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Sepsis one-hour bundle management combined with psychological intervention on negative emotion and sleep quality in patients with sepsis

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World Journal of Psychiatry 2024年第2期14卷 266-275页

作者： ming Xia Guang-Yan Dong Shi-Chao Zhu huan-min Xing Li-ming Li Department of Intensive Care Unit Henan Provincial Key Medicine Laboratory of NursingHenan Provincial People’s HospitalZhengzhou University People’s HospitalZhengzhou 450003Henan ProvinceChina Department of Nursing Henan Provincial Key Medicine Laboratory of NursingHenan Provincial People’s HospitalZhengzhou University People’s HospitalZhengzhou 450003Henan ProvinceChina

BACKGROUND Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately *** usually experience depression and anxiety,which affect their sleep quality and post-traumatic growth *** To investigate the effects of sepsis,a one-hour bundle(H1B)management was combined with psychological intervention in patients with *** This retrospective analysis included 300 patients with sepsis who were admitted to Henan Provincial People’s Hospital between June 2022 and June *** to different intervention methods,the participants were divided into a simple group(SG,n=150)and combined group(CG,n=150).H1B management was used in the SG and H1B management combined with psychological intervention was used in the *** changes of negative emotion,sleep quality and post-traumatic growth and prognosis were compared between the two groups before(T0)and after(T1)*** After intervention(T1),the scores of the Hamilton Anxiety scale and Hamilton Depression scale in the CG were significantly lower than those in the SG(P<0.001).Sleep time,sleep quality,sleep efficiency,daytime dysfunction,sleep disturbance dimension score,and the total score in the CG were significantly lower than those in the SG(P<0.001).The appreciation of life,mental changes,relationship with others,personal strength dimension score,and total score of the CG were significantly higher than those of the SG(P<0.001).The scores for mental health,general health status,physiological function,emotional function,physical pain,social function,energy,and physiological function in the CG were significantly higher than those in the SG(P<0.001).The mechanical ventilation time,intensive care unit stay time,and 28-d mortality of the CG were significantly lower than those of the SG(P<0.05).CONCLUSION H1B management combined with psychological intervention can effectively alleviate the negative emotions of patients with sepsis and inc

关键词： Cluster management Psychological intervention Sepsis Negative emotions Sleep quality Post-traumatic growth

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A comparative lattice analysis of SU(2)dark glueballs

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Chinese Physics C 2024年第8期48卷 113-126页

作者： min-huan Chu Jun-Hui Lai Wei Wang Jialu Zhang Qianteng Zhu INPAC Key Laboratory for Particle Astrophysics and Cosmology(MOE)Shanghai Key Laboratory for Particle Physics and CosmologySchool of Physics and AstronomyShanghai Jiao Tong UniversityShanghai 200240China Yang Yuanqing Scientific Computering Center Tsung-Dao Lee InstituteShanghai Jiao Tong UniversityShanghai 200240China Southern Center for Nuclear-Science Theory(SCNT) Institute of Modern PhysicsChinese Academy of SciencesHuizhou 516000China

We study the mass and scattering cross section of SU(2)glueballs as dark matter candidates using lattice *** employ both naive and improved SU(2)gauge actions in 3+1 dimensions with severalβvalues,and we adopt both the traditional Monte Carlo method and flow-based model based on machine learning techniques to generate lattice *** mass of a dark scalar glueball with J^(PC)=0^(++)and the Nambu-Bethe-Salpeter wave function are *** a coupling constant ofβ=2.2 as an illustration,we compare the dark glueball mass calculated from the configurations generated from the two *** consistent results can be achieved,the two methods demonstrate distinct *** the Runge-Kutta method,we extract the glueball interaction potential and two-body scattering cross *** the observational constraints,we obtain the lower bound of the mass of scalar glueballs as candidates of dark matter.

关键词： lattice QCD dark matter machine learning

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Identification of LRG1 targeting peptide and its application in targeted imaging for breast cancer

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Nano Research 2024年第10期17卷 9044-9051页

作者： Mengdie Chen Anying Zhu Furong Zhu Ziwen Lei Tao huang Shengnan Du Dongdong Wang Xiaoyu Zhang huan min Yingqiu Qi Guangjun Nie Department of Pharmacology School of Basic Medical SciencesZhengzhou UniversityZhengzhou 450001China Institute of Advanced Technology Zhengzhou UniversityZhengzhou 450008China Department of General Surgery The First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China Department of Breast Disease The Affiliated Cancer Hospital of Zhengzhou University&Henan Cancer HospitalZhengzhou 450003China CAS Key Laboratory of Separation Science for Analytical Chemistry Dalian Institute of Chemical PhysicsChinese Academy of SciencesDalian 116023China CAS Key Laboratory for Biomedical Effects of Nanomaterials and Nanosafety&CAS Center for Excellence in Nanoscience National Center for Nanoscience and Technology of ChinaBeijing 100190China

Breast cancer remains a leading cause of morbidity and mortality among women worldwide,emphasizing the urgent need for enhanced diagnostic and therapeutic ***-rich-alpha-2-glycoprotein 1(LRG1)has emerged as a notable target due to its markedly elevated expression in breast tumors,suggesting the viability of LRG1 as a theranostic *** our study,we employed phage display technology to identify a peptide,termed ET,that binds to LRG1 with a dissociation constant of 48.4μ*** modified with fluorescent cyanine dye,the ET peptide showcased effective tumor-targeting imaging across three different primary breast tumor models and a metastatic breast tumor *** also undertook a comprehensive safety evaluation,which verified the good biosafety credentials of ET *** summary,the ET peptide identified in this study shows effective LRG1-targeting ability both in vitro and in vivo,thus exhibiting immense potential for clinical translation.

关键词： breast cancer leucine-rich-alpha-2-glycoprotein 1(LRG1) phage display peptide tumor targeting

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Calibration of soft sensor by using Just-in-time modeling and Ada Boost learning method

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Chinese Journal of Chemical Engineering 2016年第8期24卷 1038-1046页

作者： huan min Xionglin Luo Department of Automation China University of PetroleumBeijing

Soft sensor is an efficacious solution to predict the hard-to-measure target variable by using the process *** practical application scenarios, however, the feedback cycle of target variable is usually larger than that of the process variables, which causes the deficiency of prediction errors. Consequently soft sensor cannot be calibrated timely and deteriorates. We proposed a soft sensor calibration method by using Just-in-time modeling and Ada Boost learning method. A moving window consisting of a primary part and a secondary part is *** primary part is made of history data from certain number of constant feedback cycles of target variable and the secondary part includes some coarse target values estimated initially by Just-in-time modeling during the latest feedback cycle of target variable. The data set of the whole moving window is processed by Ada Boost learning method to build an auxiliary estimation model and then target variable values of the latest corresponding feedback cycle are reestimated. Finally the soft sensor model is calibrated by using the reestimated target variable values when the target feedback is unavailable; otherwise using the feedback value. The feasibility and effectiveness of the proposed calibration method is tested and verified through a series of comparative experiments on a pH neutralization facility in our laboratory.

关键词： Process control Measurement Soft sensor Calibration Deterioration Moving window Just-in-time Ada Boost

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广东省中药饮片当归的微生物污染调查与风险分析

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药物分析杂志 2024年第5期44卷 859-865页

作者：林铁豪张帆朱欢敏洪建文广东省药品检验所广东省药品监管局中药饮片污染微生物风险评估与控制重点实验室广州510663

目的:考察市售常用中药饮片当归微生物污染情况,分析其中可能存在的安全性风险。方法:参考2020年版《中华人民共和国药典》(简称《中国药典》),进行需氧菌总数(TAMC)、霉菌酵母菌数(TYMC)、耐热菌总数、控制菌及耐胆盐革兰阴性菌检查;... 详细信息

目的:考察市售常用中药饮片当归微生物污染情况,分析其中可能存在的安全性风险。方法:参考2020年版《中华人民共和国药典》(简称《中国药典》),进行需氧菌总数(TAMC)、霉菌酵母菌数(TYMC)、耐热菌总数、控制菌及耐胆盐革兰阴性菌检查;采用高通量测序技术分析样品中的优势污染菌属,确定样品中潜在的不可接受微生物。结果:市售当归饮片中污染微生物存在高度不确定性;TAMC为10^(2)~10^(6) CFU·g^(-1);耐胆盐革兰阴性菌的污染不均匀,其中具有潜在致病风险的微生物有鲍曼不动杆菌、肺炎克雷伯菌、阴沟肠杆菌等;TYMC为10^(1)~10^(3) CFU·g^(-1)。结论:当归微生物污染严重且不均匀,需要积累更多的数据以完善其检验方法和评价标准,高通量测序能更准确地评估中药饮片样本中污染微生物的风险。

关键词：中药饮片当归微生物污染高通量测序不可接受微生物限度检查

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A multicenter prospective study on the management of hepatoblastoma in children:a report from the Chinese Children's Cancer Group

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World Journal of Pediatrics 2024年第6期20卷 590-601页

作者： Meng-Jie Tang Xiao-Li Ma Xiang-Ling He Wei-Hua Pan Xiao-Hong Zhang Sha-Yi Jiang Ju Gao Fu Li Wei Yao Song Gu Wei-Ling Zhang Qiang Zhao Shi-Hao huang Yong-Jun Fang Wei Liu Hui-Zhong Niu Chun-Mei Wang Li-Rong Sun Hui Gao Yun-Peng Dai Shun-Gen huang Zhi-Yong Zhong Xi-Ge Wang Zhong-Rong Li Liang-Chun Yang Ye-ming Wu huan-min Wang Xin Sun Xiao-Jun Yuan Department of Pediatric Hematology/Oncology Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineNo.1665Kongjiang RoadYangpu DistrictShanghai 200092China Medical Oncology Department Pediatric Oncology CenterBeijing Children's HospitalCapital Medical UniversityNational Center for Children's HealthBeijing 100045China Department of Hematology/Oncology Children's Medical CenterHunan Provincial People's HospitalThe First Affiliated Hospital of Hunan Normal UniversityChangsha 41005China Department of Pediatric Surgery Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200092China Department of Hematology/Oncology Guangzhou Women and Children's Medical CenterNational Children's Medical Center for South Central RegionGuangzhou 510623China Department of Hematology Shanghai Children's HospitalShanghai Jiao Tong UniversityShanghai 200062China Department of Pediatrics West China Second University HospitalSichuan UniversityChengdu 610041China Department of Hematology/Oncology Qilu Children's Hospital of Shandong UniversityJinan 250022China Department of Pediatric Surgery Children's Hospital of Fudan UniversityShanghai 201102China Department of General Surgery Shanghai Children's Medical Center(National Children's Medical Center-Shanghai)Shanghai Jiao Tong University School of MedicineShanghai 200127China Department of Pediatrics Beijing Tongren HospitalCapital Medical UniversityBeijing 100730China Department of Pediatric Oncology Tianjin Medical University Cancer Institute and HospitalTianjin 300060China Department of Hematology/Oncology Children's Hospital of Nanjing Medical UniversityNanjing 210008China Department of Hematology/Oncology Henan Children's HospitalZhengzhou 450018China Department of Pediatric General Surgery Hebei Children's Hospital of Hebei Medical UniversityShijiazhuang City 050031China Children's Hospital the First Affliated Hospital of Zhengzhou UniversityZhengzhou 450052China Department of Paediatric

Background This study aimed to identify survival risk factors in Chinese children with hepatoblastoma(HB)and assess the effectiveness of the new treatment protocol proposed by the Chinese Children's Cancer Group(CCCG)in *** A multicenter,prospective study that included 399 patients with HB from January 2015 to June 2020 was *** demographics,treatment protocols,and other related information were *** regression models and Kaplan-Meier curve methods were *** The 4-year event-free survival(EFS)and overall survival(OS)were 76.9 and 93.5%,*** 4-year EFS rates for the very-low-risk,low-risk,intermediate-risk,and high-risk groups were 100%,91.6%,81.7%,and 51.0%,*** 4-year 0S was 100%,97.3%,94.4%,and 86.8%,*** regression analysis found that age,tumor rupture(R+),and extrahepatic tumor extension(E+)were independent prognostic factors.A total of 299 patients had complete remission,and 19 *** with declining alpha-fetoprotein(AFP)>75%after the first two cycles of neoadjuvant chemotherapy had a better EFS and OS than those≤75%.Conclusions The survival outcome of HB children has dramatically improved since the implementation of CCCG-HB-2016 ***≥8 years,R+,and E+were independent risk factors for *** with a declining AFP>75%after the first two cycles of neoadjuvant chemotherapy had better EFS and OS.

关键词： Alpha-fetoprotein Hepatoblastoma Multicenter Prospective study Survival

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不同浓度罗哌卡因超声引导下胸横肌平面阻滞在乳腺癌根治术中的临床效果研究

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中国实用医药 2024年第6期19卷 106-109页

作者：王敏欢孙振微江苏大学附属昆山医院麻醉科 215300

目的分析不同浓度罗哌卡因超声引导下胸横肌平面阻滞在乳腺癌根治术中的临床效果。方法 120例行乳腺癌根治术治疗的患者,随机分为A组、B组、C组,每组40例。三组均行超声引导下胸横肌平面阻滞, A组采用0.25%罗哌卡因, B组采用0.3%罗哌... 详细信息

目的分析不同浓度罗哌卡因超声引导下胸横肌平面阻滞在乳腺癌根治术中的临床效果。方法 120例行乳腺癌根治术治疗的患者,随机分为A组、B组、C组,每组40例。三组均行超声引导下胸横肌平面阻滞, A组采用0.25%罗哌卡因, B组采用0.3%罗哌卡因、C组采用0.375%罗哌卡因。比较三组患者镇痛相关指标、疼痛评分、Ramsay镇静评分及不良反应发生率。结果 C组患者术中瑞芬太尼用量(1.07±0.22)mg、术后48 h镇痛药物用量(93.26±1.36)ml均少于B组患者的(1.32±0.25)mg、(96.84±1.76)ml和A组患者的(1.58±0.38)mg、(99.42±1.77)ml, B组患者均少于A组患者,差异有统计学意义(P0.05)。A组患者不良反应发生率为5.00%, B组患者为5.00%, C组患者为7.50%,三组比较差异无统计学意义(P>0.05)。结论 0.3%以上罗哌卡因浓度超声引导下胸横肌平面阻滞用于乳癌根治术,可减少术中麻醉用药及术后镇痛用药,术后镇痛效果满意,安全有效,且不增加不良反应。

关键词：罗哌卡因超声引导下胸横肌平面阻滞乳腺癌根治术

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Lymphangioma of the gallbladder in childhood： a case report and review of the literature

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Chinese Medical Journal 2011年第24期124卷 4359-4360页

作者： HAN Wei ZHANG Jin-zhe WANG huan-min Department of Surgery Beijing Children＇s Hospital Capital Medical University Beijing 100045 China

Lymphangiomas are malformations of the lymphatic system, which is a common disease in children, usually superficial in body, but seldom seen in visceral organs. We present the case of a child with lymphangioma of the gallbladder. Also we reviewed the literatures. A 2-year-6-month-old boy complained of progressing difficulty in walking for 6 months. Cerebral MRI showed abnormal signals in the white matter suggesting leukodystrophy. Ultrasound of abdomen showed a mixed-echoic mass in the site of galJbJadder. CT scan showed an enlarged gaiJbJadder with increased density. Bloodcounting, liver function, and alpha fetal protein were within normal range. Exploratory laparotomy was done in order to rule out malignancy. The liver was found normal at surgery, and the gallbladder looked enlarged and deformed. The gallbladder wall was thick and edematous, and adherent with liver. The gallbladder was excised. Pathological examination gave the diagnosis as lymphangioma of the gallbladder wall. The postoperative recovery was uneventful. There was no evidence of recurrence. Searching in literatures, three cases of lymphangioma of gallbladder in adults were found. According to the pathology of lymphangioma and the anatomy of gallbladder, the outcome of this disease should be benign and may be symptomless throughout the life. No death was reported due to lymphangioma of gall bladder, nor severe complications endangering life at any age. The only indication for surgery in the reported cases was to rule out the risk of being malignancy. If MRI or other means can make a definite preoperative diagnosis of lymphangioma, being a stable lesion, surgery would be unnecessary unless there is a progressive organic obstruction causing repeated infection or persistent abdominal pain.

关键词： childhood lymphangioma

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骨髓间充质干细胞外泌体联合茶多酚治疗大鼠脊髓缺血再灌注损伤

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中国组织工程研究 2024年第19期28卷 2953-2959页

作者：龙智生龚飞鹏温家宾闵欢舒阳赖卓玺陈钢江西省人民医院南昌医学院第一附属医院骨科江西省南昌市330006

背景:研究表明,抑制内质网应激所致的细胞凋亡能够挽救神经部分功能。茶多酚能抑制内质网应激,但是存在生物利用率差不易透血脑屏障等问题,结合外泌体靶向脊髓修复及高效载药,理论上两者结合能够发挥更优的脊髓保护效能。目的:探讨茶多... 详细信息

背景:研究表明,抑制内质网应激所致的细胞凋亡能够挽救神经部分功能。茶多酚能抑制内质网应激,但是存在生物利用率差不易透血脑屏障等问题,结合外泌体靶向脊髓修复及高效载药,理论上两者结合能够发挥更优的脊髓保护效能。目的:探讨茶多酚联合骨髓间充质干细胞外泌体对脊髓缺血再灌注损伤大鼠神经功能及内质网应激的影响。方法:SD雄性大鼠50只,随机分为假手术组、模型组、茶多酚组、外泌体组、联合治疗组,每组10只,除假手术组外,其余4组制作脊髓缺血再灌注损伤模型,术后2 h经尾静脉注射生理盐水、外泌体、茶多酚、茶多酚+骨髓间充质干细胞外泌体混合液;脊髓损伤后7,14,28 d进行BBB神经功能评分,脊髓损伤后14 d,取脊髓组织进行苏木精-伊红染色、尼氏染色、ATF6和GADD153内质网应激标志物免疫荧光染色。结果与结论:①神经功能评分:与假手术组比较,模型组、外泌体组、茶多酚组、联合治疗组神经功能评分均不同程度下降,术后14 d联合治疗组神经功能评分优于茶多酚组、外泌体组、模型组(P<0.05),术后28 d后联合治疗组神经功能评分优于模型组和茶多酚组(P<0.05);②苏木精-伊红染色和尼氏染色显示:模型组大鼠神经元细胞数量减少,脊髓损伤区域内大量空洞坏死及瘢痕增生,茶多酚组、外泌体组、联合治疗组神经元数量和周边空洞坏死有不同程度改善,联合治疗组改善最为明显;③内质网应激相关蛋白ATF6、GADD153表达:术后14 d联合治疗组GADD153表达低于模型组和茶多酚组(P<0.05),联合治疗组ATF6表达低于模型组、外泌体组和茶多酚组(P<0.05);④结果表明:茶多酚联合骨髓间充质干细胞外泌体能改善脊髓缺血再灌注损伤大鼠的神经功能,可能与抑制内质网应激相关蛋白ATF6、GADD153表达有关。

关键词：脊髓损伤外泌体间充质干细胞茶多酚内质网应激细胞凋亡

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Synthesis,Crystal Structure and Magnetic Properties of a Novel Copper Inverse-9-metallacrown-3 Complex

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Chinese Journal of Structural Chemistry 2010年第7期29卷 1072-1076页

作者： LIU Guang-Xiang XU huan-min REN Xiao-ming Anhui Key Laboratory of Functional Coordination Compounds School of Chemistry and Chemical Engineering Anqing Normal University Anqing 246003 China

The reaction ofphenyl 2-pyridyl ketoxime （PhPyCNOH） with Cu（NO3）2·3H2O has led to a triangular complex Cu3（OH）（PhPyCNO）3（NO3）·NO3·H2O 1 containing the [Cu3（μ2-OH）]5＋ core and possessing the very rare inverse 9-metallacrown-3 motif created by the bridging oximate groups. Crystallographic data for 1： C36H30N8O11CU3, Mr = 941.30, monoclinic, space group C2/c, a = 18.815（9）, b = 33.888（15）, c = 14.307（7） A, β = 118.945（6）°, V= 7983（6） A3, Z = 8, Dc = 1.566 g/cm3, μ = 1.652 mm^-1, F（000） = 3816, R= 0.0644 and wR= 0.1393 for 3468 observed reflections （I〉 2σ（I））. Preliminary variable-temperature magnetic susceptibility studies reveal an antiferromagnetically-coupled system showing antisymmetrie exchange.

关键词： cupric complex crystal structure magnetism

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