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中国阿尔茨海默病痴呆诊疗指南(2020年版) 被引量:175
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作者 田金洲 解恒革 +8 位作者 王鲁宁 王荫华 王华丽 时晶 秦斌 樊东升 倪敬年 孙永安 中国老年保健协会阿尔茨海默病分会(ADC)指南小组 《中华老年医学杂志》 CAS CSCD 北大核心 2021年第3期269-283,共15页
采用国际通用的循证医学研究方法,从6922项阿尔茨海默病(AD)痴呆诊疗的原始研究中筛选符合纳入标准的367项进行系统评价和荟萃分析,并参考全国德尔菲共识调查结果,形成了17条主要推荐意见和42条次要推荐意见,供临床医生使用.(1)对于拟... 采用国际通用的循证医学研究方法,从6922项阿尔茨海默病(AD)痴呆诊疗的原始研究中筛选符合纳入标准的367项进行系统评价和荟萃分析,并参考全国德尔菲共识调查结果,形成了17条主要推荐意见和42条次要推荐意见,供临床医生使用.(1)对于拟行AD痴呆诊断的患者,应在适当的场景中使用经过验证的本土化工具进行临床评估(2B,共识率为98.16%,下同).(2)认知功能评估是AD痴呆诊断的首选方法,应正式评估综合认知和至少4个认知领域(2B,96.93%).(3)在做出AD痴呆诊断前,应评估与认知障碍相关的精神行为和生活功能,通过对患者和知情者面诊,进行观察和量表评估(2B,97.55%).(4)在AD痴呆诊断常规检查流程中,应推荐脑CT和MRI检查,在可行的情况下首选MRI头颅冠状位内侧颞叶扫描或海马体成像(2B,98.77%).(5)当病史和常规检查不能明确AD痴呆诊断时或早发型痴呆、前驱期或非典型AD患者,应与患者或家属讨论使用PET或脑脊液或血液AD生物标志物检测,在可行的情况下将患者转诊至相关研究中心或专科中心(2B,97.55%).(6)对于有痴呆家族史或快速进展型/非典型痴呆患者,应与患者或家属讨论使用基因检测,在可行的情况下将患者转诊至相关研究中心或专科中心(1A,98.77%).(7)在AD鉴别诊断的常规检查流程中,应推荐血液常规、生化和血清学检查,对潜在可治疗的认知障碍危险因素进行评估(2B,97.55%).(8)有经验的临床医生,应采用以病史和检查证实的症状学特征为依据的AD痴呆诊断"核心标准"进行AD痴呆的常规临床诊断(1A,89.57%).(9)首次就诊者或先前的纵向临床评估信息不可用或需要做出治疗选择时,应进行AD痴呆的临床分期或严重程度判断(3C,93.25%).(10)在做出AD痴呆临床诊断时,应除外其他已知的痴呆病因(2B,98.77%).(11)AD痴呆的治疗应遵循药物和非药物干预结合的原则,以获得对认知、行为及功能的协� 展开更多
关键词 痴呆 阿尔茨海默病 循证指南
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Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury 被引量:174
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作者 Yingxia Liu Yang Yang +19 位作者 Cong Zhang Fengming Huang Fuxiang Wang jing Yuan Zhaoqin Wang Jinxiu Li Jianming Li Cheng Feng Zheng Zhang Lifei Wang Ling Peng Li Chen Yuhao qin Dandan Zhao Shuguang Tan Lu Yin Jun Xu Congzhao Zhou Chengyu Jiang Lei Liu 《Science China(Life Sciences)》 SCIE CAS CSCD 2020年第3期364-374,共11页
The outbreak of the 2019-nCoV infection began in December 2019 in Wuhan,Hubei province,and rapidly spread to many provinces in China as well as other countries.Here we report the epidemiological,clinical,laboratory,an... The outbreak of the 2019-nCoV infection began in December 2019 in Wuhan,Hubei province,and rapidly spread to many provinces in China as well as other countries.Here we report the epidemiological,clinical,laboratory,and radiological characteristics,as well as potential biomarkers for predicting disease severity in 2019-nCoV-infected patients in Shenzhen,China.All 12 cases of the 2019-nCoV-infected patients developed pneumonia and half of them developed acute respiratory distress syndrome (ARDS).The most common laboratory abnormalities were hypoalbuminemia,lymphopenia,decreased percentage of lymphocytes (LYM) and neutrophils (NEU),elevated C-reactive protein (CRP) and lactate dehydrogenase (LDH),and decreased CD8 count.The viral load of 2019-nCoV detected from patient respiratory tracts was positively linked to lung disease severity.ALB,LYM,LYM (%),LDH,NEU (%),and CRP were highly correlated to the acute lung injury.Age,viral load,lung injury score,and blood biochemistry indexes,albumin (ALB),CRP,LDH,LYM (%),LYM,and NEU (%),may be predictors of disease severity.Moreover,the Angiotensin Ⅱlevel in the plasma sample from 2019-nCoV infected patients was markedly elevated and linearly associated to viral load and lung injury.Our results suggest a number of potential diagnosis biomarkers and angiotensin receptor blocker (ARB) drugs for potential repurposing treatment of 2019-nCoV infection. 展开更多
关键词 2019-nCoV AngiotensinⅡ ARDS
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新型冠状病毒(2019-nCoV)感染患者肺损伤相关的临床及生化指标研究 被引量:158
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作者 刘映霞 杨扬 +19 位作者 张聪 黄凤鸣 王福祥 袁静 王召钦 李金秀 李建明 冯程 张政 王力非 彭凌 陈莉 秦宇豪 赵丹丹 谭曙光 尹路 徐军 周丛照 蒋澄宇 刘磊 《中国科学:生命科学》 CSCD 北大核心 2020年第3期258-269,共12页
Ⅱ新型冠状病毒(2019-n Co V)2019年12月在湖北省武汉市暴发,并迅速传播到中国多地及其他国家.在本研究中,我们报告了来自中国深圳早期的2019-n Co V感染患者的流行病学、临床指标、生化指标和影像学特征,以及可用于预测疾病严重程度的... Ⅱ新型冠状病毒(2019-n Co V)2019年12月在湖北省武汉市暴发,并迅速传播到中国多地及其他国家.在本研究中,我们报告了来自中国深圳早期的2019-n Co V感染患者的流行病学、临床指标、生化指标和影像学特征,以及可用于预测疾病严重程度的潜在生物标记物.所有12例2019-n Co V感染患者均发展为肺炎,其中一半患者进一步发展为急性呼吸窘迫综合征(acute respiratory distress syndrome, ARDS).最常见的生化指标异常是低白蛋白(albumin, ALB)血症、淋巴细胞(lymphocytes, LYM)计数减少、淋巴细胞百分比和中性粒细胞(neutrophils, NEU)百分比降低、C反应蛋白(C-reactive protein, CRP)和乳酸脱氢酶(lactate dehydrogenase, LDH)水平升高,以及CD8细胞计数降低.从患者呼吸道特别是下呼吸道检测到的2019-n Co V病毒滴度与肺部疾病的严重程度正相关. ALB,LYM, LYM(%), LDH, NEU(%)和CRP的水平与急性肺损伤程度高度相关.年龄、病毒滴度、肺损伤评分和血液生化指标(ALB, CRP, LDH, LYM(%), LYM及NEU(%))可能是疾病严重程度的预测指标.此外, 2019-n Co V感染患者的血浆血管紧张素Ⅱ水平显著升高,并且与病毒滴度和肺损伤程度线性相关.该研究结果提供了多种潜在的可用于诊断的生物标志物,并提出了血管紧张素Ⅱ受体阻滞剂(angiotensin Ⅱ receptor blocker, ARB)药物或可作为治疗2019-n Co V感染的潜在药物进行深入研究. 展开更多
关键词 2019-nCoV 血管紧张素Ⅱ 急性呼吸窘迫综合征
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液基薄层细胞学检查、人乳头状瘤病毒检测及阴道镜检查在宫颈癌前病变及宫颈癌筛查中的应用价值 被引量:79
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作者 罗晶 李婷婷 +5 位作者 王倩 付晓飞 秦海霞 侯瑞杰 秦瑞英 王世进 《新乡医学院学报》 CAS 2021年第5期427-430,435,共5页
目的探讨液基薄层细胞学检测(TCT)、人乳头状瘤病毒(HPV)检测、阴道镜检查在宫颈癌前病变及宫颈癌筛查中的应用价值。方法回顾性分析2019年5月至2020年4月于新乡医学院第一附属医院同时行TCT、HPV检测及阴道镜检查的459例疑似宫颈病变... 目的探讨液基薄层细胞学检测(TCT)、人乳头状瘤病毒(HPV)检测、阴道镜检查在宫颈癌前病变及宫颈癌筛查中的应用价值。方法回顾性分析2019年5月至2020年4月于新乡医学院第一附属医院同时行TCT、HPV检测及阴道镜检查的459例疑似宫颈病变患者的临床资料。以组织学结果为“金标准”,分析TCT、HPV检测、阴道镜检查在宫颈癌前病变及宫颈癌筛查中的价值。结果459例疑似宫颈病变患者经宫颈活体组织检查确诊为宫颈病变者157例,其中低级别鳞状上皮内病变59例、高级别鳞状上皮内病变80例、宫颈癌18例。459例疑似宫颈病变患者中,TCT筛查阳性292例(阳性率63.62%),HPV筛查阳性342例(阳性率74.51%),TCT和HPV联合筛查阳性456例(阳性率99.35%)。TCT在宫颈癌前病变及宫颈癌诊断中的灵敏度、特异度、阳性预测值、阴性预测值、假阳性率、假阴性率、准确度分别为63.69%(100/157)、36.42%(110/302)、34.25%(100/292)、65.87%(110/167)、63.58%(192/302)、36.31%(57/157)、47.93%(220/459);HPV检测在宫颈癌前病变及宫颈癌诊断中的灵敏度、特异度、阳性预测值、阴性预测值、假阳性率、假阴性率、准确度分别为89.17%(140/157)、33.11%(100/302)、40.94%(140/342)、85.47%(100/117)、66.89%(202/302)、10.83%(17/157)、52.29%(240/459);TCT和HPV联合检测在宫颈癌前病变及宫颈癌诊断中的灵敏度、特异度、阳性预测值、阴性预测值、假阳性率、假阴性率、准确度分别为98.73%(155/157)、0.33%(1/302)、33.99%(155/456)、33.33%(1/3)、99.67%(301/302)、1.27%(2/157)、33.99%(156/459)。HPV检测在宫颈癌前病变及宫颈癌诊断中的灵敏度、阴性预测值高于TCT检测,假阴性率低于TCT(P<0.05);TCT与HPV检测在宫颈癌前病变及宫颈癌诊断中的特异度、阳性预测值、假阳性率、准确度比较差异无统计学意义(P>0.05)。TCT和HPV联合检测在宫颈癌前病变及宫颈癌诊断中的灵敏度、假阳性率� 展开更多
关键词 液基薄层细胞学检查 人乳头状瘤病毒 阴道镜检查 宫颈癌前病变 宫颈癌 筛查
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InSAR数据约束下2016年和2022年青海门源地震震源参数及其滑动分布 被引量:55
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作者 李振洪 韩炳权 +9 位作者 刘振江 张苗苗 余琛 陈博 刘海辉 杜静 张双成 朱武 张勤 彭建兵 《武汉大学学报(信息科学版)》 EI CAS CSCD 北大核心 2022年第6期887-897,共11页
中国青海省门源县于2016年和2022年分别发生了Mw 5.9和Mw 6.7地震,相距不足40 km。利用欧洲空间局Sentinel-1A升降轨雷达影像,采用合成孔径雷达干涉测量(interferometric synthetic aperture radar,InSAR)技术分别获取两次地震的同震地... 中国青海省门源县于2016年和2022年分别发生了Mw 5.9和Mw 6.7地震,相距不足40 km。利用欧洲空间局Sentinel-1A升降轨雷达影像,采用合成孔径雷达干涉测量(interferometric synthetic aperture radar,InSAR)技术分别获取两次地震的同震地表形变场,进而利用弹性半空间的位错模型确定上述事件的震源参数,基于分布式滑动模型反演确定两次地震断层面上的滑动分布,并探讨2016年门源地震对2022年门源地震的发震影响及触发机制。结果表明,2016年门源地震为逆冲型地震,并未破裂到地表,升、降轨同震形变场沿视线向的最大形变量分别为6.7 cm和7.0 cm,断层的最大滑动量为0.53 m,主要集中在地下4~12 km区域滑动。2022年门源地震同震形变场沿NWW-SEE向破裂,降轨影像最大视线向地表形变量为78 cm,断层的最大滑动值达到3.5 m,处于地下4 km左右,断层滑动分布模型揭示此次地震为左旋走滑型地震;结合冷龙岭断裂的运动性质和几何特征,可初步判定发震断层主要为冷龙岭断裂的西段、且极有可能破裂到了其西北端西侧的托莱山断裂。静态库仑应力触发关系显示,2016年门源地震对2022年门源地震的发生有一定的促进作用。 展开更多
关键词 2016年门源地震 2022年门源地震 合成孔径雷达干涉测量 同震地表形变 地震断层滑动 地震触发关系
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Traditional herbal medicine in preventing recurrence after resection of small hepatocellular carcinoma: a multicenter randomized controlled trial 被引量:50
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作者 Xiao-feng Zhai Zhe Chen +8 位作者 Bai Li Feng Shen Jia Fan Wei-ping Zhou Yun-ke Yang jing Xu Xiao qin Le-qun Li Chang-quan Ling 《Journal of Integrative Medicine》 SCIE CAS CSCD 2013年第2期90-100,共11页
BACKGROUND: Disease recurrence is a main challenge in treatment of hepatocellular carcinoma (HCC). There is no generally accepted method for preventing recurrence of HCC after resection. OBJECTIVE: To compare the ... BACKGROUND: Disease recurrence is a main challenge in treatment of hepatocellular carcinoma (HCC). There is no generally accepted method for preventing recurrence of HCC after resection. OBJECTIVE: To compare the efficacy of a traditional herbal medicine (THM) regimen and transarterial chemoembolization (TACE) in preventing recurrence in post-resection patients with small HCC. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: This is a multicenter, open- label, randomized, controlled study, which was undertaken in five centers of China. A total of 379 patients who met the eligibility criteria and underwent randomization were enrolled in this trial. One hundred and eighty-eight patients were assigned to the THM group and received Cinobufacini injection and Jiedu Granule, and the other 191 patients were assigned to the TACE group and received one single course of TACE. MAIN OUTCOME MEASURES: Primary outcome measures were the annual recurrence rate and the time to recurrence. Incidence of adverse events was regarded as the secondary outcome measure. RESULTS: Among the 364 patients who were included in the intention-to-treat analysis, 67 patients of the THM group and 87 of the TACE group had recurrence, with a hazard ratio of 0.695 (P = 0.048). Median recurrence-free survival of the patients in the THM and TACE groups was 46.89 and 34.49 months, respectively. Recurrence rates at 1, 2 and 3 years were 17.7%, 33.0% and 43.5% for the THM group, and 28.8%, 42.5% and 54.0% for the TACE group, respectively (P = 0.026). Multivariate analysis indicated that the THM regimen had a big advantage for prolonging the recurrence-free survival. Adverse events were mild and abnormality of laboratory indices of the two groups were similar. CONCLUSION: In comparison with TACE therapy, the THM regimen was associated with diminished risk of recurrence of small-sized HCC after resection, with comparable adverse events. TRIAL REGISTRTION IDENTIFIER: This trial was registered in the Chinese Clinical Trial Re 展开更多
关键词 hepatocellular carcinoma RECURRENCE traditional Chinese medicine transarterial chemoembolization: randomized controlled trial
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Effects of AT1 receptor antagonist,Iosartan,on rat hepatic fibrosis induced by CCl_4 被引量:42
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作者 Hong Shan Wei Ding Guo Li Han Ming Lu Yu Tao Zhan Zhi Rong Wang Xin Huang jing Zhang Ji Lin Cheng qin Fang Xu Department of Gastroenterology,Xinhua Hospital,Shanghai Second Medical University,Shanghai 200092,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2000年第4期540-545,共6页
AIM To investigate effect of losartan,an AT1receptor antagonist,on hepatic fibrosis induced byCCl<sub>;</sub>and to determine whether or not AT1receptors are expressed on hepatic stellate cells,METHODS AND... AIM To investigate effect of losartan,an AT1receptor antagonist,on hepatic fibrosis induced byCCl<sub>;</sub>and to determine whether or not AT1receptors are expressed on hepatic stellate cells,METHODS AND RESULTS Fifty male Sprague-Dawley rats,weighing(180±20)g,wererandomized into five groups(control group,modelgroup,and three losartan treated groups),inwhich all rats were given the subcutaneousinjection of 40% CCl<sub>4</sub>(every 3 days for 6 weeks)except for rats of control group.Rats of losartan-treated groups were treated with losartan(20 mg/kg,10 mg/kg,5 mg/kg,daily gavage),After 6weeks liver tissue and serum samples of all ratswere examined.Serum hyaluronic acid(HA),procollagen typeⅢ(PCⅢ)were detected byradioimmunoassays,van Giesion collagen stainingwas used to evaluate the extracellular matrix of ratswith liver fibrosis.The expression of AT1receptors,transforming growth factor-beta(TGF-β),and alpha-smooth muscle actin(a-SMA)inliver tissue were determined byimmunohistochemical techniques.Compared withmodel group,serum ALT and AST of losartan-treated groups were significantly reduced(t=4.20,P【0.01 and t=4.57,P【0.01).Serum HAand PCⅢalso had significant differences(t=3.53,P【0.01 and t=2.20,P【0.05).Thedegree of fibrosis was improved by losartan and correlated with the expressions of AT1 receptors,TGF-β,and α-SMA in liver tissue.CONCLUSION AT1 receptor antagonist,losartan,could limit the progression of the hepatic fibrosisinduced by CCl<sub>4</sub>.The mechanism may be related tothe decrease in the expression of AT1 receptorsand TGF-β,ameliorating the injury of hepatocytes;activation of local renin-angiotensin system mightrelate to hepatic fibrosis;and during progressionof fibrosis,activated hepatic stellate cells mightexpress AT1 receptors. 展开更多
关键词 liver cirrhosis/drug therapy RENIN-ANGIOTENSIN system ANGIOTENSIN type 1 receptor ANTAGONIST LOSARTAN
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Down-regulation of survivin expression by small interfering RNA induces pancreatic cancer cell apoptosis and enhances its radiosensitivity 被引量:40
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作者 Hai-Tao Guan Xing-Huan Xue +3 位作者 Zhi-Jun Dai Xi-jing Wang Ang Li Zhao-Yin qin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第18期2901-2907,共7页
AIM: To investigate the inhibitory effect of small interfering RNA (siRNA) on the expression of survivin in pancreatic cancer cell line PC-2 and the role of siRNA in inducing PC-2 cell apoptosis and enhancing its r... AIM: To investigate the inhibitory effect of small interfering RNA (siRNA) on the expression of survivin in pancreatic cancer cell line PC-2 and the role of siRNA in inducing PC-2 cell apoptosis and enhancing its radiosensitivity. METHODS: A siRNA plasmid expression vector against survivin was constructed and transfected into PC-2 cells with LipofectamineTM 2000. The down regulation of survivin expression was detected by semi-quantitive RT-PCR and immunohistochemical SP method and the role of siRNA in inducing PC-2 cell apoptosis and enhancing its radiosensitivity was detected by flow cytometry. RESULTS: The sequence-specific siRNA efficiently and specifically down-regulated the expression of survivin at both mRNA and protein levels. The expression inhibition ratio was 81.25% at mRNA level detected by semlquantitive RT-PCR and 74.24% at protein level detected by immunohistochemical method. Forty-eight hours after transfection,apoptosis was induced in 7.03% cells by siRNA and in 14.58% cells by siRNA combined with radiation. CONCLUSION: The siRNA plasmid expression vector against survivin can inhibit the expression of survivin in PC-2 cells efficiently and specifically. Inhibiting the expression of survivin can induce apoptosis of PC-2 cells and enhance its radiosensitivity significantly. RNAi against survivin is of potential value in gene taerapy of pancreatic cancer. 展开更多
关键词 RNA interference SURVIVIN Pancreatic cancer Radiation
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The Chinese Society of Clinical Oncology(CSCO)clinical guidelines for the diagnosis and treatment of nasopharyngeal carcinoma 被引量:44
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作者 Ling-Long Tang Yu-Pei Chen +37 位作者 Chuan-Ben Chen Ming-Yuan Chen Nian-Yong Chen Xiao-Zhong Chen Xiao-jing Du Wen-Feng Fang Mei Feng Jin Gao Fei Han Xia He Chao-Su Hu De-sheng Hu Guang-Yuan Hu Hao Jiang Wei Jiang Feng Jin Jin-Yi Lang Jin-Gao Li Shao-Jun Lin Xu Liu Qiu-Fang Liu Lin Ma Hai-Qiang Mai Ji-Yong qin Liang-Fang Shen Ying Sun Pei-Guo Wang Ren-Sheng Wang Ruo-Zheng Wang Xiao-Shen Wang Ying Wang Hui Wu Yun-Fei Xia Shao-Wen Xiao Kun-Yu Yang Jun-Lin Yi Xiao-Dong Zhu Jun Ma 《Cancer Communications》 SCIE 2021年第11期1195-1227,共33页
Nasopharyngeal carcinoma(NPC)is a malignant epithelial tumor originating in the nasopharynx and has a high incidence in Southeast Asia and North Africa.To develop these comprehensive guidelines for the diagnosis and m... Nasopharyngeal carcinoma(NPC)is a malignant epithelial tumor originating in the nasopharynx and has a high incidence in Southeast Asia and North Africa.To develop these comprehensive guidelines for the diagnosis and management of NPC,the Chinese Society of Clinical Oncology(CSCO)arranged a multi-disciplinary team comprising of experts from all sub-specialties of NPC to write,discuss,and revise the guidelines.Based on the findings of evidencebased medicine in China and abroad,domestic experts have iteratively developed these guidelines to provide proper management of NPC.Overall,the guidelines describe the screening,clinical and pathological diagnosis,staging and risk assessment,therapies,and follow-up of NPC,which aim to improve the management of NPC. 展开更多
关键词 Chinese Society of Clinical Oncology CSCO Nasopharyngeal carcinoma Diagnosis STAGING Risk RADIOTHERAPY CHEMOTHERAPY Surgery IMMUNOTHERAPY
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Cell membrane-based nanoparticles: a new biomimetic platform for tumor diagnosis and treatment 被引量:41
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作者 Ruixiang Li Yuwei He +2 位作者 Shuya Zhang jing qin Jianxin Wang 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2018年第1期14-22,共9页
Taking inspiration from nature, the biomimetic concept has been integrated into drug delivery systems in cancer therapy. Disguised with cell membranes, the nanoparticles can acquire various functions of natural cells.... Taking inspiration from nature, the biomimetic concept has been integrated into drug delivery systems in cancer therapy. Disguised with cell membranes, the nanoparticles can acquire various functions of natural cells. The cell membrane-coating technology has pushed the limits of common nano-systems(fast elimination in circulation) to more effectively navigate within the body. Moreover, because of the various functional molecules on the surface, cell membrane-based nanoparticles(CMBNPs) are capable of interacting with the complex biological microenvironment of the tumor. Various sources of cell membranes have been explored to camouflage CMBNPs and different tumor-targeting strategies have been developed to enhance the anti-tumor drug delivery therapy. In this review article we highlight the most recent advances in CMBNP-based cancer targeting systems and address the challenges and opportunities in this field. 展开更多
关键词 Cell membrane Biomimetic nanoparticle Drug delivery Cancer targeting CIRCULATION Molecular recognition
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数据挖掘在护理不良事件管理中的应用进展 被引量:39
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作者 丁四清 陆晶 +4 位作者 秦春香 盛江明 王璐 石双姣 李雨潇 《中华护理杂志》 CSCD 北大核心 2019年第6期873-877,共5页
从不良事件上报、监测和预警3个方面综述了基于数据挖掘的护理不良事件管理研究,旨在为护理不良事件管理和护理实践提供参考。
关键词 数据挖掘 不良事件 护理管理研究 患者安全 综述
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Metastatic human hepatocellular carcinoma models in nude mice and cell line with metastatic potential 被引量:34
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作者 Zhao-You Tang Fan-Xian Sun Jian Tian Sheng-Long Ye Yin-Kun Liu Kang-Da Liu Qiong Xue Jie Chen jing-Lin Xia Lun-Xiu qin Hui-Chuan Sun Lu Wang Jian Zhou Yan Li Zeng-Chen Ma Xin-Da Zhou Zhi-Quan Wu Zhi-Ying Lin Bing-Hui Yang Liver Cancer Institute of Fudan University and Zhongshan Hospital,Shanghai 200032,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2001年第5期597-601,共5页
Metastatic human HCC model is needed for the studies on mechanism and intervention of metastatic recurrence. By using orthotopic implantation of histologically intact tissues of 30 surgical specimens, a patient-like m... Metastatic human HCC model is needed for the studies on mechanism and intervention of metastatic recurrence. By using orthotopic implantation of histologically intact tissues of 30 surgical specimens, a patient-like metastatic model of human HCC in nude mice (LCI-D20) and a low metastatic model of human HCC in nude mice (LCI-D35) have been established. All mice with transplanted LCI-D20 tumors exhibited extremely high metastatic ability including spontaneous metastasis to liver, lungs, lymph nodes and peritoneal seeding. Remarkable difference was also found in expression of some of the invasiveness related genes and growth factors between the LCI-D20 and LCI-D35 tumors. PAI-1 increased gradually following tumor progression in LCI-D20 model, and correlated with tumor size and AFP level. Phasic expression of tissue intercellular adhesion molecule-1 in this model was also observed. Using corneal micropocket model, it was demonstrated that the vascular response induced by LCI-D20 tumor was stronger than that induced by LCI-D35 tumor. Similar report on metastatic human HCC model in nude mice and human HCC cell line with metastatic potential was rarely found in the literature. This LCI-D20 model has been widely used for the studies on intervention of metastasis, including anti-angiogenesis,antisense approach, metalloproteinase inhibitor, differentiation inducer, etc. It is concluded that the establishment of metastatic human HCC model in nude mice and human HCC cell line with metastatic potential will provide important models for the in vitro and in vitro study of HCC invasiveness, angiogenesis as well as intervention of HCC recurrence. 展开更多
关键词 Animals Carcinoma Hepatocellular Disease Models Animal Humans Liver Neoplasms Experimental MICE Mice Nude Research Support Non-U.S. Gov't Tumor Cells Cultured
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中国北方草地植被物候变化及其对气候变化的响应 被引量:33
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作者 秦格霞 吴静 +3 位作者 李纯斌 秦安宁 倪璐 姚小强 《应用生态学报》 CAS CSCD 北大核心 2019年第12期4099-4107,共9页
研究草地物候变化对揭示草地生态系统随全球气候变化的响应机制具有重要的科学意义.本研究基于1983-2015年的GIMMS NDVI 3g、气候和数字高程模型(DEM)数据,采用动态阈值法提取北方草地的物候信息[生长季始期(SOS)、生长季末期(EOS)、生... 研究草地物候变化对揭示草地生态系统随全球气候变化的响应机制具有重要的科学意义.本研究基于1983-2015年的GIMMS NDVI 3g、气候和数字高程模型(DEM)数据,采用动态阈值法提取北方草地的物候信息[生长季始期(SOS)、生长季末期(EOS)、生长季长度(LOS)],分析北方草地物候的时空变化及LOS对气候的响应.结果表明:88.9%的像元SOS发生在3月下旬到5月下旬(日序第90~150天),其中,68.1%的像元表现为提前,速率为-1.5~0 d·(32 a)^-1;79.7%的像元EOS发生在10月上旬到10月下旬(日序第270~300天),其中,70.3%的像元表现为推迟,速率为0~1.5 d·(32 a)^-1;LOS持续在100~140 d,其中,LOS变长的像元占73.7%,速率为0~1.5 d·(32 a)^-1.LOS与气温呈显著正相关(R=0.628),与降水呈弱负相关(R=-0.091),并存在明显的空间差异.以海拔2000 m为分界线,低于2000 m时,LOS与海拔呈弱正相关(R=0.235),高于2000 m时,LOS与海拔呈显著负相关(R=-0.861);海拔高于3000 m时,海拔每升高1000 m,LOS缩短约10 d. 展开更多
关键词 北方草地 物候 气候 GIMMS NDVI
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中文版甲状腺癌特异性生命质量量表的信效度评价 被引量:33
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作者 刘洁 高静 +4 位作者 唐媛 吴晨曦 江小林 廖琴 余静雅 《肿瘤》 CAS CSCD 北大核心 2019年第3期178-187,共10页
目的:汉化甲状腺癌特异性生命质量(yroid Cancer-specic Quality of Life,THYCA-QoL)量表,并对其进行信度和效度检验。方法:征得荷兰蒂尔堡大学HUSSON教授同意并获得量表授权,对英文版THYCA-QoL量表进行翻译、回译及文化调试,形成中文版... 目的:汉化甲状腺癌特异性生命质量(yroid Cancer-specic Quality of Life,THYCA-QoL)量表,并对其进行信度和效度检验。方法:征得荷兰蒂尔堡大学HUSSON教授同意并获得量表授权,对英文版THYCA-QoL量表进行翻译、回译及文化调试,形成中文版THYCAQoL量表。采用中文版欧洲癌症研究与治疗组织生命质量核心量表C30(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30,EORTC QLQ-C30)和THYCA-QoL量表对成都市3所三甲医院(四川省肿瘤医院、四川省人民医院和中国人民解放军西部战区总医院)336例甲状腺癌患者进行调查。其中106例患者于第一次测评后2~3 d,再次予以重测。采用Cronbach’sα系数评价量表的内部一致信度,采用重测相关系数r评价量表的重测信度。采用探索性因子分析评价量表的结构效度,采用条目-领域相关性分析评价量表的集合效度与区分效度。结果:中文版THYCA-QoL量表除神经肌肉领域(Cronbach’sα系数为0.671)和感官领域(Cronbach’sα系数为0.530)外,其他领域的Cronbach’sα系数均> 0.700。量表所有领域的重测相关系数均> 0.800。经探索性因子分析共提取6个主成分,累计方差贡献率为59.79%。量表所有条目与本领域的相关系数均大于与其他领域的相关系数。结论:中文版THYCA-QoL量表具有较好的信度和效度,可作为中国甲状腺癌患者生命质量的测评工具。 展开更多
关键词 甲状腺肿瘤 患者健康问卷 结果可重复性 THYCA-QoL量表
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肉风味前体物质与风味品质的关系研究进展 被引量:33
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作者 李敬 杨媛媛 +3 位作者 赵青余 汤超华 秦玉昌 张军民 《中国畜牧杂志》 CAS 北大核心 2019年第11期1-7,共7页
风味是重要的食用品质指标,良好的风味可引起人的食欲。肉的风味是烹调过程中风味前体物质、中间反应产物和降解产物经一系列复杂的化学反应形成的。肉风味前体物质是指鲜肉中对肉的香气形成起重要作用的非挥发性成分,主要包括水溶性风... 风味是重要的食用品质指标,良好的风味可引起人的食欲。肉的风味是烹调过程中风味前体物质、中间反应产物和降解产物经一系列复杂的化学反应形成的。肉风味前体物质是指鲜肉中对肉的香气形成起重要作用的非挥发性成分,主要包括水溶性风味前体物质和脂质。本文综述了主要的肉风味前体物质及其与风味品质的关系,为阐释风味品质形成差异的机理提供理论基础。 展开更多
关键词 风味 肉风味前体物质 挥发性风味化合物
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Marsdenia tenacissima extract induces G_0/G_1 cell cycle arrest in human esophageal carcinoma cells by inhibiting mitogen-activated protein kinase(MAPK) signaling pathway 被引量:33
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作者 FAN Wei SUN Li +6 位作者 ZHOU jing-Qian ZHANG Cang qin Song TANG Ying LIU Yang LIN Sen-Sen YUAN Sheng-Tao 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2015年第6期428-437,共10页
Marsdenia tenacissima extract(MTE, trade name: Xiao-Ai-Ping injection) is an extract of a single Chinese plant medicine. It has been used for the treatment of cancer in China for decades, especially for esophageal can... Marsdenia tenacissima extract(MTE, trade name: Xiao-Ai-Ping injection) is an extract of a single Chinese plant medicine. It has been used for the treatment of cancer in China for decades, especially for esophageal cancer and other cancers in the digestive tract. In the present study, the potential mechanism for MTE's activity in esophageal cancer was explored. The effects of MTE on the proliferation of human esophageal cancer cells(KYSE150 and Eca-109) were investigated by the MTT assay, the Brd U(bromodeoxyuridine) incorporation immunofluorescence assay, and flow cytometric analysis. MTE inhibited cell proliferation through inducing G0/G1 cell cycle arrest in KYSE150 and Eca-109. Western blot analysis was employed to determine protein levels in the MTE treated cells. Compared with the control cells, the expression levels of the cell cycle regulatory proteins cyclin D1/D2/D3, cyclin E1, CDK2/4/6(CDK: cyclin dependent kinase), and p-Rb were decreased significantly in the cells treated with MTE at 40 mg·m L-1. In addition, MTE had an inhibitory effect on the MAPK(mitogen-activated protein kinase) signal transduction pathway, including ERK(extracellular signal-regulated kinase), JNK(c-Jun N-terminal kinase), and p38 MAPK. Moreover, MTE showed little additional effects on the regulation of cyclin D1/D3, CDK4/6, and p-Rb when the ERK pathway was already inhibited by the specific ERK inhibitor U0126. In conclusion, these data suggest that MTE inhibits human esophageal cancer cell proliferation through regulation of cell cycle regulatory proteins and the MAPK signaling pathways, which is probably mediated by the inhibition of ERK activation. 展开更多
关键词 Marsdenia tenacissima extract Cell cycle arrest Mitogen-activated protein kinase signaling pathway Human esophageal cancer
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Intergrin gene expression profiles of human hepatocellular carcinoma 被引量:29
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作者 Lian-Xin Liu Hong-Chi Jiang Wei-Hui Zhang An-Long Zhu Department of Surgery,the First Clinical College,Harbin Medical University,Harbin 150001,Heilongjiang Province,China Lian-Xin Liu Zhi-Hua Liu jing Zhou Xiu-qin Wang Min Wu National Laboratory of Molecular Oncology,Department of Cell Biology,Cancer Institute,Chinese Academy of Medical Science & Peking Union Medical College,Beijing 100021,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2002年第4期631-637,共7页
AIM: To investigate gene expression profiles of intergringenes in hepatocellular carcinoma (HCC) through theusage of Atlas Human Cancer Array membranes, semi-quantitative reverse transcription polymerase chainreaction... AIM: To investigate gene expression profiles of intergringenes in hepatocellular carcinoma (HCC) through theusage of Atlas Human Cancer Array membranes, semi-quantitative reverse transcription polymerase chainreaction (RT-PCR) and Northern blot.METHODS: Hybridization of cDNA array membrane wasperformed with α 32P-labeled cDNA probes synthesizedfrom RNA isolated from hepatocellular carcinoma andadjacent non-cirrhotic liver. AtlasImage, which is asoftware specific to array, was used to analyze theresult. RT-PCR of 24 pairs specimen and Northern blotof 4 pairs specimen were used to confirm the expressionpattern of some intergrin genes identified by Atlasarrays hybridization.RESULTS: Among 588 genes spotted in membrane, 17genes were related to intergrin. Four genes were up-regulated, such as intergrin alpha8, beta1, beta7 andbeta8 in HCC. Whereas there were no genes down-regulated in HCC. RT-PCR and Northern blot analysisof intergrin beta1 gene gave results consistent withcDNA array findings.CONCLUSION: Investigation of these intergrin genesshould help to disclose the molecular mechanism of thecell adhesion, invasive and metastasis of HCC. A fewgenes are reported to have changed in HCC for the firsttime. The quick and high-throughout method of profilinggene expression by cDNA array provides us overviewof key factors that may involved in HCC, and may findthe clue of the study of HCC metastasis and moleculartargets of anti-metastasis therapy. The preciserelationship between the altered genes and HCC is amatter of further investigation. 展开更多
关键词 肝癌 整合素 基因表达 RT-PCR 作用机制
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Age-related rhesus macaque models of COVID-19 被引量:32
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作者 Pin Yu Feifei Qi +33 位作者 Yanfeng Xu Fengdi Li Peipei Liu Jiayi Liu Linlin Bao Wei Deng Hong Gao Zhiguang Xiang Chong Xiao Qi Lv Shuran Gong Jiangning Liu Zhiqi Song Yajin Qu jing Xue Qiang Wei Mingya Liu Guanpeng Wang Shunyi Wang Haisheng Yu Xing Liu Baoying Huang Wenling Wang Li Zhao Huijuan Wang Fei Ye Weimin Zhou Wei Zhen Jun Han Guizhen Wu Qi Jin Jianwei Wang Wenjie Tan Chuan qin 《Animal Models and Experimental Medicine》 CSCD 2020年第1期93-97,共5页
Background:Since December 2019,an outbreak of the Corona Virus disease 2019(COVID-19)caused by severe acute respiratory syndrome coronavirus(SARS-CoV-2)in Wuhan,China,has become a public health emergency of internatio... Background:Since December 2019,an outbreak of the Corona Virus disease 2019(COVID-19)caused by severe acute respiratory syndrome coronavirus(SARS-CoV-2)in Wuhan,China,has become a public health emergency of international concern.The high fatality of aged cases caused by SARS-CoV-2 was a need to explore the possible age-related phenomena with non-human primate models.Methods:Three 3-5 years old and two 15 years old rhesus macaques were intratracheally infected with SARS-CoV-2,and then analyzed by clinical signs,viral replication,chest X-ray,histopathological changes and immune response.Results:Viral replication of nasopharyngeal swabs,anal swabs and lung in old monkeys was more active than that in young monkeys for 14 days after SARS-CoV-2 challenge.Monkeys developed typical interstitial pneumonia characterized by thickened alveolar septum accompanied with inflammation and edema,notably,old monkeys exhibited diffuse severe interstitial pneumonia.Viral antigens were detected mainly in alveolar epithelial cells and macrophages.Conclusion:SARS-CoV-2 caused more severe interstitial pneumonia in old monkeys than that in young monkeys.Rhesus macaque models infected with SARS-CoV-2 provided insight into the pathogenic mechanism and facilitated the development of vaccines and therapeutics against SARS-CoV-2 infection. 展开更多
关键词 PATHOGENICITY PNEUMONIA RHESUS MACAQUE model SARS-CoV-2
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细辛的化学成分、药理及毒理研究进展 被引量:28
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作者 刘美婷 王连嵋 +3 位作者 孟晶 郑宝鑫 秦莎莎 梁爱华 《中国实验方剂学杂志》 CAS CSCD 北大核心 2023年第10期224-234,共11页
细辛是我国的一味传统中药,已有2000多年的用药历史,历代本草多有收录,具有解表散寒、祛风止痛、通窍、温肺化饮的功效,至今仍在临床上广泛用于治疗感冒、新型冠状病毒肺炎、哮喘、过敏性鼻炎、目痛、头痛、牙痛、口腔溃疡、湿疹等病证... 细辛是我国的一味传统中药,已有2000多年的用药历史,历代本草多有收录,具有解表散寒、祛风止痛、通窍、温肺化饮的功效,至今仍在临床上广泛用于治疗感冒、新型冠状病毒肺炎、哮喘、过敏性鼻炎、目痛、头痛、牙痛、口腔溃疡、湿疹等病证。现代药理研究显示细辛具有解热、抗炎、止痛、抗菌、抗病毒、止咳平喘、抗过敏等多种作用。细辛具有多种化学成分,其中挥发油,既与散寒解热、止痛抗炎、抗过敏等功效相关,也是其毒性成分。细辛中还含有木脂素类、黄酮类、酰胺类、生物碱、菲类等非挥发油类成分在调节免疫、抗炎止痛、强心扩血管等方面发挥重要作用。其中的菲类化合物主要为马兜铃酸类物质,如马兜铃酸Ⅳa和马兜铃内酰胺Ⅰ,马兜铃酸Ⅳa具有显著抗炎作用。细辛的毒性和黄樟醚和马兜铃酸类成分有关,还受制备方法、剂量、产地、采集时间、药用部位、煎煮时间等多种因素影响,临床应用时应综合考虑。笔者通过检索国内外相关文献,针对细辛的化学成分-药理作用-毒理作用相关性,马兜铃酸、黄樟醚等成分的安全性研究进行了综述,旨在探究细辛的化学成分、药理毒理作用,提供客观认识细辛安全性的新视角,为细辛的临床合理用药、产品风险防控、药品科学监管等提供参考。 展开更多
关键词 细辛 马兜铃酸 化学成分 挥发油 毒理学研究 药理作用
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基于SolVES模型的关中-天水经济区生态系统文化服务评估 被引量:31
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作者 赵琪琪 李晶 +2 位作者 刘婧雅 秦克玉 田涛 《生态学报》 CAS CSCD 北大核心 2018年第10期3673-3681,共9页
随着人类对于生态系统服务的需求持续增加,生态系统服务的评估逐渐成为研究热点。其中文化服务因其自身的无形性常在研究中被忽视且难以衡量。选取关中-天水经济区为研究区域,应用Sol VES模型并生成5种价值指数地图和价值总和地图来评... 随着人类对于生态系统服务的需求持续增加,生态系统服务的评估逐渐成为研究热点。其中文化服务因其自身的无形性常在研究中被忽视且难以衡量。选取关中-天水经济区为研究区域,应用Sol VES模型并生成5种价值指数地图和价值总和地图来评估该区域生态系统的文化服务。结果表明:审美价值在秦岭山脉和城市公园等区域较高;娱乐价值在娱乐机会较多、交通便利的城市和秦岭北麓区域更高;文化与历史价值集中在历史文化底蕴深厚的城市地区;精神价值在与城市距离较近、有山川分布的森林公园更高。Sol VES模型在大范围区域的应用取得了较好的效果同时为政府进行生态建设和规划提供了科学依据。 展开更多
关键词 SolVES模型 生态系统服务 文化服务 关中-天水经济区 空间分析
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