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1Surgical intervention for advanced valvular heart disease in 227 cases显示文摘Background Although the results of surgical treatment in cardiac valve disease continue to improve, the postoperative mortality rate and the rate of complications in patients with advanced valvular heart disease (AVHD) are still very high. We did this retrospective study to summarize the surgical experience of heart valve replacement for patients with AVHD and discuss effective ways to improve the surgical outcome.Methods From January 1994 to October 2003, surgical procedures of heart valve replacement were performed on 227 (136 men and 91 women) patients with AVHD in our Department of Cardiothoracic Surgery. The clinical data of all patients were collected and analysed. Patients’ age ranged from 10 years to 77 years. In preoperative cardiac function grading, 157 cases were NYHA III and 70 cases NYHA IV. Fifty-one patients had had cardiac operations. The ultrasonic cardiac graphs showed that 145 patients suffered from moderate or severe pulmonary hypertension and 73 had combined giant left ventricle. Mitral valve replacement was performed in 32 cases, aortic valve replacement in 90, tricuspid valve replacement in 1, combined mitral and aortic replacement in 103 and combined mitral and tricuspid replacement in 1. Nineteen patients also received surgical corrections for other minor abnormalities during the operations. A logistic model was established to evaluate the influence of perioperative factors on the mortality rate. Results The operative mortality rate was 13.2% (30/227). The main causes of death included multiple organ dysfunction syndrome (MODS), low cardiac output syndrome and ventricular fibrillation. From the results of the binary noncounterpart multivariate logistic regression, the following statistically significant factors were found to influence the operative mortality rate: redo operation, age ≥55 years, preoperative NYHA cardiac function grading, extracorporeal circulation time ≥120 minutes and postoperative usage of GIK (glucose, insulin and potassium) solution. All factors were risk ones except postoperative application of GIK. The Hosmer-Lemeshow goodness of fit coefficient of this model was 0.976. Conclusions The risk factors associated with postoperative mortality rate in the patients with AVHD were redo operation, age ≥55 years, preoperative NYHA cardiac function grading and extracorporeal circulation time ≥120 minutes. Postoperative usage of GIK acted as a kind of metabolic therapy and will improve the recovery for patients with AVHD. Active perioperative management and care will play a very important role in reducing the operative risk and improving the short term outcome of surgical treatment for the patients with AVHD.ZHANGXi XUZhe XUYing-qi WANGZhi-ping WUZhong-kai TANGBai-yun XIONGMai YAOJian-ping SUNPei-wu ZHONGFo-tian 2005Chinese Medical Journal2005,,12:11
2The tribological behavior of a surface-nanocrystallized magnesium alloy AZ31 sheet after ultrasonic shot peening treatment显示文摘A magnesium alloy AZ31 sheet was processed by ultrasonic shot peening treatment to fabricate a surface nanocrystalline,and a ball-on-disk dry sliding wear test was performed to evaluate the tribological behavior after treatment.The microstructure observation indicated a gradient nanocrystalline structure was formed after USSP treatment.The microhardness at the top surface was improved from 60 HV to 145 HV after treatment.The formed nanocrystalline resulted in an easy formation of MgO patches on the surface and reduced the coefficient of friction.Moreover,the formed nanocrystalline leaded to a retard of delamination with increasing the sliding speed and applied load,which was due to its stronger sub-surface.Under high sliding speed(0.5 m/s)and high applied load(50 N),it was firstly found that the formed nanocrystalline prevented the happening of thermal softening and melting.The possible reasons accounting for the prevention of thennal softening and melting were discussed accordingly.Jianyue Zhang Yongxin Jian Xuzhe Zhao Dean Meng Fusheng Pan Qingyou Han 2021Journal of Magnesium and Alloys2021,9,4:3
3Effect of operating temperature onwater-based oil sands processing显示文摘Long J Drelich J XuZH 2007The Canadian Journal of Chemical Engineering2007,85,5:1
4Arthroscopie treatment for osteoarthritis of the knee显示文摘ZHOULP XUZH 2000China Journal of Endoscop2000,6,2:1
5SynthesisandproperGtiesofmicroencapsulatedsolidparaffinphasechangemaGterials显示文摘XuZhe LiJianqiang ZhangGuocai 2012MaterialsforEnergyConversionandStorage2012,519,:1
6显示文摘HuangLiang(黄亮) XuZhe(徐哲) DaiChun(代春)eta1 稀有金属材料与工程0,,:1
7Meta-analysisofphenotypeand genotype of NAT2 deficiency in Chinese populations显示文摘XIE HG XUZH OU-YANGDS etal 1997Pharmacogenetics1997,7,:1
8SoilcarbonpoolsinadjacentnaturalandplantationforestsofsubtropicalAustralia显示文摘CHENCR XUZH MATHERSNJ 2004SoilScienceSocietyofAmericaJournal2004,68,1:1
9Clinical analysis of omeprazole in treatment of peptic ulcer complicated with hemorrhage in uremic patients 显示文摘XUZH WUXX 2009中国医学创新2009,6,21:1
10The treatment of tacrolimus in idiopathic membranous nephropathy [J]显示文摘SUNGD XUZH LUOP etal 中国老年学杂志0,,:1
11Introductiontothestudyofartemisinindrugeffects显示文摘XUZH 2004安徽预防医学杂志2004,10,3:1
12Target-triggered deprotonation of 6-hydroxyindole-based BODIPY: specially switch on NIR fluorescence upon selectively binding to Zn2~显示文摘CAO Jian ZHAO Chunchang WANG Xuzhe 2012Chemical Communications2012,48,79:1
13EffectofnitrogensourceanditssupplymanneronproductionofL-argininebyCorynebacteriumcrenatumJDN28-75显示文摘XuZH(许正宏) DouwF(窦文芳) WangX(王霞) TaowY(陶文沂) 立用与环境生物学报0,,:1
14Facile synthesis of Au nanoparticles supported on polyphosphazene functionalized carbon nanotubes for catalytic reduction of 4 nitrophenol显示文摘Wang Xuzhe Fu Jianwei Wang Minghuan 2014Journal of Materials Science2014,49,50:1
15Progress in car- bon dioxide separation and capture: A review 显示文摘YangH Q XuZH FanM H etal 2008Journal of Environmental Sciences-China2008,20,1:1
16The characteristics and performance of a muhifunctional nanoassembly system for the co-delivery of docetaxel and iSur- pDNA in a mouse hepatocellular carcinoma model 显示文摘XuZH ZhangZW ChenY 2010Biomaterials2010,31,5:1
17显示文摘龚劲松(GongJS) 李恒(LiH) 陆震鸣(LuZM) 史劲松(ShiJS) 许正宏(XuZH) 2015化学进展2015,27,:1
18Synchronous measurements of prefrontal activity and pulse rate variability during online video game playing with functional near-infrared spectroscopy显示文摘Interactions between the central nervous system(CNS)and autonomic nervous system(ANS)play a crucial role in modulating perception,cognition,and emotion production.Previous studies on CNS–ANS interactions,or heart–brain coupling,have often used heart rate variability(HRV)metrics derived from electrocardiography(ECG)recordings as empirical measurements of sympathetic and parasympathetic activities.Functional near-infrared spectroscopy(fNIRS)is a functional brain imaging modality that is increasingly used in brain and cognition studies.The fNIRS signals contain frequency bands representing both neural activity oscillations and heartbeat rhythms.Therefore,fNIRS data acquired in neuroimaging studies can potentially provide a single-modality approach to measure task-induced responses in the brain and ANS synchronously,allowing analysis of CNS–ANS interactions.In this proof-of-concept study,fNIRS was used to record hemodynamic changes from the foreheads of 20 university students as they each played a round of multiplayer online battle arena(MOBA)game.From the fNIRS recordings,neural and heartbeat frequency bands were extracted to assess prefrontal activities and shortterm pulse rate variability(PRV),an approximation for short-term HRV,respectively.Under the experimental conditions used,fNIRS-derived PRV metrics showed good correlations with ECG-derived HRV golden standards,in terms of absolute measurements and video game playing(VGP)-related changes.It was also observed that,similar to previous studies on physical activity and exercise,the PRV metrics closely related to parasympathetic activities recovered slower than the PRV indicators of sympathetic activities after VGP.It is concluded that it is feasible to use fNIRS to monitor concurrent brain and ANS activations during online VGP,facilitating the understanding of VGP-related heart–brain coupling.Xuzhe Zhang Kehong Long Ningxin Wang Jin Zhang Hao Lei 2023Journal of Innovative Optical Health Sciences2023,16,6:1
19The Application of new technologies and new methods in the extraction of Chinese herbal medicine [J]显示文摘ANJZ XUZH 2001时珍国医国药2001,12,5:1
20Utilization of surface nanocrystalline to improve the bendability of AZ31 Mg alloy sheet显示文摘A surface nanocrystalline was fabricated by ultrasonic shot peening(USSP)treatment at AZ31 Mg alloy.The effect of nanocrystalline thickness and its placed side(external or internal)on the bendability was studied by a V-bending test.Three durations,5,10,and 15 min,were applied to form the surface nanocrystalline with thicknesses of 51,79,and 145μm,respectively.Two-side treatment led to a similar bendability as that of as-received.One-side internal treatment for 5 min resulted in an improved bendability while the improvement was limited and degenerated for longer treatment.The improvement was related to the drawing back of the neutral axis.The one-side external treatment also improved the bendability,and the improvement was due to the redistribution of strain and stress during bending.With nanocrystalline at external side,it resulted in a larger stress but a smaller strain at the convex,which prevented the happening of crack during bending.Jianyue Zhang Xuzhe Zhao De'an Meng Qingyou Han 2022International Journal of Minerals,Metallurgy and Materials2022,29,7:0
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