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    • 贾玉岩
    • 摘要: 【教学设计】指导思想与理论依据:《义务教育英语课程标准》课程总目标三级要求学生能够:能与教师或同学就熟悉的话题(如学校、家庭生活)交换信息;能用短语或句子描述系列图片。语言技能分级目标中说的技能三级要求学生:能在课堂活动中用简短的英语进行交际;能就熟悉的话题进行简单的交流;能提供有关个人情况和个人经历的信息;能在上述口语活动中做到语音、语调基本正确。
    • 乔楠; 李鸿博; 边学海
    • 摘要: 甲状腺呈胸腺样分化癌(carcinoma showing thymus like element,CASTLE)是一种发生于甲状腺及其周围颈部软组织的低度恶性肿瘤。文献报道CASTLE多位于甲状腺中下极,亦可发生于腮腺、梨状窝、侧颈部颌下区等。CASTLE应与恶性程度高,预后差的癌相鉴别,以免过诊过治。CASTLE属全球罕见病例,鲜有合并其他恶性肿瘤报道,本例为CASTLE合并甲状腺乳头状癌。1病例资料患者,男性,38岁。因发现右颈部肿物4个月入院。
    • Takaya Yamamoto; Yukiomi Nakade; Taeko Yamauchi; Yuji Kobayashi; Norimitsu Ishii; Tomohiko Ohashi; Kiyoaki Ito; Ken Sato; Yoshitaka Fukuzawa; Masashi Yoneda
    • 摘要: AIM: To investigate whether a glucagon-like peptide-1(GLP-1) analogue inhibits nonalcoholic steatohepatitis(NASH), which is being increasingly recognized in Asia, in non-obese mice. METHODS: A methionine-choline-deficient diet(MCD) along with exendin-4(20 μg/kg per day, ip), a GLP-1 analogue, or saline was administered to male db/db mice(non-obese NASH model). Four or eight weeks after commencement of the diet, the mice were sacrificed and their livers were excised. The excised livers were examined by histochemistry for evidence of hepatic steatosis and inflammation. Hepatic triglyceride(TG) and free fatty acid(FFA) content was measured, and the expression of hepatic fat metabolism- and inflammation-related genes was evaluated. Oxidative stress-related parameters and macrophage recruitment were also examined using immunohistochemistry.RESULTS: Four weeks of MCD feeding induced hepatic steatosis and inflammation and increased the hepatic TG and FFA content. The expression of fattyacid transport protein 4(FATP4), a hepatic FFA influxrelated gene; macrophage recruitment; and the level of malondialdehyde(MDA), an oxidative stress marker, were significantly augmented by a 4-wk MCD. The levels of hepatic sterol regulatory element-binding protein-1c(SREBP-1c) m RNA(lipogenesis-related gene) and acyl-coenzyme A oxidase 1(ACOX1) m RNA(β-oxidation-related gene) had decreased at 4 wk and further decreased at 8 wk. However, the level of microsomal triglyceride transfer protein m RNA(a lipid excretion-related gene) remained unchanged. The administration of exendin-4 significantly attenuated the MCD-induced increase in hepatic steatosis, hepatic TG and FFA content, and FATP4 expression as well as the MCD-induced augmentation of hepatic inflammation, macrophage recruitment, and MDA levels. Additionally, it further decreased the hepatic SREBP-1c level and alleviated the MCD-mediated inhibition of the ACOX1 m RNA level. CONCLUSION: These results suggest that GLP-1 inhibits hepatic steatosis and inflammation through the inhibition of hepatic FFA influx and oxidative stress in a non-obese NASH model.
    • Cheng Peng; Hua Wang; Wen-Jing Zhang; Sheng-Hua Jie; Qiao-Xia Tong; Meng-Ji Lu; Dong-Liang Yang
    • 摘要: AIM: To investigate the role of mi R-125 b in regulating monocyte immune responses induced by hepatitis C virus(HCV) core protein.METHODS: Monocytic THP-1 cells were treated with various concentrations of recombinant HCV core protein, and cytokines and mi R-125 b expression in these cells were analyzed. The requirement of Tolllike receptor 2(TLR2) or My D88 gene for HCV core protein-induced immune responses was determined by the transfection of THP-1 cells with gene knockdown vectors expressing either TLR2 si RNA or My D88 si RNA. The effect of mi R-125 b overexpression on TLR2/My D88 signaling was examined by transfecting THP-1 cells with mi R-125 b mimic RNA oligos.RESULTS: In response to HCV core protein stimulation, cytokine production was up-regulated and mi R-125 b expression was down-regulated in THP-1 cells. The modulatory effect of HCV core protein on cellular events was dose-dependent and required functional TLR2 or My D88 gene. Forced mi R-125 b expression abolished the HCV core protein-induced enhancement of tumor necrosis factor-α, interleukin(IL)-6, and IL-10 expression by 66%, 54%, and 66%, respectively(P < 0.001), by inhibiting My D88-mediated signaling, including phosphorylation of NF-k Bp65, ERK, and P38.CONCLUSION: The inverse correlation between mi R-125 b and cytokine expression after HCV core challenge suggests that mi R-125 b may negatively regulate HCVinduced immune responses by targeting TLR2/My D88 signaling in monocytes.
    • 郭鸿杰; 李侠
    • 摘要: 研究运用了变异社会语言学理论和历史比较语言学方法论,以引述语be like的分布特征和变异模式为切入点,旨在揭示加拿大英语和其他英语变体在引述语使用上表现出来的共性和差异。提取了加拿大渥太华英语语料库中27个受访者的口语语料,其中引述结构在必要语境下共出现1193次。研究发现,引述语be like的使用频率出现了显著增长,已成为年轻人群中的主流引述手段。而say、go think等传统引述语的使用频率渐次降低。多变量分析结果进一步证实了引述语be like变异受到了语言因素和非语言因素的共同制约。同时,共时变异特征也为be like的语法化进程提供了证据。
    • Sudhanshu P Raikwar; Apoorva S Raikwar; Shyam S Chaurasia; Rajiv R Mohan
    • 摘要: Gene editing has recently emerged as a promising technology to engineer genetic modifications precisely in the genome to achieve long-term relief from corneal disorders.Recent advances in the molecular biology leading to the development of clustered regularly interspaced short palindromic repeats(CRISPRs) and CRISPR-associated systems,zinc finger nucleases and transcription activator like effector nucleases have ushered in a new era for high throughput in vitro and in vivo genome engineering.Genome editing can be successfully used to decipher complex molecular mechanisms underlying disease pathophysiology,develop innovative next generation gene therapy,stem cell-based regenerative therapy,and personalized medicine for corneal and other ocular diseases.In this review we describe latest developments in the field of genome editing,current challenges,and future prospects for the development of personalized genebased medicine for corneal diseases.The gene editing approach is expected to revolutionize current diagnostic and treatment practices for curing blindness.
    • Madhusudana Girija Sanal
    • 摘要: Hepatocyte transplantation is an alternative to liver transplantation in certain disorders such as inheritedliver diseases and liver failure.It is a relatively less complicated surgical procedure,and has the advantage that it can be repeated several times if unsuccessful.Another advantage is that hepatocytes can be isolated from partly damaged livers which are not suitable for liver transplantation.Despite these advantages hepatocyte transplantation is less popular.Important issues are poor engraftment of the transplanted cells and the scarcity of donor hepatocytes.Generation of "hepatocyte like cells"/i Heps from embryonic stem cells(ES) and induced pluripotent stem cells(iP SCs) by directed differentiation is an emerging solution to the latter issue.Direct conversation or trans-differentiation of fibroblasts to "hepatocyte like cells" is another way which is,being explored.However this method has several inherent and technical disadvantages compared to the directed differentiation from ES or i PSC.There are several methods claiming to be "highly efficient" for generating "highly functional" "hepatocyte like cells".Currently different groups are working independently and coming up with differentiation protocols and each group claiming an advantage for their protocol.Directed differentiation protocols need to be designed,compared,analyzed and tweaked systematically and logically than empirically.There is a need for a wellcoordinated global initiative comparable to the Human Genome Project to achieve this goal in the near future.
    • Surya N Gupta; Vikash S Gupta; Dawn M Fields
    • 摘要: Complicated migraine encompasses several individual clinical syndromes of migraine. Such a syndrome in children frequently presents with various neurological symptoms in the Emergency Department. An acute presentation in the absence of headache presents a diagnostic challenge. A delay in diagnosis and treatment may have medicolegal implication. To date, there are no reports of a common clinical profile proposed in making a clinical diagnosis for the complicated migraine. In this clinical review, we propose and describe:(1) A common clinical profile in aid to clinical diagnosis for spectrum of complicated migraine;(2) How it can be used in differentiating complicated migraine from migraine without aura, migraine with aura, and seizure;(3) We discuss the status of complicated migraine in the International Headache Society classification 2013; and(4) In addition, a common treatment strategy for the spectrum of migraine has been described. To diagnose complicated migraine clinically, it is imperative to adhere with the proposed profile. This will optimize the use of investigation and will also avoid a legal implication of delay in their management. The proposed common clinical profile is incongruent with the International Headache Society 2013. Future classification should minimize the dissociation from clinically encountered syndromes and coin a single word to address collectively this subtype of migraine with an acute presentation of a common clinical profile.
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