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Clinical significance of CD45 and CD200 expression in newly diagnosed multiple myeloma patients
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作者 LONG Xinyi LIU Jing +2 位作者 HU Rong WANG Chen FU Yunfeng 《中南大学学报(医学版)》 北大核心 2025年第4期545-559,共15页
Objective:Multiple myeloma(MM)is a hematologically malignant clonal plasma cell disease.This study aims to explore the association between immunophenotypes and prognosis in patients with MM,to determine whether the ex... Objective:Multiple myeloma(MM)is a hematologically malignant clonal plasma cell disease.This study aims to explore the association between immunophenotypes and prognosis in patients with MM,to determine whether the expression of CD45 and CD200 is related to the prognosis of newly diagnosed MM(NDMM)patients,and to evaluate the significance of the combined expression of CD45 and CD200 in NDMM.Methods:A total of 123 NDMM patients admitted to Shengjing Hospital of China Medical University from July 2015 to August 2019 were enrolled.Five key immunophenotypic markers(including CD38,CD138,CD45,CD56,and CD200)were screened through flow cytometry and identified using random forest analysis and univariate Cox regression analysis.Patients were divided into 3 groups:Group A,CD45 and CD200 double-positive;Group B,CD45 or CD200 single-positive;Group C,CD45 and CD200 double-negative.Kaplan-Meier curves were used to analyze overall survival(OS)and progression-free survival(PFS)across groups.Multivariate Cox regression was performed to evaluate prognostic factors,and a nomogram was constructed based on these results.Results:The OS and PFS of single-positive groups for CD38,CD138,CD45,CD56,and CD200 were all shorter than those of their respective single-negative groups(all P<0.05).Significant differences were observed in OS(P<0.001)and PFS(P=0.001)among Groups A,B,and C.Group A had shorter OS and PFS(all P=0.001)compared to the Group B+C(cases from Group B and Group C were combined).CD45 and CD200 double-positive was an independent prognostic factor for NDMM[hazard ratio(HR)=2.178,95%confidence interval(CI)1.048 to 4.529;P=0.037].The nomogram and calibration curves constructed from multivariate Cox regression analysis demonstrated good concordance(concordance index=0.706;95%CI 0.661 to 0.751).Conclusion:NDMM patients with double-positive expression of CD45 and CD200 have significantly shorter OS and PFS.Compared with the use of either marker alone,the combined assessment of CD45 and CD200 may provide better prognostic stratification for MM patients. 展开更多
关键词 CD45 CD200 multiple myeloma PROGNOSIS flow cytometry
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Time-resolved Electroluminescence of Charge Carrier Dynamics in Multiple-emitting-layer White QLEDs with Polyethyleneimine Interlayers
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作者 YAN Shanshan WANG Shen +2 位作者 LIANG Wencheng LIU Weiwei KONG Youchao 《发光学报》 北大核心 2025年第10期1851-1861,共11页
The charge carrier transport and recombination dynamics in the quantum dots-based light-emitting diodes(QLEDs)featuring multiple emitting layers(M-EMLs)has a great impact on the device performance.In this work,QLEDs b... The charge carrier transport and recombination dynamics in the quantum dots-based light-emitting diodes(QLEDs)featuring multiple emitting layers(M-EMLs)has a great impact on the device performance.In this work,QLEDs based on M-EMLs separated by polyethyleneimine ethoxylated(PEIE)layer with different stacking sequences of blue(B),green(G),and red(R)QDs layer were used to intuitively explore the injection,transportation and recombination processes of the charge carriers in QLEDs by using the time-resolved electroluminescence(TrEL)spectra.From the TrEL spectra mea-surements,green and red emissions were obtained first in the QLEDs with the EMLs sequences of G/PEIE/B/PEIE/R and B/PEIE/R/PEIE/G along the direction of light emission,respectively.While the QLEDs adopt EMLs sequences of B/PEIE/G/PEIE/R,the blue,green and red emissions were obtained nearly at the same time.The above phenomenon can be attributed to different charge carrier transmission and radiation recombination process in the EMLs due to different valence band offsets and conduction band offsets between R-,G-and B-QDs by using different sequences of EMLs.White emission with coordi-nates of(0.31,0.31)and correlated color temperature(CCT)of 5916 K was obtained in the QLEDs with the EMLs se-quences of B/PEIE/G/PEIE/R,which can be attributed to the relative uniform emission of B-,G-and R-QDs due to the effec-tive injection and radiation recombination of charge carriers in each of the EMLs.The above results have great significance for further understanding and improving the performance of QLEDs with M-EMLs. 展开更多
关键词 white QLEDs multiple emitting layers TrEL spectra charge carrier dynamics
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Localization and tracking of multiple quadrotors with collision avoidance:Theory and experiment
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作者 Guang Yang Juntong Qi +4 位作者 Mingming Wang Yan Peng Chong Wu Yuan Ping Hailong Huang 《Defence Technology(防务技术)》 2025年第8期338-350,共13页
Multiple quadrotors target encirclement is widely used in the intelligent field,as it can effectively monitor and control target behavior.However,it faces the danger of collision,as well as difficulties in localizatio... Multiple quadrotors target encirclement is widely used in the intelligent field,as it can effectively monitor and control target behavior.However,it faces the danger of collision,as well as difficulties in localization and tracking.Therefore,we propose a complete target encirclement method.Firstly,based on Hooke's law,a collision avoidance controller is designed to maintain a safe flying distance among quadrotors.Then,based on the consensus theory,a formation tracking controller is designed to meet the requirements of formation transformation and encirclement tasks,and a stability proof based on Lyapunov was provided.Besides,the target detection is designed based on YOLOv5s,and the target location model is constructed based on the principle of pinhole projection and triangle similarity.Finally,we conducted experiments on the built platform,with 3 reconnaissance quadrotors detecting and localization 3 target vehicles and 7 hunter quadrotors tracking them.The results show that the minimum average error for localization targets with reconnaissance quadrotors can reach 0.1354 m,while the minimum average error for tracking with hunter quadrotors is only 0.2960 m.No quadrotors collision occurred in the whole formation transformation and tracking experiment.In addition,compared with the advanced methods,the proposed method has better performance. 展开更多
关键词 multiple quadrotors Collision avoidance Target localization TRACKING Outdoor experiments
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Experimental and mechanistic study on iron extraction from high-iron red mud under multiple physical field coupling conditions
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作者 DONG Hai-pei YANG Jin-lin +3 位作者 ZHOU Wen-tao YU Xu-yang MA Shao-jian WANG Ding-zheng 《Journal of Central South University》 2025年第7期2476-2486,共11页
Red mud is a solid waste discharged in the process of alumina production,and how to realize the efficient recovery of its iron is an urgent problem to be solved.In this study,the iron extraction test and mechanism stu... Red mud is a solid waste discharged in the process of alumina production,and how to realize the efficient recovery of its iron is an urgent problem to be solved.In this study,the iron extraction test and mechanism study of high iron red mud were carried out under the coupling conditions of multiple physical field(microwave field,gas-solid flow field and temperature field)with biomass as the reducing agent.The test results showed that under the optimal conditions,an iron concentrate with a yield of 78.4%,an iron grade of 59.23%,and a recovery rate of 86.65%was obtained.The analyses of XRD,XPS,TEM,and SEM-EDS showed that during the roasting process,the hematite in the high-iron red mud was completely converted to magnetite,and the biomass produced the reductant that provided the magnetization reaction;A large number of cracks and pores appeared in the surface of the hematite reduction product particles,which helped to induce iron minerals to undergo effective mineral phase transformation.The above study provides ideas for the phase transformation and efficient recovery of iron minerals in red mud. 展开更多
关键词 multiple physical field high-iron red mud BIOMASS mineral phase transformation iron extraction
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Launch dynamics modeling and simulation of box-type multiple launch rocket system considering plane clearance contact
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作者 Jinxin Tang Guoping Wang +3 位作者 Genyang Wu Yutian Sun Lilin Gu Xiaoting Rui 《Defence Technology(防务技术)》 2025年第5期105-123,共19页
As the performance of the box-type multiple launch rocket system(BMLRS)improves,its mechanical structures,particularly the plane clearance design between the slider on the rocket and the guide inside the launch canist... As the performance of the box-type multiple launch rocket system(BMLRS)improves,its mechanical structures,particularly the plane clearance design between the slider on the rocket and the guide inside the launch canister,have grown increasingly complex.However,deficiencies still exist in the current launch modeling theory for BMLRS.In this study,a multi-rigid-flexible-body launch dynamics model coupling the launch platform and rocket was established using the multibody system transfer matrix method and the Newton-Euler formulation.Furthermore,considering the bending of the launch canister,a detection algorithm for slider-guide plane clearance contact was proposed.To quantify the contact force and friction effect between the slider and guide,the contact force model and modified Coulomb model were introduced.Both the modal and launch tests were conducted.Additionally,the modal convergence was verified.By comparing the modal experiments and simulation results,the maximum relative error of the eigenfrequency is 3.29%.thereby verifying the accuracy of the developed BMLRS dynamics model.Furthermore,the launch test validated the proposed plane clearance contact model.Moreover,the study investigated the influence of various model parameters on the dynamic characteristics of BMLRS,including launch canister bending stiffness,slider and guide material,slider-guide clearance,slider length and layout.This analysis of influencing factors provides a foundation for future optimization in BMLRS design. 展开更多
关键词 Box-type multiple launch rocket system Launch dynamics Plane clearance contact Contact detection algorithm Multibody system transfer matrix method(MSTMM)
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DL0410,a candidate for anti-Alzheimer disease with multiple targets in multiple pathways
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作者 Ai-lin LIU Wen-wen LIAN +3 位作者 Xiao-cong PANG Wei ZHOU Jian-song FANG Guan-hua DU 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2017年第10期964-964,共1页
OBJECTIVE To find a promising candidate for anti-Alzheimer disease(AD)with multiple targets in multiple pathways.METHODS A series of classifiers were constructed for predicting the active compounds against 51 key targ... OBJECTIVE To find a promising candidate for anti-Alzheimer disease(AD)with multiple targets in multiple pathways.METHODS A series of classifiers were constructed for predicting the active compounds against 51 key targets toward Alzheimer disease(AD)using the multitargetquantitative structure-activity relationships(mt-QSAR)method.While drug screening assays were established to evaluate the predicted active molecules.In addition,various cellular models and animal models related with AD were set up to further study the effects of the active compounds.RESULTS A system for the discovery of Multitarget-Directed Ligands against AD was set up and applied,the predicted active compounds were validated by the drug screening assays,and several active compounds with multiple targets were discovered.Among them,DL0410 exerted high activity on H3R,α7n ACh R,ACh E and ERα,also displayed the most significant effect in improving the ability of memory and learning in several AD animal models.The study on its action mechanisms showed that it′s effect may partially through increasing neurotransmitter,inhibiting oxidative emergency,inhibiting the expression of APP,and promoting long-term potentiation.Besides,DL0410 is of more safety than the first-line clinical medicines.CONCLUSION DL0410 is a promising candidate for further development for AD treatment. 展开更多
关键词 DL0410 Alzheimer disease multiple targets multiple pathways
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Association between active and passive smoking and the clinical course of multiple sclerosis and neuromyelitis optica spectrum 被引量:1
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作者 Fengling Qu Qingqing Zhou +4 位作者 Shuo Feng Rui Li Chunrong Tao Wei Hu Xinfeng Liu 《中国科学技术大学学报》 CAS CSCD 北大核心 2024年第3期18-24,I0007,I0008,共9页
Objective:Active and passive smoking are common environmental risk factors,but there is no definite conclusion about their effects on relapse and disability progression in multiple sclerosis(MS)and neuromyelitis optic... Objective:Active and passive smoking are common environmental risk factors,but there is no definite conclusion about their effects on relapse and disability progression in multiple sclerosis(MS)and neuromyelitis optica spectrum disorder(NMOSD).Methods:This was a retrospective cohort study.Patients were included from four centers.Demographic and clinical data were extracted from the clinical database,while data involving environmental exposures during daily life,relapse,and disability progression were obtained through telephone follow-up interviews.Determinants of relapse were assessed by Cox proportional models,and disability progression was assessed by linear regression.Kaplan‒Meier survival was used to estimate relapse within five years after the first attack.Results:A total of 130 MS patients and 318 NMOSD patients were included in this study,and females accounted for 60%and 79.6%,respectively.MS patients with an active smoking history had a higher risk of relapse,for which the association became borderline significant after accounting for covariates(aHR=1.52,95%CI=1.00,2.31;p=0.052).The relapse risk between ever-smokers who smoked more than 10 cigarettes per day and smokers who smoked less than 10 cigarettes per day was not significantly different(aHR=0.96,95%CI=0.63,1.47;p=0.859).However,exposure to passive smoking was associated with a reduced risk of MS relapse(aHR=0.75,95%CI=0.56,1.00;p=0.044)compared with never-exposed patients.No associations were observed between active smoking/passive smoking and the risk of NMOSD relapse,but patients with a history of smoking were associated with a lower annual progression rate by Expanded Disability Status Scale(EDSS)(aβ=−0.20,95%CI=−0.38,−0.01;p=0.036)and Multiple Sclerosis Severity Score(MSSS)(aβ=−0.23,95%CI=−0.44,−0.03;p=0.028).Conclusion:Our research shows that active smoking increases the relapse risk of MS and has a negative impact on disability progression;thus,smoking cessation should be encouraged. 展开更多
关键词 SMOKING RELAPSE DISABILITY multiple sclerosis neuromyelitis optica spectrum disorder
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Multiple model PHD filter for tracking sharply maneuvering targets using recursive RANSAC based adaptive birth estimation 被引量:2
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作者 DING Changwen ZHOU Di +2 位作者 ZOU Xinguang DU Runle LIU Jiaqi 《Journal of Systems Engineering and Electronics》 SCIE CSCD 2024年第3期780-792,共13页
An algorithm to track multiple sharply maneuvering targets without prior knowledge about new target birth is proposed. These targets are capable of achieving sharp maneuvers within a short period of time, such as dron... An algorithm to track multiple sharply maneuvering targets without prior knowledge about new target birth is proposed. These targets are capable of achieving sharp maneuvers within a short period of time, such as drones and agile missiles.The probability hypothesis density (PHD) filter, which propagates only the first-order statistical moment of the full target posterior, has been shown to be a computationally efficient solution to multitarget tracking problems. However, the standard PHD filter operates on the single dynamic model and requires prior information about target birth distribution, which leads to many limitations in terms of practical applications. In this paper,we introduce a nonzero mean, white noise turn rate dynamic model and generalize jump Markov systems to multitarget case to accommodate sharply maneuvering dynamics. Moreover, to adaptively estimate newborn targets’information, a measurement-driven method based on the recursive random sampling consensus (RANSAC) algorithm is proposed. Simulation results demonstrate that the proposed method achieves significant improvement in tracking multiple sharply maneuvering targets with adaptive birth estimation. 展开更多
关键词 multitarget tracking probability hypothesis density(PHD)filter sharply maneuvering targets multiple model adaptive birth intensity estimation
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Characterization of the dissociation pathways of dichloromethane and glutathione in dichloromethane dehalogenase
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作者 Gao Xudan Zhang Huizhu Mei Ye 《南京大学学报(自然科学版)》 CAS CSCD 北大核心 2024年第4期651-660,共10页
Dichloromethane(DCM)dehalogenase stands as a crucial enzyme implicated in the degradation of methylene chloride across diverse environmental and biological contexts.However,the unbinding pathways of ligands from DCM d... Dichloromethane(DCM)dehalogenase stands as a crucial enzyme implicated in the degradation of methylene chloride across diverse environmental and biological contexts.However,the unbinding pathways of ligands from DCM dehalogenase remain unexplored.In order to gain a deeper understanding of the binding sites and dissociation pathways of dichloromethane(DCM)and glutathione(GSH)from the DCM dehalogenase,random accelerated molecular dynamics(RAMD)simulations were performed,in which DCM and GSH were forced to leave the active site.The protein structure was predicted using Alphafold2,and the conformations of GSH and DCM in the binding pocket were predicted by docking.A long equilibrium simulation was conducted to validate the structure of the complex.The results show that GSH is most commonly observed in three main pathways,one of which is more important than the other two.In addition,DCM was observed to escape along a unique pathway.The key residues and protein helices of each pathway were identified.The results can provide a theoretical foundation for the subsequent dissociation mechanism of DCM dehalogenase. 展开更多
关键词 DCM dehalogenase GSH Alphafold2 RAMD unbinding pathways
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Full-domain collaborative deployment method of multiple interference sources and evaluation of its deployment effect
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作者 Yue Wang Fuping Sun +2 位作者 Xian Wang Jinming Hao Kai Xiao 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第2期572-595,共24页
This paper realizes the full-domain collaborative deployment of multiple interference sources of the global satellite navigation system(GNSS)and evaluates the deployment effect to enhance the ability to disturb the at... This paper realizes the full-domain collaborative deployment of multiple interference sources of the global satellite navigation system(GNSS)and evaluates the deployment effect to enhance the ability to disturb the attacker and the capability to defend the GNSS during navigation countermeasures.Key evaluation indicators for the jamming effect of GNSS suppressive and deceptive jamming sources are first created,their evaluation models are built,and their detection procedures are sorted out,as the basis for determining the deployment principles.The principles for collaboratively deploying multi-jamming sources are developed to obtain the deployment structures(including the required number,structures in demand,and corresponding positions)of three single interference sources required by collaboratively deploying.Accordingly,simulation and hardware-in-loop testing results are presented to determine a rational configuration of the collaborative deployment of multi-jamming sources in the set situation and further realize the full-domain deployment of an interference network from ground,air to space.Varied evaluation indices for the deployment effect are finally developed to evaluate the deployment effect of the proposed configuration and further verify its reliability and rationality. 展开更多
关键词 Jamming effect multiple interference sources Collaborative deployment Effect evaluation Defense capability
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A new method for evaluating the firing precision of multiple launch rocket system based on Bayesian theory
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作者 Yunfei Miao Guoping Wang Wei Tian 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第2期232-241,共10页
How to effectively evaluate the firing precision of weapon equipment at low cost is one of the core contents of improving the test level of weapon system.A new method to evaluate the firing precision of the MLRS consi... How to effectively evaluate the firing precision of weapon equipment at low cost is one of the core contents of improving the test level of weapon system.A new method to evaluate the firing precision of the MLRS considering the credibility of simulation system based on Bayesian theory is proposed in this paper.First of all,a comprehensive index system for the credibility of the simulation system of the firing precision of the MLRS is constructed combined with the group analytic hierarchy process.A modified method for determining the comprehensive weight of the index is established to improve the rationality of the index weight coefficients.The Bayesian posterior estimation formula of firing precision considering prior information is derived in the form of mixed prior distribution,and the rationality of prior information used in estimation model is discussed quantitatively.With the simulation tests,the different evaluation methods are compared to validate the effectiveness of the proposed method.Finally,the experimental results show that the effectiveness of estimation method for firing precision is improved by more than 25%. 展开更多
关键词 multiple launch rocket system Bayesian theory Simulation credibility Mixed prior distribution Firing precision
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动态需求情形下多行程多交货期的成品油配送优化 被引量:1
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作者 谢勇 高海龙 +1 位作者 陈于涛 王焕江 《系统仿真学报》 北大核心 2025年第8期2016-2029,共14页
在动态需求情形下,综合考虑订单交货期、车辆运输时间窗等因素,以最大化配送收益为目标,建立了多行程多交货期的成品油周期性配送优化模型,并设计了基于强化学习的大邻域搜索算法进行求解。基于前向插入启发式算法构造初始解;设计了面... 在动态需求情形下,综合考虑订单交货期、车辆运输时间窗等因素,以最大化配送收益为目标,建立了多行程多交货期的成品油周期性配送优化模型,并设计了基于强化学习的大邻域搜索算法进行求解。基于前向插入启发式算法构造初始解;设计了面向邻域算子选择的深度强化学习模型,通过双深度Q网络拟合动作价值函数,以选择最优的邻域操作算子,获得最优配送方案。实验结果表明:基于强化学习的大邻域搜索算法能够在保证求解质量的同时有效提升求解速度。 展开更多
关键词 成品油配送 动态需求 多行程 多交货期 强化学习
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Visual navigation in orchard based on multiple images at different shooting angles
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作者 MA Zenghong YUE Jiawen +3 位作者 YIN Cheng ZHAO Runmao CHANDA Mulongoti DU Xiaoqiang 《智能化农业装备学报(中英文)》 2024年第4期51-65,共15页
The orchards usually have rough terrain,dense tree canopy and weeds.It is hard to use GNSS for autonomous navigation in orchard due to signal occlusion,multipath effect,and radio frequency interference.To achieve auto... The orchards usually have rough terrain,dense tree canopy and weeds.It is hard to use GNSS for autonomous navigation in orchard due to signal occlusion,multipath effect,and radio frequency interference.To achieve autonomous navigation in orchard,a visual navigation method based on multiple images at different shooting angles is proposed in this paper.A dynamic image capturing device is designed for camera installation and multiple images can be shot at different angles.Firstly,the obtained orchard images are classified into sky and soil detection stage.Each image is transformed to HSV space and initially segmented into sky,canopy and soil regions by median filtering and morphological processing.Secondly,the sky and soil regions are extracted by the maximum connected region algorithm,and the region edges are detected and filtered by the Canny operator.Thirdly,the navigation line in the current frame is extracted by fitting the region coordinate points.Then the dynamic weighted filtering algorithm is used to extract the navigation line for the soil and sky detection stage,respectively,and the navigation line for the sky detection stage is mirrored to the soil region.Finally,the Kalman filter algorithm is used to fuse and extract the final navigation path.The test results on 200 images show that the accuracy of visual navigation path fitting is 95.5%,and single frame image processing costs 60 ms,which meets the real-time and robustness requirements of navigation.The visual navigation experiments in Camellia oleifera orchard show that when the driving speed is 0.6 m/s,the maximum tracking offset of visual navigation in weed-free and weedy environments is 0.14 m and 0.24 m,respectively,and the RMSE is 30 mm and 55 mm,respectively. 展开更多
关键词 ORCHARD visual navigation multiple shooting angles region segmentation Kalman filter
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基于亚模函数的可见光通信MIMO-OFDM系统天线选择算法 被引量:1
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作者 贾科军 贺耀民 +3 位作者 张芳芳 蔺莹 薛建彬 郝莉 《电讯技术》 北大核心 2025年第3期445-453,共9页
在可见光通信多输入多输出系统中,针对天线选择理论建模不足和穷举算法复杂度过高的问题,提出了基于亚模函数的天线选择方案。首先,以下行链路的信道容量最大化为目标,建立了基于亚模函数的天线选择理论优化模型,并证明了目标函数满足... 在可见光通信多输入多输出系统中,针对天线选择理论建模不足和穷举算法复杂度过高的问题,提出了基于亚模函数的天线选择方案。首先,以下行链路的信道容量最大化为目标,建立了基于亚模函数的天线选择理论优化模型,并证明了目标函数满足的单调亚模性。其次,根据亚模函数的收益递减效应,设计了基于容量最大化的天线选择算法。最后,仿真分析了非对称限幅光正交频分复用(Asymmetrically Clipped Optical Orthogonal Frequency Division Multiplexing,ACO-OFDM)和直流偏置光OFDM(DC-biased Optical OFDM,DCO-OFDM)系统的信道容量和误码率性能。在6选4的情况下,当信噪比为30 dB时,所提算法与穷举最优算法的信道容量差异仅为0.51 b/s/Hz和1.2 b/s/Hz,复杂度则降低了约46.3%。另外,随着选择天线数的增多和调制阶数的增大,系统的误码率性能逐渐变差。 展开更多
关键词 可见光通信(VLC) 多输入多输出(MIMO) 天线选择 亚模函数 收益递减效应
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门诊老年健康体检者衰弱状况及影响因素分析 被引量:1
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作者 肖文凯 王晓娜 +2 位作者 郑瑾 谢湘竹 盛莉 《中华老年心脑血管病杂志》 北大核心 2025年第3期265-269,共5页
目的探讨门诊老年健康体检者衰弱的影响因素。方法纳入2022年4~8月在解放军总医院第二医学中心门诊进行年度体检的年龄≥60岁的710例受检者。采用Fried衰弱诊断量表评估受检者的衰弱情况,根据该量表将老年受检者分为无衰弱组(422例),衰... 目的探讨门诊老年健康体检者衰弱的影响因素。方法纳入2022年4~8月在解放军总医院第二医学中心门诊进行年度体检的年龄≥60岁的710例受检者。采用Fried衰弱诊断量表评估受检者的衰弱情况,根据该量表将老年受检者分为无衰弱组(422例),衰弱早期组(225例)和衰弱组(63例)。收集该人群一般资料、实验室指标及超声心动图参数,采用多因素logistic回归分析衰弱前期及衰弱的独立影响因素。结果衰弱前期及衰弱的发生率分别为31.7%和8.9%。与无衰弱组比较,衰弱前期组及衰弱组左心房前后径、左心室舒张末期内径增高,左心室射血分数降低,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,血红蛋白是衰弱前期的保护因素(OR=0.984,95%CI:0.966~0.992,P=0.048);而年龄(OR=1.064)、查尔森共病指数(OR=1.387)、左心房前后径(OR=1.059)是老年受检者衰弱前期发生的独立危险因素(P<0.05,P<0.01)。血清白蛋白是衰弱发生的保护因素(OR=0.823,95%CI:0.728~0.931,P=0.002);而年龄(OR=1.081)、查尔森共病指数(OR=1.458)、左心房前后径(OR=1.249)及N末端B型钠尿肽前体(OR=1.652)是老年受检者发生衰弱的独立危险因素(P<0.05,P<0.01)。结论不同程度的衰弱影响因素存在差异,衰弱主要受年龄、共病、心脏功能及营养状况等多因素的影响,应及早采取综合干预措施,预防衰弱前期的发生,同时延缓并逆转衰弱。 展开更多
关键词 衰弱 慢性病共病 危险因素 老年人
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泊马度胺为主方案治疗复发难治性多发性骨髓瘤的临床效果研究 被引量:1
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作者 杨满 黄琰 +4 位作者 张灵秀 吕国庆 朱璐瑶 刘宪凯 郭燕 《中国实验血液学杂志》 北大核心 2025年第2期431-436,共6页
目的:研究泊马度胺为主方案治疗复发难治性多发性骨髓瘤(RRMM)的临床效果。方法:选取2020年11月至2023年1月新乡医学院第一附属医院血液科收治的RRMM患者60例作为研究对象,其中15例采用PDD方案(泊马度胺+达雷妥尤单抗+地塞米松),45例采... 目的:研究泊马度胺为主方案治疗复发难治性多发性骨髓瘤(RRMM)的临床效果。方法:选取2020年11月至2023年1月新乡医学院第一附属医院血液科收治的RRMM患者60例作为研究对象,其中15例采用PDD方案(泊马度胺+达雷妥尤单抗+地塞米松),45例采用PCD方案(泊马度胺+环磷酰胺+地塞米松),观察并评价临床效果。结果:所有患者中位疗程5(2-11)个,总体反应率(ORR)为75.0%;采用PDD方案的患者ORR为73.3%,采用PCD方案的患者ORR为75.6%。46例非高危细胞遗传学异常患者的ORR为86.9%,显著高于14例高危细胞遗传学异常患者的35.7%(χ^(2)=15.031,P<0.05)。所有患者的中位PFS为8.0(95%CI:6.8-9.1)个月,中位OS为14.0(95%CI:11.3-16.7)个月。PDD方案中非高危细胞遗传学异常患者的PFS和OS均显著高于高危细胞遗传学异常患者[PFS:7.0(95%CI:4.6-9.3)个月vs 4.0(95%CI:3.1-4.8)个月,χ^(2)=5.120,P<0.05;OS:未达到vs 6.0(95%CI:1.1-10.9)个月,χ^(2)=9.870,P<0.05];PCD方案中非高危细胞遗传学异常患者的PFS和OS也均显著高于高危细胞遗传学异常患者[PFS:9.0(95%CI:6.2-11.8)个月vs 6.0(95%CI:5.4-6.6)个月,χ^(2)=14.396,P<0.05;OS:未达到vs 11.0(95%CI:6.4-15.6)个月,χ^(2)=7.471,P<0.05]。结论:泊马度胺为主的方案治疗RRMM具有较好的临床效果,且安全性良好。 展开更多
关键词 多发性骨髓瘤 复发难治 泊马度胺 临床效果
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老年健康查体人群中代谢相关共病及胰岛素抵抗与慢性肾脏病的相关性研究 被引量:1
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作者 杨光 程柏凯 +5 位作者 沈鑫 刘洋 丁影 程庆砾 郑延松 赵佳慧 《中华老年心脑血管病杂志》 北大核心 2025年第3期260-264,共5页
目的探讨老年健康查体人群中代谢相关共病、胰岛素抵抗(insulin resistance,IR)与慢性肾脏病(chronic kidney disease,CKD)之间的关系。方法纳入2009年12月至2021年5月在解放军总医院接受健康体检的老年人8358例,根据指南标准分为CKD组... 目的探讨老年健康查体人群中代谢相关共病、胰岛素抵抗(insulin resistance,IR)与慢性肾脏病(chronic kidney disease,CKD)之间的关系。方法纳入2009年12月至2021年5月在解放军总医院接受健康体检的老年人8358例,根据指南标准分为CKD组983例与非CKD组7375例。收集患者临床资料,计算IR指数估计的葡萄糖处置率(estimated glucose disposal rate,eGDR),应用Quasi-Bayesian进行因果中介分析。结果CKD组高血压、冠心病、糖尿病、高脂血症和高尿酸血症患病率显著高于非CKD组(P<0.01),CKD组eGDR显著低于非CKD组[(6.88±2.09)mg/(kg·min)vs(8.41±2.12)mg/(kg·min),P<0.01]。logistic回归分析结果显示,未调整协变量时,eGDR每增加1单位,CKD的发生风险降低29%(OR=0.714,95%CI:0.691~0.738,P<0.01)。调整后,eGDR与CKD风险仍显著相关(P<0.01)。中介分析显示,糖尿病和肱踝脉搏波传导速度在eGDR与CKD之间关系的中介效应占比最高(分别为14.2%和12.5%)。结论老年健康查体人群中胰岛素敏感性的降低与CKD的发生显著相关。糖尿病和动脉硬化在这一关联中起到中介作用。 展开更多
关键词 慢性病共病 代谢疾病 胰岛素抵抗 数据相关性
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基于癌毒理论的多发性骨髓瘤病机本质探源及方药体系构建 被引量:2
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作者 倪海雯 凌冰莹 +4 位作者 薄毅文 冯小苏 孔祥图 孙善亮 杨烨 《南京中医药大学学报》 北大核心 2025年第1期30-37,共8页
以国医大师周仲瑛教授癌毒理论为指导,吸纳仝小林院士态靶学说思想,总结多发性骨髓瘤的病机为正气亏虚,蚀骨伤髓,癌毒蓄积,痰瘀互结,正邪交争,动态演变;提出将补虚扶正、抗癌解毒、化痰祛瘀的思路贯穿治疗全程的多发性骨髓瘤的抗癌解毒... 以国医大师周仲瑛教授癌毒理论为指导,吸纳仝小林院士态靶学说思想,总结多发性骨髓瘤的病机为正气亏虚,蚀骨伤髓,癌毒蓄积,痰瘀互结,正邪交争,动态演变;提出将补虚扶正、抗癌解毒、化痰祛瘀的思路贯穿治疗全程的多发性骨髓瘤的抗癌解毒全周期防治策略。并从蛋白质过载、肿瘤微环境等多环节阐释多发性骨髓瘤“正虚癌毒”病机理论的科学内涵,构建以宣痹消瘤方为核心的方药体系,为多发性骨髓瘤中西结合临床诊疗方案和全周期防控模式提供新的思路和科学依据。 展开更多
关键词 多发性骨髓瘤 癌毒理论 病机本质 方药体系
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多源降水数据在夏河县果宁村山洪模拟中的精度评估 被引量:1
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作者 黄武斌 伏晶 +2 位作者 郭润霞 张君霞 雷瑜 《高原气象》 北大核心 2025年第1期110-121,共12页
2023年9月6日22:00(北京时,下同)至7日04:00甘肃夏河县发生强对流天气,局部地区出现短时强降雨,引发夏河县果宁村山洪灾害,造成人员伤亡。本研究基于气象站观测降水对比分析了雷达估测降水(Radar Quantitative Precipitation Estimation... 2023年9月6日22:00(北京时,下同)至7日04:00甘肃夏河县发生强对流天气,局部地区出现短时强降雨,引发夏河县果宁村山洪灾害,造成人员伤亡。本研究基于气象站观测降水对比分析了雷达估测降水(Radar Quantitative Precipitation Estimation,Radar-QPE)、FY4B估测降水(FengYun 4B Quantitative Precipitation Estimation,FY4B-QPE)以及CMPA(CMA Multi-source Precipitation Analysis)降水产品特性,并利用这些降水数据驱动水动力水文模型,评估不同降水数据在本次山洪模拟中的效果。结果表明:(1)12 h累积降水量中,CMPA在大值区域位置和局地降水量级差异性方面表现出较高的准确性;Radar-QPE在累积降水量级上与AWS(Automatic Weather Station)较为接近,但空间分布上存在显著差异;FY4B-QPE累积降水量级高估了33.8%。(2)在逐小时分布上,CMPA在时间演变、空间分布以及降水量级上与AWS最为接近;Radar-QPE峰值偏小,且峰值时间有所滞后,降水主要为负偏差;FY4BQPE峰值及峰值时间与实际情况一致,但在降水的开始和结束时间存在偏差,降水量的偏差主要为正偏差。(3)水文模拟研究中,CMPA、Radar-QPE和FY4B-QPE均高估了水位,但水位峰值出现时间与AWS较为一致,CMPA在均方根误差(RMSE)、纳什效率系数(NSE)和相对偏差(Bias)方面表现最优,Radar-QPE次之,FY4B-QPE表现相对较差。虽然现有站点观测降水无法完全满足对中小尺度山洪的研究和预警需求,但CMPA数据的高精度在一定程度上能有效补充传统气象观测站点的不足,同时,Radar-QPE和FY4B-QPE的算法和精度需要进一步改进和提升。 展开更多
关键词 多源降水 山洪 CMPA Radar-QPE FY4B-QPE
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基于多重使命和多元逻辑的国有企业运行机制研究 被引量:1
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作者 肖红军 李烨 《财经问题研究》 北大核心 2025年第6期23-43,共21页
国有企业兼具市场主体、政策工具和社会责任承担者三重属性,同时受到多元制度环境的复合影响,其运行机制长期处于主流理论的认识鸿沟与解释断层之中。本文突破传统研究范式,构建“多重使命—多元逻辑—运行机制”的整合性分析框架,揭示... 国有企业兼具市场主体、政策工具和社会责任承担者三重属性,同时受到多元制度环境的复合影响,其运行机制长期处于主流理论的认识鸿沟与解释断层之中。本文突破传统研究范式,构建“多重使命—多元逻辑—运行机制”的整合性分析框架,揭示了国有企业运行的内在规律和演化路径。研究发现,经济使命、政治使命和社会使命等多重使命与市场逻辑、政治逻辑和社会逻辑等多元逻辑的动态耦合,深刻塑造了国有企业运行机制。本文从组织创新、价值创造和激励约束共生三个维度深入剖析了国有企业的六大核心运行机制:多重使命驱动下的组织形态重构机制、多元治理逻辑耦合的混合型治理机制、多重使命导向下的资源配置机制、经济—政治—社会多元价值的系统共创机制、市场化—行政性—社会性激励的有机融合机制、多元约束的动态协同机制。本文研究提出,国有企业应通过分类改革、逻辑融合、价值创造、战略管控、治理现代化和组织文化建设等路径,构建兼顾效率与公平、政府与市场、短期与长期的运行机制,为国有企业在新时代背景下实现高质量发展提供理论支撑和实践指南。 展开更多
关键词 国有企业 多重使命 多元逻辑 组织创新 价值创造 激励约束
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