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Multisystem involvement Langerhans cell histiocytosis in an adult:A case report

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World Journal of Clinical Cases 2020年第20期8卷 4966-4974页

作者： Bei-Bei Wang Jun-ru ye Yun-Lei Li Yi Jin Zhong-Wei Chen Jian-Min Li Yu-Ping Li Department of Pulmonary and Critical Care Medicine The First Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325000Zhejiang ProvinceChina Pathology Department The First Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325000Zhejiang ProvinceChina Radiology Department The First Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325000Zhejiang ProvinceChina

BACKGROUND Langerhans cell histiocytosis(LCH)is a rare condition wherein Langerhans cells proliferate abnormally,adversely impacting organs including lymph nodes,bones,skin,lungs,and pituitary *** LCH disease course varies widely among patients from a self-limiting condition to one that progresses rapidly and culminates in *** is uncommon for multisystem LCH to be observed in *** we describe a woman suffering from multi-system LCH *** SUMMARY A 37-year old Chinese woman was admitted to the hospital in June 2019 suffering from dyspnea that had progressed over the course of 5 *** medical history included:central diabetes insipidus(DI)that had been treated via radiotherapy,desmopressin acetate,and bromocriptine;bilateral pneumothorax with two surgeries having been performed to remove bullae;and autoimmune hepatitis that had been unsuccessfully treated using a combination of methylprednisolone and mycophenolate mofetil.A chest computed tomography(CT)scan revealed the presence of multiple pulmonary cysts of varying *** re-analyzed right pulmonary bullae samples that had been removed in 2014,performed a systematic 18 F-FDG PET/CT analysis,and convened a multidisciplinary medical team to diagnose and treat this *** a result,we were able to eventually diagnose this patient with LCH that was not associated with BRAF-V600 E *** We hope to emphasize the importance of systemic evaluation and of cooperation between multidisciplinary physicians with the goal of improving awareness and detection of this orphan disease.

关键词： Langerhans cell histiocytosis Lung Pituitary gland Liver Case report

Characterization of Staphylococcus aureus Isolated from Clinical Specimens by Matrix Assisted Laser Desorption/Ionization Time-of-flight Mass Spectrometry

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Biomedical and Environmental Sciences 2013年第6期26卷 430-436页

作者： WANG ye ru CHEN Qian CUI Sheng Hui LI Feng Qin Institute of Nutrition and Food Safety Chinese Centre for Disease Control and Prevention Key Laboratory of Food Safety Risk Assessment Ministry of HealthChina National Centre for Food Safety Risk Assessment Beijing Municipal Centre for Disease Control and Prevention National Institute for Food and Drug Control

Objective To develop a matrix assisted laser desorption/ionization time-of-flight mass spectrometry （MALDI-TOF-MS） approach to identify Staphylococcus aureus （5. aureus） and differentiate methicillin-resistant 5. aureus （MRSA） from methicillin-sensitive S. aureus （MSSA）. Methods A total of 100 5. aureus strains isolated from clinical specimens and farm workers were collected and analyzed by MALDI-TOF-MS. And data obtained were interpreted with biotyper software. Results Ninety-two strains were identified by MALDI-TOF-MS as 5. aureus at a level of secure genus and probable species, and 4 strains were identified at probable genus after their cultivation, spectral collection and data preprocessing. One strain was identified as 5. aureus with lower score. It was revealed that identification of 5. aureus by MALDI-TOF-MS was highly correlated with typing by biochemical and serological methods with an accuracy as high as 97%. The biotyper cluster analysis showed that 100 isolates were divided into 2 types at the distance level of 400. Higher peak intensity in the mass of both 3784 Da and 5700 Da was observed in MRSA, whereas that was absent from MSSA. Conclusion MALDI-TOF-MS is considered as a simple, high-throughput and accuracy for the identification of S from MSSA. rapid and highly reproducible technique with aureus and it can reliably differentiate MRSA

关键词： Staphylococcus aureus Characterization MRSA MSSA MALDI-TOF-MS

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再审制度的关联性考察与理性重构

南京师大学报（社会科学版） 2012年第3期 45-51页

作者：曹也汝南京师范大学法学院博士研究生 210046

当前,中国的再审制度改革与实践面临诸多难题。从再审制度与涉诉信访、审级制度的外部关联以及其与再审主体的内在冲突关系之中,可以清楚看出,再审制度的合理性因素以及制度角色与制度能力明显不足。因而,从制度的外部关联与内在结构的... 详细信息

当前,中国的再审制度改革与实践面临诸多难题。从再审制度与涉诉信访、审级制度的外部关联以及其与再审主体的内在冲突关系之中,可以清楚看出,再审制度的合理性因素以及制度角色与制度能力明显不足。因而,从制度的外部关联与内在结构的双重角度对其进行观察与分析,并在此基础上对其进行审慎改革无疑十分必要。而要重构当前的再审制度,不仅要修正再审的理念,而且要完善再审制度的结构原理,以便进一步推进当前中国再审制度的实践,推动司法制度的发展,改善司法权威形成的内外部环境。

关键词：再审涉诉信访审级制度

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CRACK DETECTION OF BEAM-STruCTURES BASED ON TRANSIENT WAVES

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CRACK DETECTION OF BEAM-STRUCTURES BASED ON TRANSIENT WAVES

Extracorporeal Cardiopulmonary Resuscitation in Children of Asia Pacific： A Retrospective Analysis of Extracorporeal Life Support Organization Registry

2012全国压电和声波理论及器件技术研讨会

作者： Ji-qing JIANG Wei-qiu CHEN Gui-ru ye Department of Civil Engineering Zhejiang University City College Department of Engineering Mechanics Zhejiang University Department of Civil Engineering Zhejiang University

A method for crack detection in beam-structures is developed based on the transient waves under arbitrary external *** rotational springs are introduced for modeling cracked sections in a Timoshenko beam,and the wave responses of the perfect and cracked beams are calculated accurately by the reverberation-ray matrix *** it is hard to identify cracks from the wave responses directly,the Hilbert-Huang transform is employed to analyze the dynamic *** examples show that extra wavecrests can be observed from the Hilbert spectrum of the cracked beam when compared with the perfect *** extra wavecrests are found to be generated by waves scattered from the cracked *** location of the crack can then be determined according to the wave speed and possible propagation path.

关键词： Cracked beam Transient wave Damage detection Reverberation-ray matrix method Hilbert-Huang transform

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Chinese Medical Journal 2018年第12期131卷 1436-1443页

作者： Gai-Ling Chen ye-ru Qiao Jin-Hui Ma Jian-Xin Wang Fei-Long Hei Jie Yu Department of Cardiology China-Japan Friendship Hospital Beijing 100029 China Department of Extracorporeal Circulation Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100037 China

Background： Recent advances in extracorporeal membrane oxygenation （ECMO） have led to increasing interest in its use during cardiopuhnonary resuscitation （CPR）. However, decisions regarding extracorporeal CPR （ECPR） in children are difficult as a result of limited studies, especially in Asia Pacific. The objective of this study was to investigate trends in survival and demographic details for children with ECPR in Asia Pacific recorded in the Extracorporeal Life Support Organization （ELSO） registry from 1999 to 2016 and identify the risk factors associated with in-hospital mortality. Methods： The data of children younger than 18 years of age who received ECPR over the past 18 years in Asia Pacific were retrospectively analyzed. The data were extracted from the ELSO registry and divided into two 9-year groups （Group 1 1999-2007 and Group 2： 2008-2016） to assess temporal changes using univariate analysis. Then, univariate and multiple logistic regression analyses were performed between survivors and nonsurvivors to identify factors independently associated with in-hospital mortality. Results： A total of 321 children were included in final analysis, with an overall survival rate of 50.8%. Although survival rates were similar between Group 1 and Group 2 （43.1% vs. 52.5%,χ^2= 1.67, P - 0.196）, the median age （1.7 [0.3, 19.2] months for Group 1 vs. 5.6 [0.8, 64.9] months for Group 2, t = 2.93, P = 0.003） and weight （3.7 [3.0, 11.5] kg for Group 1 vs. 6.0 [3.4, 20.3] kg for Group 2, t = -3.14, P 0.002） of children increased over time, while the proportion of congenital heart disease （75.9% for Group 1 vs. 57.8% for Group 2, χ^2=6.52, P 0.011 ） and cardiogenic shock （36.2% for Group 1 vs. 7.2% for Group 2, χ^2=36.59, P 〈 0.001 ） decreased. Patient conditions before ECMO were worse, while ECMO complications decreased across time periods, especially renal complications. Multiple logistic regress!on analysis of ECMO complications showed that disseminated intravascular coagulat

关键词： Children Extracorporeal Cardiopulmonary Resuscitation Extracorporeal Life Support Organization Extracorporeal Membrane Oxygenation

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“效体”诗原论

北京社会科学 2017年第2期 30-39页

作者：叶汝骏上海师范大学人文与传播学院上海200234

在中国古典诗歌中,诗题或诗序出现"效某某体"等显性标志的诗歌可以称作"效体"诗。"效体"诗生成于六朝,并在此期确立了三种创作范式。其发展大致伴随着古人对"体"的内涵的认识变化,总的趋向是从效法体貌、风格,逐渐转向效法体裁、形式。... 详细信息

在中国古典诗歌中,诗题或诗序出现"效某某体"等显性标志的诗歌可以称作"效体"诗。"效体"诗生成于六朝,并在此期确立了三种创作范式。其发展大致伴随着古人对"体"的内涵的认识变化,总的趋向是从效法体貌、风格,逐渐转向效法体裁、形式。诗歌典范的确立、诗人创作动机的多元、诗坛宗尚和复古风潮的驱使,都是促使"效体"诗产生和兴盛的原因。作为中国古典诗歌中重要的创作传统,"效体"诗的意义与价值需要平议。

关键词： “效体”诗风格体裁摹拟

协调贸易与环境的最佳途径——环境成本内部化

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中国人口·资源与环境 2006年第4期16卷 17-22页

作者：曲如晓张业茹北京师范大学经济与工商管理学院北京100875 北京大学光华管理学院北京100871

面对经济发展带来人类福利增加的同时所产生的日益严重的环境污染问题,国际贸易被指责为环境质量下降的原因之一,甚至连国际贸易自由化的原则也受到质疑。围绕贸易与环境可否协调以及如何协调的问题,由环境保护与贸易自由化在理论和实... 详细信息

面对经济发展带来人类福利增加的同时所产生的日益严重的环境污染问题,国际贸易被指责为环境质量下降的原因之一,甚至连国际贸易自由化的原则也受到质疑。围绕贸易与环境可否协调以及如何协调的问题,由环境保护与贸易自由化在理论和实践中的冲突引出贸易与环境之间存在着复杂的相互作用;并通过进一步的经济学分析得出结论:环境问题的根源并不是国际贸易,而是环境成本的外部性造成的市场失灵,而国际贸易只是加重了这种市场失灵,二者可以协调发展。环境成本内部化是解决这一问题的最佳手段。通过环境成本内部化可以达到环境资源的合理配置并最终实现可持续发展。

关键词：环境保护贸易自由化环境成本外部性环境成本内部化

碳纳米管内分立的纳米铁粒子的热氧化性能研究(英文)

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无机化学学报 2009年第2期25卷 321-329页

作者：黄钊陈乾旺刘业如合肥微尺度物质国家实验室、中国科学技术大学材料科学与工程系合肥230026

研究了纳米铁填充的碳纳米管基复合纤维在空气中的热氧化性能。结果表明:一般在室温即被氧化的铁(Fe)纳米粒子在170℃仍然具有良好的稳定性。这一方面是由于碳纳米管的保护作用所致,另一方面碳纳米管末端的Fe纳米粒子在室温下即迅速被... 详细信息

研究了纳米铁填充的碳纳米管基复合纤维在空气中的热氧化性能。结果表明:一般在室温即被氧化的铁(Fe)纳米粒子在170℃仍然具有良好的稳定性。这一方面是由于碳纳米管的保护作用所致,另一方面碳纳米管末端的Fe纳米粒子在室温下即迅速被氧化成反尖晶石型Fe3O4/γ-Fe2O3,170℃以下能有效阻止氧分子向碳纳米管内扩散。因此,170℃可以被看作氧分子扩散进入碳纳米管腔的极限温度。在170℃以下时,氧分子无法渗透Fe3O4/γ-Fe2O3晶格在管腔中形成氧分子。当温度高于170℃时,氧分子渗透发生,管腔内的Fe纳米粒子由靠近管末端位置到内部逐渐被氧化。由于相对良好的热氧化稳定性,Fe填充碳纳米管基复合纤维的铁磁性将可以在更高温度范围内得以保持。

关键词：热稳定性碳“纳米试管” 反尖晶石结构氧扩散临界温度

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发扬党的优良传统密切党群关系

中国劳动关系学院学报 2001年第5期15卷 69-70页

作者：叶如春中国铁道建筑总公司第十六工程局!北京100018

密切联系群众是我们党的优良传统。在新的历史时期 ,更赋予其新的内涵 ,这是社会发展的需要。

关键词：改革开放优良传统党群关系