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Neural Respiratory Drive Measured Using Surface Electromyography of Diaphragm as a Physiological Biomarker to Predict Hospitalization of Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients

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Chinese Medical Journal 2018年第23期131卷 2800-2807页

作者： dan-dan zhang Gan Ln Xaan-Feng Zhu Ling-Ling zhang Jia Gao Li-Cheng Shi Jian-Hua Gu Jian-Nan Liu Chronic Airway Disease Research Office Department of RespiratoryGeriatric Hospital of Nanjing Medical UniversityJiangsu Province Geriatric HospitalNanjingJiangsu 210024China

Background: Neural respiratory drive (NRD) using diaphragm electromyography through an invasive transesophageal multi?electrode catheter can be used as a feasible clinical physiological parameter in patients with chronic obstructive pulmonary disease (COPD) to provide useful information on the treatment response. However, it remains unknown whether the surface diaphragm electromyogram (EMGdi) could be used to identify the deterioration of clinical symptoms and to predict the necessity of hospitalization in acute exacerbation of COPD (AECOPD) patients. Methods: COPD patients visiting the outpatient department due to acute exacerbation were enrolled in this study. All patients who were subjected to EMGdi and classical parameters such as spirometry parameters, arterial blood gas analysis, COPD assessment test (CAT) score, and the modified early warning score (MEWS) in outpatient department, would be treated effectively in the outpatient or inpatient settings according to the Global Initiative for Chronic Obstructive Lung Disease guideline. When the acute exacerbation of the patients was managed, all the examination above would be repeated. Results: We compared the relationships of admission?to?discharge changes (Δ) in the normalized value of the EMGdi, including the change of the percentage of maximal EMGdi (ΔEMGdi%max) and the change of the ratio of minute ventilation to the percentage of maximal EMGdi (ΔVE/EMGdi%max) with the changes of classical parameters. There was a significant positive association between ΔEMGdi%max and ΔCAT,ΔPaCO2, and ΔpH. The change (Δ) of EMGdi%max was negatively correlated with ΔPaO2/FiO2 in the course of the treatment of AECOPD. Compared with the classical parameters including forced expiratory volume in 1 s, MEWS, PaO2/FiO2, the EMGdi%max (odds ratio 1.143, 95% confidence interval 1.004–1.300) has a higher sensitivity when detecting the early exacerbation and enables to predict the admission of hospital in the whole cohort. Conclusions: T

关键词： Acute Exacerbation of Chronic Obstructive Pulmonary Disease Neural Respiratory Drive Surface Diaphragm Electromyography

Global changes of 5-hydroxymethylcytosine and 5-methylcytosine from normal to tumor tissues are associated with carcinogenesis and prognosis in colorectal cancer

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2017年第9期18卷 747-756页

作者： Yi-ping TIAN Ai-fen LIN Mei-fu GAN Hao WANG dan YU Chong LAI dan-dan zhang Yi-min ZHU Mao-de LAI Department of Pathology School of Medicine Zhejiang University Key Laboratory of Disease Proteomics of Zhejiang Province Pathology Department Zhejiang Cancer Hospital Medical Research Center/Human Tissue Bank Taizhou Hospital of Zhejiang Province Wenzhou Medical University Department of Pathology Taizhou Hospital of Zhejiang Province Wenzhou Medical University Department of Urology the First Affiliated Hospital School of Medicine Zhejiang University Department of Epidemiology and Biostatistics School of Public Health Zhejiang University

Aberrant DNA methylation has raised widespread attention in tumorigenesis. In this study, we aimed to investigate the changes of global DNA methylation and hydroxymethylation from normal to tumor tissues in colorectal cancer(CRC) and their association with the prognosis. The levels of genomic 5-hydroxymethylcytosine(5hmC) and 5-methylcytosine(5mC) in cancerous tissues were significantly lower than those in corresponding adjacent normal tissues. The genomic levels of 5mC were significantly positively correlated with 5hmC in normal and cancerous tissues(all P<0.05). The ratio of 5mC in cancerous tissues to matched normal tissues(C/N-5mC) was also significantly positively correlated with the ratio of 5hmC in cancerous tissues to matched normal tissues(C/N-5hmC)(P=0.01). The 5mC levels and C/N-5mC ratios decreased with age(all P<0.05). Higher 5mC and 5hmC levels were found in rectal than in colon tissues(all P<0.05). High levels of 5mC in cancerous tissues and high C/N-5hmC ratios were each associated with lymph node metastasis(all P<0.05). Survival analysis indicated that the C/N-5mC ratio(P=0.04) is an independent protective factor for overall survival. The data showed that patients with a combination of high C/N-5hmC and low C/N-5mC ratios tended to have a worse prognosis(P<0.01). Our findings showed that the C/N-5mC ratio may be an independent prognostic factor for CRC outcome. Patients with both a high C/N-5hmC ratio and a low C/N-5mC ratio exhibited the worst survival, suggesting that 5mC and 5hmC can be used as critical markers in tumorigenesis and prognosis estimation.

关键词： 5-Hydroxymethylcytosine(5hmC) 5-Methylcytosine(5mC) Prognosis Colorectal cancer

Outpatient Surgery in Zhongshan Ophthalmic Center： Promise and Problems

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Chinese Medical Journal 2017年第13期130卷 1623-1624页

作者： Zhi-Gang Fan dan-dan zhang Zhong-Wen Li Yao Yang Xiao-Feng Lin State Key Laboratory of Ophthalmology Zhongshan Ophthalmic Center Sun Yat-sen University Guangzhou Guangdong 510060 China

To the Editor： The Chinese government is actively advocating medical reform, aiming at reducing medical costs, and improving service quality. As to ophthalmology, transition from traditional hospitalized surgery to a predominant outpatient mode could be a solution. Zhongshan Ophthalmic Center （ZOC） is one of the largest and leading ophthalmic centers in China,

关键词： Outpatient Surgery Zhongshan Ophthalmic Center Promise and Problems

Reduced SARS-CoV-2 infection risk is associated with the use of Seven-Flavor Herb Tea:A multi-center observational study in Shanghai,China

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Journal of Integrative Medicine 2023年第4期21卷 369-376页

作者： Shun-xian zhang Xiao-xu Chen Yong Zheng Bing-hua Cai Wei Shi Ming Ru Hui Li dan-dan zhang Yu Tian Yue-lai Chen Clinical Research Center Longhua HospitalShanghai University of Traditional Chinese MedicineShanghai 200032China Medical Affairs Department Longhua HospitalShanghai University of Traditional Chinese MedicineShanghai 200032China Medical Affairs Department of Minhang District Health Committee Shanghai 201199China Medical Affairs Department of Fengxian District Health Committee Shanghai 201499China Medical Affairs Department of Jinshan District Health Committee Shanghai 200540China Medical Affairs Department of Xuhui District Health Committee Shanghai 200030China Medical Affairs Department of Changning District Health Committee Shanghai 200050China Medical Affairs Department Jinshan TCM-Integrated HospitalShanghai 201501China Sleep Medicine Center Longhua HospitalShanghai University of Traditional Chinese MedicineShanghai 200032China

Objective:Omicron,a severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)variant,is responsible for numerous infections in *** study investigates the association between the use of Seven-Flavor Herb Tea(SFHT)and the risk of SARS-CoV-2 infection to develop precise and differentiated strategies for control of the coronavirus disease 2019(COVID-19).Methods:This case-control study was conducted at shelter hospitals and quarantine hotels in China.A total of 5348 laboratory-confirmed COVID-19 patients were enrolled between April 1 and May 31,2022,while 2190 uninfected individuals served as healthy *** questionnaires were used to collect data on demographics,underlying diseases,vaccination status,and use of *** were propensity-score-matched using 1:1 nearest-neighbor matching of the logit of the propensity ***,a conditional logistic regression model was used for data ***:Overall,7538 eligible subjects were recruited,with an average age of[45.54±16.94]*** age of COVID-19 patients was significantly higher than that of uninfected individuals([48.25±17.48]years vs[38.92±13.41]years;t=22.437,P<0.001).A total of 2190 COVID-19 cases were matched with uninfected individuals at a 1:1 *** use of SFHT(odds ratio=0.753,95%confidence interval:0.692,0.820)was associated with a lower risk of SARS-CoV-2 infection compared to untreated ***:Our findings suggest that taking SFHT reduces the risk of SARS-CoV-2 *** is a useful study in the larger picture of COVID-19 management,but data from large-sample multi-center,randomized clinical trial are warranted to confirm the finding.

关键词： COVID-19 SARS-CoV-2 Seven-Flavor Herb Tea

Clinical Manifestations and Amplitude-integrated Encephalogram in Neonates with Early-onset Epileptic Encephalopathy

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Chinese Medical Journal 2017年第23期130卷 2808-2815页

作者： Li-Li Liu Xin-Lin Hou dan-dan zhang Guo-Yu Sun Cong-Le Zhou Yi Jiang Ze-Zhong Tang Rui zhang Yun Cui Department of Pediatrics Peking University First Hospital Beijing 100034 China Shenzhen Key Laboratory of Affective and Social Cognitive Science College of Psychology and Sociology Shenzhen University Shenzhen Guangdong 518060 China

Background： The patients with early-onset epileptic encephalopathy （EOEE） suffer from neurodevelopmental delay. The aim of this study was to analyze the clinical manifestations and amplitude-integrated encephalogram （aEEG） characteristics of infants with EOEE with onset within the neonatal period, to make early diagnosis to improve the prognosis. Methods： One-hundred and twenty-eight patients with neonatal seizure were enrolled and followed up till 1 year old. Sixty-six neonates evolved into EOEE were as the EOEE group, the other 62 were as the non-EOEE （nEOEE） group. Then we compared the clinical and aEEG characteristics between the two groups to analyze the manifestations in neonates with EOEE. Results： Compared to the nEOEE group, the incidence of daily seizure attacks, more than two types of convulsions, more than two antiepileptic drugs （AEDs） application, severely abnormal aEEG background, absence of cyclicity, and more than two seizures detection were significantly higher in the EOEE group （P 〈 0.05）（97% vs. 54.8%; 30.3% vs. 14.5%; 97.0% vs. 25.4%; 39.4% vs. 3.2%; 57.6% vs. 9.7%; and 56% vs. 3.2%, respectively）. Severely abnormal background pattern （odds ratio [OR] = 0.081, 95% confidence interval [CI]：0.009-0.729, P = 0.025） and more than two seizures detection by aEEG （OR = 0.158, 95% CI： 0.043-0.576, P = 0.005） were the independent risk factors for the evolvement into EOEE. The upper and lower margins of active sleep （AS） and quiet sleep （QS） were significantly higher in EOEE group than those of the control group （P 〈 0.05）（34.3 ± 13.6 vs. 21.3 ± 6.4; 9.9 ± 3.7 vs. 6.7 ± 2.2; 41.2 ± 15.1 vs. 30.4 ± 11.4;and 11.9 ± 4.4 vs. 9.4 ± 4.0; unit： μV, respectively）. AS upper margin was demonstrated a higher diagnostic specificity and sensitivity for EOEE than another three parameters according to the receiver operating characteristic curves; the area under the curve was 0.827. Conclusions： The clinical characteristics of the neonatal seizure which will evolve int

关键词： Amplitude-integrated Electroencepholography: Early-onset Epileptic Encephalopathy: Neonatal-onset: Newborn

Expression and clinical significance of calcitonin receptor stimulating peptide-3(CRSP-3) in placenta tissue of preeclampsia patients

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Journal of Reproduction and Contraception 2015年第4期26卷 205-212页

作者： Jia-ren ZHOU dan-yang KANG Chun-hui WANG dan-dan zhang Chong QIAO Department of Obstetrics and Gynecology Shengjing Hospital China Medical University Department of Hepatobiliary Surgery General Hospital of Shenyang Military Region

Objective To study clinical significance and the difference of calcitonin receptor stimulating peptide-3 （CRSP-3） expression in placenta tissue between normal preg- nancies and patients with preeclampsia. Methods CRSP-3 expression position in placenta tissues of 50 cases with preeclampsia （preeclampsia group： 25 cases of mild preeclampsia and 25 cases of severe preeclampsia） and 30 cases of normal late pregnancy （control group） was detected using immunohistochemical methods. CRSP-3 mRNA and protein expression in placenta tissues was detected using Real-time PCR and Western blotting method. Results Syncytiotrophoblast and cytotrophoblast cells expressed CRSP-3 in placenta tissue of preeclampsia and normal pregnancy patients. The expression levels of CRSP- 3 mRNA and protein in placenta tissue ofpreeclampsia patients were higher than those in control group （P〈O.05）. The expression levels of CRSP-3 mRNA and protein in placenta tissue of severe preeclampsia patients were higher than those in control group （P〈0.01） significantly. The expression level of CRSP-3 mRNA and protein in placenta tissue of severe preeclampsia group was slightly higher than that in mild preeclampsia group, but there were no statistical differences between the two groups （P〉0. 05）. Conclusion The up-regulation of CRSP-3 in placenta of preeclamptic patients may be associated with the etiology of preeclampsia, but may have no relation with progress and degree of preeclampsia.

关键词： calcitonin receptor stimulating peptide-3 (CRSP-3) placenta preeclampsia

Variational quantum algorithms for scanning the complex spectrum of non-Hermitian systems

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Frontiers of physics 2024年第4期19卷 275-285页

作者： Xu-dan Xie Zheng-Yuan Xue dan-Bo zhang Key Laboratory of Atomic and Subatomic Structure and Quantum Control(Ministry of Education) Guangdong Basic Research Center of Excellence for Structure and Fundamental Interactions of Matterand School of PhysicsSouth China Normal UniversityGuangzhou 510006China Guangdong Provincial Key Laboratory of Quantum Engineering and Quantum Materials Guangdong–Hong Kong Joint Laboratory of Quantum Matterand Frontier Research Institute for PhysicsSouth China Normal UniversityGuangzhou 510006China

Solving non-Hermitian quantum many-body systems on a quantum computer by minimizing the variational energy is challenging as the energy can be ***,we propose a variational quantum algorithm for solving the non-Hermitian Hamiltonian by minimizing a type of energy variance,where zero variance can naturally determine the eigenvalues and the associated left and right ***,the energy is set as a parameter in the cost function and can be tuned to scan the whole spectrum efficiently by using a two-step optimization *** numerical simulations,we demonstrate the algorithm for preparing the left and right eigenstates,verifying the biorthogonal relations,as well as evaluating the *** also investigate the impact of quantum noise on our algorithm and show that its performance can be largely improved using error mitigation ***,our work suggests an avenue for solving non-Hermitian quantum many-body systems with variational quantum algorithms on near-term noisy quantum computers.

关键词： quantum algorithm non-Hermitian physics quantum manybody systems

Total ionizing dose effect modeling method for CMOS digital-integrated circuit

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Nuclear Science and Techniques 2024年第2期35卷 32-46页

作者： Bo Liang Jin-Hui Liu Xiao-Peng zhang Gang Liu Wen-dan Tan Xin-dan zhang School of Computer Science and Technology Xidian UniversityXi’an 710071China

Simulating the total ionizing dose(TID)of an electrical system using transistor-level models can be difficult and expensive,particularly for digital-integrated circuits(ICs).In this study,a method for modeling TID effects in complementary metaloxide semiconductor(CMOS)digital ICs based on the input/output buffer information specification(IBIS)was *** digital IC was first divided into three parts based on its internal structure:the input buffer,output buffer,and functional *** of these three parts was separately *** the IBIS model,the transistor V-I characteristic curves of the buffers were processed,and the physical parameters were extracted and modeled using *** the functional area,logic functions were modeled in VHDL according to the data sheet.A golden digital IC model was developed by combining the input buffer,output buffer,and functional area ***,the golden ratio was reconstructed based on TID experimental data,enabling the assessment of TID effects on the threshold voltage,carrier mobility,and time series of the digital *** experiments were conducted using a CMOS non-inverting multiplexer,NC7SZ157,and the results were compared with the simulation results,which showed that the relative errors were less than 2%at each dose *** confirms the practicality and accuracy of the proposed modeling *** TID effect model for digital ICs developed using this modeling technique includes both the logical function of the IC and changes in electrical properties and functional degradation impacted by TID,which has potential applications in the design of radiation-hardening tolerance in digital ICs.

关键词： CMOS digital-integrated circuit Total ionizing dose IBIS model Behavior-physical hybrid model Physical parameters

A Local Tb Theorem for Square Functions and Parabolic Layer Potentials

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Acta Mathematica Sinica,English Series 2024年第8期40卷 1941-1966页

作者： Zhi dan WANG Guo Ming zhang School of Physical and Mathematical Sciences Nanjing Tech UniversityNanjing 211816P.R.China Frontiers Science Center for Nonlinear Expectations Ministry of EductionResearch Center for Mathematics and Interdisciplinary SciencesShandong UniversityQingdao266237P.R.China

In this paper,we give a locally parabolic version of Tb theorem for a class of vector-valued operators with off-diagonal decay in L^(2) and certain quasi-orthogonality on a subspace of L^(2),in which the testing functions themselves are also *** an application,we establish the boundedness of layer potentials related to parabolic operators in divergence form,defined in the upper half-space Rn+2+:={(x,t,λ)∈R^(n+1)×(0,∞)},with uniformly complex elliptic,L^(∞),t,λ-independent coefficients,and satisfying the De Giorgi/Nash estimates.

关键词： Local Tb theorems Calderon-Littlewood-Paley family Parabolic layer potentials Carleson measure estimates