目的了解英夫利昔单抗治疗银屑病患者的安全性及疗效。方法回顾北京大学第三医院近3年住院治疗的应用英夫利昔单抗的银屑病患者病历,对其一般情况、病史、诊断、银屑病皮损面积和严重度评分(psoriasis area and severity index,PASI)、...目的了解英夫利昔单抗治疗银屑病患者的安全性及疗效。方法回顾北京大学第三医院近3年住院治疗的应用英夫利昔单抗的银屑病患者病历,对其一般情况、病史、诊断、银屑病皮损面积和严重度评分(psoriasis area and severity index,PASI)、治疗反应进行总结。英夫利昔单抗给药方法为静脉输液,约5 mg/kg,分别在0、2、6、14周各给药1次,以后依病情予以调整,每8周或更长时间给药1次。结果共30例银屑病患者应用英夫利昔单抗治疗,包括斑块型银屑病25例(3例合并关节炎),红皮病型银屑病5例(2例合并关节炎)。男21例,女9例。基线PASI中位数20.7分(10.4分,27.7分)。23例患者完成了14周的治疗,PASI 90/75/50应答率分别为43.48%/69.57%/86.96%。19例患者完成了54周的随访,PASI 90/75/50应答率分别为31.58%/52.63%/78.95%。随访时间最长的患者为118周时共接受了10次治疗,可维持在PASI 90。所有患者药物使用时间中位数46周(6周,83周),住院次数中位数6次(3次,10次),住院时长中位数1 d(1 d,1 d),单次住院费用中位数16 000.40元(2 650.11元,21 749.13元)。不良事件8例(26.67%),其中1例既往有结核感染的患者出现了结核的活动。结论英夫利昔单抗治疗银屑病疗效确切,总体安全性尚可。展开更多
Background:Rheumatoid arthritis(RA),a chronic autoimmune disease,has a high incidence and disability rate,causing patients significant discomfort.Although several medicines can be effective,they are also associated wi...Background:Rheumatoid arthritis(RA),a chronic autoimmune disease,has a high incidence and disability rate,causing patients significant discomfort.Although several medicines can be effective,they are also associated with significant adverse effects.In contrast,fumigation as one of the most often used traditional Chinese medicine(TCM)external therapy has shown both efficacy and safety with less side effect.In light of this,we comple-ment western medicine treatment with TCM fumigation therapy to improve patients’clinical efficacy,alleviate symptoms,and improve prognosis.Objective:To investigate the therapeutic effect of TCM fumigation and modern medicine combined therapy in treating RA patients with cold-dampness Bi syndrome.Methods:A single-center,randomized,controlled study was designed.From January 2022 to December 2022,a total of 60 RA patients with cold-dampness Bi syndrome were enrolled in the study.The control group(30 cases)received conventional modern medicine treatment with methotrexate for 4 weeks,while the observation group(30 cases)for 4 weeks received a combination of TCM fumigation treatment and conventional modern medicine.The effects of the two groups were comprehensively compared,including the changes in TCM symptom scores and laboratory indicators,as well as the use of visual analogue scale(VAS)and health status rating scale(HAQ)before and after treatment.Results:The total effective rate of the observation group was 93.3%,which was significantly higher than that of the control group,which is 70%(P<0.05).Before treatment,there were no significant differences in joint functional activity,pain visual analogue scale(VAS),health assessment questionnaire(HAQ-DI)and laboratory indexes between the two groups(P>0.05).After treatment,each group compared to their initial condition,respectively,showed major improvement of joint functional activity and significantly decreased VAS,HAQ-DI,and RA-related biomarkers(P<0.05);inter-group comparison of these indicators showed significanty further enhanced effect of展开更多
Heat stress is a major constraint to current and future maize production at the global scale.Male and female reproductive organs both play major roles in increasing seed set under heat stress at flowering,but their re...Heat stress is a major constraint to current and future maize production at the global scale.Male and female reproductive organs both play major roles in increasing seed set under heat stress at flowering,but their relative contributions to seed set are unclear.In this study,a 2-year field experiment including three sowing dates in each year and 20 inbred lines was conducted.Seed set,kernel number per ear,and grain yield were all reduced by more than 80%in the third sowing dates compared to the first sowing dates.Pollen viability,silk emergence ratio,and anthesis-silking interval were the key determinants of seed set under heat stress;and their correlation coefficients were 0.89^(***),0.65^(***),and-0.72^(***),respectively.Vapor pressure deficit(VPD)and relative air humidity(RH)both had significant correlations with pollen viability and the silk emergence ratio.High RH can alleviate the impacts of heat on maize seed set by maintaining high pollen viability and a high silk emergence ratio.Under a warming climate from 2020 to 2050,VPD will decrease due to the increased RH.Based on their pollen viability and silk emergence ratios,the 20 genotypes fell into four different groups.The group with high pollen viability and a high silk emergence ratio performed better under heat stress,and their performance can be further improved by combining the improved flowering pattern traits.展开更多
The kinetic characteristics of alkenes involved in thermochemical sulfate reduction (TSR) have been never reported in geological literature. In this study, TSR by ethene under hydrothermal conditions was performed in ...The kinetic characteristics of alkenes involved in thermochemical sulfate reduction (TSR) have been never reported in geological literature. In this study, TSR by ethene under hydrothermal conditions was performed in the constrained simulation experiments. Typical TSR products consisted of H<sub>2</sub>S, CO<sub>2</sub>, mercaptans, sulfides, thiophenes derivatives and benzothiophene. The apparent activation energy <i>E</i> and apparent frequency factor <i>A</i> for TSR by ethene were determined as 76.370 kJ/mol and 4.579 s<sup>-1</sup>, respectively. The lower activation energy for ethene involved in TSR relative to ethane suggested that the reactivity of ethene is much higher than that of ethane, in accordance with the thermodynamic analysis. Rate constants were determined experimentally using first-order kinetics extrapolate to MgSO<sub>4</sub> half-lives of 67.329 years - 3.053 years in deep burial diagenetic settings (120°C - 180°C). These values demonstrate that the reaction rate for TSR by ethene is extraordinarily fast in high-temperature gas reservoirs (120°C - 180°C). Consequently, the newly formed ethene from thermal cracking and TSR alteration of natural gas and/or petroleum could not survive after TSR process and were rarely detected in natural TSR reservoirs.展开更多
Aged municipal solid wastes(MSW)excavated from landfills and dumpsites were characterized to analyze their fraction composition,moisture content,and lower heat value(LHV).The necessity and feasibility of recycling com...Aged municipal solid wastes(MSW)excavated from landfills and dumpsites were characterized to analyze their fraction composition,moisture content,and lower heat value(LHV).The necessity and feasibility of recycling combustibles from aged MSW to improve the incineration of fresh MSW were investigated.The results showed that combustibles in aged MSW were easily separated from other components and than LHV of the separated combustibles are higher than 11000 kJ/kg.The fresh MSW are of high moisture contents with average LHV below 6500 kJ/kg,making their stable combustion difficult to maintain in MSW incinerators.For both fresh MSW and aged MSW,plastics are the main contributor to their LHV.To improve incineration of fresh MSW that are characterized with low LHV,combustibles separated from aged MSW were made into refuse derived fuel(RDF)pellets and were then added to fresh MSW by 2%wt.–5%wt.LHV variation and air supply resistance change of the MSW layer on the incinerator grate caused by the addition of RDF was checked,and no significant changes were found.No obvious difference was observed for the‘burn-out time’between RDF pellets and fresh MSW either.RDF made from aged MSW combustibles is found to be a promising auxiliary fuel to improve the incineration of fresh MSW,and aged MSW from old landfill cells and dumpsites can be finally disposed of jointly with fresh MSW by recycling combustible from the former to be coincinerated with the latter in the incineration plants.展开更多
基金This tudy was supported and funded by Science and Technology Project of Jiangxi Provincial Administration of Traditional Chinese Medicine(2021B117).
文摘Background:Rheumatoid arthritis(RA),a chronic autoimmune disease,has a high incidence and disability rate,causing patients significant discomfort.Although several medicines can be effective,they are also associated with significant adverse effects.In contrast,fumigation as one of the most often used traditional Chinese medicine(TCM)external therapy has shown both efficacy and safety with less side effect.In light of this,we comple-ment western medicine treatment with TCM fumigation therapy to improve patients’clinical efficacy,alleviate symptoms,and improve prognosis.Objective:To investigate the therapeutic effect of TCM fumigation and modern medicine combined therapy in treating RA patients with cold-dampness Bi syndrome.Methods:A single-center,randomized,controlled study was designed.From January 2022 to December 2022,a total of 60 RA patients with cold-dampness Bi syndrome were enrolled in the study.The control group(30 cases)received conventional modern medicine treatment with methotrexate for 4 weeks,while the observation group(30 cases)for 4 weeks received a combination of TCM fumigation treatment and conventional modern medicine.The effects of the two groups were comprehensively compared,including the changes in TCM symptom scores and laboratory indicators,as well as the use of visual analogue scale(VAS)and health status rating scale(HAQ)before and after treatment.Results:The total effective rate of the observation group was 93.3%,which was significantly higher than that of the control group,which is 70%(P<0.05).Before treatment,there were no significant differences in joint functional activity,pain visual analogue scale(VAS),health assessment questionnaire(HAQ-DI)and laboratory indexes between the two groups(P>0.05).After treatment,each group compared to their initial condition,respectively,showed major improvement of joint functional activity and significantly decreased VAS,HAQ-DI,and RA-related biomarkers(P<0.05);inter-group comparison of these indicators showed significanty further enhanced effect of
基金supported by the Performance Incentive and Guidance Project for Scientific Research Institutions,China(cstc2022jxjl80028)the General Project of Chongqing Natural Science Foundation,China(cstc2021jcyj-msxmX0747)+2 种基金the Youth Innovation Team Project of Chongqing Academy of Agricultural Sciences,China(NKY-2018QC02)the Jiangjin Experimental Station of National Germplasm Resources Observation,China(NAES025GR05)the Chongqing Technical Innovation and Application Development Special Project,China(CSTB2022T1AD-KPX0008).
文摘Heat stress is a major constraint to current and future maize production at the global scale.Male and female reproductive organs both play major roles in increasing seed set under heat stress at flowering,but their relative contributions to seed set are unclear.In this study,a 2-year field experiment including three sowing dates in each year and 20 inbred lines was conducted.Seed set,kernel number per ear,and grain yield were all reduced by more than 80%in the third sowing dates compared to the first sowing dates.Pollen viability,silk emergence ratio,and anthesis-silking interval were the key determinants of seed set under heat stress;and their correlation coefficients were 0.89^(***),0.65^(***),and-0.72^(***),respectively.Vapor pressure deficit(VPD)and relative air humidity(RH)both had significant correlations with pollen viability and the silk emergence ratio.High RH can alleviate the impacts of heat on maize seed set by maintaining high pollen viability and a high silk emergence ratio.Under a warming climate from 2020 to 2050,VPD will decrease due to the increased RH.Based on their pollen viability and silk emergence ratios,the 20 genotypes fell into four different groups.The group with high pollen viability and a high silk emergence ratio performed better under heat stress,and their performance can be further improved by combining the improved flowering pattern traits.
文摘The kinetic characteristics of alkenes involved in thermochemical sulfate reduction (TSR) have been never reported in geological literature. In this study, TSR by ethene under hydrothermal conditions was performed in the constrained simulation experiments. Typical TSR products consisted of H<sub>2</sub>S, CO<sub>2</sub>, mercaptans, sulfides, thiophenes derivatives and benzothiophene. The apparent activation energy <i>E</i> and apparent frequency factor <i>A</i> for TSR by ethene were determined as 76.370 kJ/mol and 4.579 s<sup>-1</sup>, respectively. The lower activation energy for ethene involved in TSR relative to ethane suggested that the reactivity of ethene is much higher than that of ethane, in accordance with the thermodynamic analysis. Rate constants were determined experimentally using first-order kinetics extrapolate to MgSO<sub>4</sub> half-lives of 67.329 years - 3.053 years in deep burial diagenetic settings (120°C - 180°C). These values demonstrate that the reaction rate for TSR by ethene is extraordinarily fast in high-temperature gas reservoirs (120°C - 180°C). Consequently, the newly formed ethene from thermal cracking and TSR alteration of natural gas and/or petroleum could not survive after TSR process and were rarely detected in natural TSR reservoirs.
基金the Asian Regional Research Program on Environmental Technology“Sustainable Solid Waste Landfill Management in Asia”funded from Sweden International Development Agency(Sida)and key project in China National Sciences&Technology Pillar Program during the Eleventh Five Year Plan period(Grant No.2008BAC46B06).
文摘Aged municipal solid wastes(MSW)excavated from landfills and dumpsites were characterized to analyze their fraction composition,moisture content,and lower heat value(LHV).The necessity and feasibility of recycling combustibles from aged MSW to improve the incineration of fresh MSW were investigated.The results showed that combustibles in aged MSW were easily separated from other components and than LHV of the separated combustibles are higher than 11000 kJ/kg.The fresh MSW are of high moisture contents with average LHV below 6500 kJ/kg,making their stable combustion difficult to maintain in MSW incinerators.For both fresh MSW and aged MSW,plastics are the main contributor to their LHV.To improve incineration of fresh MSW that are characterized with low LHV,combustibles separated from aged MSW were made into refuse derived fuel(RDF)pellets and were then added to fresh MSW by 2%wt.–5%wt.LHV variation and air supply resistance change of the MSW layer on the incinerator grate caused by the addition of RDF was checked,and no significant changes were found.No obvious difference was observed for the‘burn-out time’between RDF pellets and fresh MSW either.RDF made from aged MSW combustibles is found to be a promising auxiliary fuel to improve the incineration of fresh MSW,and aged MSW from old landfill cells and dumpsites can be finally disposed of jointly with fresh MSW by recycling combustible from the former to be coincinerated with the latter in the incineration plants.
