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抗信号识别颗粒抗体阳性的免疫介导坏死性肌病的临床、肌肉影像及病理特点分析

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中华神经科杂志 2024年第9期57卷 1000-1008页

作者：李诗瑶瞿千千郑献召马晓丽崔文豪李丹吕正赵炯博王佳璇胡聪吕海东新乡医学院附属焦作市人民医院神经内科焦作454002 新乡医学院附属焦作市人民医院神经影像科焦作454002

目的:分析抗信号识别颗粒抗体阳性的免疫介导坏死性肌病(SRP-IMNM)患者的临床、肌肉影像及病理特点。方法:收集2018年5月至2023年5月就诊于焦作市人民医院神经肌肉病中心、经骨骼肌病理和肌炎特异性抗体(MSAs)确诊的9例SRP-IMNM患者的... 详细信息

目的:分析抗信号识别颗粒抗体阳性的免疫介导坏死性肌病(SRP-IMNM)患者的临床、肌肉影像及病理特点。方法:收集2018年5月至2023年5月就诊于焦作市人民医院神经肌肉病中心、经骨骼肌病理和肌炎特异性抗体(MSAs)确诊的9例SRP-IMNM患者的临床资料,分析并总结其临床特征、肌肉影像学及肌肉病理学特点。结果:9例患者中女性7例,男性2例,起病年龄为18~59岁。9例患者临床均表现为四肢近端肌无力,7例伴颈肌无力,5例有吞咽困难。9例患者的血清肌酸激酶均有不同程度升高(1 866~6 725 U/L)。其中4例合并间质性肺病,3例合并心脏受累。抗体检测9例患者除SRP抗体阳性以外,有8例合并其他抗体阳性,7例合并抗Ro-52抗体阳性,4例为单纯合并抗Ro-52抗体阳性,3例同时合并3种以上抗体阳性。其中出现间质性肺病和心脏受累的患者均合并其他抗体阳性。7例患者行大腿肌肉磁共振成像(MRI)检查均可见弥漫性骨骼肌水肿,部分肌肉萎缩及脂肪化,病变主要累及大腿后侧肌群。有2例患者行小腿肌肉MRI,可见比目鱼肌受累较明显,1例有胫骨前肌、腓肠肌受累。9例患者肌肉病理均可见有不同程度的肌纤维变性、坏死和再生,1例可见少量炎性细胞浸润。4例患者可见管柱状毛细血管。免疫组织化学染色可见8例患者坏死肌纤维内有少量CD68阳性淋巴细胞,5例患者可见肌纤维膜上有主要组织相容性复合体Ⅰ表达上调,6例患者非坏死肌纤维和毛细血管上可见膜攻击复合物(C5b-9)沉积,6例患者行P62染色均可见部分肌纤维内有均质的细颗粒样物质沉积。结论:SRP-IMNM患者除肢体近端肌无力外,常伴有颈肌无力和吞咽困难,合并多种抗体阳性的患者更容易出现间质性肺病和心脏受累。SRP-IMNM患者受累肌肉呈弥漫性水肿,大腿后侧肌群更易发生萎缩和脂肪化。C5b-9沉积和管柱状毛细血管是SRP-IMNM的重要病理特征,可为临床诊断提供更多的依据。

关键词：信号识别颗粒免疫介导坏死性肌病磁共振成像肌肉病理

三种冠状动脉内灌注用药方案对高血栓负荷急性ST段抬高型心肌梗死患者经皮冠状动脉介入术后心肌灌注及短期预后的影响

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中国心血管杂志 2024年第2期29卷 143-151页

作者：晋辉郑献召沈玲曾辉王中明韩风杰杭晓阳刘静周庆庆朱艳霞王晓飞郑海军新乡医学院附属焦作市人民医院心内科 454000

目的探讨三种冠状动脉内灌注用药方案对高血栓负荷急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入(PCI)术后心肌灌注及短期预后的影响。方法前瞻性、单中心、随机对照研究。纳入2017年3月至2021年8月焦作市人民医院心内科高血栓负... 详细信息

目的探讨三种冠状动脉内灌注用药方案对高血栓负荷急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入(PCI)术后心肌灌注及短期预后的影响。方法前瞻性、单中心、随机对照研究。纳入2017年3月至2021年8月焦作市人民医院心内科高血栓负荷STEMI患者150例,按照分层区组随机化原则等分为三组各50例。A组:尼可地尔+替罗非班靶血管灌注;B组:尿激酶原+替罗非班靶血管灌注;C组:尼可地尔+尿激酶原+替罗非班靶血管灌注。于PCI术前、术后即刻检测记录梗死相关动脉(IRA)的心肌梗死溶栓试验(TIMI)血流分级、TIMI心肌灌注分级(TMPG)、校正的TIMI血流帧数(CTFC);于PCI术前、术后24 h记录心电图的ST段回落幅度;记录IRA开通后24 h内Curtis-Walker评分及恶性心律失常例数;于PCI术前、术后0 h、12 h、24 h、3 d及7 d检测血清高敏肌钙蛋白I(hs-cTnI);于PCI术前、术后24 h及7 d检测丙二醛(MDA)、超氧化物歧化酶(SOD);于PCI术前、术后7 d、术后1个月、术后6个月及术后12个月检测左心室射血分数(LVEF)。随访记录患者住院期间及出院后30 d内的出血事件及术后12个月内主要不良心血管事件(MACE)。结果(1)PCI术后即刻,C组患者的TIMI血流分级、TMPG均优于A组(Z=-16.610,P=0.023;Z=-18.400,P=0.015)和B组(Z=-15.130,P=0.046;Z=16.550,P=0.035);C组患者的CTFC帧数低于A组(P<0.001)和B组(P=0.001)。(2)PCI术后,C组患者的血清hs-cTnI水平低于A组和B组(均为P<0.001)。(3)PCI术后,C组患者的MDA水平低于A组和B组(均为P<0.001),SOD水平高于A组(P=0.004)和B组(P=0.024)。(4)PCI术后24 h,C组患者的ST段回落幅度大于A组(P=0.003)和B组(P=0.012),Curtis-Walker评分及恶性心律失常发生率低于A组(P=0.008、0.015)和B组(P=0.014、0.034)。(5)PCI术后,C组患者的LVEF水平高于A组和B组(均为P<0.001)。(6)住院期间及出院后30 d内,三组患者均未发生大出血,少量出血和微量出血的发生率比较无统计学差异(χ^(2)=1.385,P=0.500);术后12个月内,C组患者的MACE发生率低于A组和B组(χ^(2)=7.400,P=0.025)。结论尼可地尔+尿激酶原+替罗非班靶血管灌注具有协同作用,可有效改善STEMI患者PCI术后的心肌灌注,减轻术后心肌损伤和氧化应激损伤,促进ST段回落,降低恶性心律失常发生率,有效促进心功能恢复,减少心血管不良事件,且不增加术后出血。

关键词：急性ST段抬高型心肌梗死高血栓负荷经皮冠状动脉介入尼可地尔重组人尿激酶原心肌灌注

维普期刊数据库博看期刊

Plate tectonics in the Archean:Observations versus interpretations

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Science China Earth Sciences 2024年第1期67卷 1-30页

作者： YongFei zheng School of Earth and Space Sciences University of Science and Technology of ChinaHefei 230026China Key Laboratory of Crust-Mantle Materials and Environment Chinese Academy of SciencesHefei 230026China Center of Excellence for Comparative Planetology Chinese Academy of SciencesHefei 230026China

Plate tectonics theory,established in the 1960s,has been successful in explaining many geological phenomena,processes and events that occurred in the ***,the theory has often struggled to provide a coherent framework in interpreting geological records in continental interior and Precambrian *** dealing with the relationship between plate tectonics and continental geology,continental interior tectonics was often separated from continental margin tectonics in the inheritance and development of their structure and *** separation led to the illusion that the plate tectonics theory is not applicable to Precambrian geology,particularly in explaining the fundamental geological characteristics of Archean *** this illusion does not mean that the Archean continental crust did not originate from a regime of plate tectonics,it led to the development of alternative tectonic models,often involving vertical movements under a regime of stagnant lid tectonics,including not only endogenous processes such as gravitational sagduction,mantle plumes and heat pipes but also exogenous processes such as bolide *** vertical processes were not unique to the Archean but persisted into the *** result from mantle poloidal convection at different depths,not specific to any particular *** the plate tectonics theory from the traditional kinematic model in the 20th century to a holistic kinematic-dynamic model in the 21st century and systematically examining the vertical transport of matter and energy at plate margins,it is evident that plate tectonics can explain the common geological characteristics of Archean cratons,such as lithological associations,structural patterns and metamorphic *** deciphering the structure and composition of convergent plate margins as well as their dynamics,the formation and evolution of continental crust since the Archean can be divided into ancient plate tectonics in the Preca

关键词： Plate tectonics Archean geology Continental origin Crustal reworking Plate interior Plate margin

Discovery of the Significant Impacts of Swell Propagation on Global Wave Climate Change

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Journal of Ocean University of China 2024年第3期23卷 594-604页

作者： zheng Chongwei Dalian Naval Academy Dalian 116018China Marine Resources and Environment Research Group on the Maritime Silk Road Dalian 116018China

This study compared the differences in the wave climate in the South China Sea and North Indian Ocean under these two datasets:ERA-40 wave reanalysis and Mei’s hindcast wave *** the numerical calculation of regional ocean waves,the wave climate characteristics exhibited significant bias if the influence of external swells(swells from afar)was not fully considered,which may provide an incorrect basis for global climate change analysis.1)The trends of the significant wave height(SWH)obtained from the two datasets showed significant differences,such as those of the Bay of Bengal and the Java Sea in *** the past 45 years,SWH from ERA-40(SWH-ERA)exhibited a significant annual increase in low-latitude waters of the North Indian Ocean(0.2-0.6 cm yr^(-1))and South China Sea(0.2-0.8 cm yr^(-1)).2)In the Bay of Bengal,the SWH-ERA in each month was generally 0.5 m higher than the SWH from Mei’s hindcast wave data(SWH-Mei)and can reach 1.0 m higher in some months.3)In the Bay of Bengal,SWH-ERA and SWH-Mei increased significantly at annual rates of 0.13 and 0.27 cm yr^(-1),*** increasing trend was mainly reflected after ***-ERA showed a trough in 1975(1.33 m)and a crest in 1992(1.83 m),which were not reflected in SWH-Mei.

关键词： wave climate climatic trend monthly variation annual variation external swell

A positive trend in the stability of global offshore wind energy

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Acta Oceanologica Sinica 2024年第1期43卷 123-134页

作者： Chongwei zheng Dalian Naval Academy Dalian 116018China Marine Resources and Environment Research Group on the Maritime Silk Road Dalian 116018China Shandong Provincial Key Laboratory of Ocean Engineering Ocean University of ChinaQingdao 266100China

The recognition on the trend of wind energy stability is still extremely rare,although it is closely related to acquisition efficiency,grid connection,equipment lifetime,and costs of wind energy *** the 40-year(1979–2018)ERA-Interim data from the European Center for Medium-Range Weather Forecasts,this study presented the spatial-temporal distribution and climatic trend of the stability of global offshore wind energy as well as the abrupt phenomenon of wind energy stability in key regions over the past 40 years with the climatic analysis method and Mann-Kendall(M-K)*** results show the following 5 points.(1)According to the coefficient of variation(C_(v))of the wind power density,there are six permanent stable zones of global offshore wind energy:the southeast and northeast trade wind zones in the Indian,Pacific and Atlantic oceans,the Southern Hemisphere westerly,and a semi-permanent stable zone(North Indian Ocean).(2)There are six lowvalue zones for both seasonal variability index(S_(v))and monthly variability index(M_(v))globally,with a similar spatial distribution as that of the six permanent stable zones.M_(v) and S_(v) in the Arabian Sea are the highest in the world.(3)After C_(v),M_(v) and S_(v) are comprehensively considered,the six permanent stable zones have an obvious advantage in the stability of wind energy over other sea areas,with C_(v) below 0.8,M_(v) within 1.0,and S_(v) within 0.7 all the year round.(4)The global stability of offshore wind energy shows a positive climatic trend for the past four decades.C_(v),M_(v) and S_(v) have not changed significantly or decreased in most of the global ocean during 1979 *** is,wind energy is flat or more stable,while the monthly and seasonal variabilities tend to shrink/smooth,which is beneficial for wind energy utilization.(5)C_(v) in the low-latitude Pacific and M_(v) and S_(v) in both the North Indian Ocean and the low-latitude Pacific have an obvious abrupt phenomenon at the end of

关键词： global oceans wind energy stability spatial-temporal distribution climatic trend

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一次暴雨天气过程的物理量分析

气象 2006年第1期32卷 102-106页

作者：郑仙照寿绍文沈新勇南京信息工程大学大气科学系福建省宁德市气象局210044

对2002年发生在闽东的一次暴雨天气过程进行分析。结果表明:螺旋度和对流有效位能对暴雨的预报有指示意义,暴雨产生在低层正螺旋度中心与高层负螺旋度中心相配合和中低层有不稳定能量储存的高能区。在暴雨强盛期,螺旋度呈中低层正值,高... 详细信息

对2002年发生在闽东的一次暴雨天气过程进行分析。结果表明:螺旋度和对流有效位能对暴雨的预报有指示意义,暴雨产生在低层正螺旋度中心与高层负螺旋度中心相配合和中低层有不稳定能量储存的高能区。在暴雨强盛期,螺旋度呈中低层正值,高层负值的上下配置,最大值位于700hPa。对流有效位能大值区与暴雨中心相对应,对流有效位能的时空变化能较好地反映暴雨的时空演变特征。利用中尺度数值模式输出的结果对不稳定能量场进行分析表明,位势不稳定能量的释放是暴雨产生发展的可能机制之一。

关键词：暴雨螺旋度对流有效位能位势不稳定能量

Wind power and sand/dust storms

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Science China(Physics,Mechanics & Astronomy) 2024年第4期67卷 175-176页

作者： XiaoJing zheng Center for Particle-Laden Turbulence Lanzhou UniversityLanzhou 730000China

Sand/dust storms,a globally prevalent catastrophic weather phenomenon,can cause significant erosion to the climate and ecological *** high concentration of sand particles they carry not only impacts atmospheric qualit... 详细信息

关键词： Wind power and sand/dust storms

Damping Characteristic Analysis and Optimization of Wind-thermal-bundled Power Transmission by LCC-HVDC Systems

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Journal of Modern Power Systems and Clean Energy 2024年第1期12卷 299-312页

作者： Liwen zheng Shiying Ma the Power System Department China Electric Power Research InstituteBeijing 100192China

With the rapid development of renewable energy,wind-thermal-bundled power transmission by line-commutated converter based high-voltage direct current(LCC-HVDC)systems has been widely *** dynamic interaction mechanisms among permanent magnet synchronous generators(PMSGs),synchronous generators(SGs),and LCC-HVDC system become *** deal with this issue,a path analysis method(PAM)is proposed to study the dynamic interaction mechanism,and the damping reconstruction is used to analyze the damping characteristic of the ***,based on the modular modeling,linearized models for the PMSG subsystem,the LCC-HVDC subsystem,and the SG subsystem are ***,based on the closed-loop transfer function diagram of the system,the disturbance transfer path and coupling relationship among subsystems are analyzed by the PAM,and the damping characteristic analysis of the SG-dominated oscillation mode is studied based on the damping *** with the PAM,the small-signal model of the system is obtained and eigenvalue analysis results are ***,the effect of the control parameters on the damping characteristic is analyzed and the conclusions are verified by time-domain ***,the penalty functions of the oscillation modes and decay modes are taken as the objective function,and an optimization strategy based on the Monte Carlo method is proposed to solve the parameter optimization *** simulation results are presented to validate the effectiveness of the proposed strategy.

关键词： Wind-thermal-bundled power transmission line-commutated converter based high-voltage direct current(LCC-HVDC) path analysis method(PAM) damping characteristic analysis Monte Carlo method

A Minimum Residual Based Gradient Iterative Method for a Class of Matrix Equations

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Acta Mathematicae Applicatae Sinica 2024年第1期40卷 17-34页

作者： Qing-qing zheng Department of Mathematics College of ScienceChina University of Petroleum-BeijingBeijing102249China

In this paper, we present a minimum residual based gradient iterative method for solving a class of matrix equations including Sylvester matrix equations and general coupled matrix equations. The iterative method uses a negative gradient as steepest direction and seeks for an optimal step size to minimize the residual norm of next iterate. It is shown that the iterative sequence converges unconditionally to the exact solution for any initial guess and that the norm of the residual matrix and error matrix decrease monotonically. Numerical tests are presented to show the efficiency of the proposed method and confirm the theoretical results.

关键词： Sylvester matrix equation coupled matrix equation minimum residual gradient descent convergence analysis