Several clinical trials have demonstrated the potent antiviral efficacy of entecavir (ETV), and this relatively new nucleoside analogue drug has rapidly become a frequently prescribed therapy for chronic hepatitis B (...Several clinical trials have demonstrated the potent antiviral efficacy of entecavir (ETV), and this relatively new nucleoside analogue drug has rapidly become a frequently prescribed therapy for chronic hepatitis B (CHB) worldwide. While the studies have also shown a good overall safety profile for ETV, adverse drug reactions (ADRs) in patients with advanced cirrhosis have been reported and represent a broad spectrum of drug-induced injuries, including lactic acidosis, myalgia, neuropathy, azotemia, hypophosphatemia, muscular weakness, and pancreatitis, as well as immune-mediated responses (i.e., allergic reactions). Cutaneous ADRs associated with ETV are very rare, with only two case reports in the publicly available literature; both of these cases were classified as unspecified hypersensitivity allergic (type I) ADR, but neither were reported as pathologically proven or as evaluated by cytokine release analysis. Here, we report the case of a 45-year-old woman who presented with a generalized maculopapular rash after one week of ETV treatment for lamivudine-resistant CHB. The patient reported having experienced a similar skin eruption during a previous three-month regimen of ETV, for which she had self-discontinued the medication. Histopathological analysis of a skin biopsy showed acanthotic epidermis with focal parakeratosis and a perivascular lymphocytic infiltrate admixed with interstitial eosinophils in the papillary and reticular dermis, consistent with a diagnosis of drug sensitivity. A lymphocyte stimulation test showed significantly enhanced IL-4, indicating a classification of type IVb delayed hypersensitivity. The patient was switched to an adefovir-lamivudine combination regimen and the skin eruption resolved two weeks after the ETV withdrawal. This case represents the first pathologically and immunologically evidenced ETV-induced delayed type hypersensitivity skin reaction reported to date. Physicians should be aware of the potential, although rare, for cutaneous ADRs associated with ETV treatment.展开更多
With a rising energy demand and anabatic environmental crisis arising from the fast growth in human population and society economics,numerous efforts have been devoted to explore and design plentiful multifunctional m...With a rising energy demand and anabatic environmental crisis arising from the fast growth in human population and society economics,numerous efforts have been devoted to explore and design plentiful multifunctional materials for meeting highefficiency energy transfer processes,which happen in various developed energy conversion and storage systems.As a special kind of multi-metal oxides,perovskite with attractive physical and chemical properties,is becoming a rapidly rising star on the horizon of high-performance catalytic materials with substantial research behaviors worldwide.The porous nanostructure in targeted catalysts is favorable to the catalytic activity and thus improves the overall efficiency of these energy-related installations.In this review paper,recent advances made in the porous perovskite nanostructures for catalyzing several anodic or cathodic reactions in fuel cells and metal-air batteries are comprehensively summarized.Plenty of general preparation methods employed to attain porous perovskite-type oxides are provided,followed by a further discussion about the influence of various strategies on structures and catalytic properties of the porous perovskites.Furthermore,deep insights gathered in the future development of porous perovskite-based materials for energy conversion and storage technologies are also provided.展开更多
中国2型糖尿病患者恶性肿瘤发生风险的流行病学研究[Risk Evaluation of cAncersin Chinese diabeTic Individuals：AIONgitudinal（REACTION）Study]是在40岁以上中国社区人群中开展的一项前瞻性队列研究。通过对糖尿病相关代谢指标、...中国2型糖尿病患者恶性肿瘤发生风险的流行病学研究[Risk Evaluation of cAncersin Chinese diabeTic Individuals：AIONgitudinal（REACTION）Study]是在40岁以上中国社区人群中开展的一项前瞻性队列研究。通过对糖尿病相关代谢指标、并发症、心血管事件发生及肿瘤发生情况进行调查，从而探究糖尿病与恶性肿瘤发生相关性，提出了对中国不同地区人群代谢状况的评估及诊断切点，分析糖尿病患者及糖耐量异常人群胰岛素抵抗与$细胞功能的相关性，同时也揭示糖代谢异常人群骨质疏松、肾脏损伤、甲状腺结节等疾病的流行现状及相关危险因素。该大型队列研究为肥胖、糖尿病等代谢性疾病的高危因素、发病机制、早期诊断、并发症管理等诸多重要问题的研究提供了一个资源丰富的探索平台。展开更多
The study of atomically dispersed metal-nitrogen electrocatalysts is still limited in terms of understanding their catalytic mechanism because of the inability to precisely regulate the coordination number and type of...The study of atomically dispersed metal-nitrogen electrocatalysts is still limited in terms of understanding their catalytic mechanism because of the inability to precisely regulate the coordination number and type of N in combination with the metal elements.Inspired by the high catalytic activity and selectivity of natural enzymes,herein,we have designed and fabricated ultrathin carbon nanosheet-supported Mn single-atom catalysts(SACs)with a precise pyrrole-type Mn-N4(PT-MnN4)configuration using a bio-mimicking strategy.The PT-MnN4 SACs display outstanding oxygen reduction reaction(ORR)activity,with a half-wave potential(E_(1/2))of 0.88 V(vs.revisible hydrogen electrode[RHE])and extremely high stability in alkaline media.Moreover,superior ORR activities are also obtained,E_(1/2) of 0.73 V and 0.63 V in acid and neutral electrolytes,respectively,indicating the efficient pH-universal ORR performances.The assembled zinc-air battery using the PT-MnN4 SACs as air cathodes exhibits a high peak power density(175 mW cm^(−2))and long-term stability up to 150 h,implying its promising application in metal-air batteries.This study has paved the way toward the rational design and precise regulation of single-atom electrocatalysts.展开更多
基金Supported by grant from the Chungbuk National University Hospital(2013)
文摘Several clinical trials have demonstrated the potent antiviral efficacy of entecavir (ETV), and this relatively new nucleoside analogue drug has rapidly become a frequently prescribed therapy for chronic hepatitis B (CHB) worldwide. While the studies have also shown a good overall safety profile for ETV, adverse drug reactions (ADRs) in patients with advanced cirrhosis have been reported and represent a broad spectrum of drug-induced injuries, including lactic acidosis, myalgia, neuropathy, azotemia, hypophosphatemia, muscular weakness, and pancreatitis, as well as immune-mediated responses (i.e., allergic reactions). Cutaneous ADRs associated with ETV are very rare, with only two case reports in the publicly available literature; both of these cases were classified as unspecified hypersensitivity allergic (type I) ADR, but neither were reported as pathologically proven or as evaluated by cytokine release analysis. Here, we report the case of a 45-year-old woman who presented with a generalized maculopapular rash after one week of ETV treatment for lamivudine-resistant CHB. The patient reported having experienced a similar skin eruption during a previous three-month regimen of ETV, for which she had self-discontinued the medication. Histopathological analysis of a skin biopsy showed acanthotic epidermis with focal parakeratosis and a perivascular lymphocytic infiltrate admixed with interstitial eosinophils in the papillary and reticular dermis, consistent with a diagnosis of drug sensitivity. A lymphocyte stimulation test showed significantly enhanced IL-4, indicating a classification of type IVb delayed hypersensitivity. The patient was switched to an adefovir-lamivudine combination regimen and the skin eruption resolved two weeks after the ETV withdrawal. This case represents the first pathologically and immunologically evidenced ETV-induced delayed type hypersensitivity skin reaction reported to date. Physicians should be aware of the potential, although rare, for cutaneous ADRs associated with ETV treatment.
基金the funding support(Project Number.PolyU 152214/17E)from Research Grant Council,University Grants Committee,Hong Kong SARthe financial support from National Nature Science Foundation of China under contract No.21878158the National Key Research and Development Program of China under contract No.2018YFB0905402
文摘With a rising energy demand and anabatic environmental crisis arising from the fast growth in human population and society economics,numerous efforts have been devoted to explore and design plentiful multifunctional materials for meeting highefficiency energy transfer processes,which happen in various developed energy conversion and storage systems.As a special kind of multi-metal oxides,perovskite with attractive physical and chemical properties,is becoming a rapidly rising star on the horizon of high-performance catalytic materials with substantial research behaviors worldwide.The porous nanostructure in targeted catalysts is favorable to the catalytic activity and thus improves the overall efficiency of these energy-related installations.In this review paper,recent advances made in the porous perovskite nanostructures for catalyzing several anodic or cathodic reactions in fuel cells and metal-air batteries are comprehensively summarized.Plenty of general preparation methods employed to attain porous perovskite-type oxides are provided,followed by a further discussion about the influence of various strategies on structures and catalytic properties of the porous perovskites.Furthermore,deep insights gathered in the future development of porous perovskite-based materials for energy conversion and storage technologies are also provided.
文摘中国2型糖尿病患者恶性肿瘤发生风险的流行病学研究[Risk Evaluation of cAncersin Chinese diabeTic Individuals：AIONgitudinal（REACTION）Study]是在40岁以上中国社区人群中开展的一项前瞻性队列研究。通过对糖尿病相关代谢指标、并发症、心血管事件发生及肿瘤发生情况进行调查，从而探究糖尿病与恶性肿瘤发生相关性，提出了对中国不同地区人群代谢状况的评估及诊断切点，分析糖尿病患者及糖耐量异常人群胰岛素抵抗与$细胞功能的相关性，同时也揭示糖代谢异常人群骨质疏松、肾脏损伤、甲状腺结节等疾病的流行现状及相关危险因素。该大型队列研究为肥胖、糖尿病等代谢性疾病的高危因素、发病机制、早期诊断、并发症管理等诸多重要问题的研究提供了一个资源丰富的探索平台。
基金support from the Independent Designing Scientific Research Project of Zhejiang Normal University(2020ZS03)the Zhejiang Provincial Ten Thousand Talent Program(2017R52043)+1 种基金support from the Zhejiang Province Basic Public Welfare Research Project(LGF19B070006)supported by the National Natural Science Foundation of China(No.21775138).
文摘The study of atomically dispersed metal-nitrogen electrocatalysts is still limited in terms of understanding their catalytic mechanism because of the inability to precisely regulate the coordination number and type of N in combination with the metal elements.Inspired by the high catalytic activity and selectivity of natural enzymes,herein,we have designed and fabricated ultrathin carbon nanosheet-supported Mn single-atom catalysts(SACs)with a precise pyrrole-type Mn-N4(PT-MnN4)configuration using a bio-mimicking strategy.The PT-MnN4 SACs display outstanding oxygen reduction reaction(ORR)activity,with a half-wave potential(E_(1/2))of 0.88 V(vs.revisible hydrogen electrode[RHE])and extremely high stability in alkaline media.Moreover,superior ORR activities are also obtained,E_(1/2) of 0.73 V and 0.63 V in acid and neutral electrolytes,respectively,indicating the efficient pH-universal ORR performances.The assembled zinc-air battery using the PT-MnN4 SACs as air cathodes exhibits a high peak power density(175 mW cm^(−2))and long-term stability up to 150 h,implying its promising application in metal-air batteries.This study has paved the way toward the rational design and precise regulation of single-atom electrocatalysts.
