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Effectiveness and Safety of Qishen Yiqi Dripping Pill in Patients with Acute Coronary Syndrome after Percutaneous Coronary Intervention:3-year Results from a Multicentre Cohort Study

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Chinese Journal of Integrative Medicine 2024年第10期30卷 877-885页

作者： BAI Rui-na GU Feng CHE Qian-zi ZHANG Xuan CAI Ya-jie XI Rui-xi ZHAO Yang GUO Ming DONG Guo-ju gao zhu-ye FU Chang-geng WANG Pei-li DU Jian-peng ZHANG Da-wu DUAN Wen-hui LI Li-zhi YANG Qiao-ning SHI Da-zhuo Department of Cardiovascular Xiyuan HospitalChina Academy of Chinese Medical SciencesBeijing100091China National Clinical Research Center for Chinese Medicine Cardiology Beijing100091China Department of Evidence-Based Medicine Basic Research Laboratory Institute of Basic Research in Clinical MedicineChina Academy of Chinese Medical SciencesBeijing100700China Department of Traditional Chinese Medicine Beijing Shangdi HospitalBeijing100193China National Medical Products Administration Key Laboratory for Clinical Research and Evaluation of Traditional Chinese MedicineBeijing100091China

Objectives:To evaluate the effectiveness and safety of Qishen Yiqi Dripping Pill(QSYQ)in patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI).Methods:This multicentre prospective cohort study was conducted at 40 centers in *** with ACS after PCI entered either the QSYQ or Western medicine(WM)groups naturally based on whether they had received QSYQ before *** group received QSYQ(0.52 g,3 times a day for 12 months)in addition to *** primary endpoint included cardiac death,non-fatal myocardial infarction,and urgent *** secondary endpoint included rehospitalization due to ACS,heart failure,stroke,and other thrombotic *** of life was assessed by the Seattle Angina Questionnaire(SAQ).Results:A total of 936 patients completed follow-up of the primary endpoint from February 2012 to December ***,487 patients received QSYQ and *** a median follow-up of 566 days(inter quartile range,IQR,517–602),the primary endpoint occurred in 46(9.45%)and 65(14.48%)patients in QSYQ and WM groups respectively[adjusted hazard ratio(HR)0.60,95%confidence interval(CI)0.41–0.90;P=0.013].The secondary endpoint occurred in 61(12.53%)and 74(16.48%)patients in QSYQ and WM groups,respectively(adjusted HR 0.76,95%CI 0.53–1.09;P=0.136).In sensitivity analysis,the results still demonstrated that WM combined with QSYQ reduced the risk of the primary endpoint(HR 0.67,95%CI 0.46–0.98;P=0.039).Moreover,QSYQ improved the disease perception domain of the SAQ(P<0.05).Conclusions:In patients with ACS after PCI,QSYQ combined with WM reduced the incidence of the primary *** findings provide a promising option for managing ACS after PCI and suggest the potential treatment for reducing the risk of primary endpoint included cardiac death,non-fatal myocardial infarction,and urgent revascularization through intermittent administration of QSYQ.(Registration *** CTR-OOC-14005552).

关键词： Qishen Yiqi Dripping Pill acute coronary syndrome percutaneous coronary intervention primary and secondary endpoint

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急性冠脉综合征瘀毒互结证诊断标准研究

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中国中西医结合杂志 2024年第5期44卷 543-547页

作者：田文得鞠建庆高洁付长庚高铸烨薛梅徐浩史大卓陈可冀中国中医科学院西苑医院心血管病中心国家中医心血管病临床医学研究中心北京100091

目的基于冠心病“瘀毒”病因病机的理论认识,建立急性冠脉综合征瘀毒互结证诊断标准。方法采用文献系统分析与横断面临床研究构建条目池,采用德尔菲法专家咨询对条目进行筛选,采用层次分析法确定各条目权重。在此基础上,结合条目权重... 详细信息

目的基于冠心病“瘀毒”病因病机的理论认识,建立急性冠脉综合征瘀毒互结证诊断标准。方法采用文献系统分析与横断面临床研究构建条目池,采用德尔菲法专家咨询对条目进行筛选,采用层次分析法确定各条目权重。在此基础上,结合条目权重及临床实用性原则建立诊断标准。结果文献系统分析筛选条目43个,横断面临床研究纳入患者400例,筛选条目39个,归纳分类后形成包含67个条目的条目池;经过两轮德尔菲专家咨询,筛选保留条目28个;通过层次分析法,确定高权重类条目(0.0430~0.1976)9个、中权重类条目(0.0153~0.0289)9个与低权重类条目(0.0060~0.0147)10个。结合临床实用性原则,优化形成包括必要指标(心绞痛程度进行性加重、近1个月反复发作性心绞痛等)、理化指标(心脏肌钙蛋白或肌酸激酶同工酶升高等)及舌象脉象(舌青紫或紫暗等、脉弦细或脉涩)3个维度的急性冠脉综合征瘀毒互结证诊断标准。两轮专家问卷咨询肯德尔和谐系数分别为0.368、0.395,格朗巴赫系数为分别为0.967、0.893,提示专家意见一致性好,结果可信度高。结论该诊断标准涵盖了反映瘀毒互结致病特点的宏观表征和理化指标,可指导急性冠脉综合征瘀毒互结证的诊断。

关键词：急性冠脉综合征瘀毒互结证德尔菲法层次分析法诊断标准

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冠心病中医核心数据集构建思路

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中国中西医结合杂志 2024年第7期44卷 864-867页

作者：贾君迪鞠建庆高铸烨李金根赖润民石榴徐浩北京中医药大学研究生院北京100029 国家中医心血管病临床医学研究中心中国中医科学院西苑医院北京100091 北京中医药大学东直门医院心内科北京100700

核心数据集是临床采集的标准化数据集合,有助于数据标准统一,提高数据质量,为中医药高级别循证医学证据的形成提供支撑。笔者概述核心数据集的概念、研究现状与意义,探索冠心病中医核心数据集实施的思路方法,并提出难点与解决策略,以期... 详细信息

核心数据集是临床采集的标准化数据集合,有助于数据标准统一,提高数据质量,为中医药高级别循证医学证据的形成提供支撑。笔者概述核心数据集的概念、研究现状与意义,探索冠心病中医核心数据集实施的思路方法,并提出难点与解决策略,以期为构建具有中医特色的核心数据集、提升中医药研究质量提供基础。

关键词：核心数据集中医中西医结合冠心病

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Asymmetric Dimethylarginine Predicts One-year Recurrent Cardiovascular Events: Potential Biomarker of "Toxin Syndrome" in Coronary Heart Disease

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Chinese Journal of Integrative Medicine 2019年第5期25卷 327-333页

作者： XU Hao CHEN zhuo SHANG Qing-hua gao zhu-ye YU Chang-an SHI Da-zhuo CHEN Ke-ji Cardiovascular Diseases Center Xiyuan HospitalChina Academy of Chinese Medical SciencesBeijing(100091)China Department of Cardiology China-Japan Friendship HospitalBeijing(100029)China

Objective: To examine the prognostic value of serum levels of asymmetric dimethylarginine(ADMA)in patients with stable coronary heart disease(CHD) thus explore a potential biomarker of "toxin syndrome" in ***: In this prospective nested case-control study, 36 of 1,503 Chinese patients with stable CHD experienced at least 1 recurrent cardiovascular event(RCE) during 1-year fol ow-up. Serum levels of ADMA at the start of fol ow-up were compared between these 36 cases and 36 controls which matched to cases in terms of gender, age, history of hypertension, and myocardial infarction. Results: Based on the crude model, subjects in the 2 highest ADMA quartiles showed signi?cantly higher risk of developing RCE than those in the lowest ADMA quartile [odds ratio(OR) 4.09, 95%confidence interval(CI) 1.01 to 16.58; OR 6.76, 95% CI 1.57 to 29.07]. This association was also observed in the case-mix model(OR 5.51, 95% CI 1.23 to 24.61; OR 7.83, 95% CI 1.68 to 36.41) and multivariable model(OR 6.64,95% CI 1.40 to 31.49; OR 13.14, 95% CI 2.28 to 75.71) after adjusting for confounders. The multivariable model which combined ADMA and high-sensitivity C-reactive protein(hs CRP) showed better predictive power with areas under the receiver operator characteristic curves(0.779) than the model of either ADMA(0.694) or hs CRP(0.636). Conclusion:Serum ADMA level may be a potential biomarker of "toxin syndrome" in CHD which shows favorable prognostic value in predicting 1-year RCE in patients with stable CHD. [The registration number is Chi CTR-PRNRC-07000012]

关键词： asymmetric dimethylarginine recurrent cardiovascular event nested case-control study coronary heart disease toxin syndrome

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Learning accurate template matching with differentiable coarseto-fine correspondence refinement

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Computational Visual Media 2024年第2期10卷 309-330页

作者： Zhirui gao Renjiao Yi Zheng Qin Yunfan ye Chenyang zhu Kai Xu College of Computer National University of Defense TechnologyChangsha 410073China

Template matching is a fundamental task in computer vision and has been studied for *** plays an essential role in manufacturing industry for estimating the poses of different parts,facilitating downstream tasks such as robotic *** methods fail when the template and source images have different modalities,cluttered backgrounds,or weak *** also rarely consider geometric transformations via homographies,which commonly exist even for planar industrial *** tackle the challenges,we propose an accurate template matching method based on differentiable coarse-tofine correspondence *** use an edge-aware module to overcome the domain gap between the mask template and the grayscale image,allowing robust *** initial warp is estimated using coarse correspondences based on novel structure-aware information provided by *** initial alignment is passed to a refinement network using references and aligned images to obtain sub-pixel level correspondences which are used to give the final geometric *** evaluation shows that our method to be significantly better than state-of-the-art methods and baselines,providing good generalization ability and visually plausible results even on unseen real data.

关键词： template matching differentiable homography structure-awareness transformers

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Mechanistic investigation on the Hg^(0)elimination ability of MnO_(x)-CeO_(x)nanorod adsorbents:effects of Mn/Ce molar ratio

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Waste Disposal and Sustainable Energy 2024年第2期6卷 185-196页

作者： Shujie gao Xiaoxiang Wang Yaolin Wang Kai zhu Changxing Hu Dong ye College of Quality and Safety Engineering China Jiliang UniversityHangzhou 310018China Key Laboratory of Biomass Chemical Engineering of Ministry of Education Institute of Industrial Ecology and EnvironmentCollege of Chemical and Biological EngineeringZhejiang UniversityHangzhou 310027China Department of Electrical Engineering and Electronics University of LiverpoolLiverpool L693GJUK Ningbo Tech University No.1 Qianhu South RoadNingbo 315100China

Mercury pollution is created by coal combustion processes in multi-component *** injection was identified as a potential strategy for capturing Hg^(0)from waste gases,with adsorbents serving as the primary *** hydro-thermal approach was used to synthesize a series of MnO_(x)-CeO_(x)nanorod adsorbents with varying Mn/Ce molar ratios to maximize the Hg^(0)capture *** CeO,had weak Hg elimination activity;<8%Hg^(0)removal efficiency was obtained from 150℃to 250℃.With the addition of MnOr,the amount of surface acid sites and the relative concentration of Mn4+*** ensured the sufficient adsorption and oxidation of Hg while overcoming the limitations of restricted adsorbate-adsorbent interactions caused by the lower surface area,endowing MnO_(x)-CeO_(x)with increased Hg^(0)removal *** the molar ratio of Mn/Ce reached 6/4,the adsorbent's Hg^(0)removal efficiency remained over 92%at 150℃and 200℃.As the molar ratio of Mn/Ce grew,the adsorbent's Hg^(0)elimination capacity declined due to decreased surface area,weakened acidity,and decreased activity of Mn^(4+);<75%Hg^(0)removal efficiency was reached between 150℃and 250℃for virgin *** the overall Hg'elimination reactions,Mn4+and *** in charge of oxidizing Hg^(0)to Hg^(0),with Ce^(4+)acting as a promoter to aid in the regeneration of Mn^(4+),Because of its limited adaptability to flue gas components,further optimization of the MnO_(x)-CeO_(x)nanorod adsorbent is required.

关键词： Hg^(0)capture MnO_(x)-CeO_(x)nanorods Mn/Ce molar ratio Acid properties Redox behaviors

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A novel relationship between elastic modulus and void ratio associated with principal stress for coral calcareous sand

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Journal of Rock Mechanics and Geotechnical Engineering 2024年第3期16卷 1033-1048页

作者： Ran gao Jianhong ye State Key Laboratory of Geomechanics and Geotechnical Engineering Institute of Rock and Soil MechanicsChinese Academy of SciencesWuhan430071China University of Chinese Academy of Sciences Beijing100049China

Elastic moduli,*** modulus G and bulk modulus K,are important parameters of geotechnical materials,which are not only the indices for the evaluation of the deformation ability of soils but also the important basic parameters for the development of the constitutive models of geotechnical *** this study,a series of triaxial loading-unloading-reloading shear tests and isotropic loading-unloadingreloading tests are conducted to study several typical mechanical properties of coral calcareous sand(CCS),and the void ratio evolution during loading,unloading and *** test results show that the stress-strain curves during multiple unloading processes are almost parallel,and their slopes are much greater than the deformation modulus at the initial stage of *** relationship between the confining pressure and the volumetric strain can be defined approximately by a hyperbolic equation under the condition of monotonic loading of confining *** the condition of confining pressure unloading,the evolution of void ratio is linear in the e-lnp0 plane,and these lines are a series of almost parallel lines if there are multiple processes of *** on the experimental results,it is found that the modified Hardin formulae for the elastic modulus estimation have a significant deviation from the tested values for *** on the experimental results,it is proposed that the elastic modulus of soils should be determined by the intersection line of two spatial surfaces in the G/K-e-p’/pa space(pa:atmosphere pressure).“ye formulation”is further proposed for the estimation of the elastic modulus of *** new estimation formulation for soil elastic modulus would provide a new method to accurately describe the mechanical behavior of granular soils.

关键词： Coral calcareous sand(CCS) Elastic shear modulus Elastic bulk modulus Triaxial test Estimation formulation ye formulation

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Diagnostic Criterion of Blood Stasis Syndrome for Coronary Heart Disease

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Chinese Journal of Integrative Medicine 2016年第11期22卷 803-804页

作者： Chen Ke-ji Shi Da-zhuo Fu Chang-geng gao zhu-ye Xu Hao Lv Shu-zheng You Shi-jie Huang Li activating blood circulation committee of chinese association of integrative medicine

The diagnostic criterion of blood stasis syndrome（BSS） established in 1986 is a milestone in BSSdifferentiation of Chinese medicine （CM）. However,different disease has its own characteristics in BSS,thus establishing a BBS criterion of disease-syndromecombination has significance in clinical and basicstudies. BSS is the most common syndrome typeof CM in coronary heart disease （CHD）, but thereis not diagnostic criterion of BSS for CHD based ondisease-syndrome combination to date.

关键词： Diagnostic Criterion Syndrome

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Optimal Operation Strategy Analysis with Scenario Generation Method Based on Principal Component Analysis,Density Canopy,and K-medoids for Integrated Energy Systems

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Journal of Modern Power Systems and Clean Energy 2024年第1期12卷 89-100页

作者： Bingtuan gao Yunyu zhu Yuanmei Li School of Electrical Engineering Southeast UniversityNanjingChina

The operation of integrated energy systems(IESs)is confronted with great challenges for increasing penetration rate of renewable energy and growing complexity of energy *** generation is one of ordinary methods to alleviate the system uncertainties by extracting several typical scenarios to represent the original high-dimensional *** paper proposes a novel representative scenario generation method based on the feature extraction of panel *** original high-dimensional data are represented by an aggregated indicator matrix using principal component analysis to preserve temporal ***,the aggregated indicator matrix is clustered by an algorithm combining density canopy and *** with the proposed scenario generation method,an optimal operation model of IES is established,where the objective is to minimize the annual operation costs considering carbon trading ***,case studies based on the data of Aachen,Germany in 2019 are *** results indicate that the adjusted rand index(ARI)and silhouette coefficient(SC)of the proposed method are 0.6153 and 0.6770,respectively,both higher than the traditional methods,namely K-medoids,K-means++,and density-based spatial clustering of applications with noise(DBSCAN),which means the proposed method has better *** error between optimal operation results of the IES obtained by the proposed method and all-year time series benchmark value is 0.1%,while the calculation time is reduced from 11029 s to 188 s,which verifies that the proposed method can be used to optimize operation strategy of IES with high efficiency without loss of accuracy.

关键词： Scenario generation principal component analysis(PCA) density canopy K-medoids integrated energy system

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Interfacial modification using the cross-linkable tannic acid for highly-efficient perovskite solar cells with excellent stability

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Journal of Energy Chemistry 2024年第4期91卷 236-244页

作者： Xing gao Lirong Rong Fei Wu yen-Hung Lin ye Zeng Junhong Tan Rongxing He Cheng Zhong Linna zhu Chongqing Key Laboratory for Advanced Materials and Technologies of Clean Energy School of Materials&EnergySouthwest UniversityChongqing 400715China Hubei Key Lab on Organic and Polymeric Optoelectronic Materials Department of ChemistryWuhan UniversityWuhan 430072HubeiChina Key Laboratory of Luminescence Analysis and Molecular Sensing Ministry of EducationSchool of Chemistry and Chemical EngineeringSouthwest UniversityChongqing 400715China Department of Electronic and Computer Engineering The Hong Kong University of Science and TechnologyClear Water BayKowloon 999077Hong KongChina State Key Laboratory of Advanced Displays and Optoelectronics Technologies The Hong Kong University of Science and TechnologyClear Water BayKowloon 999077Hong KongChina

Although the performance of perovskite solar cells(PSCs)has been dramatically increased in recent years,stability is still the main obstacle preventing the PSCs from being *** device instability can be caused by a variety of reasons,including ions diffusion,surface and grain boundary defects,*** this work,the cross-linkable tannic acid(TA)is introduced to modify perovskite film through post-treatment *** numerous organic functional groups(–OH and C=O)in TA can interact with the uncoordinated Pb^(2+)and I^(-)ions in perovskite,thus passivating defects and inhibiting ions *** addition,the formed TA network can absorb a small amount of the residual moisture inside the device to protect the perovskite ***,TA modification regulates the energy level of perovskite,and reduces interfacial charge ***,following TA treatment,the device efficiency is increased significantly from 21.31%to 23.11%,with a decreased hysteresis ***,the treated device shows excellent air,thermal,and operational *** light of this,the readily available,inexpensive TA has the potential to operate as a multipurpose interfacial modifier to increase device efficiency while also enhancing device stability.

关键词： Tannic acid Defect passivation lons diffusion Hydrophilic Stability Perovskite solar cells

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