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| 1 | An Abnormal Network Flow Feature Sequence Prediction Approach for DDoS Attacks Detection in Big Data Environment显示文摘Distributed denial-of-service(DDoS)is a rapidly growing problem with the fast development of the Internet.There are multitude DDoS detection approaches,however,three major problems about DDoS attack detection appear in the big data environment.Firstly,to shorten the respond time of the DDoS attack detector;secondly,to reduce the required compute resources;lastly,to achieve a high detection rate with low false alarm rate.In the paper,we propose an abnormal network flow feature sequence prediction approach which could fit to be used as a DDoS attack detector in the big data environment and solve aforementioned problems.We define a network flow abnormal index as PDRA with the percentage of old IP addresses,the increment of the new IP addresses,the ratio of new IP addresses to the old IP addresses and average accessing rate of each new IP address.We design an IP address database using sequential storage model which has a constant time complexity.The autoregressive integrated moving average(ARIMA)trending prediction module will be started if and only if the number of continuous PDRA sequence value,which all exceed an PDRA abnormal threshold(PAT),reaches a certain preset threshold.And then calculate the probability that is the percentage of forecasting PDRA sequence value which exceed the PAT.Finally we identify the DDoS attack based on the abnormal probability of the forecasting PDRA sequence.Both theorem and experiment show that the method we proposed can effectively reduce the compute resources consumption,identify DDoS attack at its initial stage with higher detection rate and lower false alarm rate. | Jieren Cheng Ruomeng Xu Xiangyan Tang Victor S.Sheng Canting Cai | 2018 | Computers, Materials & Continua2018，，4： | 15 |
| 2 | Comparison of microwave-assisted extraction of aloe-emodin in aloe with Soxhlet extraction and ultrasound-assisted extraction显示文摘This paper reports the extraction of aloe-emodin from aloe by microwave-assisted extraction.The effects of various factors,including the solvent,the ratio (mL/g) of the solvent to the sample,microwave irradiation time and microwave power,were discussed in the experiments.The yield of aloe-emodin was determined by HPLC.The optimized conditions for microwave-assisted extraction of aloe-emodin were concluded as follows: the solvent is 80% ethanol (V/V) solution,microwave irradiation time is 3 min and microwave power is 340 W.Additionally,HPLC fingerprint was developed for consistency evaluation of aloe.The similarities of 3 aloe samples obtained by microwave-assisted extraction,ultrasound-assisted extraction and Soxhlet extraction were more than 0.9,indicating that 3 aloe samples were consistent.Compared with Soxhlet extraction and ultrasound-assisted extraction,microwave extraction is a rapid method with higher yield and less solvent consumption.Aloe samples treated by microwave-assisted extraction,ultrasound-assisted extraction and Soxhlet extraction were observed using transmission electronic microscopy.The micrographs provide evidence of more breakage of chloroplasts treated by microwave-assisted extraction as compared to Soxhlet extraction and ultrasound-assisted extraction. | WANG GuiHua SU Ping ZHANG Fan HOU XiangYan YANG Yi GUO ZhenKu | 2011 | Science China Chemistry2011，54，1： | 8 |
| 3 | Targeted Mutagenesis of NAC Transcription Factor Gene,OsN AC041,Leading to Salt Sensitivity in Rice显示文摘Salinity is a major abiotic stress factor that seriously affects plant growth. Many genes are involved in the response to salt stress with various metabolism pathways. A number of plant transcription factor family genes have been found to be involved in the salt stress response, and NAM, ATAF and CUC(NAC) transcription factors are thought to act as active regulators during abiotic stress, especially salt stress. In this study, we detected a rice NAC transcription factor coding gene, OsNAC041, and confirmed that it influenced the germination of seeds under salt stress and salt tolerance of plants. OsNAC041 was primarily expressed in the leaves and located in the nucleus. Furthermore, the CRISPR/Cas9 method was used to obtain a targeted osnac041 mutant, of which the plant height was higher than that of the wild-type, showing increased salt sensitivity. Moreover, RNA-seq analysis revealed a number of differentially expressed genes(DEGs) involved in several important signaling pathways in the osnac041 mutant. Subsequently, Kyoto Encyclopedia of Genes and Genomes annotation also revealed differential expression of DEGs associated with mitogen-activated protein kinase signaling, peroxisome, eukaryotictype ABC transporters, photosynthesis and plant hormones, which are involved in stress-related signaling pathways. Overall, our study suggested that OsNAC041 was involved in the salt stress response in rice. These findings not only provide empirical evidence of OsNAC041 function, but also provide new insight into its potential application in rice resistance breeding. | WANG Bo ZHONG Zhaohui ZHANG Huanhuan WANG Xia LIU Binglin YANG Lijia HAN Xiangyan YU Deshui ZHENG Xuelian WANG Chunguo SONG Wenqin CHEN Chengbin ZHANG Yong | 2019 | Rice science2019，26，2： | 8 |
| 4 | The Suitability of Using Leaf Area Index to Quantify Soil Loss under Vegetation Cover显示文摘Soil erosion by water under forest cover is a serious problem in southern China.A comparative study was carried out on the use of leaf area index(LAI) and vegetation fractional coverage(VFC) in quantifying soil loss under vegetation cover.Five types of vegetation with varied LAI and VFC under field conditions were exposed to two rainfall rates(40 mm h-1 and 54 mm h-1) using a portable rainfall simulator.Runoff rate,sediment concentration and soil loss rate were measured at relatively runoff stable state.Significant negative exponential relationship(p < 0.05,R2 = 0.83) and linear relationship(p < 0.05,R2 = 0.84) were obtained between LAI and sediment concentration,while no significant relationship existed between VFC and sediment concentration.The mechanism by which vegetation canopy prevents soil loss was by reducing rainfall kinetic energy and sediment concentration.LAI could better quantify such a role than VFC.However,neither LAI nor VFC could explain runoff rate or soil loss rate.Caution must be taken when using LAI to quantify the role of certain vegetation in soil and water conservation. | ZHANG Wentai YU Dongsheng SHI Xuezheng WANG Hongjie GU Zhujun ZHANG Xiangyan TAN Manzhi | 2011 | Journal of Mountain Science2011，8，4： | 7 |
| 5 | Optical observations of LIGO source GW 170817 by the Antarctic Survey Telescopes at Dome A,Antarctica显示文摘The LIGO detection of gravitational waves(GW) from merging black holes in 2015 marked the beginning of a new era in observational astronomy. The detection of an electromagnetic signal from a GW source is the critical next step to explore in detail the physics involved. The Antarctic Survey Telescopes(AST3),located at Dome A, Antarctica, is uniquely situated for rapid response time-domain astronomy with its continuous night-time coverage during the austral winter. We report optical observations of the GW source(GW 170817) in the nearby galaxy NGC 4993 using AST3. The data show a rapidly fading transient at around 1 day after the GW trigger, with the i-band magnitude declining from 17:23 ± 0:13 magnitude to 17:72 ± 0:09 magnitude in ~1:8 h. The brightness and time evolution of the optical transient associated with GW 170817 are broadly consistent with the predictions of models involving merging binary neutron stars. We infer from our data that the merging process ejected about ~10^(-2) solar mass of radioactive material at a speed of up to 30% the speed of light. | lei hu xuefeng wu igor andreoni michael c.b.ashley jeff cooke xiangqun cui fujia du zigao dai bozhong gu yi hu haiping lu xiaoyan li zhengyang li ensi liang liangduan liu bin ma zhaohui shang tianrui sun n.b.suntzeff charling tao syed a.uddin lifan wang xiaofeng wang haikun wen di xiao jin xu ji yang shihai yang xiangyan yuan hongyan zhou hui zhang jilin zhou zonghong zhu | 2017 | Science Bulletin2017，62，21： | 6 |
| 6 | Genetic environment of β-lactamase genes of extended-spectrum β-lactamase-producing Klebsiella pneumoniae isolates from patients with lower respiratory tract infection in China显示文摘 | Liu Lin Wang Xiaorong An Shuchang Zhang Xiangyan Chen Lin Li Yuqian Xu Li Zhang Yijie Gao Zhancheng | 2014 | Chinese Medical Journal2014，，13： | 5 |
| 7 | Neuroendocrine regulation of somatic growth in fishes显示文摘Growth is a polygenic trait that is under the influence of multiple physiological pathways regulating energy metabolism and muscle growth.Among the possible growth-regulating pathways in vertebrates,components of the somatotropic axis are thought to have the greatest influence.There is growing body of literature focusing on the somatotropic axis and its role regulating growth in fish.This includes research into growth hormone,upstream hypothalamic hormones,insulin-like growth factors,and downstream signaling molecules.Many of these signals have both somatic effects stimulating the growth of tissues and metabolic effects that play a role in nutrient metabolism.Signals of other endocrine axes exhibit profound effects on the function of the somatotropic axis in vivo.In this review we highlight recent advances in our understanding of the teleost fish endocrine somatotropic axis,including emerging research using genetic modified models.These studies have revealed new aspects and challenges associated with regulation of the important steps of somatic growth. | DAI XiangYan ZHANG Wei ZHUO ZiJian HE JiangYan YIN Zhan | 2015 | Science China(Life Sciences)2015，58，2： | 5 |
| 8 | Six-year follow-up of pancreatic β cell function in adults with latent autoimmune diabetes显示文摘AIM: To investigate the characteristics of the progression of islet β cell function in Chinese latent autoimmune diabetes in adult (LADA) patients with glutamic acid decarboxylase antibody (GAD-Ab) positivity, and to explore the prognostic factors for β cell function. METHODS: Forty-five LADA patients with GAD-Ab positivity screened from phenotypic type 2 diabetic (T2DM) patients and 45 T2DM patients without GAD-Ab matched as controls were followed-up every 6 mo. Sixteen patients in LADA1 and T2DM1 groups respectively have been followed-up for 6 years, while 29 patients in LADA2 and T2DM2 groups respectively for only 1.5 years. GAD-Ab was determined by radioligand assay, and C-peptides (CP) by radioimmune assay.RESULTS: The percentage of patients whose fasting CP(FCP) decreased more than 50% compared with thebaseline reached to 25.0% at 1.5th year in LADA1 group, and FCP level decreased (395.8±71.5 vs 572.8±72.3 pmol/L, P<0.05) at 2.5th year and continuously went down to the end of follow-up. No significant changes of the above parameters were found in T2DM1 group. The average decreased percentages of FCP per year in LADA and T2DM patients were 15.8% (4.0-91.0%) and 5.2% (-3.5 to 35.5%, P= 0.000) respectively. The index of GAD-Ab was negatively correlated with the FCP in LADA patients (rs= -0.483, P = 0.000). The decreased percentage of FCP per year in LADA patients were correlated with GAD-Ab index, body mass index (BMI) and age at onset (rs = 0.408, -0.301 and -0.523 respectively, P<0.05). Moreover, GAD-Ab wasthe only risk factor for predicting βcell failure in LADA patients (B = 1.455, EXP (B) = 4.283, P = 0.023). CONCLUSION: The decreasing rate of islet β cell function in LADA, being highly heterogeneous, is three times that of T2DM patients. The titer of GAD-Ab is an important predictor for the progression of islet β cell function, and age at onset and BMI could also act as the predictors. | LinYang Zhi-GuangZhou GanHuang Ling-LiOuyang XiaLi XiangYan | 2005 | World Journal of Gastroenterology2005，11，19： | 5 |
| 9 | Tribological Behavior of In Situ TiC/Graphene/Graphite/Ti6Al4V Matrix Composite Through Laser Cladding显示文摘The TiC/graphene/graphite/Ti6 Al4 V composite coating was prepared by laser cladding.The microstructure and tribological behavior of the coating were studied.The in situ reaction between graphene and Ti occurred,and feathery TiC was formed.The feathery TiC was homogeneously distributed betweenα’acicular martensites which was refined with the addition of graphene.Some graphene was transformed into allotrope graphite under the laser irradiation.The TiC hard particles and the self-lubrication of graphene/graphite improved the wear resistance of composite coating.The wear rate and friction coefficient of TiC/graphene/graphite/Ti6 Al4 V composite coating decreased with the increase in sliding speed,a mechanical mixing layer(MML)was formed on the wear surface of the composite coating under the frictional heat,which protected the substrate and reduced the contact.Because of the self-lubricating properties of graphene/graphite,interlayer sliding occurred easily,which also effectively reduced friction.The wear rate of TiC/graphene/graphite/Ti6 Al4 V composite coating increased with the increase in load,but the friction coefficient decreased.The plastic deformation of subsurface layer was more serious under high load,and a stable self-lubricating MML with a protective effect was formed between the wear interfaces,which reduced the friction coefficient.With the increase in load,the wear mechanism changed from abrasive and oxidation wear to delamination,fatigue and oxidation wear. | Zhanyong Zhao Lizheng Zhang Peikang Bai Wenbo Du Shaowei Wang Xiangyan Xu Qingnan Dong Yuxin Li Bing Han | 2021 | Acta Metallurgica Sinica(English Letters)2021，34，10： | 5 |
| 10 | Connotation and principles of ecological compensation in water source reserve areas based on the theory of externality显示文摘Understanding the connotation and principles of ecological compensation in water source reserve areas is the basis and guarantee for establishing and improving the ecological compensation mechanism of water source reserve areas.First,this paper reviews the three stages of ecological compensation research progress.Based on the review,using the theory of externality,the ecological environment system of water source reserve areas is then analyzed.This paper argues that the connotation of ecological compensation in water source reserve areas is a kind of institutional arrangement,which is designed to internalize externalities.Finally,based on the understanding of the connotation of ecological compensation in water source reserve areas,five principles for establishing and improving the ecological compensation mechanism are proposed,including the principle of fairness and justice,the principle of equivalence of equality and responsibility,the principle of flexibility and effectiveness,the principle of 'earmark funds,and implementation by law,' and the principle of government compensation supplemented with market compensation. | Aimin Wang Yanxiang Ge Xiangyan Geng | 2016 | Chinese Journal of Population,Resources and Environment2016，16，3： | 4 |
| 11 | Functions and clinical significance of mechanical tumor microenvironment:cancer cell sensing,mechanobiology and metastasis显示文摘Dynamic and heterogeneous interaction between tumor cells and the surrounding microenvironment fuels the occurrence,progression,invasion,and metastasis of solid tumors.In this process,the tumormicroenvironment(TME)fractures cellular and matrix architecture normality through biochemical and mechanical means,abetting tumorigenesis and treatment resistance.Tumor cells sense and respond to the strength,direction,and duration of mechanical cues in the TME by various mechanotransduction pathways.However,far less understood is the comprehensive perspective of the functions and mechanisms of mechanotransduction.Due to the great therapeutic difficulties brought by the mechanical changes in the TME,emerging studies have focused on targeting the adverse mechanical factors in the TME to attenuate disease rather than conventionally targeting tumor cells themselves,which has been proven to be a potential therapeutic approach.In this review,we discussed the origins and roles ofmechanical factors in the TME,cell sensing,mechano-biological coupling and signal transduction,in vitro construction of the tumormechanicalmicroenvironment,applications and clinical significance in the TME. | Hanying Zhou Meng Wang Yixi Zhang Qingqing Su Zhengxin Xie Xiangyan Chen Ran Yan Ping Li Tingting Li Xiang Qin Hong Yang ChunhuiWu Fengming You Shun Li Yiyao Liu | 2022 | Cancer Communications2022，42，5： | 3 |
| 12 | The progress and prospect of assessment measures of uterine cavity function for infertility patients显示文摘Objective:To explore the progress and prospect of evaluation methods for infertility patients.Methods:From September 2017 to December 2020,199 cases of infertility patients who have accepted mini-hysteroscopy examination in the Department of Gynecological Endocrinology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University.The patients who had primary ovary insufficiency,tubal infertility were excluded;patients with hysteroscopy contradiction,such as acute or sub-acute vaginal tract inflammation,endometrium lesion or endometrium carcinoma,severe cardiovascular,liver or kidney insufficiency were excluded.40 patients were excluded and 15 patients lost follow up,144 patients were eventually included in the analysis.The patient’s age,body mass index,infertility etiology,preoperative and postoperative stimulate ovulation cycle,pregnancy state and pregnancy time were recorded.The effect of mini-hysteroscopy on ovulation induction cycle was analyzed in pregnant patients.Results:The average age of 144 patients was 32.10±4.67 years old.96(66.67%)patients were found to have intrauterine abnormalities,while 48(33.33%)patients were found to have normal intrauterine cavity.48 cases of pregnancy,accounting for 33.33%;the median and interquartile ranges[M(Q1,Q3)]of ovulation induction cycles before and after surgery were respectively[3(0,5)],[2(1,3)],the difference was statistically significant(P<0.05).Among the 48 pregnant patients,32 of them had no structural lesions in hysteroscopy,the ovulation induction cycle of these patients before and after hysteroscopy were respectively[5(0,9)],[1(0,3)],the difference was statistically significant(P<0.05).Conclusion:Uterine cavity evaluation is important for the assessments of fertility.As an advanced diagnosis instrument,mini-hysteroscopy can not only timely detect the intrauterine abnormalities of patients,hut also with great application value in shorten the ovulation cycle in infertility patients and increase the pregnancy rate. | Luping Zhang Rui Ju Xiangyan Ruan Yinmei Dai Husheng Wang Fengyu Jin Jing Jin Muqing Gu Jiaojiao Cheng Yu Yang Xin Xu Thomas Roemer | 2021 | Global Health Journal2021，5，2： | 3 |
| 13 | New insights into follicular helper T cell response and regulation in autoimmune pathogenesis显示文摘Follicular helper T (Tfh) cells play a key role in driving B cell activation and differentiation during germinal center reactions in immune responses and autoimmune development, and these cells are characterized by high expression of CXCR5, PD1, ICOS, IL-21 and BCL6. Increasing evidence indicates that the functional dysregulation of Tfh cells contributes to the pathogenesis of autoimmune diseases, including primary Sjögren’s syndrome (pSS), which is a common autoimmune disease characterized by lymphocytic infiltration and tissue inflammation in salivary glands (SGs) and lacrimal glands that leads to dry mouth and dry eyes.1 Here, we provide a brief commentary on recent advances in understanding the Tfh cell response with a focus on new insights into Tfh cell regulation and therapeutic implications in autoimmune diseases. | Fan Xiao Man Han Ke Rui Xiangyan Ai Jie Tian Wen Zhang Futao Zhao Yan Zhao Quan Jiang Liwei Lu | 2021 | Cellular & Molecular Immunology2021，18，6： | 3 |
| 14 | Autonomic QoS Management Mechanism in Software Defined Network显示文摘With the increase of network complexity,the flexibility of network control and management becomes a nontrivial problem.Both Software Defined Network(SDN) and Autonomic Network technologies are sophisticated technologies for the network control and management.These two technologies could be combined together to construct a software defined self-managing solution for the future network.An autonomic QoS management mechanism in Software Defined Network(AQSDN) is proposed in this paper.In AQSDN,the various QoS features can be configured autonomically in an OpenFlow switch through extending the OpenFlow and OF-Config protocols.Based on AQSDN,a novel packet context-aware QoS model(PCaQoS) is also introduced for improving the network QoS.PCaQoS takes packet context into account when packet is marked and managed into forwarding queues.The implementation of a video application's prototype which evaluates the self-configuration feature of the AQSDN and the enhancement ability of the PCaQoS is presented in order to validate this design. | WANG Wendong QI Qinglei GONG Xiangyan HU Yannan QUE Xirong | 2014 | China Communications2014，11，7： | 3 |
| 15 | An Improved Method for the Fitting and Prediction of the Number of COVID-19 Confirmed Cases Based on LSTM显示文摘New coronavirus disease(COVID-19)has constituted a global pandemic and has spread to most countries and regions in the world.Through understanding the development trend of confirmed cases in a region,the government can control the pandemic by using the corresponding policies.However,the common traditional mathematical differential equations and population prediction models have limitations for time series population prediction,and even have large estimation errors.To address this issue,we propose an improved method for predicting confirmed cases based on LSTM(Long-Short Term Memory)neural network.This work compares the deviation between the experimental results of the improved LSTM prediction model and the digital prediction models(such as Logistic and Hill equations)with the real data as reference.Furthermore,this work uses the goodness of fitting to evaluate the fitting effect of the improvement.Experiments show that the proposed approach has a smaller prediction deviation and a better fitting effect.Compared with the previous forecasting methods,the contributions of our proposed improvement methods are mainly in the following aspects:1)we have fully considered the spatiotemporal characteristics of the data,rather than single standardized data.2)the improved parameter settings and evaluation indicators are more accurate for fitting and forecasting.3)we consider the impact of the epidemic stage and conduct reasonable data processing for different stage. | Bingjie Yan Jun Wang Zhen Zhang Xiangyan Tang Yize Zhou Guopeng Zheng Qi Zou Yao Lu Boyi Liu Wenxuan Tu Neal Xiong | 2020 | Computers, Materials & Continua2020，，9： | 2 |
| 16 | High prevalence of pathogenic Leptospira in wild and domesticated animals in an endemic area of China显示文摘Objective:To assess the prevalence of Leptospira detected in wildlife and domesticated animals in Jiangxi Province,China,in 2009.Methods:Urine samples from 28 buffaloes and kidney samples from 50 pigs,50 dogs and 38 rats were collected from Fuliang and Shangrao County,Jiangxi Province,China,in October 2009.Polymerase chain reaction(PCR) and culture analyses were used to detect Leptospira.The cultured isolates were typed using the microscopic agglutination lest(MAT).Results:The results showed that rats potentially serve as the main reservoir of leptospiral infection,followed by dogs.Although 16%of rats(6/38) were positive using culture analysis,PCR analysis using the diagnostic primers G1/G2 and B64Ⅰ/B64Ⅱor lipLS2 showed identification as 50%and 24%,respectively,of the rat samples as positive for the presence of leptospiral DNA.Conclusions:PCR-based detection of leptospiral DNA in infected kidney tissues of reservoirs is more efficient when using G1/G2 primers than lipL32 primers. However,the latter primers have a potential application for detection in urine samples.The alarmingly high prevalence of leptospiral DMA in the wild rat population near human habitation underscores the utility of routine Leptospira surveillance,preferably using PCR methods,which are more sensitive than traditional culture-based methods. | Wang Yalin Zeng Lingbing Yang Hongliang Xu Jianmin Zhang Xiangyan Guo Xiaokui Pal Utpal Qin Jinhong | 2011 | Asian Pacific Journal of Tropical Medicine2011，4，11： | 2 |
| 17 | A novel superconducting quantum interference device for biomagnetic measurements显示文摘Superconducting Quantum Interference Device (SQUID) can provide an ultrahigh magnetic sensitivity for the biomagnetic measurements. In this paper, a SQUID bootstrap circuit (SBC) gradiometer was designed and fabricated. Using the SBC gradiometer, magnetocardiography (MCG), fetal MCG and magnetoencephalography (MEG) signals were detected in a magnetically shielded room. | ZHANG ShuLin ZHANG GuoFeng WANG YongLiang ZENG Jia QIU Yang LIU Ming KONG XiangYan XIE XiaoMing | 2013 | Chinese Science Bulletin2013，58，24： | 2 |
| 18 | FTIR spectroscopic characterization of soy proteins obtained through AOT reverse micelles显示文摘 | Xiangyan Chen Yi Ru Fengliang Chen Xianchang Wang Xiaoyan Zhao Qiang Ao | 2013 | Food Hydrocolloids2013，，2： | 2 |
| 19 | Mirror seeing of the Antarctic survey telescope显示文摘Site testing results indicate that Antarctic Dome A is an excellent ground-based astronomical site suitable for observations ranging from visible to infrared wavelengths. However, the harsh environment in Antarctica, especially the very low temperature and atmospheric pressure, always produces frost on the telescopes' mirrors, which are exposed to the air. Since the Dome A site is still unattended, the Antarctic telescope tubes are always designed to be fi lled with dry nitrogen, and the outer surfaces of the optical system are heated by an indium-tin oxide thin fi lm. These precautions can prevent the optical surfaces from frosting over, but they degrade the image quality by introducing additional mirror seeing. Based on testing observations of the second Antarctic Survey Telescope(AST3-2) in the Mohe site in China, mirror seeing resulting from the heated aspheric plate has been measured using micro-thermal sensors. Results comparing the real-time atmospheric seeing monitored by the Differential Image Motion Monitor and real-time examinations of image quality agree well. | ZHANG Kaiyuan LI Zhengyang YUAN Xiangyan PEI Chong | 2014 | Advances in Polar Science2014，25，3： | 2 |
| 20 | Management strategy of infertility in polycystic ovary syndrome显示文摘Polycystic ovary syndrome(PCOS)is the most common endocrine and metabolic disease in women of reproductive age.PCOS is characterized by ovulatory disruption,which can lead to infertility.Patients with PCOS are also more likely to have poor pregnancy outcomes.For obese women,lifestyle interventions are recommended first,which have general health benefits.For women who have difficulty changing their lifestyle,drugs for the treatment of obesity or bariatric surgery could be considered.Clomiphene citrate is the first-line medication after weight loss that has been utilized in the past.Letrozole is supplanting clomiphene as the best option for ovulation induction for now,particularly in patients with PCOS.Metformin can improve ovulation and pregnancy rates;however,it has minimal effects in terms of raising live birth rates.Second-line therapies include gonadotropins and laparoscopic ovary drilling.In vitro fertilization can be utilized as a third-line treatment for patients with PCOS who have failed ovulation induction therapy or have other infertility factors.In summary,to achieve fertility,patients with PCOS require standardized individualized therapy. | Meng Li Xiangyan Ruan Alfred O.Mueck | 2022 | Global Health Journal2022，6，2： | 2 |
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