260例作为观察组,另取同期在该院接受疫苗接种的健康儿童200例作为对照组。采用24 h动态心电图获取两组研究对象的... 目的分析肥胖儿童心率变异特征与血脂代谢、脂肪细胞因子含量的相关性。方法选取2014年6月-2016年7月该院收治的肥胖儿童260例作为观察组,另取同期在该院接受疫苗接种的健康儿童200例作为对照组。采用24 h动态心电图获取两组研究对象的心率变异性指标,测定血液血脂代谢及脂肪细胞因子含量。进一步采用Pearson检验分析肥胖儿童心率变异特征与血脂代谢、脂肪细胞因子含量的相关性。结果观察组儿童的窦性心搏RR间期标准差(SDNN)、每5分钟RR间期平均值的标准差(SDANN)、全部相邻RR间期之差的均方根(RSMSSD)和每5分钟内RR间期标准差的平均值(SDNN Index)等心率变异性指标值均低于对照组儿童(P<0.05);观察组儿童的外周血脂质代谢指标中总胆固醇(TC)、三酰甘油(TG)及低密度脂蛋白胆固醇(LDL-C)含量均高于对照组儿童,高密度脂蛋白胆固醇(HDL-C)含量低于对照组儿童(P<0.05);观察组儿童的血清脂肪细胞因子瘦素(Leptin)、脂联素(APN)和视黄醇结合蛋白4(RBP-4)含量低于对照组儿童,白介素6(IL-6)含量高于对照组儿童(P<0.05);肥胖儿童的心率变异性指标SDNN、SDANN、RSMSSD及SDNN Index水平与脂质代谢指标及脂肪细胞因子含量均存在直接相关性(P<0.05)。结论肥胖儿童心率变异特征与机体脂质代谢及脂肪细胞因子含量间存在相关性,过度肥胖是导致儿童心功能异常的重要原因。 展开更多
关键词 肥胖儿童 心率变异性 血脂代谢 脂肪细胞因子
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山地城市旅游景区空间结构分形研究——以安康市为例 被引量:18
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作者 芮旸 马滕 +2 位作者 王兴 唐蓓佩 赵新正 《山地学报》 CSCD 北大核心 2018年第4期607-616,共10页
针对不同维数的特殊地理意义挖掘不足、分维测算方法的合理改进缺乏、分形方法与其他方法的互补融合不够等既有研究存在的问题,综合运用三种基本分维和拓扑图论、社会网络分析、GIS方法,以安康市为例,刻画山地城市旅游景区空间结构的分... 针对不同维数的特殊地理意义挖掘不足、分维测算方法的合理改进缺乏、分形方法与其他方法的互补融合不够等既有研究存在的问题,综合运用三种基本分维和拓扑图论、社会网络分析、GIS方法,以安康市为例,刻画山地城市旅游景区空间结构的分形特征。结果表明:(1)统筹考虑地理中心性和网络中心性选定的中心景区吸引作用强,但吸附半径有限,景区空间结构因而表现出多分形特征,子系统的分形特征与市域地貌格局有关;(2)安康市景区系统分形结构较复杂,其自组织演化是以中心城区等局部集聚中心为节点,沿汉江干支流及主要交通干道等线状要素展开的过程;(3)受山地地形地质条件及其形塑的道路特点影响,安康市景区间的通达性和关联性总体较好,但旅游交通网络的回路性较差;(4)安康市景区分布的空间集聚和轴线依托特征突出、多中心结构形态初显,景区系统演化的有序性较强且有自组织优化趋势,总体上有利于景区合理布局的形成。研究可为旅游空间结构研究、山地城市分形研究提供参考。 展开更多
关键词 分形方法 旅游景区 空间结构 山地城市 安康市
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