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Exogenous insulin autoimmune syndrome:A case report and review of literature

World Journal of Clinical Cases 2024年第9期12卷 1691-1697页

作者： Ling-Ling Xu Jia-Xin Chen Jing-Ping Cheng ni luo Medical College School of MedicineWuhan University of Science and TechnologyWuhan 430065Hubei ProvinceChina Department of Gerontology CR&WISCO General Hospital Affiliated to Wuhan University of Science and TechnologyWuhan 430080Hubei ProvinceChina

BACKGROUND Insulin autoimmune syndrome(IAS)is a severe manifestation of spontaneous *** is characterized by elevated levels of immune-reactive insulin and highly potent insulin autoantibodies(IAAs),which are induced by endogenous insulin circulating in the *** is distinguished by recurring instances of spontaneous hypoglycemia,the presence of IAA within the body,a substantial elevation in serum insulin levels,and an absence of prior exogenous insulin ***,recent studies show that both conventional insulin and its analogs can induce IAS episodes,giving rise to the notion of nonclassical ***,more attention should be paid to these *** SUMMARY In this case report,we present a rare case of non-classical IAS in an 83-year-old male patient who present with symptoms of a psychiatric *** symptom onset,the patient exhibited Whipple's triad(including hypoglycemia,blood glucose level less than 2.8 mmol/L during onset,and rapid relief of hypoglycemic symptoms after glucose administration).Concurrently,his serum insulin level was significantly elevated,which contradicted his C-peptide *** a comprehensive examination,the patient was diagnosed with exogenous insulin autoimmune *** that the patient had type 2 diabetes mellitus and a history of exogenous insulin use before disease onset,it was presumed that non classical IAS was induced by this *** PubMed database was used to search for previous cases of IAS and non-classical IAS to analyze their characteristics and treatment *** The occurrence of non-classical IAS is associated with exogenous insulin or its analogs,as well as with sulfhydryl *** can be effectively alleviated through the discontinuation of relevant medications,administration of hormones or immunosuppressants,plasma exchange,and lifestyle adjustments.

关键词： Insulin autoimmune syndrome Type 2 diabetes Exogenous insulin Insulin autoantibodies Hypoglycemia Case report

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Bioassay of Estrogenic Activity of Effluent and Influent in a Farm Wastewater Treatment Plant Using an in vitro Recombinant Assay with Yeast Cells

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Biomedical and Environmental Sciences 2008年第5期21卷 381-388页

作者： XIANG-MING LI FANG-ni luo GUI-XIA LIU AND PING-TING ZHU Department of Preventive Medicine Medical College Yangzhou University Yangzhou 225001 Jiangsu China College of Animal Science and Technology Yangzhou University Yangzhou 225009 Jiangsu China

Objective Environmental estrogens at an elevated concentration are known to produce adverse effects on human and animal life. However, the majority of researches have been focused on industrial discharges, while the impact of livestock wastes as a source of endocrine disrupters in aquatic environments has been rarely elucidated. In order to investigate the contribution of environmental estrogens from livestock, the estrogenic activity in water samples from a farm wastewater treatment plant was analyzed by a recombinant yeast screening method. Methods The extracts prepared from 15 selected water samples from the farm wastewater treatment plant, among which 6 samples were from pre-treatment section （influents） and 9 from post-treatment section （effluents）, were analyzed for estrogenic activity by cellar bioassay. Yeast cells transfected with the expression plasmid of human estrogen receptor and the Lac Z reporter plasmid encoding β-galactossidase, were used to measure the estrogen-like compounds in the farm wastewater treatment plant. Results The wastewater samples from influents showed a higher estrogenic potency than the effluent samples showing a low induction of β-galactossidase relative to solvent control condition. By comparison with a standard curve for 17β-estradiol （E2）, estrogenic potency in water samples from the influents was calculated as E2-equivalent and ranged from 0.1 to 150 pM E2-equivalent. The estrogenic potency in water samples from the effluents was significantly lower than that in the influents, and 7 water samples had less detectable limit in the total of 9 samples. Conclusion Yeast bioassay of estrogenic activity in most of the samples from the farm wastewater after disposal by traditional sewage treatment showed negative results.

关键词： Farm wastewater Bioassay Recombinant gene yeast Environmental estrogens

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Virtual prototype simulation on underwater hydraulic impingement shovel

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Journal of Marine Science and Application 2007年第1期6卷 58-62页

作者： LIU He-ping luo A-ni MENG Qing-xin College of Mechanical and Electrical Engineering Harbin Engineering University Harbin 150001 China

The virtual prototype technology is applied to the design of the hydraulic impingement shovel, which is to increase the reliability of the design. The work principle of hydraulic impingement shovel is expatiated, and its dynamic equations are established. The 3D model of virtual prototype is built by PRO/E. Then the couple between the mechanical body of prototype and the hydraulic system is completed by virtue of ADAMS. Finally, the simulation is made on the virtual prototype. The simulation results show that the design of underwater hydraulic impingement shovel is rational. The virtual prototype technology could lay sound foundation of successful manufacturing of physical prototype for the first time and offer highly effective and feasible means for the design and production of underwater equipments.

关键词： naval gun lock-breechblock cam artillery cartridge extractor

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Improving IEC thermal model for oil natural air natural transformers using optimised parameters based on dynamic simulation

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High Voltage 2024年第1期9卷 217-229页

作者： Lijing Zhang Yingting luo Gehao Sheng Zizhan ni Xiuchen Jiang Department of Electrical Engineering Shanghai Jiao Tong UniversityShanghaiChina Electric Power Research Institute of Guangdong Power Grid Corporation GuangzhouChina

Accurate assessment of hot-spot temperature is essential for the safe operation of power *** dynamic thermal models cannot estimate hot-spot temperature accurately since some input parameters are roughly determined by transformer capacity and cooling mode while ignoring the effect of winding structure,tank dimensions,and material physical *** improve the accuracy of temperature assessment,empirical parameters of the IEC thermal model including thermal constants,winding and oil exponents are optimised with the help of numerical simulation in this *** on energy conservation and heat transfer theory,a computational fluid dynamic(CFD)model of a transformer in oil natural air natural(ONAN)cooling mode is *** CFD model simulates the entity's structure,sizes,and multi-stage heat dissipation processes realistically,so it can more precisely calculate the dynamic hot-spot *** to the simulated temperature curves at different operating conditions,the thermal constants and oil exponent are estimated using non-linear regression,and the winding exponent is optimised using linear regression.A case study is conducted on an ONAN *** shows the improved IEC model with optimised parameters can more accurately evaluate hot-spot temperature,and the absolute error is decreased by 2.4 K(38.7%)compared with traditional thermal models.

关键词： temperature properties. thermal

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Research on the Reading and Writing Integrated Teaching Model of College English Based on Critical Thinking

Research on the Reading and Writing Integrated Teaching Mode...

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3rd International Conference on Culture, Education and Economic Development of Modern Society (ICCESE 2019)

作者： ni luo Basic Courses Teaching Department Shaanxi Technical College of Finance & Economics

Based on the supplementary and complementary relationship between language input and output, this paper conducts a research on the reading and writing integrated teaching of College English based on the cultivation of critical thinking ability. Through in-depth analysis of reading materials(regarded as input) that produces promoting effect on effective writing(regarded as output), and then, under the reactive force of writing, it can further promotes effective reading to achieve a virtuous circle of reading and writing.

关键词： college English integrated reading and writing teaching critical thinking ability

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Ceramic-based meta-material absorber with high-temperature stability

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Rare Metals 2024年第9期43卷 4433-4440页

作者： Xing-Cong Chen Wei-Jia luo Run-ni Zhao Yong-Zheng Wen Ji Zhou State Key Laboratory of New Ceramics and Fine Processing School of Materials Science and EngineeringTsinghua UniversityBeijing 100084China

With the continuous exploration of uncharted and extreme environments,enhanced temperature robustness of passive devices has become particularly *** this study,a ceramic-based meta-material absorber with exceptional temperature stability is developed using a fusion design approach that combines rare metal-based tungsten bronze structural ceramics and ***,the absorbance of the meta-material array based on Mie resonance exceeds 49.0%in both waveguides and free space,approaching the theoretical *** to impedance analysis,the absorption performance can be distinctly correlated with the dielectric loss(Q_(f)).Notably,the high-temperature robustness is verified to still be effective at 400℃.These advancements in our design allow for the use of monolithic materials in fabricating temperature-stable perfect absorbers,providing greater freedom in the dielectric performance and expanding their potential applications,including in space exploration and 5G millimeter-wave scenarios.

关键词： Temperature robustness Meta-material absorber Microwave absorption Rare metal-based ceramics Miniaturization

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Study of liver cirrhosis over twenty consecutive years in adults in Southern China

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World Journal of Hepatology 2023年第12期15卷 1294-1306页

作者： Xing Wang Jin-ni luo Xiao-Ying Wu Qi-Xian Zhang Bin Wu Department of Gastroenterology The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510630Guangdong ProvinceChina Guangdong Provincial Key Laboratory of Liver Disease Research The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510630Guangdong ProvinceChina Patient Case Management Division The Third Affiliated Hospital of Sun Yatsen UniversityGuangzhou 510630Guangdong ProvinceChina

BACKGROUND Liver cirrhosis(LC)is a prevalent and severe disease in *** burden of LC is changing with widespread vaccination of hepatitis B virus(HBV)and antiviral ***,the recent transition in etiologies and clinical features of LC cases requiring hospitalization is *** To identify the transition in etiologies and clinical characteristics of hospitalized LC patients in Southern *** In this retrospective,cross-sectional study we included LC inpatients admitted between January 2001 and December *** data indicating etiological diagnosis and LC complications,and demographic,laboratory,and imaging data were collected from our hospital-based *** etiologies of LC were mainly determined according to the discharge diagnosis,and upper gastrointestinal bleeding,ascites,hepatic encephalopathy,spontaneous bacterial peritonitis,hepatocellular carcinoma(HCC),portal vein thrombosis,hepatorenal syndrome,and acute-on-chronic liver failure(ACLF)were considered LC-related complications in our *** trends in the etiologies and clinical characteristics were investigated using logistic regression,and temporal trends in proportions of separated years were investigated using the Cochran-Armitage ***-hospital prognosis and risk factors associated with in-hospital mortality were also invest *** A total of 33143 patients were included in the study[mean(SD)age,51.7(11.9)years],and 82.2%were *** mean age of the study population increased from 51.0 years in 2001-2010 to 52.0 years in 2011-2020(P<0.001),and the proportion of female patients increased from 16.7%in 2001-2010 to 18.2%in 2011-2020(P=0.003).LC patients in the decompensated stage at diagnosis decreased from 68.1%in 2001-2010 to 64.6%in 2011-2020(P<0.001),and the median score of model for end-stage liver disease also decreased from 14.0 to 11.0(P<0.001).HBV remained the major etiology of LC(75.0%)and the dominant cause of viral hepatitis-LC(94.5%)during th

关键词： Liver cirrhosis Epidemiology Etiology Upper gastrointestinal bleeding Hepatocellular carcinoma In-hospital mortality

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Fractionation characteristics of magnesium isotope in the ancient weathering crust

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Petroleum Science 2023年第3期20卷 1446-1457页

作者： Jia-Qi Yang Jun-Tao Zhang Zhi-Liang He ni-Na luo Xiao-Hui Jjin Tao Zhang ning Gu Kang-Jun Huang jian Gao School of Energy Resources China University of GeosciencesBeijing100083China SINOPEC Exploration and Production Research Institute Beijing100083China China Petrochemical Corporation Ltd. Beijing100728China Key Laboratory of Deep Geology and Resources SINOPECBejing102206China Chongqing Gas Field of Petro China Southwest Oil and Gas Field Company Chongqing400021China Shaanxi Key Laboretory of Early Life and Environments Department of GeologyNorthwest UniversityXi'anShaanxi710069China

Weathering has always been a concerned around the world,as the first and most important step in the global cycle of elements,which leads to the fractionation of isotopes on the scale of geological *** Middle Ordovician Majiagou Formation in Daniudi area of the Ordos Basin had experienced weathering for>130 *** thin section observation,major and trace element analysis,carbon,oxygen,and magnesium isotopes composition analysis,the dolomitization modes and weathering of ancient dolo-mite in Daniudi area were analyzed in *** results showed that the Sabkha and brine-reflux dolomitization modes had developed,and the Mg isotopes in different layers of the karst crust were fractionated by various *** vertical vadose zone was affected by weathering,the Mg isotope of dolomite(δ^(26)Mgdol)showed a downward decreasing trend;the horizontal underflow zone was controlled by diagenesis and formation fluid,δ^(26)Mgdol showed a vertical invariance and negative;the main reason for Mg isotope fractionation in the deep slow-flow zone was the brine-reflux dolomitization mode during early burial period,which showed a vertical downward ***,the Mg isotope characteristic data of the ancient weathering crust were provided and the process of Mg isotope frac-tionationinthekarstcrust was explained.

关键词： Magnesium isotope Dolomitization mode Weathering Ancient weathering crust Ordos Basin

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Production of Functional Materials Derived from Regenerated Silk Fibroin by Utilizing 3D Printing and Biomimetic Enzyme-induced Mineralization

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Chinese Journal of Polymer Science 2024年第3期42卷 299-310,I0005页

作者： ni Chen Fei-Yu luo Gong-Wen Yang Jin-Rong Yao Xin Chen Zheng-Zhong Shao State Key Laboratory of Molecular Engineering of Polymers Laboratory of Advanced Materials and Department of Macromolecular ScienceFudan UniversityShanghai 200433China

Critical-sized bone defects, commonly encountered in clinical orthopedic surgery, present a significant challenge. One of the promising solutions is to prepare synthetic bone substitute materials with precise structural control, mechanical compatibility, and enhanced osteogenic induction performance, nevertheless the successful preparation of such materials remains difficult. In this study, a two-step technique,integrating an extrusion-based printing process with biomimetic mineralization induced by alkaline phosphatase(ALP), was developed. Initially,a pre-cured hydrogel of regenerated silk fibroin(RSF) with a small quantity of hydroxypropyl cellulose(HPC) and ALP was prepared through heating the mixed aqueous solution. This pre-cured hydrogel demonstrated thixotropic property and could be directly extruded into predetermined structures through a 3D-printer. Subsequently, the 3D-printed RSF-based materials with ALP underwent biomimetic in situ mineralization in calcium glycerophosphate(Ca-GP) mineralizing solution, utilizing the polymer chains of RSF as templates and ALP as a trigger for cleaving phosphate bonds of Ca-GP. The resulting 3D-printed RSF-mineral composites including hydrogel and sponge possessed adjustable compression modulus of megapascal grade and variable hydroxyapatite content, which could be controlled by manipulating the duration of the mineralization ***, these 3D-printed RSF-mineral composites demonstrated non-cytotoxicity towards rat bone marrow mesenchymal stem cells. Therefore, they may hold great potential for applications involving the replacement of tissues characterized by osteoinductivity and intricate structures.

关键词： Silk protein Alkaline phosphatase Extrusion-based printing Biomineralization

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Gastrointestinal contrast-enhanced ultrasonography for diagnosis and treatment of peptic ulcer in children

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World Journal of Gastroenterology 2024年第7期30卷 705-713页

作者： Yu-Hua Zhang Zhi-Hua Xu Shuang-Shuang ni Hong-Xia luo Department of Ultrasound The Second Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325000Zhejiang ProvinceChina

BACKGROUND The detection rate of peptic ulcer in children is improving,with development of diagnostic *** is the gold standard for the diagnosis of peptic ulcer,but it is an invasive *** contrast-enhanced ultrasonography(CEUS)has the advantages of being painless,noninvasive,nonradioactive,easy to use,and *** To investigate the clinical value of CEUS for diagnosis and treatment of peptic ulcer in *** We investigated 43 children with digestive tract symptoms in our hospital from January 2021 to June *** children were examined by routine ultrasound,gastrointestinal CEUS,and *** pathological results of gastroscopy were taken as the gold *** ultrasonography was performed before gastrointestinal *** ultrasound showed the thickness of the gastroduodenal wall,gastric peristalsis,and the adjacent organs and tissues around the abdominal *** CEUS recorded the thickness of the gastroduodenal wall;the size,location and shape of the ulcer;gastric peristalsis;and adjacent organs and tissues around the abdominal *** results of routine ultrasound and gastrointestinal ultrasound were compared with those of gastroscopy to evaluate the diagnostic results and coincidence rate of routine ultrasound and gastrointestinal *** children received informed consent from their guardians for *** study was reviewed and approved by the hospital medical ethics *** Among the 43 children,17(15 male,2 female)were diagnosed with peptic ulcer by *** were 26 children with nonpeptic *** were eight cases of peptic ulcer and 35 of nonpeptic ulcer diagnosed by conventional *** diagnostic coincidence rate of peptic ulcer in children diagnosed by conventional ultrasound was 79.1%(34/43),which was significantly different from that of gastroscopy(P=0.033).It indicates that the coincidence rate of gastrointestinal contrast-enhanc

关键词： Contrast-enhanced ultrasound Peptic ulcer Children Gastrointestinal tract Abdominal pain Acoustic contrast agent

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