OBJECTIVE： To investigate the inhibitory effect of Panax notoginseng saponins（PNS） on liver fibrosis and explore the underlying mechanisms.METHODS： Carbon tetrachloride（CCl4）-treated rats and hepatic stellate ce...OBJECTIVE： To investigate the inhibitory effect of Panax notoginseng saponins（PNS） on liver fibrosis and explore the underlying mechanisms.METHODS： Carbon tetrachloride（CCl4）-treated rats and hepatic stellate cells（HSCs） were used. The effect of PNS on CCl4-induced liver fibrosis was studied with histochemical and biochemical analysis.Transforming growth factor（TGF）-β1, α-smooth muscle actin（α-SMA）, and collagen Ι m RNA expression were determined by reverse transcriptase-polymerase chain reaction（RT-PCR）. Mean-while, the protein expression levels of α-SMA, collagen Ι, phosphorylation-Janus activated kinase signal transducer（p-Jak2） / Jak2, and phosphorylation-activator of transcription（p-Stat）3 / Stat3 were determined by immunohistochemistry and / or immunoblotting.RESULTS： PNS treatment significantly improved the liver function of rats as indicated by decreased serum enzymatic activities of alanine aminotransferase and aspartate aminotransferase. Histopathological results indicated that PNS alleviated liver damage and reduced the formation of fibrous septa. Moreover, PNS significantly decreased liver hydroxyproline and significantly attenuated expressions of collagen p-Stat3 / StatⅠ, α-SMA, TGF-β1, p-Jak2 / Jak2,and 3 in the rat liver fibrosis model and HSCs.CONCLUSION： PNS can relieve liver fibrosis by modulating Jak2/Stat3 signaling transduction pathway, which may be one of its mechanisms to suppress hepatic fibrosis.展开更多
Background： Postoperative preablative stimulated thyroglobulin （ps-Tg） has been evaluated in predicting prognosis and success of ablation regarding differentiated thyroid cancer （DTC）; however, its relationship w...Background： Postoperative preablative stimulated thyroglobulin （ps-Tg） has been evaluated in predicting prognosis and success of ablation regarding differentiated thyroid cancer （DTC）; however, its relationship with recurrence risk and radioiodine decision-making remains uncertain, especially in Chinese DTC patients. We aimed to evaluate the association between ps-Tg and recurrence risk stratification in DTC, to provide incremental values for ps-Tg in postoperative assessment and radioiodine management. Methods： Seven hundred and seven patients with DTC were included; low-risk （L; n = 90）, intermediate-risk （I; n = 283）, and high-risk （H; n = 334, 117 with distant metastasis [M 1 ]） patients were divided according to recurrence risk stratification. The M 1 group was further analyzed regarding evidence of metastasis. Cut-off values of ps-Tg were obtained using receiver operating characteristic analysis. Results： Patients with more advanced disease at initial risk stratification were more likely to have higher ps-Tg levels （I vs. L： P 〈 0.05; H vs. 1： P 〈 0.001; H vs. L： P 〈 0.001）. The corresponding cut-off value of ps-Tg for distinguishing sensitivity and specificity in each of the two groups was 2.95 ng/ml （1 vs. L： 61.5%, 63.3%）, 29.5 ng/ml （H vs, I： 41.9%, 92.6%）, 47.1 ng/ml （M1 vs. M0 in the H group： 79.5%, 88.9%） and 47.1 ng/ml （MI vs. M0 in all patients： 79.5%, 93.7%）. With the cut-offvalue at 47.1 ng/ml, ps-Tg was the only factor that could be used to identify distant metastases, and consequently if measured before radioiodine therapy would prevent 10.26% of patients with M1 from undertreatment, Conclusions： Ps-Tg, as an ongoing reassessment marker, favors differential recurrence risk grading and provides incremental values for radioiodine treatment decision-making.展开更多
AIM： To observe the therapeutic efficacy of Baicalin in rats with severe acute pancreatitis （SAP） and explore its therapeutic mechanisms. METHODS： The SAP rat models were randomly divided into the model control gr...AIM： To observe the therapeutic efficacy of Baicalin in rats with severe acute pancreatitis （SAP） and explore its therapeutic mechanisms. METHODS： The SAP rat models were randomly divided into the model control group, Baicalin treatment group, octreotide treatment group and sham operation group. All groups were randomly subdivided into 3 h, 6 h and 12 h groups with 15 rats in each group. The survival, ascites volume and pathological changes of pancreas in all rats were observed at different time points after operation. The plasma amylase content and serum TNF-α, IL-6, malonaldehyde （MDA） and PLA2 contents were also determined. RESULTS： The survival was not obviously different between the treated groups, and was significantly higher in treated groups at 12 h compared to the model control group （P 〈 0.05, 15 vs 10）. The ascites/body weight ratio at 3 h and 6 h was significantly lower in Baicalin treatment group compared to the model control group and octreotide treatment group （P 〈 0.05, 1.00 vs 2.02 and 1.43 and P 〈 0.001, 2.29 （1.21） vs 2.70 （0.80） and 2.08 （2.21）, respectively）. The contents of amylase, TNF-α, IL-6, MDA and PLA2 were significantly lower in the treated groups than in the model control group （P 〈 0.05, 4342 vs 5303, 5058 vs 6272 in amylase, P 〈 0.01, 21.90 vs 36.30, 23.80 vs 39.70, 36 vs 54.35 in MDA and 56.25 vs 76.10 in PIA2, or P 〈 0.001, 65.10 and 47.60 vs 92.15 in TNF-α, 3.03 vs 5.44, 2.88 vs 6.82, 2.83 vs 5.36 in IL-6, respectively）. The pathological scores of pancreas in the treated groups were significantly lower than that in the model control group （P 〈 0.05, 9.00 vs 10.05, 6.00 vs 9.00, 8.00 vs 10.05）, but no marked difference was found between the treated groups. CONCLUSION： The Baicalin injection has significant therapeutic effects on SAP rats, its effects are similar to those of octreotide. The Baicalin injection is also cheap and has a big application range, quite hopefully to be used in clinical treatment of SAP.展开更多
Objective： To investigate the effect of Chinese medicine （CM） and Western medicine （WM） on quality of life （QOL） after conservative surgery for endometriosis. Methods： A total of 320 patients with endometdosis...Objective： To investigate the effect of Chinese medicine （CM） and Western medicine （WM） on quality of life （QOL） after conservative surgery for endometriosis. Methods： A total of 320 patients with endometdosis were randomized into two groups by using random block design, CM group （160 cases, activating blood circulation and removing blood stasis treatment based on syndrome differentiation） and WM group （160 cases, gonadotropin-releasing hormone agonist or gestrinone treatment） after conservative surgery. Treatment was given for 3-6 months （according to the revised American Fertility Society scoring system stage）, and the Wodd Health Organization QOL-BREF （WHOQOL-BREF） was applied to patients before and after treatment to assess QOL. Results： There were 136 cases in the CM group and 141 cases in the WM group completing therapy. In the CM group, the use of the WHOQOL-BREF showed that the physical, psychological and environmental scores post- treatment were significantly higher than those at pre-treatment （P〈0.05）, and for 12 items （pain and discomfort, energy and fatigue, sleep and rest, mobility, activities of daily living, work capacity, negative feelings, health and social care： accessibility and quality, participation in and opportunities for recreation/leisure activities, appetite, QOL score, overall health status and QOL）, the difference in scores was significant （P〈0.05）. In the WM group, 4 items （pain and discomfort, opportunities for acquiring new information and skills, QOI_ score, overall health status and QOL） had significantly different scores post-treatment compared with those at pre-treatment （P〈0.05）. Before treatment, the QOL in the two groups of patients showed no significant difference （P〉0.05）. After treatment, the scores for physical health in the CM group were significantly higher than those of the WM group （P〈0.05） and the scores of 4 items （mobility, activities of daily living, sexual activity, QOL score） in the CM展开更多
This study established a rat model of cerebral hemorrhage by injecting autologous anticoagulated blood. Rat models were intragastrically administered 5, 10, 20 g/kg Poxue Huayu and Tianjing Busui Decoction, supplement...This study established a rat model of cerebral hemorrhage by injecting autologous anticoagulated blood. Rat models were intragastrically administered 5, 10, 20 g/kg Poxue Huayu and Tianjing Busui Decoction, supplemented with Hirudo, raw rhubarb, raw Pollen Typhae, gadfly, Fructrs Trichosanthis, Radix Notoginseng, Rhizoma Acori Talarinowii, and glue of tortoise plastron, once a day, for 14 consecutive days. Results demonstrated that brain water content significantly reduced in rats with cerebral hemorrhage, and intracerebral hematoma volume markedly reduced after treat- ment. Immunohistochemical staining revealed that brain-derived neurotrophic factor, tyrosine kinase B and vascular endothelial growth factor expression noticeably increased around the sur- rounding hematoma. Reverse transcription-PCR revealed that brain-derived neurotrophic factor and tyrosine kinase B mRNA expression significantly increased around the surrounding hematoma. Neurologic impairment obviously reduced. These results indicated that Poxue Huayu and Tianjing Busui Decoction exert therapeutic effects on cerebral hemorrhage by upregulating the expression of brain-derived neurotrophic factor.展开更多
Background:Helicobacter pylori(H.pylori)infection is an infectious disease with a prevalence rate of up to 50%worldwide.It can cause indigestion,gastritis,peptic ulcer,and gastric cancer.H.pylori eradication treatment...Background:Helicobacter pylori(H.pylori)infection is an infectious disease with a prevalence rate of up to 50%worldwide.It can cause indigestion,gastritis,peptic ulcer,and gastric cancer.H.pylori eradication treatment can effectively control disease progression and reduce the risk of the above conditions.However,the escalating trend of antibiotic resistance presents a global challenge for H.pylori eradication.We aim to provide guidance on pharmacological treatment of H.pylori infection.Methods:This clinical practice guideline is developed following the World Health Organization’s recommended process,adopting Grading of Recommendations Assessment,Development and Evaluation in assessing evidence quality,and utilizing Evidence to Decision framework to formulate clinical recommendations,minimizing bias and increasing transparency of the clinical practice guideline development process.We used the Reporting Items for practice Guidelines in HealThcare(RIGHT)statement and The Appraisal of Guidelines for Research and Evaluation Ⅱ(AGREE Ⅱ)as reporting and conduct guides to ensure the guideline’s completeness and transparency.Results:Though decreasing in developed countries,the prevalence of H.pylori remains high in developing countries,causing a major public health burden.This clinical practice guideline contains 12 recommendations concerning pharmacological treatment for H.pylori eradication.Among them,it is worth highlighting that bismuth preparations are inexpensive,safe,and effective,consequently making bismuth quadruple therapy a preferred choice for initial and rescue treatment.In empirical treatment,high-dose dual therapy is equally effective compared with bismuth quadruple therapy.Conclusions:The 12 recommendations in this clinical practice guideline are formed with consideration for stakeholders’values and preferences,resource use,feasibility,and acceptability.Recommendations are generalizable to resource limited settings with similar antibiotic resistance pattern as China,and lower middle-income countri展开更多
Based on organic Rankine cycle(ORC), the two-stage evaporation strategy is adopted to replace the single-stage evaporation to improve the system performance. In order to evaluate the temperature matching of the two-st...Based on organic Rankine cycle(ORC), the two-stage evaporation strategy is adopted to replace the single-stage evaporation to improve the system performance. In order to evaluate the temperature matching of the two-stage evaporation, a theoretical optimization model was established to optimize the two stage organic Rankine cycle(TSORC) based on the entransy theory and thermodynamics, with the ratio of the entransy dissipation rate of the TSORC to that of the ORC as the objective function. This paper aims to illuminate the improving degree of the system performance of the TSORC. The results show that the TSORC enhances the average evaporating temperature, thereby reducing the entransy dissipation rate in the evaporator and the total entransy dissipation rate. The maximal net power output is proportional to the entransy loss rate and inversely proportional to the entransy dissipation rate. However, compared with the ORC, the TSORC can output more power but requires a higher total thermal conductance. Moreover, there exists an optimal intermediate geothermal water temperature(IGWT) to maximize the net power output of the TSORC. The TSORC can be considered in engineering applications.展开更多
Atherosclerosis is characterized by the accumulation of lipids and deposition of fibrous elements in the vascular wall, which is the primary cause of cardiovascular diseases. Adenosine monophosphate-activated protein ...Atherosclerosis is characterized by the accumulation of lipids and deposition of fibrous elements in the vascular wall, which is the primary cause of cardiovascular diseases. Adenosine monophosphate-activated protein kinase(AMPK) is a metabolic sensor of energy metabolism that regulates multiple physiological processes, including lipid and glucose metabolism and the normalization of energy imbalances. Overwhelming evidence indicates that AMPK activation markedly attenuates atherosclerosis development. Autophagy inhibits cell apoptosis and inflammation and promotes cholesterol efflux and efferocytosis. Physiological autophagy is essential for maintaining normal cardiovascular function. Increasing evidence demonstrates that autophagy occurs in developing atherosclerotic plaques. Emerging evidence indicates that AMPK regulates autophagy via a downstream signaling pathway. The complex relationship between AMPK and autophagy has attracted the attention of many researchers because of this close relationship to atherosclerosis development. This review demonstrates the role of AMPK and autophagy in atherosclerosis. An improved understanding of this interrelationship will create novel preventive and therapeutic strategies for atherosclerosis.展开更多
The present study induced in vitro-cultured passage 4 bone marrow-derived mesenchymal stem cells to differentiate into neural-like cells with a mixture of alkaloid, polysaccharide, aglycone, glycoside, essential oils,...The present study induced in vitro-cultured passage 4 bone marrow-derived mesenchymal stem cells to differentiate into neural-like cells with a mixture of alkaloid, polysaccharide, aglycone, glycoside, essential oils, and effective components of Buyang Huanwu decoction （active principle region of decoction for invigorating yang for recuperation）. After 28 days, nestin and neuron-specific enolase were expressed in the cytoplasm. Reverse transcription-PCR and western blot analyses showed that nestin and neuron-specific enolase mRNA and protein expression was greater in the active principle region group compared with the original formula group. Results demonstrated that the active principle region of Buyang Huanwu decoction induced greater differentiation of rat bone marrow-derived mesenchymal stem cells into neural-like cells in vitro than the original Buyang Huanwu decoction formula.展开更多
The design, construction and test of an Organic Rankine Cycle(ORC) with R123 as the working fluid were performed. A scroll expander was integrated in the system.The conductive oil with its temperature of 150 °C w...The design, construction and test of an Organic Rankine Cycle(ORC) with R123 as the working fluid were performed. A scroll expander was integrated in the system.The conductive oil with its temperature of 150 °C was used to simulate the low-grade heat source. An AC dynamometer unit measured the expander shaft torque, rotating speed and shaft power. The experiments were conducted in two operating modes: the constant mass flow rate and the constant shaft torque. Under the constant mass flow rate operating mode, the stepped increase of the shaft torque increased the expansion ratios of the expander and decreased the vapor superheats at the expander inlet. Thus,the shaft power and thermal efficiency were increased.Alternatively, the constant shaft torque operating mode involved two different regions, interfaced at the pumping frequency of 9 Hz. By the increase of the mass flow rates,the vapor superheats at the expander inlet was decreased and the shaft power was increased, but the ORC thermal efficiencies were slightly decreased. Both operating modes yielded the saturation shaft powers that were the maximum values one could use. It was found that the measured shaft powers and ORC thermal efficiencies were lower than the enthalpy determined values based on the fluid pressures and temperatures at the expander inlet and outlet. The maximum measured shaft power and thermal efficiency were 2.63 kW and 5.31 %, compared with the enthalpy determined values of 3.87 kW and 9.46 %, respectively.展开更多
We investigated ^(50,52-54)Cr-induced fusion reactions for the synthesis of the superheavy element in the 104≤Z≤122 range.The cross sections produced in this investigation using ^(54)Cr projectiles were compared wit...We investigated ^(50,52-54)Cr-induced fusion reactions for the synthesis of the superheavy element in the 104≤Z≤122 range.The cross sections produced in this investigation using ^(54)Cr projectiles were compared with those obtained in prior experiments.The estimated cross sections from this analysis are consistent with the findings of prior studies.From the current study,the predicted cross section was found to be 42fb at 236 MeV for ^(53)Cr+^(243)Am,23.2 fb at 236 MeV for ^(54)Cr+^(247)Cm,95.6 fb at 240 MeV for ^(53)Cr+248Bk,and 1.33 fb at 242 MeV for ^(53)Cr+250Cf.Consequently,these projected cross sections with excitation energy and beam energy will be useful in future Cr-induced fusion reaction investigations.展开更多
Ground source heat pumps (GSHPs) are one of the renewable energy technologies with features of high efficiency, energy saving, economic feasibility and environmental protection. In China, GSHPs have been widely used f...Ground source heat pumps (GSHPs) are one of the renewable energy technologies with features of high efficiency, energy saving, economic feasibility and environmental protection. In China, GSHPs have been widely used for building heating and cooling in recent years, and have shown great potential for future energy development. This paper summarizes the classification, development history, and use status of shallow GSHPs. Several typical engineering cases of GSHP technology are also specified and analyzed. Finally, promising development trends and some advanced technologies are illustrated.展开更多
Objective： The treatment of Henoch-Schonlein purpura （HSP） with moderate proteinuria remains con- troversial. We retrospectively analyzed the efficacy of immune suppressants, with a particular emphasis on myco- phe...Objective： The treatment of Henoch-Schonlein purpura （HSP） with moderate proteinuria remains con- troversial. We retrospectively analyzed the efficacy of immune suppressants, with a particular emphasis on myco- phenolate mofetil （MMF）. Methods： Ninety-five HSP patients with moderate proteinuria （1.0-3.5 g/24 h） after at least three months of therapy with angiotensin-converting enzyme inhibitor （ACEI） or angiotensin receptor blocker （ARB） were divided into three groups： an MMF group （n=33） that received MMF 1.0-1.5 g/d combined with prednisone （0.4-0.5 mg/（kg.d））, a corticosteroid （CS） group （n=31） that received full-dose prednisone （0.8-1.0 mg/（kg.d））, and a control group （n=31）. Patients in the MMF and CS groups continued to take ACEI or ARB at the original dose. The patients in the control group continued to take ACEI or ARB but the dose was increased by （1.73±0.58）-fold. The patients were followed up for 6-78 months （median 28 months）. Results： The baseline proteinuria was higher in the MMF group （（2.1±0.9） g/24 h） than in the control group （（1.6±0.8） g/24 h） （P=0.039）. The proteinuria decreased sig- nificantly in all groups during follow-up, but only in the MMF group did it decrease significantly after the first month. At the end of follow-up, the proteinuria was （0.4±0.7） g/24 h in the MMF group and （0.4±0.4） g/24 h in the CS group, significantly lower than that in the control group （（0.9±1.1） g/24 h）. The remission rates in the MMF group, CS group, and control group were respectively 72.7%, 71.0%, and 48.4% at six months and 72.7%, 64.5%, and 45.2% at the end of follow-up. The overall number of reported adverse events was 17 in the MMF group, 30 in the CS group, and 6 in the control group （P〈0.001）. Conclusions： MMF with low-dose prednisone may be as effective as full-dose prednisone and tend to have fewer adverse events. Therefore, it is probably superior to conservative treatments of adult展开更多
OBJECTIVE:To summarize the evidence from Traditional Chinese Medicine(TCM)practice in the treatment of coronavirus disease 2019(COVID-19)and provide timely clinical practice guidance.METHODS:The guidelines were develo...OBJECTIVE:To summarize the evidence from Traditional Chinese Medicine(TCM)practice in the treatment of coronavirus disease 2019(COVID-19)and provide timely clinical practice guidance.METHODS:The guidelines were developed in accordance with the World Health Organization rapid guideline process.The evidence on TCM for COVID-19 from published guidelines,direct and indirect published clinical evidence,first hand clinical data,and expert experience and consensus were collected.The grading of recommendations assessment,development and evaluation(GRADE)method was used to grade the evidence and make the recommendations.RESULTS:Based on the available evidence,the guidelines recommended 17 Chinese medicines for COVID-19:2 Chinese herbal granules,7 Chinese patent medicines,and 8 Chinese herbal injections.CONCLUSION:As the literature search was conducted on March,any subsequent versions of these guidelines require an up-to-date literature review.We hope that the evidence summary in these guidelines will be helpful in global efforts to address COVID-19.展开更多
Increasing the injection pressure has been proven an effective method to enhance performance and reduce pollutant of diesel engine.With the increase of the injection pressure,the cavitation damage problem inside commo...Increasing the injection pressure has been proven an effective method to enhance performance and reduce pollutant of diesel engine.With the increase of the injection pressure,the cavitation damage problem inside common rail fuel injector is more significant,which has direct influences on reliability of diesel engine.While the most studies so far have focused on cavitation occurred in injector nozzle and its atomization characteristics,few researchers studied the cavitation phenomenon in fuel injector control valve.But due to the complexity of flow field and difficulty of experiment,the cavitation in control valve could not be fully described by existing theories.In this paper,the two-dimensional visualization experiment and numerical simulation of control valve was implemented to acquire the image of cavitation intuitively and validate the simulation method and model.Then a new structure design of control valve named convergent model was presented for comparison.The origin model and convergent model with different valve lifts were simulated in three dimensions.The results showed that the sheet cavitation occurred at the surface of seal cone and steel ball then turned to cloud cavitation in downstream area.The intensity of cavitation increased with the increase of valve lift.Convergent model could efficiently reduce the cavitation intensity near the seal area.This research could provide references for engineering optimization design of control valve.展开更多
How to test the treatments of Chinese medicine（CM） and make them more widely accepted by practitioners of Western medicine and the international healthcare community is a major concern for practitioners and research...How to test the treatments of Chinese medicine（CM） and make them more widely accepted by practitioners of Western medicine and the international healthcare community is a major concern for practitioners and researchers of CM.For centuries,various approaches have been used to identify and measure the efficacy and safety of CM.However,the high-quality evidence related to CM that produced in China is still rare.Over the recent years,evidence-based medicine（EBM） has been increasingly applied to CM,strengthening its theoretical basis.This paper reviews the past and present state of CM,analyzes the status quo,challenges and opportunities of basic research,clinical trials,systematic reviews,clinical practice guidelines and clinical pathways and evidence-based education developed or conducted in China,pointing out how EBM can help to make CM more widely used and recognized worldwide.展开更多
As climate changes are increasingly challenging the sustainable development of human society,substantial efforts are expected to be added to limit the rise of global warming below 2°C by the middle of the 21st ce...As climate changes are increasingly challenging the sustainable development of human society,substantial efforts are expected to be added to limit the rise of global warming below 2°C by the middle of the 21st century.Currently,human activities emit 34 billion tons of CO_(2) per annum on average.1 Energy production and chemical industries are particularly emission‐intensive due to the manufacturing and use of fossil‐based chemicals.Therefore,manufacturing fuels and chemicals with netzero emission or,ideally,negative emission is paramount for achieving the long‐term goal of the Paris Agreement.展开更多
基金Supported by Natural Science Foundation of the Education Department of Anhui Province(Effect of Panax Notoginseng Saponins on the Proliferation and Apoptosis and its Regulation of Signal Transduction pathways in HSC,No.KJ2011A187)
文摘OBJECTIVE： To investigate the inhibitory effect of Panax notoginseng saponins（PNS） on liver fibrosis and explore the underlying mechanisms.METHODS： Carbon tetrachloride（CCl4）-treated rats and hepatic stellate cells（HSCs） were used. The effect of PNS on CCl4-induced liver fibrosis was studied with histochemical and biochemical analysis.Transforming growth factor（TGF）-β1, α-smooth muscle actin（α-SMA）, and collagen Ι m RNA expression were determined by reverse transcriptase-polymerase chain reaction（RT-PCR）. Mean-while, the protein expression levels of α-SMA, collagen Ι, phosphorylation-Janus activated kinase signal transducer（p-Jak2） / Jak2, and phosphorylation-activator of transcription（p-Stat）3 / Stat3 were determined by immunohistochemistry and / or immunoblotting.RESULTS： PNS treatment significantly improved the liver function of rats as indicated by decreased serum enzymatic activities of alanine aminotransferase and aspartate aminotransferase. Histopathological results indicated that PNS alleviated liver damage and reduced the formation of fibrous septa. Moreover, PNS significantly decreased liver hydroxyproline and significantly attenuated expressions of collagen p-Stat3 / StatⅠ, α-SMA, TGF-β1, p-Jak2 / Jak2,and 3 in the rat liver fibrosis model and HSCs.CONCLUSION： PNS can relieve liver fibrosis by modulating Jak2/Stat3 signaling transduction pathway, which may be one of its mechanisms to suppress hepatic fibrosis.
基金This study was supported by grants from the National Natural Science Foundation of China，the Ministry of Health Industry Special Scientific Research Project
文摘Background： Postoperative preablative stimulated thyroglobulin （ps-Tg） has been evaluated in predicting prognosis and success of ablation regarding differentiated thyroid cancer （DTC）; however, its relationship with recurrence risk and radioiodine decision-making remains uncertain, especially in Chinese DTC patients. We aimed to evaluate the association between ps-Tg and recurrence risk stratification in DTC, to provide incremental values for ps-Tg in postoperative assessment and radioiodine management. Methods： Seven hundred and seven patients with DTC were included; low-risk （L; n = 90）, intermediate-risk （I; n = 283）, and high-risk （H; n = 334, 117 with distant metastasis [M 1 ]） patients were divided according to recurrence risk stratification. The M 1 group was further analyzed regarding evidence of metastasis. Cut-off values of ps-Tg were obtained using receiver operating characteristic analysis. Results： Patients with more advanced disease at initial risk stratification were more likely to have higher ps-Tg levels （I vs. L： P 〈 0.05; H vs. 1： P 〈 0.001; H vs. L： P 〈 0.001）. The corresponding cut-off value of ps-Tg for distinguishing sensitivity and specificity in each of the two groups was 2.95 ng/ml （1 vs. L： 61.5%, 63.3%）, 29.5 ng/ml （H vs, I： 41.9%, 92.6%）, 47.1 ng/ml （M1 vs. M0 in the H group： 79.5%, 88.9%） and 47.1 ng/ml （MI vs. M0 in all patients： 79.5%, 93.7%）. With the cut-offvalue at 47.1 ng/ml, ps-Tg was the only factor that could be used to identify distant metastases, and consequently if measured before radioiodine therapy would prevent 10.26% of patients with M1 from undertreatment, Conclusions： Ps-Tg, as an ongoing reassessment marker, favors differential recurrence risk grading and provides incremental values for radioiodine treatment decision-making.
基金Supported by Technological Foundation Project of Traditional Chinese Medicine Science of Zhejiang Province, No. 2003C130 and No. 2004C142 Foundation Project for Medical Science and Technology of Zhejiang province, No. 2003B134+3 种基金 Grave Foundation Project for Technological and Development of Hangzhou, No. 2003123B19 Intensive Foundation Project for Technology of Hangzhou, No. 2004Z006 Foundation Project for Medical Science and Technology of Hangzhou, No. 2003A004 and Foundation Project for Technology of Hangzhou, No. 2005224
文摘AIM： To observe the therapeutic efficacy of Baicalin in rats with severe acute pancreatitis （SAP） and explore its therapeutic mechanisms. METHODS： The SAP rat models were randomly divided into the model control group, Baicalin treatment group, octreotide treatment group and sham operation group. All groups were randomly subdivided into 3 h, 6 h and 12 h groups with 15 rats in each group. The survival, ascites volume and pathological changes of pancreas in all rats were observed at different time points after operation. The plasma amylase content and serum TNF-α, IL-6, malonaldehyde （MDA） and PLA2 contents were also determined. RESULTS： The survival was not obviously different between the treated groups, and was significantly higher in treated groups at 12 h compared to the model control group （P 〈 0.05, 15 vs 10）. The ascites/body weight ratio at 3 h and 6 h was significantly lower in Baicalin treatment group compared to the model control group and octreotide treatment group （P 〈 0.05, 1.00 vs 2.02 and 1.43 and P 〈 0.001, 2.29 （1.21） vs 2.70 （0.80） and 2.08 （2.21）, respectively）. The contents of amylase, TNF-α, IL-6, MDA and PLA2 were significantly lower in the treated groups than in the model control group （P 〈 0.05, 4342 vs 5303, 5058 vs 6272 in amylase, P 〈 0.01, 21.90 vs 36.30, 23.80 vs 39.70, 36 vs 54.35 in MDA and 56.25 vs 76.10 in PIA2, or P 〈 0.001, 65.10 and 47.60 vs 92.15 in TNF-α, 3.03 vs 5.44, 2.88 vs 6.82, 2.83 vs 5.36 in IL-6, respectively）. The pathological scores of pancreas in the treated groups were significantly lower than that in the model control group （P 〈 0.05, 9.00 vs 10.05, 6.00 vs 9.00, 8.00 vs 10.05）, but no marked difference was found between the treated groups. CONCLUSION： The Baicalin injection has significant therapeutic effects on SAP rats, its effects are similar to those of octreotide. The Baicalin injection is also cheap and has a big application range, quite hopefully to be used in clinical treatment of SAP.
基金Supported by the "Eleventh-Five" National Technology Support Program Project(No.2006BAI04A17)
文摘Objective： To investigate the effect of Chinese medicine （CM） and Western medicine （WM） on quality of life （QOL） after conservative surgery for endometriosis. Methods： A total of 320 patients with endometdosis were randomized into two groups by using random block design, CM group （160 cases, activating blood circulation and removing blood stasis treatment based on syndrome differentiation） and WM group （160 cases, gonadotropin-releasing hormone agonist or gestrinone treatment） after conservative surgery. Treatment was given for 3-6 months （according to the revised American Fertility Society scoring system stage）, and the Wodd Health Organization QOL-BREF （WHOQOL-BREF） was applied to patients before and after treatment to assess QOL. Results： There were 136 cases in the CM group and 141 cases in the WM group completing therapy. In the CM group, the use of the WHOQOL-BREF showed that the physical, psychological and environmental scores post- treatment were significantly higher than those at pre-treatment （P〈0.05）, and for 12 items （pain and discomfort, energy and fatigue, sleep and rest, mobility, activities of daily living, work capacity, negative feelings, health and social care： accessibility and quality, participation in and opportunities for recreation/leisure activities, appetite, QOL score, overall health status and QOL）, the difference in scores was significant （P〈0.05）. In the WM group, 4 items （pain and discomfort, opportunities for acquiring new information and skills, QOI_ score, overall health status and QOL） had significantly different scores post-treatment compared with those at pre-treatment （P〈0.05）. Before treatment, the QOL in the two groups of patients showed no significant difference （P〉0.05）. After treatment, the scores for physical health in the CM group were significantly higher than those of the WM group （P〈0.05） and the scores of 4 items （mobility, activities of daily living, sexual activity, QOL score） in the CM
基金supported by the National Chinese Medicine Research Center Foundation (Stroke),No.2012B02Jilin Provincial Natural Science Foundation in China,No.201015211
文摘This study established a rat model of cerebral hemorrhage by injecting autologous anticoagulated blood. Rat models were intragastrically administered 5, 10, 20 g/kg Poxue Huayu and Tianjing Busui Decoction, supplemented with Hirudo, raw rhubarb, raw Pollen Typhae, gadfly, Fructrs Trichosanthis, Radix Notoginseng, Rhizoma Acori Talarinowii, and glue of tortoise plastron, once a day, for 14 consecutive days. Results demonstrated that brain water content significantly reduced in rats with cerebral hemorrhage, and intracerebral hematoma volume markedly reduced after treat- ment. Immunohistochemical staining revealed that brain-derived neurotrophic factor, tyrosine kinase B and vascular endothelial growth factor expression noticeably increased around the sur- rounding hematoma. Reverse transcription-PCR revealed that brain-derived neurotrophic factor and tyrosine kinase B mRNA expression significantly increased around the surrounding hematoma. Neurologic impairment obviously reduced. These results indicated that Poxue Huayu and Tianjing Busui Decoction exert therapeutic effects on cerebral hemorrhage by upregulating the expression of brain-derived neurotrophic factor.
基金The development of this CPG was funded by the China Primary Health Care Foundation.The funder had no involvement in the formulation of the CPG.
文摘Background:Helicobacter pylori(H.pylori)infection is an infectious disease with a prevalence rate of up to 50%worldwide.It can cause indigestion,gastritis,peptic ulcer,and gastric cancer.H.pylori eradication treatment can effectively control disease progression and reduce the risk of the above conditions.However,the escalating trend of antibiotic resistance presents a global challenge for H.pylori eradication.We aim to provide guidance on pharmacological treatment of H.pylori infection.Methods:This clinical practice guideline is developed following the World Health Organization’s recommended process,adopting Grading of Recommendations Assessment,Development and Evaluation in assessing evidence quality,and utilizing Evidence to Decision framework to formulate clinical recommendations,minimizing bias and increasing transparency of the clinical practice guideline development process.We used the Reporting Items for practice Guidelines in HealThcare(RIGHT)statement and The Appraisal of Guidelines for Research and Evaluation Ⅱ(AGREE Ⅱ)as reporting and conduct guides to ensure the guideline’s completeness and transparency.Results:Though decreasing in developed countries,the prevalence of H.pylori remains high in developing countries,causing a major public health burden.This clinical practice guideline contains 12 recommendations concerning pharmacological treatment for H.pylori eradication.Among them,it is worth highlighting that bismuth preparations are inexpensive,safe,and effective,consequently making bismuth quadruple therapy a preferred choice for initial and rescue treatment.In empirical treatment,high-dose dual therapy is equally effective compared with bismuth quadruple therapy.Conclusions:The 12 recommendations in this clinical practice guideline are formed with consideration for stakeholders’values and preferences,resource use,feasibility,and acceptability.Recommendations are generalizable to resource limited settings with similar antibiotic resistance pattern as China,and lower middle-income countri
基金Project supported by the National Natural Science Foundation of China(No.51805470)the Fundamental Research Funds for the Central Universities(No.2018QNA4013)+1 种基金the Open Foundation of Key Laboratory of Efficient Utilization of Low and Medium Grade Energy(Tianjin University)Ministry of Education of China(No201704-403)
基金supported by the National Natural Science Foundation of China(Grant No.51406130)
文摘Based on organic Rankine cycle(ORC), the two-stage evaporation strategy is adopted to replace the single-stage evaporation to improve the system performance. In order to evaluate the temperature matching of the two-stage evaporation, a theoretical optimization model was established to optimize the two stage organic Rankine cycle(TSORC) based on the entransy theory and thermodynamics, with the ratio of the entransy dissipation rate of the TSORC to that of the ORC as the objective function. This paper aims to illuminate the improving degree of the system performance of the TSORC. The results show that the TSORC enhances the average evaporating temperature, thereby reducing the entransy dissipation rate in the evaporator and the total entransy dissipation rate. The maximal net power output is proportional to the entransy loss rate and inversely proportional to the entransy dissipation rate. However, compared with the ORC, the TSORC can output more power but requires a higher total thermal conductance. Moreover, there exists an optimal intermediate geothermal water temperature(IGWT) to maximize the net power output of the TSORC. The TSORC can be considered in engineering applications.
基金supported by the National Natural Science Foundation of China (81670401)the Natural Sciences Foundation of Hunan Province (2016JJ6133)+2 种基金the Scientific Research Innovation Program of Post-graduate in Hunan Province (CX2017B554)Zhengxiang Scholar (Xiangyang Tang) Program of the University of South ChinaThe Construct Program of the Key Discipline in Hunan Province (Basic Medicine Sciences in University of South China)
文摘Atherosclerosis is characterized by the accumulation of lipids and deposition of fibrous elements in the vascular wall, which is the primary cause of cardiovascular diseases. Adenosine monophosphate-activated protein kinase(AMPK) is a metabolic sensor of energy metabolism that regulates multiple physiological processes, including lipid and glucose metabolism and the normalization of energy imbalances. Overwhelming evidence indicates that AMPK activation markedly attenuates atherosclerosis development. Autophagy inhibits cell apoptosis and inflammation and promotes cholesterol efflux and efferocytosis. Physiological autophagy is essential for maintaining normal cardiovascular function. Increasing evidence demonstrates that autophagy occurs in developing atherosclerotic plaques. Emerging evidence indicates that AMPK regulates autophagy via a downstream signaling pathway. The complex relationship between AMPK and autophagy has attracted the attention of many researchers because of this close relationship to atherosclerosis development. This review demonstrates the role of AMPK and autophagy in atherosclerosis. An improved understanding of this interrelationship will create novel preventive and therapeutic strategies for atherosclerosis.
基金supported by the Natural Science Foundation of Anhui Province (Role of substance P in electroacupuncture for focal brain ischemia in rats), No. 050431003the National Natural Science Foundation of China (Target point and signal transduction pathway of Yangxin Tongmai active principle region for BMSCs), No. 81102595
文摘The present study induced in vitro-cultured passage 4 bone marrow-derived mesenchymal stem cells to differentiate into neural-like cells with a mixture of alkaloid, polysaccharide, aglycone, glycoside, essential oils, and effective components of Buyang Huanwu decoction （active principle region of decoction for invigorating yang for recuperation）. After 28 days, nestin and neuron-specific enolase were expressed in the cytoplasm. Reverse transcription-PCR and western blot analyses showed that nestin and neuron-specific enolase mRNA and protein expression was greater in the active principle region group compared with the original formula group. Results demonstrated that the active principle region of Buyang Huanwu decoction induced greater differentiation of rat bone marrow-derived mesenchymal stem cells into neural-like cells in vitro than the original Buyang Huanwu decoction formula.
基金supported by the National Basic Research Program of China(2011CB710703)the National Natural Science Foundation of China(51306048,51210011)
文摘The design, construction and test of an Organic Rankine Cycle(ORC) with R123 as the working fluid were performed. A scroll expander was integrated in the system.The conductive oil with its temperature of 150 °C was used to simulate the low-grade heat source. An AC dynamometer unit measured the expander shaft torque, rotating speed and shaft power. The experiments were conducted in two operating modes: the constant mass flow rate and the constant shaft torque. Under the constant mass flow rate operating mode, the stepped increase of the shaft torque increased the expansion ratios of the expander and decreased the vapor superheats at the expander inlet. Thus,the shaft power and thermal efficiency were increased.Alternatively, the constant shaft torque operating mode involved two different regions, interfaced at the pumping frequency of 9 Hz. By the increase of the mass flow rates,the vapor superheats at the expander inlet was decreased and the shaft power was increased, but the ORC thermal efficiencies were slightly decreased. Both operating modes yielded the saturation shaft powers that were the maximum values one could use. It was found that the measured shaft powers and ORC thermal efficiencies were lower than the enthalpy determined values based on the fluid pressures and temperatures at the expander inlet and outlet. The maximum measured shaft power and thermal efficiency were 2.63 kW and 5.31 %, compared with the enthalpy determined values of 3.87 kW and 9.46 %, respectively.
文摘We investigated ^(50,52-54)Cr-induced fusion reactions for the synthesis of the superheavy element in the 104≤Z≤122 range.The cross sections produced in this investigation using ^(54)Cr projectiles were compared with those obtained in prior experiments.The estimated cross sections from this analysis are consistent with the findings of prior studies.From the current study,the predicted cross section was found to be 42fb at 236 MeV for ^(53)Cr+^(243)Am,23.2 fb at 236 MeV for ^(54)Cr+^(247)Cm,95.6 fb at 240 MeV for ^(53)Cr+248Bk,and 1.33 fb at 242 MeV for ^(53)Cr+250Cf.Consequently,these projected cross sections with excitation energy and beam energy will be useful in future Cr-induced fusion reaction investigations.
基金supported by“Key scientific issues in transformative technologies:intelligent evolution mechanism and design of distributed information energy system(2018YFA0702200)”.
文摘Ground source heat pumps (GSHPs) are one of the renewable energy technologies with features of high efficiency, energy saving, economic feasibility and environmental protection. In China, GSHPs have been widely used for building heating and cooling in recent years, and have shown great potential for future energy development. This paper summarizes the classification, development history, and use status of shallow GSHPs. Several typical engineering cases of GSHP technology are also specified and analyzed. Finally, promising development trends and some advanced technologies are illustrated.
基金supported by the National Key Technology R&D Program of China(No.2013BAI09B04)the Medical Research Funds from the Bureau of Health of Zhejiang Province(No.2013KYA072),China
文摘Objective： The treatment of Henoch-Schonlein purpura （HSP） with moderate proteinuria remains con- troversial. We retrospectively analyzed the efficacy of immune suppressants, with a particular emphasis on myco- phenolate mofetil （MMF）. Methods： Ninety-five HSP patients with moderate proteinuria （1.0-3.5 g/24 h） after at least three months of therapy with angiotensin-converting enzyme inhibitor （ACEI） or angiotensin receptor blocker （ARB） were divided into three groups： an MMF group （n=33） that received MMF 1.0-1.5 g/d combined with prednisone （0.4-0.5 mg/（kg.d））, a corticosteroid （CS） group （n=31） that received full-dose prednisone （0.8-1.0 mg/（kg.d））, and a control group （n=31）. Patients in the MMF and CS groups continued to take ACEI or ARB at the original dose. The patients in the control group continued to take ACEI or ARB but the dose was increased by （1.73±0.58）-fold. The patients were followed up for 6-78 months （median 28 months）. Results： The baseline proteinuria was higher in the MMF group （（2.1±0.9） g/24 h） than in the control group （（1.6±0.8） g/24 h） （P=0.039）. The proteinuria decreased sig- nificantly in all groups during follow-up, but only in the MMF group did it decrease significantly after the first month. At the end of follow-up, the proteinuria was （0.4±0.7） g/24 h in the MMF group and （0.4±0.4） g/24 h in the CS group, significantly lower than that in the control group （（0.9±1.1） g/24 h）. The remission rates in the MMF group, CS group, and control group were respectively 72.7%, 71.0%, and 48.4% at six months and 72.7%, 64.5%, and 45.2% at the end of follow-up. The overall number of reported adverse events was 17 in the MMF group, 30 in the CS group, and 6 in the control group （P〈0.001）. Conclusions： MMF with low-dose prednisone may be as effective as full-dose prednisone and tend to have fewer adverse events. Therefore, it is probably superior to conservative treatments of adult
基金Supported by National Key Research&Development Program of China Research on the Development and Evaluation of International Standards of Traditional Chinese Medicine(No.2019YFC17120002019YFC1712005+2 种基金2019YFC1712003)National Science and Technology Major Project"The Belt and Road"Popularization and Application of Traditional Chinese Medicine Clinical Diagnosis and Treatment Project for Infectious Diseases(No.2018ZX10101001-005-0032018ZX10101001-005-004)。
文摘OBJECTIVE:To summarize the evidence from Traditional Chinese Medicine(TCM)practice in the treatment of coronavirus disease 2019(COVID-19)and provide timely clinical practice guidance.METHODS:The guidelines were developed in accordance with the World Health Organization rapid guideline process.The evidence on TCM for COVID-19 from published guidelines,direct and indirect published clinical evidence,first hand clinical data,and expert experience and consensus were collected.The grading of recommendations assessment,development and evaluation(GRADE)method was used to grade the evidence and make the recommendations.RESULTS:Based on the available evidence,the guidelines recommended 17 Chinese medicines for COVID-19:2 Chinese herbal granules,7 Chinese patent medicines,and 8 Chinese herbal injections.CONCLUSION:As the literature search was conducted on March,any subsequent versions of these guidelines require an up-to-date literature review.We hope that the evidence summary in these guidelines will be helpful in global efforts to address COVID-19.
基金supported by the National Natural Science Foundation of China(No.50906041)。
文摘Increasing the injection pressure has been proven an effective method to enhance performance and reduce pollutant of diesel engine.With the increase of the injection pressure,the cavitation damage problem inside common rail fuel injector is more significant,which has direct influences on reliability of diesel engine.While the most studies so far have focused on cavitation occurred in injector nozzle and its atomization characteristics,few researchers studied the cavitation phenomenon in fuel injector control valve.But due to the complexity of flow field and difficulty of experiment,the cavitation in control valve could not be fully described by existing theories.In this paper,the two-dimensional visualization experiment and numerical simulation of control valve was implemented to acquire the image of cavitation intuitively and validate the simulation method and model.Then a new structure design of control valve named convergent model was presented for comparison.The origin model and convergent model with different valve lifts were simulated in three dimensions.The results showed that the sheet cavitation occurred at the surface of seal cone and steel ball then turned to cloud cavitation in downstream area.The intensity of cavitation increased with the increase of valve lift.Convergent model could efficiently reduce the cavitation intensity near the seal area.This research could provide references for engineering optimization design of control valve.
基金Supported by the National Natural Science Foundation of China(No.81430098,81273935,81503459)
文摘How to test the treatments of Chinese medicine（CM） and make them more widely accepted by practitioners of Western medicine and the international healthcare community is a major concern for practitioners and researchers of CM.For centuries,various approaches have been used to identify and measure the efficacy and safety of CM.However,the high-quality evidence related to CM that produced in China is still rare.Over the recent years,evidence-based medicine（EBM） has been increasingly applied to CM,strengthening its theoretical basis.This paper reviews the past and present state of CM,analyzes the status quo,challenges and opportunities of basic research,clinical trials,systematic reviews,clinical practice guidelines and clinical pathways and evidence-based education developed or conducted in China,pointing out how EBM can help to make CM more widely used and recognized worldwide.
基金National Natural Science Foundation of China,Grant/Award Number:51771132Collaborative Innovation Center of Suzhou Nano Science&Technology111 Project。
文摘As climate changes are increasingly challenging the sustainable development of human society,substantial efforts are expected to be added to limit the rise of global warming below 2°C by the middle of the 21st century.Currently,human activities emit 34 billion tons of CO_(2) per annum on average.1 Energy production and chemical industries are particularly emission‐intensive due to the manufacturing and use of fossil‐based chemicals.Therefore,manufacturing fuels and chemicals with netzero emission or,ideally,negative emission is paramount for achieving the long‐term goal of the Paris Agreement.
