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新冠肺炎疫情期间严重创伤紧急手术及感染防护专家共识 被引量:75
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作者 李阳 李占飞 +15 位作者 毛庆祥 刘丁 张乐天 杨帆 解雨 周思儒 张画羽 艾山木 唐昊 钟秋 郭庆山 王耀丽 张伟国 陈力勇 白祥军 张连阳 《中华创伤杂志》 CAS CSCD 北大核心 2020年第2期97-103,共7页
2019年12月以来,湖北省武汉市发生新型冠状病毒肺炎(novel coronavirus pneumonia,NCP)疫情,由人体中前所未见的2019新型冠状病毒(2019 novel coronavirus,2019-nCoV)所致。中国采取了史上最严格的隔离和封闭管理措施管控疫情,但NCP患... 2019年12月以来,湖北省武汉市发生新型冠状病毒肺炎(novel coronavirus pneumonia,NCP)疫情,由人体中前所未见的2019新型冠状病毒(2019 novel coronavirus,2019-nCoV)所致。中国采取了史上最严格的隔离和封闭管理措施管控疫情,但NCP患者仍可能发生严重创伤。为了规范隐形感染、疑似感染或确诊NCP患者发生严重创伤后紧急手术及防护问题,由中国医师协会创伤外科医师分会组织牵头制订本专家共识。本共识阐述了NCP患者分类、需紧急手术的严重创伤患者和紧急手术类型,提出了医护人员的分级防护和救治场所区分,系统规范了NCP疫情流行期间患者的接诊筛查与伤情评估、紧急手术救治策略和术后管理策略,为临床救治此类创伤患者提供依据。 展开更多
关键词 冠状病毒感染 肺炎 创伤和损伤 外科手术 感染防护
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Medicinal chemistry strategies towards the development of non-covalent SARS-CoV-2 Mpro inhibitors
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作者 letian Song Shenghua Gao +9 位作者 Bing Ye Mianling Yang Yusen Cheng Dongwei Kang fan Yi Jin-Peng Sun Luis Menéndez-Arias Johan Neyts Xinyong Liu Peng Zhan 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2024年第1期87-109,共23页
The main protease(M^(pro))of SARS-CoV-2 is an attractive target in anti-COVID-19 therapy for its high conservation and major role in the virus life cycle.The covalent M^(pro)inhibitor nirmatrelvir(in combination with ... The main protease(M^(pro))of SARS-CoV-2 is an attractive target in anti-COVID-19 therapy for its high conservation and major role in the virus life cycle.The covalent M^(pro)inhibitor nirmatrelvir(in combination with ritonavir,a pharmacokinetic enhancer)and the non-covalent inhibitor ensitrelvir have shown efficacy in clinical trials and have been approved for therapeutic use.Effective antiviral drugs are needed to fight the pandemic,while non-covalent M^(pro)inhibitors could be promising alternatives due to their high selectivity and favorable druggability.Numerous non-covalent M^(pro)inhibitors with desirable properties have been developed based on available crystal structures of M^(pro).In this article,we describe medicinal chemistry strategies applied for the discovery and optimization of non-covalent M^(pro)inhibitors,followed by a general overview and critical analysis of the available information.Prospective viewpoints and insights into current strategies for the development of non-covalent M^(pro)inhibitors are also discussed. 展开更多
关键词 COVID-19 SARS-CoV-2 Main protease Non-covalent inhibitors Medicinal chemistry strategies
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FFAR4 improves the senescence of tubular epithelial cells by AMPK/SirT3 signaling in acute kidney injury 被引量:4
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作者 letian Yang Bo Wang +7 位作者 fan Guo Rongshuang Huang Yan Liang Lingzhi Li Sibei Tao Ting Yin Ping Fu Liang Ma 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2022年第12期4435-4449,共15页
Acute kidney injury(AKI)is a serious clinical complication with high morbidity and mortality rates.Despite substantial progress in understanding the mechanism of AKI,no effective therapy is available for treatment or ... Acute kidney injury(AKI)is a serious clinical complication with high morbidity and mortality rates.Despite substantial progress in understanding the mechanism of AKI,no effective therapy is available for treatment or prevention.We previously found that G protein-coupled receptor(GPCR)family member free fatty acid receptor 4(FFAR4)agonist TUG891 alleviated kidney dysfunction and tubular injury in AKI mice.However,the versatile role of FFAR4 in kidney has not been well characterized.In the study,the expression of FFAR4 was abnormally decreased in tubular epithelial cells(TECs)of cisplatin,cecal ligation/perforation and ischemia/reperfusion injury-induced AKI mice,respectively.Systemic and conditional TEC-specific knockout of FFAR4 aggravated renal function and pathological damage,whereas FFAR4 activation by TUG-891 alleviated the severity of disease in cisplatin-induced AKI mice.Notably,FFAR4,as a key determinant,was firstly explored to regulate cellular senescence both in injured kidneys of AKI mice and TECs,which was indicated by senescence-associatedβ-galactosidase(SA-β-gal)activity,marker protein p53,p21,Lamin B1,phospho-histone H2A.X,phospho-Rb expression,and secretory phenotype IL-6 level.Mechanistically,pharmacological activation and overexpression of FFAR4 reversed the decrease of aging-related SirT3 protein,where FFAR4 regulated SirT3 expression to exhibit anti-senescent effect via Gq subunit-mediated CaMKKβ/AMPK signaling in cisplatin-induced mice and TECs.These findings highlight the original role of tubular FFAR4 in cellular senescence via AMPK/SirT3 signaling and identify FFAR4 as a potential drug target against AKI. 展开更多
关键词 KIDNEY INJURY Acute
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Mechanisms and applications of antitumor immunotherapy of responsive drug-loaded nanoparticles in breast cancer
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作者 letian JIN HETING CHEN +5 位作者 QI RUAN RUI LIU YIFENG fan XIUfanG XU DAJIANG WANG JIAHUI LU 《BIOCELL》 SCIE 2023年第7期1483-1498,共16页
During the chemotherapy of tumors,the cytotoxic effect of drugs is vital to kill tumor cells,and the delivery of a chemotherapeutic agent is of great importance for optimal therapeutic effects.The high in vivo clearan... During the chemotherapy of tumors,the cytotoxic effect of drugs is vital to kill tumor cells,and the delivery of a chemotherapeutic agent is of great importance for optimal therapeutic effects.The high in vivo clearance rate and low delivery efficiency of conventional chemotherapeutic agents affect the therapeutic effect.In recent years,the responsive drug delivery nanosystem has received increasing concern owing to its excellent biocompatibility,stable delivery performance,and controlled drug release strategies.To lucidly explain the cytocidal and immunotherapeutic effects of such responsive nanosystems in breast cancer,this review discusses the various stimuli and responses of drug-loaded liposomal nanosystems.The light/magnetic response of drug-loaded bionic membranes nanosystems and the heat/magnetic response of drug-loaded iron oxide nanosystems are also elaborated.Their cancer cell-killing efficacy and antitumor immunotherapeutic effects are also scrutinized. 展开更多
关键词 Responsive nanoparticles Antitumor immunotherapy Breast cancer
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Smart Design and Manufacturing the Welded Q350 Steel Frames via Lifecycle Management Strategy of Digital Twin
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作者 letian fan Xinchao Wang +11 位作者 Yongsheng Chen Li Wang Shumi Liu Yuanfei Wang Xinwei Li Kun Du Jia Zhang Xingyu Gao Feng Sun Haifeng Song William Yi Wang Jinshan Li 《Journal of Beijing Institute of Technology》 EI CAS 2023年第4期385-395,共11页
Artificial intelligent aided design and manufacturing have been recognized as one kind of robust data-driven and data-intensive technologies in the integrated computational material engi-neering(ICME)era.Motivated by ... Artificial intelligent aided design and manufacturing have been recognized as one kind of robust data-driven and data-intensive technologies in the integrated computational material engi-neering(ICME)era.Motivated by the dramatical developments of the services of China Railway High-speed series for more than a decade,it is essential to reveal the foundations of lifecycle man-agement of those trains under environmental conditions.Here,the smart design and manufacturing of welded Q350 steel frames of CR200J series are introduced,presenting the capability and opportu-nity of ICME in weight reduction and lifecycle management at a cost-effective approach.In order to address the required fatigue life time enduring more than 9×10^(6)km,the response of optimized frames to the static and the dynamic loads are comprehensively investigated.It is highlighted that the maximum residual stress of the optimized welded frame is reduced to 69 MPa from 477 MPa of previous existing one.Based on the measured stress and acceleration from the railways,the fatigue life of modified frame under various loading modes could fulfil the requirements of the lifecycle man-agement.Moreover,our recent developed intelligent quality control strategy of welding process mediated by machine learning is also introduced,envisioning its application in the intelligent weld-ing. 展开更多
关键词 FATIGUE intelligent manufacturing integrated computational materials engineering(ICME) digital twin machine learning
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影响肝移植术后早期二次气管插管生存率的危险因素分析 被引量:3
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作者 窦古枫 王乐天 +7 位作者 王颖 朱雄伟 李自强 范铁艳 肖桦 王维伟 邹卫龙 牛玉坚 《实用器官移植电子杂志》 2019年第1期48-52,共5页
目的探讨影响肝移植术后早期二次气管插管生存率的危险因素,为提高患者生存率提供实践经验和理论依据。方法回顾性分析2005年1月—2012年12月在武警总医院实施原位肝移植治疗并于术后早期接受二次气管插管患者的病例资料,统计术后3个月... 目的探讨影响肝移植术后早期二次气管插管生存率的危险因素,为提高患者生存率提供实践经验和理论依据。方法回顾性分析2005年1月—2012年12月在武警总医院实施原位肝移植治疗并于术后早期接受二次气管插管患者的病例资料,统计术后3个月内患者生存情况,按照术后3个月时的生存情况分为生存组和死亡组。比较两组患者术前、术中及供肝等重要参数情况,将生存率作为因变量,对纳入的变量先后进行单因素和多因素回归分析,筛选出对生存率有显著影响的自变量。结果本组55例二次插管患者术后3个月时生存率为30.9%(17/55)。死亡组术前终末期肝病模型(model for end stage liver disease,MELD)评分(U=52.00,P <0.001)、国际标准化比值(U=167.50,P <0.001)、血清总胆红素值(U=191.00,P=0.016)、肺部感染合并症发生率(χ~2=5.30,P=0.001)及腹水合并症发生率(χ~2=5.33, P=0.001)均显著高于生存组。年龄、术前血肌酐水平、门静脉血栓发生率、胸水发生率、肝移植手术时长和无肝期时长、术中出血量和输血量、供肝热缺血时间和冷缺血时间等在两组间均无统计学差异。回归分析结果显示肺部感染合并症与MELD评分(OR=6.157,P=0.042;OR=1.312,P <0.001)是影响二次插管生存率的独立危险因素。结论对于肝移植受者,术前MELD评分及肺部感染合并症是影响术后早期二次气管插管生存率的独立危险因素。术前积极控制肺部感染并努力降低MELD评分有助于提高生存率。 展开更多
关键词 肝移植 二次气管插管 生存率 危险因素
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UiO-66/CoSO4复合材料对环境中盐酸左氧氟沙星的高效去除 被引量:5
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作者 朱桂芬 陈乐田 +5 位作者 程国浩 赵娟 杨灿 张耀宗 王醒 樊静 《化学学报》 SCIE CAS CSCD 北大核心 2019年第5期434-441,共8页
以UiO-66为前驱体制得UiO-66/CoSO4复合材料,借助扫描电子显微镜、透射电子显微镜、元素分析和比表面积分析等手段对复合材料的微观形貌和结构进行表征,采用吸附平衡实验,系统考察该复合材料的吸附性能.结果表明,在相同条件下UiO-66/Co... 以UiO-66为前驱体制得UiO-66/CoSO4复合材料,借助扫描电子显微镜、透射电子显微镜、元素分析和比表面积分析等手段对复合材料的微观形貌和结构进行表征,采用吸附平衡实验,系统考察该复合材料的吸附性能.结果表明,在相同条件下UiO-66/CoSO4复合材料比UiO-66对盐酸左氧氟沙星的去除率提高26.5%,且复合材料在30min对盐酸左氧氟沙星的吸附达到平衡,最大吸附容量为108.4mg·g^-1,其吸附特性符合假二级动力学模型.该UiO-66/CoSO4复合材料制备过程简单,对实际环境水样和土样中盐酸左氧氟沙星的去除率在94.7%以上,且经过5次再生循环使用后,吸附效率无明显下降. 展开更多
关键词 UiO-66/CoSO4 盐酸左氧氟沙星 环境样品 去除
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