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Roles of Sn-promoter and carbon nanotubes treatment on supported CoB catalysts for hydrogen production
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作者 SHI Limin LI Yanbo +2 位作者 LEI Qiang REN Rongzhi WANG Yujing 《燃料化学学报(中英文)》 北大核心 2025年第5期703-712,共10页
Carbon nanotubes(CNTs)supported CoB and CoBSn catalysts were synthesized for hydrogen production via NaBH4 hydrolysis.The roles of Sn-promoter and the effect of CNTs treatment on CoB catalysts were evaluated and discu... Carbon nanotubes(CNTs)supported CoB and CoBSn catalysts were synthesized for hydrogen production via NaBH4 hydrolysis.The roles of Sn-promoter and the effect of CNTs treatment on CoB catalysts were evaluated and discussed.It is found that after the addition of Sn promoter,the specific surface area and the generation of active CoB phase are increased,while the oxidation treatment of CNTs results in more loading amounts of active components and enrichment of electron at active sites as well as large surface area.Consequently,the Sn-doped CoB catalysts supported on CNTs with oxidation treatment exhibits a significantly improved activity with a high H_(2)generation rate of 2640 mL/(min·g).Meanwhile,this catalyst shows a low activation energy of 43.7 kJ/mol and relatively high reusability. 展开更多
关键词 sodium borohydride hydrolysis CoB-based catalysts Sn promoter carbon nanotubes oxidation treatment
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Cotton seed management:traditional and emerging treatment approaches for enhanced productivity
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作者 MYLSAMY Preethi TAMILMANI Eevera +2 位作者 VENUGOPAL Rajanbabu MURUGAIYAN Senthilkumar RANGANATHAN Umarani 《Journal of Cotton Research》 2025年第1期143-161,共19页
Cotton,a crucial commercial fibre crop,depends heavily on seed-associated characteristics like germination rate,vigour,and resistance to post-harvest deterioration for both production and lint quality.Serious cellular... Cotton,a crucial commercial fibre crop,depends heavily on seed-associated characteristics like germination rate,vigour,and resistance to post-harvest deterioration for both production and lint quality.Serious cellular damage dur-ing post-harvest processes such as delinting,prolonged seedling emergence periods,decreased viability,increased susceptibility to infections,and lipid peroxidation during storage pose serious problems to seed quality.The perfor-mance of seeds and total crop productivity are adversely affected by these problems.Traditional methods of seed improvement,like physical scarification and seed priming,have demonstrated promise in raising cotton seed vigour and germination rates.Furthermore,modern approaches including plasma therapies,magnetic water treatments,and nanotechnology-based treatments have shown promise in improving seed quality and reducing environmen-tal stresses.By offering sustainable substitutes for conventional approaches,these cutting-edge procedures lessen the need for fungicides and other agrochemicals that pollute the environment.This review explores various con-ventional and emerging strategies to address the detrimental factors impacting cotton seed quality.It emphasizes the importance of integrating classical and advanced approaches to enhance germination,ensure robust crop estab-lishment,and achieve higher yields.In addition to promoting sustainable cotton production,this kind of integration helps preserve the ecosystem and create resilient farming methods. 展开更多
关键词 Cotton Seed vigour Physical scarification Seed priming Plasma treatment Magnetic water treatments Nanotechnology-based treatments
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Anisotropy of rapidly solidified 2195 alloy rolled sheets:Effect of pre-thermal treatment prior to rolling and aging treatment
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作者 PENG Xiang LI Xin-xing +3 位作者 WANG Ri-chu FENG Yan YAN Shuai-jiang CAI Zhi-yong 《Journal of Central South University》 2025年第5期1660-1677,共18页
The pronounced anisotropy in mechanical properties presents a major obstacle to the extensive application of aluminum-lithium(Al-Li)alloys,primarily attributed to heterogeneous precipitate distribution,grain structure... The pronounced anisotropy in mechanical properties presents a major obstacle to the extensive application of aluminum-lithium(Al-Li)alloys,primarily attributed to heterogeneous precipitate distribution,grain structure variations,and crystallographic texture.This study investigates the impact of pre-thermal treatment prior to hot rolling and aging treatment on the anisotropy of mechanical properties of 2195 alloy sheet fabricated by gas atomization,hot pressing and hot rolling.The results demonstrate that pre-treatment at 450℃for 4 h promotes finer and more uniform distribution of precipitates,effectively mitigating mechanical anisotropy of the alloy sheet.Additionally,this treatment facilitates recrystallization during hot rolling,further reducing mechanical anisotropy.The in-plane anisotropy(IPA)factors for ultimate tensile strength(UTS)and yield strength(YS)are 1.15%and 0.77%,respectively.Subsequent aging treatment enhances grain refinement and the uniformity of the T_(1) phase,suppresses the formation of precipitation-free zones(PFZs),significantly improving the strength and toughness of the alloy sheet.After peak aging at 165℃for 48 h,the alloy sheet exhibits YS of 547 MPa,UTS of 590 MPa,and elongation(EL)of 7.7%. 展开更多
关键词 aluminum-lithium alloy hot rolling pre-thermal treatment ANISOTROPY aging treatment
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Immunoregulatory Role of In vitro-induced Regulatory T Cells in The Treatment of Ischemic Stroke
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作者 MA Yin-Zhong 《生物化学与生物物理进展》 北大核心 2025年第4期803-803,共1页
Kang et al.published a research article on the treatment of ischemic stroke using engineered Treg cells(Kang et al.,Prog Biochem Biophys,2025,52(4):946-956.DOI:10.16476/j.pibb.2025.0019).Their study mainly explores th... Kang et al.published a research article on the treatment of ischemic stroke using engineered Treg cells(Kang et al.,Prog Biochem Biophys,2025,52(4):946-956.DOI:10.16476/j.pibb.2025.0019).Their study mainly explores the immunoregulatory role of regulatory T(Treg)cells in ischemic stroke,providing an innovative therapeutic strategy.Neuroinflammation is a major driver of secondary injury after stroke.Existing treatments focus on vascular recanalization while neglecting immune regulation.Their study proposes to modulate neuroinflammation through in vitro-induced Treg cells,offering a novel approach distinct from traditional thrombolysis and endovascular interventions. 展开更多
关键词 therapeutic strategyneuroinflammation NEUROINFLAMMATION immune regulationtheir regulatory T cells treatment ischemic stroke engineered treg cells kang vascular recanalization ischemic stroke
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Enhancing wear resistance of TiN-coated 1.3343 high-speed steel punches through deep cryogenic treatment and tempering
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作者 Ferhat CERİTBİNMEZ Fatih HayatiÇAKIR Berkent PARİM 《Journal of Central South University》 2025年第2期350-362,共13页
In this study,samples obtained from 1.3343 high-speed steel punches with TiN coatings were tested.The samples were subjected to heat treatment at different cryogenic temperatures(<196℃)and durations(12,24 and 36 h... In this study,samples obtained from 1.3343 high-speed steel punches with TiN coatings were tested.The samples were subjected to heat treatment at different cryogenic temperatures(<196℃)and durations(12,24 and 36 h),followed by tempering at two different temperatures(200,500℃).For performance testing,a ball-on-disk wear test setup was utilized and a total of 6 groups of samples were examined.The effects of cryo-treatment and tempering on microstructure were revealed through microstructural analysis with scanning electron microscopy(SEM),X-ray(XRD diffraction),and Rietveld analysis.Additionally,the hardness of the punches was measured with microhardness measurements.The optimal wear resistance was observed in the 36 h deep cryo-treated and 200℃tempered samples.The characterization study indicates that by cryogenic treatment a significant portion of the retained austenite transformed into martensite and secondary carbides formed,resulting in improved wear resistance and a slight increase in hardness. 展开更多
关键词 cryogenic treatment high-speed steel PUNCH TIN secondary carbides retained austenite Rietveld analysis
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Influence of cryogenic treatment on mechanical and ballistic properties of AA5754 alloy friction stir welded joints
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作者 V.Manoj Mohan Prasath S.Dharani Kumar Saurabh S.Kumar 《Defence Technology(防务技术)》 2025年第4期184-198,共15页
In the present study,the mechanical and ballistic properties of friction stir welded(FSW)aluminum alloy(AA5754)samples were investigated,both untreated and cryogenically treated,when impacted by a 7.62 mm armour-pierc... In the present study,the mechanical and ballistic properties of friction stir welded(FSW)aluminum alloy(AA5754)samples were investigated,both untreated and cryogenically treated,when impacted by a 7.62 mm armour-piercing(AP)bullet at an impact velocity of 682±20 m/s.The FSW technique was used to prepare the welded samples for AA5754,with an axial force of 7 kN,a feed rate of 20 mm/min,and a speed of 1200 rpm.The cryogenic treatments performed after welding,including deep cryogenic treatment(DCT)at196℃ and shallow cryogenic treatment(SCT)at80℃,for 6 and 72 h,respectively.The microstructure and mechanical characteristics of cryogenically treated and untreated joints were examined.The cryogenic treatment refined the grain size(1.05 μm)and enhanced the microhardness(93 Hv).Moreover,DCT-FSW significantly improved the tensile strength(13.93%)and impact strength(8.45%)compared to untreated FSW sample.Additionally,in untreated FSW samples,the fracture behaviour varied:the impact fracture mode primarily exhibited ductile failure,while the tensile fracture exhibited a mixed fracture mode.In contrast,the tensile and impact fracture modes of the DCT-FSWwere dominated by a ductile failure mode.The DCT-FSW target demonstrated a lower depth of penetration(DOP)of 31 mm compared to the SCT-FSWand untreated FSW targets.Post-ballistic SEM analysis in the crater region of all three zones revealed the formation of frictional grooves,small cracks,and adiabatic shear bands(ASBs). 展开更多
关键词 AA5754 alloy Ballistic and mechanical properties Cryogenic treatment Depth of penetration
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Nitric acid oxidation treatment promoting microwave absorption performance of carbonized melamine foam
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作者 MAO Ming-zhen XIA Peng-kun +3 位作者 MA Lei HUANG Sheng-xiang GAO Xiao-hui DENG Lian-wen 《Journal of Central South University》 2025年第5期1630-1640,共11页
Carbonized melamine foam has been recognized as a promising material for microwave absorption due to its exceptional thermal stability,lightweight,and remarkable dielectric properties.In this study,we investigated the... Carbonized melamine foam has been recognized as a promising material for microwave absorption due to its exceptional thermal stability,lightweight,and remarkable dielectric properties.In this study,we investigated the impact of nitric acid oxidation on the surface of carbonized melamine foam and its microwave absorption properties.The treated foam exhibits optimal reflection loss of−21.51 dB at 13.20 GHz,with an effective absorption bandwidth of 7.04 GHz.The enhanced absorption properties are primarily attributed to the strengthened dielectric loss,improved impedance matching,and increased polarization losses resulting from the oxidized surfaces.This research demonstrates a promising new approach for research into surface treatments to improve the performances of microwave absorbers. 展开更多
关键词 carbonized melamine foam nitric acid hydrothermal treatment interface modification microwave absorption performance
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Ultrahigh strength and improved electrical conductivity in an aging strengthened copper alloy processed by combination of equal channel angular pressing and thermomechanical treatment 被引量:2
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作者 WANG Xu LI Zhou +1 位作者 MENG Xiang-peng XIAO Zhu 《Journal of Central South University》 SCIE EI CAS CSCD 2024年第6期1823-1837,共15页
In this paper,equal channel angular pressing and thermomechanical treatment was employed to improve the strength and electrical conductivity of an aging strengthened Cu-Ti-Cr-Mg alloy,and the microstructure and proper... In this paper,equal channel angular pressing and thermomechanical treatment was employed to improve the strength and electrical conductivity of an aging strengthened Cu-Ti-Cr-Mg alloy,and the microstructure and properties of the alloy were investigated in detail.The results showed that the samples deformed by the combination of cryogenic equal channel angular pressing(ECAP)and rolling had good comprehensive properties after aging at 400℃.The tensile strength of the peak-aged and over-aged samples was 1120 MPa and 940 MPa,with their corresponding electrical conductivity of 14.7%IACS and 22.1%IACS,respectively.ECAP and cryogenic rolling introduced high density dislocations,leading to the inhibition of the softening effects and refinement of the grains.After a long time aging at 400℃,the alloy exhibited ultra-high strength with obvious increasing electrical conductivity.The high strength was attributed to the synergistic effect of work hardening,grain refinement strengthening and precipitation strengthening.The precipitation of a large amount of Ti atoms from the matrix led to the high electrical conductivity of the over-aged sample. 展开更多
关键词 Cu-Ti alloy equal channel angular pressing ROLLING aging treatment high strength
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Interface property of dissimilar Ti-6Al-4V/AA1050 composite laminate made by non-equal channel lateral co-extrusion and heat treatment
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作者 Juan Liao Mengmeng Tian Xin Xue 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第3期197-208,共12页
The purpose of this paper is to examine the effect of processing parameters and subsequent heat treatments on the microstructures and bonding strengths of Ti-6Al-4V/AA1050 laminations formed via a non-equal channel la... The purpose of this paper is to examine the effect of processing parameters and subsequent heat treatments on the microstructures and bonding strengths of Ti-6Al-4V/AA1050 laminations formed via a non-equal channel lateral co-extrusion process.The microstructural evolution and growth mechanism in the diffusion layer were discussed further to optimize the bonding quality by appropriately adjusting process parameters.Scanning electron microscopes(SEM),energy dispersive spectrometer(EDS),and X-ray diffraction(XRD)were used to characterize interfacial diffusion layers.The shear test was used to determine the mechanical properties of the interfacial diffusion layer.The experimental results indicate that it is possible to co-extrusion Ti-6Al-4V/AA1050 compound profiles using non-equal channel lateral co-extrusion.Different heat treatment processes affect the thickness of the diffusion layer.When the temperature and time of heat treatment increase,the thickness of the reaction layers increases dramatically.Additionally,the shear strength of the Ti-6Al-4V/AA1050 composite interface is proportional to the diffusion layer thickness.It is observed that a medium interface thickness results in superior mechanical performance when compared to neither a greater nor a lesser interface thickness.Microstructural characterization of all heat treatments reveals that the only intermetallic compound observed in the diffusion layers is TiAl_(3).Due to the inter-diffusion of Ti and Al atoms,the TiAl_(3) layer grows primarily at AA1050/TiAl_(3) interfaces. 展开更多
关键词 Shear strength CO-EXTRUSION Heat treatment Microstructure Intermetallic compounds
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Effect of thermo-mechanical treatment on microstructure and mechanical properties of wire-arc additively manufactured Al-Cu alloy
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作者 ZHANG Tao QIN Zhen-yang +2 位作者 GONG Hai WU Yun-xin CHEN Xin 《Journal of Central South University》 SCIE EI CAS CSCD 2024年第7期2181-2193,共13页
Wire-arc additive manufacture(WAAM)has great potential for manufacturing of Al-Cu components.However,inferior mechanical properties of WAAM deposited material restrict its industrial application.Inter-layer cold rolli... Wire-arc additive manufacture(WAAM)has great potential for manufacturing of Al-Cu components.However,inferior mechanical properties of WAAM deposited material restrict its industrial application.Inter-layer cold rolling and thermo-mechanical heat treatment(T8)with pre-stretching deformation between solution and aging treatment were adopted in this study.Their effects on hardness,mechanical properties and microstructure were analyzed and compared to the conventional heat treatment(T6).The results show that cold rolling increases the hardness and strengths,which further increase with T8 treatment.The ultimate tensile strength(UTS)of 513 MPa and yield stress(YS)of 413 MPa can be obtained in the inter-layer cold-rolled sample with T8 treatment,which is much higher than that in the as-deposited samples.The cold-rolled samples show higher elongation than that of as-deposited ones due to significant elimination of porosity in cold rolling;while both the T6 and T8 treatments decrease the elongation.The cold rolling and pre-stretching deformation both contribute to the formation of dense and dispersive precipitatedθ′phases,which inhibits the dislocation movement and enhances the strengths;as a result,T8 treatment shows better strengthening effect than the T6 treatment.The strengthening mechanism was analyzed and it was mainly related to work hardening and precipitation strengthening. 展开更多
关键词 wire-arc additive manufacture inter-layer cold rolling thermal-mechanical treatment microstructure mechanical properties strengthening mechanism
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Review of wastewater treatment technologies,soil and water conservation measures in nuclear power plants,and inspirations to Fukushima accident
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作者 WANG Chu NIU Jianzhi +2 位作者 LUN Xiaoxiu ZHANG Linus BERNDTSSON Ronny 《中国水土保持科学》 CSCD 北大核心 2024年第6期10-28,193-200,共27页
[Background]The previous studies suggest that radioactive elements like Cs and Sr may adversely affect marine ecosystems and the fishing industry.Traditional treatment systems for radioactive wastewater like the Advan... [Background]The previous studies suggest that radioactive elements like Cs and Sr may adversely affect marine ecosystems and the fishing industry.Traditional treatment systems for radioactive wastewater like the Advanced Liquid Processing System(ALPS)and Kurion have faced challenges in limiting concentration and achieving safety criteria.Studies suggest potential long-term impacts on benthic organisms and seafood networks due to radioactive elements like Cs and Sr from the discharged radioactive wastewater,which may hinder post-disaster recovery and provoke economic losses in the fishing industry both domestically and internationally.A series of studies indicate that there are issues of Cs and Sr pollution migration in soil and water conservation in Fukushima.[Methods]To provide feasible solutions,the main article includes five nuclear wastewater treatment technologies,and soil and water conservation measures for different media(water and soil)were evaluated through reviewing the previous fifteen years'articles.To provide feasible solutions,the main articles,the phytoextraction technologies in Cs and Sr treatment within different land use areas were wildly analyzed(Camellia japonica,Arabidopsis halleri and other local species).[Results]1)A 99.9%removal rate for Cs^(+)and 99.5%for Sr^(2+)was achieved by the KFe[Fe(CN)_(6)]and BaSO_(4)co-precipitation method.2)For membrane filtration,Sr^(2+)and Cs^(+)were removed using metal-organic framework(MOF/graphene oxide)and ion exchange techniques using inorganic materials like titanosilicates.The absorption efficiency of membrane filtration for Sr^(2+)and Cs^(+)was at least 92%and 94%,respectively.The study analyzed soil and water conservation technologies in different land uses,river basins and catchments.3)The underground water treatment mainly were completed via the membrance technologies like reverse osmosis and Permeable Reactive Barriers(PRB)technologies.The ^(90) Sr concentration decreased 77%-91%compared to the initial concentration by PRB technology.These diverse methods offered effective strategies for radioactive wastewater treatment,especially the co-precipitation method may be feasible remediation measures to ensure ecological safety surrounding nuclear power utilizing areas.Soil and water conservation measures for soil pollution treatment mainly focused on the use of stabilizers to hinder the migration of Cs and Sr in the soil and the effects of wind erosion such as interpolyelectrolyte complexes.[Conclusions]We evaluated the pollution of Cs and Sr in the Fukushima nuclear radiation soil and water to provide solutions for the treatment of nuclear wastewater and to prevent radionuclide pollutants from migrating into the soil and water. 展开更多
关键词 Fukushima nuclear power accident nuclear wastewater treatment environmental strategy soil and water conservation technologies
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Megestrol acetate plus metformin for fertility-sparing treatment of atypical endometrial hyperplasia and early-stage endometrial adenocarcinoma: a prospective study
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作者 Yuanyuan WANG Tianjiao LAI +4 位作者 Danxia CHU Jing BAI Shuping YAN Haixia QIN Ruixia GUO 《南方医科大学学报》 CAS CSCD 北大核心 2024年第11期2055-2062,共8页
Objective To evaluate the efficacy of medroxyprogesterone acetate(MA)plus metformin as the primary fertility-sparing treatment for atypical endometrial hyperplasia(AEH)and early-stage grade 1 endometrial adenocarcinom... Objective To evaluate the efficacy of medroxyprogesterone acetate(MA)plus metformin as the primary fertility-sparing treatment for atypical endometrial hyperplasia(AEH)and early-stage grade 1 endometrial adenocarcinoma(G1 EAC)and the recurrence rate after treatment.Methods Sixty patients(aged 20-42 years)with AEH and/or grade 1 EAC limited to the endometrium were enrolled prospectively and randomized into two groups(n=30)to receive oral MA treatment at the daily dose of 160 mg(control)or MA plus oral metformin(850 mg,twice a day)for at least 6 months.The treatment could extend to 12 months until a complete response(CR)was achieved,and follow-up hysteroscopy and curettage were performed every 3 months.For all the patients who achieved CR,endometrial expressions of IGFBP-rP1,p-Akt and p-AMPK were detected immunohistochemically.Results A total of 58 patients completed the treatment.After 9 months of treatment,23(76.7%)patients in the combined treatment group and 20(71.4%)in the control group achieved CR;two patients in the control group achieved CR after converting to the combined treatment.The recurrence rate did not differ significantly between the control group and combined treatment group(30.0%vs 22.7%,P>0.05).Ten(35.7%)patients in the control group experienced significant weight gain of 5.7±6.1 kg,while none of the patients receiving the combined treatment exhibited significant body weight changes.Compared with the control group,the patients receiving the combined treatment showed enhanced endometrial expressions of IGFBP-rP1 and p-AMPK with lowered p-Akt expression.Conclusion Metformin combined with MA may provide an effective option for fertility-sparing treatment of AEH and grade 1 stage IA EAC,and the clinical benefits of metformin for controlling MA-induced weight gain and promoting endometrial expressions of IGFBP-rP1 and p-AMPK while inhibiting p-Akt expression warrants further study. 展开更多
关键词 endormetrial adenocarcinoma METFORMIN atypical endometrial hyperplasia fertility-sparing treatment megestrol acetate insulin-like growth factor binding protein-related protein 1
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Effect of substrate temperature and oxygen plasma treatment on the properties of magnetron-sputtered CdS for solar cell applications
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作者 Runxuan Zang Haolin Wang +9 位作者 Xiaoqi Peng Ke Li Yuehao Gu Yizhe Dong Zhihao Yan Zhiyuan Cai Huihui Gao Shuwei Sheng Rongfeng Tang Tao Chen 《中国科学技术大学学报》 CAS CSCD 北大核心 2024年第6期22-33,I0010,共13页
Cadmium sulfide(CdS)is an n-type semiconductor with excellent electrical conductivity that is widely used as an electron transport material(ETM)in solar cells.At present,numerous methods for preparing CdS thin films h... Cadmium sulfide(CdS)is an n-type semiconductor with excellent electrical conductivity that is widely used as an electron transport material(ETM)in solar cells.At present,numerous methods for preparing CdS thin films have emerged,among which magnetron sputtering(MS)is one of the most commonly used vacuum techniques.For this type of technique,the substrate temperature is one of the key deposition parameters that affects the interfacial properties between the target film and substrate,determining the specific growth habits of the films.Herein,the effect of substrate temperature on the microstructure and electrical properties of magnetron-sputtered CdS(MS-CdS)films was studied and applied for the first time in hydrothermally deposited antimony selenosulfide(Sb_(2)(S,Se)_(3))solar cells.Adjusting the substrate temperature not only results in the design of the flat and dense film with enhanced crystallinity but also leads to the formation of an energy level arrangement with a Sb_(2)(S,Se)_(3)layer that is more favorable for electron transfer.In addition,we developed an oxygen plasma treatment for CdS,reducing the parasitic absorption of the device and resulting in an increase in the short-circuit current density of the solar cell.This study demonstrates the feasibility of MS-CdS in the fabrication of hydrothermal Sb_(2)(S,Se)_(3)solar cells and provides interface optimization strategies to improve device performance. 展开更多
关键词 magnetron sputtering CDS substrate heating plasma treatment Sb_(2)(S Se)_(3) thin film solar cell
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外科治疗联合英夫利昔单抗与乌司奴单抗克对罗恩肛瘘的临床疗效观察 被引量:1
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作者 袁和学 田丰 +6 位作者 李卉 罗芳 赵亮 刘宗剑 潘春来 刘利军 朱娜 《实用医学杂志》 北大核心 2025年第6期872-876,共5页
目的研究克罗恩肛瘘(perianal fistulizing Crohn's disease,pfCD)外科治疗联合生物制剂的临床疗效观察。方法采用回顾性病例对照研究,选取医院2021年5月至2023年12月收治的pf CD患者60例,随机分为治疗组A(n=30)和治疗组B(n=30),治... 目的研究克罗恩肛瘘(perianal fistulizing Crohn's disease,pfCD)外科治疗联合生物制剂的临床疗效观察。方法采用回顾性病例对照研究,选取医院2021年5月至2023年12月收治的pf CD患者60例,随机分为治疗组A(n=30)和治疗组B(n=30),治疗组A患者采用外科治疗+英夫利昔单抗(IFX)+硫唑嘌呤(AZA),治疗组B患者采用外科治疗+乌司奴单抗(UST)+AZA,观察两组患者克罗恩病活动指数(CDAI)、肛周疾病活动指数(PDAI)及Assche评分,术后MRI检查,观察pf CD愈合状况。结果治疗组A与B的治疗前与治疗后比较,CDAI、PDAI、Assche评分差异有统计学意义(P<0.05)且各时间点的CDAI、PDAI、Assche评分变化量间均有差异。治疗组A与B,8、16、24、32周的CDAI、PDAI、Assche评分及40周的PDAI评分比较差异无统计学意义(P>0.05),而40周的CDAI及Assche评分比较差异有统计学意义(P<0.05)。结论外科治疗联合IFX/UST治疗pf CD安全有效,但外科治疗联合UST远期疗效更好。 展开更多
关键词 克罗恩肛瘘 外科治疗 英夫利昔单抗 乌司奴单抗
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低体温症紧急救治中国专家共识(2025版) 被引量:1
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作者 陈威 何蕾 +9 位作者 尹明 万涛 唐柚青 王艾平 李阳 余万霰 中国医学救援协会急诊分会 中国医学装备协会应急救治装备分会 中国医学救援协会整合康复医学分会 中国老年保健协会院前急救工作委员会 《解放军医学杂志》 北大核心 2025年第6期641-655,共15页
低体温症是在寒冷环境中体表丢失大量热量导致核心体温<35℃引起的临床综合征,属于全身性冷损伤,救治不及时可致死亡。对低体温症实施紧急诊断和救治有望改善患者的预后。2005年美军陆军环境医学研究所颁布了预防和管理冷损伤的相关... 低体温症是在寒冷环境中体表丢失大量热量导致核心体温<35℃引起的临床综合征,属于全身性冷损伤,救治不及时可致死亡。对低体温症实施紧急诊断和救治有望改善患者的预后。2005年美军陆军环境医学研究所颁布了预防和管理冷损伤的相关指南,但我国尚无相应的规范。因此,中国医学救援协会急诊分会、中国医学装备协会应急救治装备分会、中国医学救援协会整合康复医学分会和中国老年保健协会院前急救工作委员会共同编写了《低体温症紧急救治中国专家共识(2025版)》。该共识包括低体温症的病理生理学、病因和流行病学、诊断和严重程度分级、院前治疗和院内治疗,共15条推荐意见,旨在为相应的临床救治工作提供指导。 展开更多
关键词 低体温症 紧急救治 专家共识
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基于CT影像组学构建胃癌新辅助免疫治疗联合化疗疗效的预测模型 被引量:1
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作者 霍俊杰 陈凤菊 +4 位作者 段颖欣 李曼 沈立杰 武永存 王力军 《中国肿瘤临床》 北大核心 2025年第1期16-23,共8页
目的:探讨基于CT影像组学构建的预测模型对于局部进展期胃癌(locally advanced gastric cancer,LAGC)新辅助免疫治疗联合化疗疗效的预测价值。方法:回顾性收集2019年6月至2021年6月邢台医学高等专科学校第二附属医院收治的114例新辅助... 目的:探讨基于CT影像组学构建的预测模型对于局部进展期胃癌(locally advanced gastric cancer,LAGC)新辅助免疫治疗联合化疗疗效的预测价值。方法:回顾性收集2019年6月至2021年6月邢台医学高等专科学校第二附属医院收治的114例新辅助免疫治疗联合化疗后行胃癌根治术的LAGC患者的临床病理资料,按收治时间分为训练集(n=67)和验证集(n=47)。对所有患者治疗前静脉期CT图像进行高通量特征提取,并筛选特征构建影像组学预测模型。采用ROC曲线以及校正曲线评价模型的预测效能,采用Kaplan-Meier曲线评估模型的预后分层能力。结果:基于mRMR算法以及LASSO回归模型,本研究在584个特征中筛选出5个特征构建影像组学Rad评分。该评分在训练集和验证集中预测病理完全缓解(pathological complete response,pCR)率的曲线下面积分别为0.865和0.830,且拟合度良好(Hosmer-Lemeshow检验:P>0.05)。根据约登指数确定Rad评分的最佳截点值,高Rad评分的患者其3年无复发生存率(训练集82.7%vs.60.4%;验证集78.9%vs.53.8%)、3年总体生存率(训练集78.9%vs.60.2%;验证集79.3%vs.50.0%)均显著高于低Rad评分者(P<0.05)。结论:CT影像组学预测模型能够有效预测LAGC患者行新辅助免疫治疗联合化疗后的病理学反应及预后,有望成为一个实用的临床工具。 展开更多
关键词 胃癌 新辅助治疗 免疫治疗 影像组学
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重庆市分级诊疗制度的实践经验与思考建议 被引量:2
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作者 李孜 方浩 《卫生经济研究》 北大核心 2025年第3期37-41,共5页
重庆市实施分级诊疗制度以来,通过因地制宜的人事改革探索、灵活的“资金池”制度和有力的财政保障、医共体“三通”建设、医疗卫生信息化平台、医防融合,形成了具有地方特色的典型经验。当前,针对分级诊疗制度的实施难点,亟需加快建设... 重庆市实施分级诊疗制度以来,通过因地制宜的人事改革探索、灵活的“资金池”制度和有力的财政保障、医共体“三通”建设、医疗卫生信息化平台、医防融合,形成了具有地方特色的典型经验。当前,针对分级诊疗制度的实施难点,亟需加快建设整合型医疗服务体系,促进基层首诊;双管齐下建立有序就医格局,促进双向转诊;加强全人群健康风险管理,细化配套政策,实现急慢分治;优化资源配置,落实各级医疗机构功能定位,实现上下联动,推动分级诊疗制度真正落到实处。 展开更多
关键词 分级诊疗制度 基层首诊 双向转诊 急慢分治 上下联动
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脊柱结核一种新分型方法的设计及可信度检验和治疗探讨 被引量:1
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作者 舒钧 许南 +11 位作者 杨雪能 寸新华 郭立民 赵刚 王志华 袁勇 张伟 陈应东 王卫东 杨子斌 刘勇 杨曙 《中国脊柱脊髓杂志》 北大核心 2025年第5期459-469,共11页
目的:回顾性分析多中心收治的脊柱结核患者临床资料,筛选能反映脊柱结核及临床诊疗的特征指标,提出一种新的分型方法;总结本组术后随访1年以上且资料完整的患者手术资料,评估手术疗效。方法:统计2007年1月~2022年12月间多中心诊治且资... 目的:回顾性分析多中心收治的脊柱结核患者临床资料,筛选能反映脊柱结核及临床诊疗的特征指标,提出一种新的分型方法;总结本组术后随访1年以上且资料完整的患者手术资料,评估手术疗效。方法:统计2007年1月~2022年12月间多中心诊治且资料完整的358例脊柱结核患者的临床资料,其中男性189例,女性169例,年龄35.5±28.9岁;活动性脊柱结核346例,静止型结核12例;颈椎37例,颈胸椎24例,胸椎126例,胸腰椎79例,腰椎63例,腰骶椎29例;病灶累及椎体数为1~12个(3.1±1.9个);临床表现包括疼痛、活动受限、发热、血沉增快、椎体和椎间盘破坏吸收、寒性脓肿、死骨等。256例合并脊柱后凸畸形,66例表现为不同程度脊髓神经功能损害。采用专家组讨论和意见征询方法,筛选出能反映脊柱结核特征的指标,将脊柱后凸程度与相关指标进行相关性分析,以特征指标为基础设计一种新的脊柱结核综合分型(ASM分型)并进行可重复性评估和可信度检验。同时,收集术后随访1年以上且资料完整的117例的临床资料,采用疼痛视觉模拟量表(visual analogue scale,VAS)评分、脊髓神经功能检查,通过X线和CT检查测量脊柱后凸Cobb角和评估植骨融合情况等,评估手术疗效。结果:论证结果,脊柱结核的病理阶段、发病部位、累及的椎体数、合并的后凸畸形和脊髓神经功能损害是较为重要的特征指标,其他指标如椎体破坏程度、节段不稳、死骨的数量及大小、寒性脓肿等的特征性不强;相关性分析结果表明,更具特征性的指标脊柱后凸畸形与病程、部位、节段、有无脊髓神经损害等之间具有明显的相关性(P<0.05)。根据论证结果,提出了一种新的脊柱结核综合指标分型:以病灶内结核活动性情况分为活动型脊柱结核(Ⅰ型)和静止型脊柱结核(Ⅱ型)两种主要类型,其中Ⅰ型又分为四种亚型:A型为早期脊柱结核;B型为进展期脊柱结核;C型和D型为特殊类型,分别为跳跃型脊柱结核和脊柱附件结核;Ⅱ型又分为畸形静止型(A型)和畸形进展型(B型)两种亚型;同时,将脊柱结核四项重要指标包括病灶部位、受累椎体数、合并的后凸畸形及程度以及有无脊髓神经功能损害作为辅助指标;可信度分析结果显示,新分型具有较好的一致性和重复性。随访1年以上资料完整的117例患者中,12例颈椎结核采用了前路手术,104例颈胸交界区及以下的脊柱结核患者均采用了单纯经后路手术,1例胸腰椎结核在后路手术同时,采用入路对侧腹部小切口行寒性脓肿清除。随访结果显示:VAS评分为1.9±0.3分(1~3分);脊柱后凸Cobb角为15.6°±8.4°(4°~40°);脊髓神经功能异常者,末次随访时已完全恢复至正常,上述指标与术前相比,差异均具有统计学意义(P<0.05)。111例患者获得临床治愈、CT影像显示达到骨性融合;6例患者结核复发,其中5例因植骨不融合,出现内固定失败,再次行手术治疗。结论:新分型(ASM)能反映脊柱结核患者的病情特点,便于临床诊疗和交流。对颈胸交界区以下的脊柱结核患者采用单纯经后路手术是一种具有优势的手术选择。 展开更多
关键词 脊柱结核 分型 可信度检验 手术治疗
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畜禽养殖场臭气治理研究进展 被引量:1
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作者 叶小梅 章欣悦 +5 位作者 刘洋 张应鹏 孔祥平 朱飞 杜静 奚永兰 《饲料工业》 北大核心 2025年第7期174-184,共11页
畜禽养殖场臭气产生和排放受到季节、温度、湿度、通风等各方面因素的影响。目前,针对养殖场的臭气治理技术主要包括源头减量、过程控制和末端处理三方面。然而,单一的处理方法并不能完全消除臭气污染,建立“源头减量-过程控制-末端治... 畜禽养殖场臭气产生和排放受到季节、温度、湿度、通风等各方面因素的影响。目前,针对养殖场的臭气治理技术主要包括源头减量、过程控制和末端处理三方面。然而,单一的处理方法并不能完全消除臭气污染,建立“源头减量-过程控制-末端治理”三位一体的除臭创新模式至关重要。随着人工智能技术的进步,智能化养殖已成为新的发展趋势,其通过精准监测、智能通风、智能饲料管理、智能脱臭设备、数据分析优化和智能清洁等手段实现臭气减排。文章针对养殖场臭气问题,对其来源、排放特点和危害进行了系统梳理,比较源头减量、过程控制、末端治理及综合除臭技术,概括当前臭气减排智能化管控技术,以期有效减少畜禽养殖场臭气产生和排放,改善养殖环境,保护周边生态环境和人类健康,促进畜禽养殖业的可持续发展。 展开更多
关键词 畜禽 养殖场 臭气 危害 治理技术
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冷处理对低碳马氏体不锈钢组织性能的影响 被引量:2
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作者 王迎春 杨彬 +3 位作者 万程 谷金波 迟宏宵 程兴旺 《北京理工大学学报》 北大核心 2025年第2期213-218,共6页
本文通过对低碳Cr-Co-Ni-Mo高合金不锈钢淬火后进行不同工艺的深冷和回火处理,并利用SEM、TEM、EBSD和XRD等组织表征方法和拉伸性能测试,研究了处理工艺对组织性能的影响.结果表明,相较于单次冷处理,二次冷处理可以促进残余奥氏体向马... 本文通过对低碳Cr-Co-Ni-Mo高合金不锈钢淬火后进行不同工艺的深冷和回火处理,并利用SEM、TEM、EBSD和XRD等组织表征方法和拉伸性能测试,研究了处理工艺对组织性能的影响.结果表明,相较于单次冷处理,二次冷处理可以促进残余奥氏体向马氏体的转变,晶粒细化,碳化物数量增多且分布更均匀,但二次冷处理时间为2 h时,在随后回火过程中发生奥氏体逆转变,导致残余奥氏体体积分数有所增加.延长二次冷处理时间至4 h,残余奥氏体体积分数大大减小,碳化物数量增加且分布更加均匀,位错密度增加,晶粒进一步细化,显著提高了材料的强度,而且保持了良好的强塑性匹配,其中屈服强度达1573 MPa,抗拉强度达1979 MPa,延伸率为12.7%. 展开更多
关键词 深冷处理 马氏体不锈钢 组织 力学性能
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