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Use of antiarrhythmic drugs in elderly patients

Journal of Geriatric Cardiology 2011年第3期8卷 184-194页

作者： Hon-Chi Lee kristin tl huang Win-Kuang Shen Division of Cardiovascular Diseases Department of Internal Medicine Mayo Clinic 200 First Street SW Rochester MN 55905 USA Harvard Medical School 25 Shattuck Street Boston MA 02115 USA Division of Cardiovascular Diseases Department oflnternal Medicine Mayo Clinic 13400 East Shea Blvd. Scottsdale AZ 85259 USA

Human aging is a global issue with important implications for current and future incidence and prevalence of health conditions and disability. Cardiac arrhythmias, including atrial fibrillation, sudden cardiac death, and bradycardia requiring pacemaker placement, all increase exponentially after the age of 60. It is important to distinguish between the normal, physiological consequences of aging on cardiac electrophysiology and the abnormal, pathological alterations. The age-related cardiac changes include ventricular hypertrophy, senile amyloidosis, cardiac valvular degenerative changes and annular calcification, fibrous infiltration of the conduction system, and loss of natural pacemaker cells and these changes could have a profound effect on the development of arrhythmias. The age-related cardiac electrophysiological changes include up- and down-regulation of specific ion channel expression and intmcellular Ca2＋ overload which promote the development of cardiac arrhythmias. As ion channels are the substrates of antiarrhythmic drugs, it follows that the pharmacokinetics and pharmacodynamics of these drugs will also change with age. Aging alters the absorption, distribution, metabolism, and elimination of antiarrhythmic drugs, so liver and kidney function must be monitored to avoid potential adverse drug effects, and antiarrhythmic dosing may need to be adjusted for age. Elderly patients are also more susceptible to the side effects of many antiarrhytbanics, including bradycardia, orthostatic hypotension, urinary retention, and falls. Moreover, the choice of antiarrhythmic drugs in the elderly patient is frequently complicated by the presence of co-morbid conditions and by polypharmacy, and the astute physician must pay careful attention to potential drug-drug interactions. Finally, it is important to remember that the use of antiarrhythmic drugs in elderly patients must be individualized and tailored to each patient＇s physiology, disease processes, and medication

关键词： aging antiarrhythmic drugs pharmacokinetics pharmacodynamics polypharmacy cardiac electrophysiology ion channels

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Hybrid quantum-classical convolutional neural networks

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Science China(Physics,Mechanics & Astronomy) 2021年第9期64卷 1-8页

作者： Junhua Liu Kwan Hui Lim kristin LWood Wei huang Chu Guo He-Liang huang Information Systems Technology and Design Singapore University of Technology and DesignSingapore 487372Singapore Forth AI Singapore 487372Singapore College of Engineering Design and ComputingUniversity of Colorado DenverColorado 80208USA Guangxi Key Laboratory of Optoelectronic Information Processing Guilin University of Electronic TechnologyGuilin 541004China Key Laboratory of Low-Dimensional Quantum Structures and Quantum Control of Ministry of Education Department of Physics and Synergetic Innovation Center for Quantum Effects and ApplicationsHunan Normal UniversityChangsha 410081China Hefei National Laboratory for Physical Sciences at Microscale and Department of Modern Physics University of Science and Technology of ChinaHefei 230026China Shanghai Branch CAS Centre for Excellence and Synergetic Innovation Centre in Quantum Information and Quantum PhysicsUniversity of Science and Technology of ChinaHefei 201315China Henan Key Laboratory of Quantum Information and Cryptography Zhengzhou 450000China

Deep learning has been shown to be able to recognize data patterns better than humans in specific circumstances or *** parallel,quantum computing has demonstrated to be able to output complex wave functions with a few number of gate operations,which could generate distributions that are hard for a classical computer to *** we propose a hybrid quantum-classical convolutional neural network(QCCNN),inspired by convolutional neural networks(CNNs)but adapted to quantum computing to enhance the feature mapping *** is friendly to currently noisy intermediate-scale quantum computers,in terms of both number of qubits as well as circuit’s depths,while retaining important features of classical CNN,such as nonlinearity and *** also present a framework to automatically compute the gradients of hybrid quantum-classical loss functions which could be directly applied to other hybrid quantum-classical *** demonstrate the potential of this architecture by applying it to a Tetris dataset,and show that QCCNN can accomplish classification tasks with learning accuracy surpassing that of classical CNN with the same structure.

关键词： quantum computing quantum machine learning hybrid quantum-classical algorithm convolutional neural network

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Introgression of lac6/tl1/du13 improves the palatability of japonica rice

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The Crop Journal 2024年第4期12卷 1259-1265页

作者： Yong Yang Tao Zhang Yuliang Shi Yan Lu Qianfeng Li Xiaolei Fan Lichun huang Lu Chen Xuetang Song Qing Liu Changquan Zhang Qiaoquan Liu Jiangsu Key Laboratory of Crop Genomics and Molecular Breeding/Zhongshan Biological Breeding Laboratory/Key Laboratory of Plant Functional Genomics of the Ministry of Education Agricultural College of Yangzhou UniversityYangzhou 225009JiangsuChina Jiangsu Co-Innovation Center for Modern Production Technology of Grain Crops/Jiangsu Key Laboratory of Crop Genetics and Physiology Yangzhou UniversityYangzhou 225009JiangsuChina Jiang Su(Wu Jin)Rice Research Institute Changzhou 213175JiangsuChina

Amylose content(AC)is a crucial determinant of the eating and cooking quality(ECQ)of rice,with low AC varieties exhibiting a softer texture and greater stickiness-attributes that enhance palatability and are desirable in specific culinary *** harness these traits,significant efforts have been made to manipulate AC to improve rice *** research utilized the MutMap+approach to identify LAC6/tl1,a gene that is an allele of Du13,responsible for low ***6 encodes a C2H2 zinc finger protein,which specifically increases the splicing efficiency of the Wxb allele without affecting the Wxa *** studies of LAC6 revealed that its proper integration could rectify the undesirable AC phenotype,whereas mutations within this gene led to reduced AC and were associated with shorter grain length and decreased thousand-grain *** these drawbacks,such mutations positively impact rice palatability,presenting a trade-off between grain size and eating *** address the challenges posed by the reduced grain weight associated with LAC6 mutations,we developed a specific molecular marker for LAC6,which has been effectively used in breeding programs to select lac6/tl1/du13 homozygous individuals with larger grain *** findings demonstrate that the“small grain”trait associated with lac6/tl1/du13 can be effectively mitigated through combined phenotype-based and marker-assisted *** study highlights the potential of lac6/tl1/du13 as a valuable gene for breeding novel,high-quality soft rice varieties through targeted breeding strategies.

关键词： Rice Dull endosperm Amylose content Wx Breeding

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Efficacy of rapid antigen self-testing for SARS-CoV-2 screening:Real-world evidence from a prospective cohort study

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Genes & Diseases 2024年第5期11卷 88-90页

作者： Yaoyue Hu Bin Peng Jie Fan Zhu Yang Jianjiang Xue Quanxin Long Jie Xia Yuan Hu Xuefei Cai Li Zhou Ailong huang School of Public Health Chongqing Medical UniversityChongqing 400016China The Second Affiliated Hospital of Chongqing Medical University Chongqing 400016China Clinical Laboratory University-Town Hospital of Chongqing Medical UniversityChongqing 401331China Key Laboratory of Molecular Biology on Infectious Diseases Designated by the Chinese Ministry of Education Chongqing Medical UniversityChongqing 400016China

Antigen rapid diagnostic tests(Ag-RDTs)have been considered and implemented as an important diagnostic and screening tool to identify SARS-CoV-2 infections in community settings.1 Ag-RDTs are less sensitive,particularly in asymptomatic populations,compared with laboratorybased viral nucleic acid amplification tests(NAATs)such as reverse transcription polymerase chain reaction(RT-PCR).2 However,taking into account the facts that Ag-RDTs are effective for identifying most contagious individuals,they are faster and less expensive than RT-PCR,as well as that RT-PCR could produce positive results for weeks to months after the infection,2 WHO recommends Ag-RDTs be offered as COVID-19 self-testing for screening purposes in addition to professionally administered testing services regardless of the community transmission level.

关键词： testing faster rapid

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Paeoniflorin ameliorates chronic colitis via the DR3 signaling pathway in group 3 innate lymphoid cells

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Journal of Pharmaceutical Analysis 2024年第6期14卷 889-901页

作者： Shaowei huang Xueqian Xie Bo Xu Zengfeng Pan Junjie Liang Meiling Zhang Simin Pan Xiaojing Wang Meng Zhao Qing Wang Jinyan Chen Yanyang Li Lian Zhou Xia Luo School of Pharmaceutical Sciences Guangzhou University of Chinese Medicine510006China School of Basic Medicine Guangzhou University of Chinese Medicine510006China First Clinical Medical College Guangzhou University of Chinese Medicine510000China

Inhibiting the death receptor 3(DR3)signaling pathway in group 3 innate lymphoid cells(ILC3s)presents a promising approach for promoting mucosal repair in individuals with ulcerative colitis(UC).Paeoniflorin,a prominent component of Paeonia lactiflora Pall.,has demonstrated the ability to restore barrier function in UC mice,but the precise mechanism remains *** this study,we aimed to delve into whether paeoniflorin may promote intestinal mucosal repair in chronic colitis by inhibiting DR3 signaling in ILC3s.C57BL/6 mice were subjected to random allocation into 7 distinct groups,namely the control group,the 2%dextran sodium sulfate(DSS)group,the paeoniflorin groups(25,50,and 100 mg/kg),the anti-tumor necrosis factor-like ligand 1A(anti-tl1A)antibody group,and the IgG *** detected the expression of DR3 signaling pathway proteins and the proportion of ILC3s in the mouse colon using Western blot and flow cytometry,***,DR3-overexpressing MNK-3 cells and 2%DSS-induced Rag1^(-/-)mice were used for *** results showed that paeoniflorin alleviated DSS-induced chronic colitis and repaired the intestinal mucosal ***,paeoniflorin inhibited the DR3 signaling pathway in ILC3s and regulated the content of cytokines(interleukin-17A,granulocyte-macrophage colony stimulating factor,and interleukin-22).Alternatively,paeoniflorin directly inhibited the DR3 signaling pathway in ILC3s to repair mucosal damage independently of the adaptive immune *** additionally confirmed that paeoniflorin-conditioned medium(CM)restored the expression of tight junctions in Caco-2 cells via *** conclusion,paeoniflorin ameliorates chronic colitis by enhancing the intestinal barrier in an ILC3-dependent manner,and its mechanism is associated with the inhibition of the DR3 signaling pathway.

关键词： Paeoniflorin Ulcerative colitis Intestinal mucosal barrier DR3 signaling pathway Group 3 innate lymphoid cells

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FGF7 enhances the expression of ACE2 in human islet organoids aggravating SARS-CoV-2 infection

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Signal Transduction and Targeted Therapy 2024年第5期9卷 2260-2274页

作者： Hao Meng Zhiying Liao Yanting Ji Dong Wang Yang Han Chaolin huang Xujuan Hu Jingyi Chen Hengrui Zhang Zonghong Li Changliang Wang Hui Sun Jiaqi Sun Lihua Chen Jiaxiang Yin Jincun Zhao Tao Xu Huisheng Liu School of Biomedical Engineering Guangzhou Medical UniversityGuangzhou 511495 GuangdongChina Guangzhou National Laboratory Guangzhou 510320 GuangdongChina State Key Laboratory of Respiratory Disease National Clinical Research Center for Respiratory DiseaseGuangzhou Institute of Respiratory HealthThe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhou 510120China Center for Translational Medicine Wuhan Jinyintan HospitalWuhan 430023 HubeiChina School of Biomedical Sciences and Engineering South China University of TechnologyGuangzhou 510006 GuangdongChina

The angiotensin-converting enzyme 2(ACE2)is a primary cell surface viral binding receptor for SARS-CoV-2,so finding new regulatory molecules to modulate ACE2 expression levels is a promising strategy against *** the current study,we utilized islet organoids derived from human embryonic stem cells(hESCs),animal models and COVID-19 patients to discover that fibroblast growth factor 7(FGF7)enhances ACE2 expression within the islets,facilitating SARS-CoV-2 infection and resulting in impaired insulin *** hESC-derived islet organoids,we demonstrated that FGF7 interacts with FGF receptor 2(FGFR2)and FGFR1 to upregulate ACE2 expression predominantly inβ*** upregulation increases both insulin secretion and susceptibility ofβcells to SARS-CoV-2 *** FGFR counteracts the FGF7-induced ACE2 upregulation,subsequently reducing viral infection and replication in the ***,retrospective clinical data revealed that diabetic patients with severe COVID-19 symptoms exhibited elevated serum FGF7 levels compared to those with mild ***,animal experiments indicated that SARS-CoV-2 infection increased pancreatic FGF7 levels,resulting in a reduction of insulin concentrations in *** together,our research offers a potential regulatory strategy for ACE2 by controlling FGF7,thereby protecting islets from SARS-CoV-2 infection and preventing the progression of diabetes in the context of COVID-19.

关键词： ACE2 FGF7 islet

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应用三维有限元方法评价寰椎横韧带对寰枢椎复合骨折稳定性的影响

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中国临床研究 2024年第5期37卷 729-734页

作者：黄凯柳超上海交通大学医学院附属松江医院骨科上海201699

目的应用三维有限元方法分析并比较横韧带损伤与否对寰枢椎复合骨折稳定的影响与应力传导情况。方法选择1名正常男性志愿者,采用64排螺旋CT机扫描枕颈部(C0~C3),利用Simpleware 3.0、Geomagic 12.0、Hypermesh 12.0等软件建立C0~C3节段... 详细信息

目的应用三维有限元方法分析并比较横韧带损伤与否对寰枢椎复合骨折稳定的影响与应力传导情况。方法选择1名正常男性志愿者,采用64排螺旋CT机扫描枕颈部(C0~C3),利用Simpleware 3.0、Geomagic 12.0、Hypermesh 12.0等软件建立C0~C3节段三维有限元模型(FEM/Intact),并进行对比验证。在验证的模型基础上断裂C1前弓和后弓及切断齿状突基底部,模拟Jefferson/Ⅱ型齿状突骨折的复合骨折有限元模型(FEM/Fracture)。在此基础上分别建立两种模型:寰椎横韧带断裂模型(FEM/Rtl)及寰椎横韧带无损模型(FEM/tl)。对三种模型加载前屈、后伸、侧屈、旋转工况,分析各模型在不同工况下Von Mises应力云图及各椎节活动度。结果本实验建立的寰枢椎复合体三维非线性有限元模型外观逼真,几何相似性好。模型各椎节的活动度与Panjabi发表的体外实验分析结果基本相吻合。而后建立的Jefferson/Ⅱ型齿状突骨折的复合骨折模型及其合并寰椎横韧带损伤和完整的模型外观逼真,几何相似性好。Jefferson/Ⅱ型齿状突骨折的复合骨折合并寰椎横韧带损伤后上颈椎的不稳主要集中在寰枢关节,在前屈、后伸、侧弯和轴向旋转等工况下的关节活动度均比正常组有不同程度的增大。结论寰椎横韧带损伤对寰枢椎复合骨折的稳定性与应力传导有明显影响。本文建立的有限元模型可以用于Jefferson/Ⅱ型齿状突骨折合并横韧带损伤的生物力学分析,还可为寰枢椎复合骨折上颈椎固定方式的选择提供有力的理论支持。

关键词：有限元寰椎枢椎骨折寰椎横韧带骨折稳定性

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The energy response of LaBr_(3)(Ce),LaBr_(3)(Ce,Sr),and NaI(tl)crystals for GECAM

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Nuclear Science and Techniques 2024年第2期35卷 110-122页

作者： Pei-Yi Feng Xi-Lei Sun Zheng-Hua An Yong Deng Cheng-Er Wang huang Jiang Jun-Jie Li Da-Li Zhang Xin-Qiao Li Shao-Lin Xiong Chao Zheng Ke Gong Sheng Yang Xiao-Jing Liu Min Gao Xiang-Yang Wen Ya-Qing liu Yan-Bing Xu Xiao-Yun Zhao Jia-Cong Liu Fan Zhang Hong Lu Particle and Astrophysics Center Institute of High Energy PhysicsChinese Academy of SciencesBeijing 100049China Key Laboratory of Particle Astrophysics Institute of High Energy PhysicsChinese Academy of SciencesBeijing 100049China University of Chinese Academy of Sciences Chinese Academy of SciencesBeijing 100049China Experimental Physics Center Institute of High Energy PhysicsChinese Academy of SciencesBeijing 100049China State Key Laboratory of Particle Detection and Electronics Institute of High Energy PhysicsChinese Academy of SciencesBeijing 100049China School of Nuclear Science and Technology University of South ChinaHengyang 421001China National Engineering Research Center for Rare Earth Grirem Advanced Materials Co.Ltd.and General Research Institute for Nonferrous MetalsBeijing 100088China

The GECAM series of satellites utilizes LaBr_(3)(Ce),LaBr_(3)(Ce,Sr),and NaI(tl)crystals as sensitive materials for gamma-ray detectors(GRDs).To investigate the nonlinearity in the detection of low-energy gamma rays and address the errors in the calibration of the E-C relationship,comprehensive tests and comparative studies of the three aforementioned crystals were conducted using Compton electrons,radioactive sources,and mono-energetic *** nonlinearity test results of the Compton electrons and X-rays demonstrated substantial differences,with all three crystals presenting a higher nonlinearity for X/-rays than for Compton *** the LaBr_(3)(Ce)and LaBr_(3)(Ce,Sr)crystals having higher absolute light yields,they exhibited a noticeable nonlinear decrease in the light yield,especially at energies below 400 *** NaI(tl)crystal demonstrated an"excess"light output in the 6-200 keV range,reaching a maximum"excess"of 9.2%at 30 keV in the X-ray testing and up to 15.5%at 14 keV during Compton electron testing,indicating a significant advantage in the detection of low-energy gamma ***,we explored the underlying causes of the observed nonlinearity in these *** study not only elucidates the detector responses of GECAM,but also initiates a comprehensive investigation of the nonlinearity of domestically produced lanthanum bromide and sodium iodide crystals.

关键词： LaBr_(3)(Ce)detector LaBr_(3)(Ce,Sr)detector NaI(tl)detector GECAM Energy response Light yield nonlinearity

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基于迁移学习与残差网络的快递包裹X光图像识别

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印刷与数字媒体技术研究 2024年第2期 37-45,65页

作者：朱磊黄磊张媛程诚北京印刷学院邮政技术研发中心北京102600

针对快递包裹违禁物品识别存在种类繁多、依赖人力和X光图像获取难度大等问题,为提高快递包裹违禁物品识别的效率和准确度,本研究提出一种迁移学习与残差网络相结合的快递包裹X光图像识别方法(tl-ResNet18)。首先构建了相似度高的源领... 详细信息

针对快递包裹违禁物品识别存在种类繁多、依赖人力和X光图像获取难度大等问题,为提高快递包裹违禁物品识别的效率和准确度,本研究提出一种迁移学习与残差网络相结合的快递包裹X光图像识别方法(tl-ResNet18)。首先构建了相似度高的源领域数据集和目标领域数据集;其次,选用ResNet18作为预训练模型,调整初始化参数结构,并将ResNet18学习到的内容作为初始化参数迁移到目标领域,实现快递包裹X光图像分类;最后,将相同数据集作为三种模型的输入并对结果进行对比。实验结果表明,tl-ResNet18模型的局部微调和全局微调的识别准确率分别为93.5%、95.0%,相比于ResNet18模型提高了7%、8.5%,且精确度、召回率和F1值都优于ResNet18模型,该方法性能更优,且不受小型数据集对深层网络训练的限制,有利于快递包裹X光图像识别的智能化发展。

关键词：快递包裹 X光图像残差网络迁移学习

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Effect of overheating-induced minor addition on Zr-based metallic glasses

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Chinese Physics B 2024年第3期33卷 118-125页

作者：杨福薄振兴黄瑶王雨田孙博阳鲁振孙保安柳延辉汪卫华潘明祥 Institute of Physics Chinese Academy of SciencesBeijing 100190China Center of Materials Science and Optoelectronics Engineering University of Chinese Academy of SciencesBeijing 100049China School of Physical Sciences University of Chinese Academy of SciencesBeijing 100049China Songshan Lake Materials Laboratory Dongguan 523808China

Melt treatment is well known to have an important influence on the properties of metallic glasses(MGs).However,for the MGs quenched from different melt temperatures with a quartz tube,the underlying physical origin responsible for the variation of properties remains poorly *** the present work,we systematically studied the influence of melt treatment on the thermal properties of a Zr50Cu36Al14 glass-forming alloy and unveiled the microscopic ***,we quenched the melt at different temperatures ranging from 1.1tl to 1.5tl(tl is the liquidus temperature)to obtain melt-spun MG ribbons and investigated the variation of thermal properties of the MGs upon *** found that glass transition temperature,Tg,increases by as much as 36 K,and the supercooled liquid region disappears in the curve of differential scanning calorimetry when the melt is quenched at a high temperature up to *** careful chemical analyses indicate that the change in glass transition behavior originates from the incorporation of oxygen and silicon in the molten *** incorporated oxygen and silicon can both enhance the interactions between atoms,which renders the cooperative rearrangements of atoms difficult,and thus enhances the kinetic stability of the MGs.

关键词： metallic glass thermal properties melt treatment overheating oxygen content

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