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Perioperative extracorporeal membrane oxygenation in pediatric congenital heart disease:Chinese expert consensus

World Journal of Pediatrics 2023年第1期19卷 7-19页

作者： Ru Lin Wei Wang Xu Wang Zhuo-Ming Xu Jin-Ping Liu Cheng-Bin Zhou Xiao-Yang Hong Xu-Ming Mo shan-shan shi Li-Fen Ye Qiang Shu Department of Extracorporeal Life Support Heart InstituteNational Clinical Research Center for Child HealthChildren's HospitalZhejiang University School of MedicineHangzhouChina Department of Thoracic and Cardiovascular Surgery Shanghai Children's Medical CenterShanghai Jiao Tong University School of MedicineShanghaiChina Department of Pediatric Intensive Care Unit National Center for Cardiovascular Disease and Fuwai HospitalChinese Academy of Medical SciencesPeking Union Medical CollegeBeijingChina Department of Cardiopulmonary Bypass National Center for Cardiovascular Disease and Fuwai HospitalChinese Academy of Medical SciencesPeking Union Medical CollegeBeijingChina Department of Cardiovascular Surgery Guangdong Provincial Cardiovascular InstituteGuangdong Provincial People's HospitalGuangdong Academy of Medical SciencesGuangzhouChina Pediatric Intensive Care Unit Faculty of PediatricsChinese PLA General HospitalBeijingChina Department of Cardiothoracic Children's Hospital of Nanjing Medical UniversityNanjingChina Department of CICU Heart InstituteNational Clinical Research Center for Child HealthChildren's HospitalZhejiang University School of MedicineHangzhouChina Department of Cardiac Surgery National Clinical Research Center for Child HealthChildren's HospitalZhejiang University School of MedicineBinsheng Road 3333Hangzhou 310052China

Background Congenital heart disease(CHD)is one of the main supportive diseases of extracorporeal membrane oxygena-tion in children.The management of extracorporeal membrane oxygenation(ECMO)for pediatric CHD faces more severe challenges due to the complex anatomical structure of the heart,special pathophysiology,perioperative complications and various concomitant malformations.The survival rate of ECMO for CHD was significantly lower than other classifica-tions of diseases according to the Extracorporeal Life Support Organization database.This expert consensus aims to improve the survival rate and reduce the morbidity of this patient population by standardizing the clinical strategy.Methods The editing group of this consensus gathered 11 well-known experts in pediatric cardiac surgery and ECMO field in China to develop clinical recommendations formulated on the basis of existing evidences and expert opinions.Results The primary concern of ECMO management in the perioperative period of CHD are patient selection,cannulation strategy,pump flow/ventilator parameters/vasoactive drug dosage setting,anticoagulation management,residual lesion screening,fluid and wound management and weaning or transition strategy.Prevention and treatment of complications of bleeding,thromboembolism and brain injury are emphatically discussed here.Special conditions of ECMO management related to the cardiovascular anatomy,haemodynamics and the surgical procedures of common complex CHD should be considered.Conclusions The consensus could provide a reference for patient selection,management and risk identification of periop-erative ECMO in children with CHD.

关键词： Circulatory support Congenital heart disease Extracorporeal membrane oxygenation Pediatric Respiratory support

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Research progress of the electrochemical impedance technique applied to the high-capacity lithium-ion battery

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International Journal of Minerals,Metallurgy and Materials 2021年第4期28卷 538-552页

作者： Li-fan Wang Meng-meng Geng Xia-nan Ding Chen Fang Yu Zhang shan-shan shi Yong Zheng Kai Yang Chun Zhan Xin-dong Wang Department of Physical Chemistry School of Metallurgical and Ecological EngineeringUniversity of Science and Technology BeijingBeijing 100083China China Electric Power Research Institute Beijing 100192China Electric Power Research Institute State Grid Shanghai Municipal Electric Power CompanyShanghai 200437China

The world's energy system is changing dramatically.Li-ion battery,as a powerful and highly effective energy storage technique,is crucial to the new energy revolution for its continuously expanding application in electric vehicles and grids.Over the entire lifetime of these power batteries,it is essential to monitor their state of health not only for the predicted mileage and safety management of the running electric vehicles,but also for an"end-of-life"evaluation for their repurpose.Electrochemical impedance spectroscopy(EIS)has been widely used to diagnose the health state of batteries quickly and nondestructively.In this review,we have outlined the working principles of several electrochemical impedance techniques and further evaluated their application prospects to achieve the goal of nondestructive testing of battery health.EIS can scientifically and reasonably perform real-time monitoring and evaluation of electric vehicle power batteries in the future and play an important role in vehicle safety and battery gradient utilization.

关键词： electric vehicle Li-ion battery gradient utilization electrochemical impedance technology

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High shear stress-induced pulmonary hypertension alleviated by endothelial progenitor cells independent of autophagy

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World Journal of Pediatrics 2015年第2期11卷 171-176页

作者： Bi-Jun Xu Jian Chen Xi Chen Xi-Wang Liu Shu Fang Qiang Shu Lei Hu shan-shan shi Li-Zhong Du Lin-Hua Tan Department of Cardiothoracic Surgery Children's HospitalZhejiang University School of Medicine3333 Binsheng RoadHangzhou 310051China Department of Cardiothoracic Surgery Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016China The First Affiliated Hospital of Zhejiang Chinese Medical University Hangzhou 310006China Central Laboratory Children's HospitalZhejiang University School of MedicineHangzhou 310051China Department of SICU Children's HospitalZhejiang University School of MedicineHangzhou 310051China

Background:Pulmonary hypertension(PH)is a progressive disease characterized by lung endothelial cell dysfunction and Vascular remodeling.Endothelial progenitor cells(EPCs)have been proved to be a potential therapeutic strategy to treat PH.Autophagy has been found to be protective to hypoxia-induced PH.In this study,we applied high shear stress(HSS)-induced PH,and examined whether EPCs confer resistance against HSS-induced PH through autophagy.Methods:Pulmonary microvascular endothelial cells(PMVECs)were cultured under HSS with pro-inflammatory factors in an artificial capillary system to mimic the PH condition.Levels of p62,a selective autophagy substrate,were quantified by western blotting.Cell viability was determined by trypan blue exclusion test.Results:The p62 level in PMVECs was increased at 4 hours after HSS,peaked at 12 hours and declined at 24 hours.The cell viability gradually decreased.Compared with PMVECs cultured by empty medium,in cells cultured by EPC-conditioned medium(EPC-CM),the cell viability was significantly higher;however,p62 levels were also significantly higher,suggesting inhibition of autophagy by EPC-CM.Adding choloquine to suppress autophagy decreased the cell viability of PMVECs under PH.Conclusions:EPC-CM could suppress the autophagic activity of PMVECs in HSS-induced PH.However,suppression of autophagy leads to ceil death.EPCs could fight against PH through cellular or molecular pathways independent of autophagy.But it is not proved if induction of autophagy could be a potential strategy to treat HSS-induced PH as hypoxia-induced PH.

关键词： autophagy endothelial progenitor cells pulmonary hypertension

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Plasma gelsolin level predicts acute kidney injury after cardiopulmonary bypass in infants and young children

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World Journal of Pediatrics 2018年第2期14卷 143-150页

作者： shan-shan shi Xiao-Jie Yue Dong-Yan Zhao Jia-Jie Fan Jian-Guo Xu Xi-Wang Liu Bao-Li Cheng Xiang-Ming Fang Jie Fan Qiang Shu Cardiac Intensive Care Unit The Children's Hospital of Zhejiang University School of MedicineHangzhouChina The Key Laboratory for Diagnosis and Therapy of Neonatal Diseases The Children's Hospital of Zhejiang University School of MedicineHangzhouChina Department of Thoracic and Cardiovascular Surgery The Children's Hospital of Zhejiang University School of MedicineHangzhouChina Department of Anesthesiology The First Affiliated Hospital of Zhejiang University School of MedicineHangzhouChina Department of Surgery University of Pittsburgh School of MedicinePittsburghPAUSA

Background Acute kidney injury(AKI)after cardiopulmonary bypass(CPB)is a common complication especially in pedi-atric population.Plasma gelsolin(pGSN)is an anti-inflammatory factor through binding with actin and pro-inflammatory cytokines in circulation.Decrease in pGSN has been reported in some pathologic conditions.The purpose of the study was to determine the alterations of pGSN level in infants and young children after CPB and the role of pGSN as a predictor for the morbidity and severity of post-CPB AKI.Methods Sixty-seven infants and young children at age≤3 years old undergoing CPB were prospectively enrolled.PGSN levels were measured during peri-operative period with enzyme-linked immuno-sorbent assay and normalized with plasma total protein concentration.Other clinical characteristics of the patients were also recorded.Results In patients developing AKI,the normalized pGSN(pGSN_(N))levels significantly decreased at 6 h post-operation and remained low for 24 h post-operation as compared to the patients with non-AKI.PGSNN at 6 h post-operation combining with CPB time presents an excellent predictive value for AKI.Conclusions Decreased pGSN_(N)identifies post-CPB AKI in the patients≤3 years old,and is associated with adverse clini-cal outcomes.The findings suggest that circulating GSN in post-CPB patients may have beneficial effects on diminishing inflammatory responses.

关键词： Acute kidney injury Cardiopulmonary bypass Infants Plasma gelsolin Young children

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GnRH通过ERK途径来调控大鼠睾丸间质细胞类固醇激素的合成

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Asian Journal of Andrology 2011年第3期13卷 438-445,512页

作者： Bing Yao Hai-Yan Liu Yu-Chun Gu shan-shan shi Xiao-Qian Tao Xiao-Jun Li Yi-Feng Ge Ying-Xia Cui Guo-Bin Yang Department of Reproduction and Genetics Nanjing Jingling Hospital Nanjing 210002 China Nanjing Normal University Nanjing 210046 China Department of Physiology The Medical School University of Birmingham Edgbaston B15 2TT UK Medical Administration Division Nanjing Jingling Hospital Nanjing 210002 China

Gonadotropin-releasing hormone （GnRH） is secreted from neurons within the hypothalamus and is necessary for reproductive function in all vertebrates. GnRH is also found in organs outside of the brain and plays an important role in Leydig cell steroidogenesis in the testis. However, the signalling pathways mediating this function remain largely unknown. In this study, we investigated whether components of the mitogen-activated protein kinase （MAPK） pathways are involved in GnRH agonist （GnRHa）-induced testis steroidogenesis in rat Leydig cells. Primary cultures of rat Leydig cells were established. The expression of 3β-hydroxysteroid dehydrogenase （3β-HSD） and the production of testosterone in response to GnRHa were examined at different doses and for different durations by RT-PCR, Western blot analysis and radioimmunoassay （RIA）. The effects of GnRHa on ERK1/2, JNK and p38 kinase activation were also investigated in the presence or absence of the MAPK inhibitor PD-98059 by Western blot analysis. GnRHa induced testosterone production and upregulated 3β-HSD expression at both the mRNA and protein levels; it also activated ERK1/2, but not JNK and p38 kinase. Although the maximum effects of GnRHa were observed at a concentration of 100 nmnol L-1 after 24 h, activation of ERKI/2 by GnRHa reached peak at 5 min and it returned to the basal level within 60 min. PD-98059 completely blocked the activation of ERKI/2, the upregulation of 3β-HSD and testosterone production. Our data show that GnRH positively regulates steroidogenesis via ERK signalling in rat Leydig cells. ERK1/2 activation by GnRH may be responsible for the induction of 3β-HSDgene expression and enzyme production, which may ultimately modulate steroidogenesis in rat Leydig cells.

关键词： 3β-HSD ERK1/2 GnRH JNK Leydig cell p38

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Research on the macro-and meso-mechanical properties of frozen sand mold based on Hertz-Mindlin with Bonding model

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Particuology 2024年第5期88卷 176-191页

作者： Jianpei shi Zhongde shan Haoqin Yang College of Mechanical and Electrical Engineering Nanjing University of Aeronautics and AstronauticsNanjing 210016China State Key Laboratory of Mechanics and Control of Mechanical Structures Nanjing University of Aeronautics and AstronauticsNanjing 210016China College of Material Science and Technology Nanjing University of Aeronautics and AstronauticsNanjing 210016China

In this study,macro-and meso-mechanical properties of frozen sand molds were discussed based on the Hertz-Mindlin with Bonding(HMB)model.Plackett-Burman,steepest ascent,and central composite designs were utilized to propose a parameter calibration methodology.The effects of mesoscopic parameter variations on the compressive strength and average gradient of stress-strain were investigated through response surface method analysis.Results showed that the relative error between the simulated and measured repose angle is 3.1%under calibrated intrinsic contact parameters.The compressive strength and average stress-strain gradient primarily depend on the normal and shear stiffness per unit area,as well as the particle size and porosity of the silica sand.Furthermore,taking load-displacement curves of three frozen sand molds with different geometric characteristics as the target value,the reliability and effectiveness of the frozen sand mold HMB model were verified through uniaxial compression tests and discrete element simulations.

关键词： Frozen sand mold Hertz-Mindlin with Bonding model Uniaxial compression test Discrete element method Mechanical properties

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Double-nylon purse-string suture in closing postoperative wounds following endoscopic resection of large(≥3 cm)gastric submucosal tumors

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World Journal of Gastroenterology 2024年第9期30卷 1143-1153页

作者： shan-shan Wang Meng-Yao Ji Xu Huang Yan-Xia Li shi-Jie Yu Yu Zhao Lei Shen Department of Gastroenterology Renmin Hospital of Wuhan UniversityWuhan 430000Hubei provinceChina

BACKGROUND Endoscopic full-thickness resection(EFTR)of gastric submucosal tumors(SMTs)is safe and effective;however,postoperative wound management is equally important.Literature on suturing following EFTR for large(≥3 cm)SMTs is scarce and limited.AIM To evaluate the efficacy and clinical value of double-nylon purse-string suture in closing postoperative wounds following EFTR of large(≥3 cm)SMTs.METHODS We retrospectively analyzed the data of 85 patients with gastric SMTs in the fundus of the stomach or in the lesser curvature of the gastric body whose wounds were treated with double-nylon purse-string sutures after successful tumor resection at the Endoscopy Center of Renmin Hospital of Wuhan University.The operative,postoperative,and follow-up conditions of the patients were evaluated.RESULTS All tumors were completely resected using EFTR.36(42.35%)patients had tumors located in the fundus of the stomach,and 49(57.65%)had tumors located in the body of the stomach.All patients underwent suturing with double-nylon sutures after EFTR without laparoscopic assistance or further surgical treatment.Postoperative fever and stomach pain were reported in 13(15.29%)and 14(16.47%)patients,respectively.No serious adverse events occurred during the intraoperative or postoperative periods.A postoperative review of all patients revealed no residual or recurrent lesions.CONCLUSION Double-nylon purse-string sutures can be used to successfully close wounds that cannot be completely closed with a single nylon suture,especially for large(≥3 cm)EFTR wounds in SMTs.

关键词： Endoscopic full-thickness resection Purse-string suture Postoperative wounds Submucosal tumors

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Amorphous NiMo_(3)S_(13)/nickel foam integrated anode for lithium-ion batteries

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Tungsten 2024年第2期6卷 438-446页

作者： Ming-Xin shi Min Wu shan-shan Xiao shan-Ping Liu Rui-Qi Yao Ying-Qi Li Yong-Hui Wang Yang-Guang Li Hua-Qiao Tan Key Laboratory of Polyoxometalate and Reticular Material Chemistry of Ministry of Education Faculty of ChemistryNortheast Normal UniversityChangchun 130024China School of Materials Science and Engineering Jilin Jianzhu UniversityChangchun 130118China Institute Charles Gerhardt Montpellier Universite de MontpellierCentre National de la Recherche Scientifi quePlace E.Bataillon34095 Montpellier Cedex 05France

Although crystalline anode materials with long-range ordered lattice structure are in favor of facilitating the electron transfer,their structures are easily disrupted during long-term cycling due to the continuous embedding/de-embedding of lithium ions.In contrast,the amorphous materials have abundant defects and lithium ion storage sites,refl ecting a superior reaction kinetics and long-term cycling stability.Here,we synthesize an integrated hybrid anode by in-situ loading amorphous NiMo_(3)S_(13)nanosheets on nickel foam substrate.Benefi ting from the introduction of Ni^(2+)that amorphizes the molybdenumsulfur clusters,the assembled lithium ion battery based on the integrated NiMo_(3)S_(13)/nickel foam anode delivers a specifi c capacity up to 1659 mA·h·g^(−1)at a current density of 0.6 A·g^(−1)and exhibits superior rate/cycling performance.

关键词： Molybdenum-sulfur clusters Amorphous Integrated anode Crystalline Lithium-ion batteries

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Engineering high-performance dielectric chiral shells with enhanced chiral fields for sensitive chiral biosensor

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Rare Metals 2024年第3期43卷 1197-1206页

作者： Yi-Fan Wang shan-shan Huang Zhen-Dong Dai shi-Lin Xian Xuan-Nan Wu Fu-Hua Gao Yi-Dong Hou College of Physics Sichuan UniversityChengdu610065China Graduate School of Sichuan University Sichuan UniversityChengdu610065China

Chiral metamaterials have been a topic of significant research interest in recent years due to their potential for various applications in nanophotonic devices and chiral biosensors.However,the intrinsic Ohmic loss in surface plasmonic resonance has limited their practical use,resulting in large light dissipation and weak chiroptical resonance.Here,we report on the development of high-performance dielectric chiral shells(DCS)through a two-step Si deposition process on a self-assembled microsphere monolayer.The form DCS sample completely oyercomes the cancelation effect originated from the disorder property of the micro-sphere monolayer in macroscale,and at a wavelength of approximately 710 nm,the measured optimal chiral signal(g-factor)and transmittance can reach up to 0.7 and 0.3,respectively.The strong chiroptical effect comes from the asymmetric circular displacement currents(i.e.,magnetic modes)enabled by the specific shell geometry.The chiral shell geometry,electromagnetic properties,sensor sensitivity of chiral molecules and figure of merit are systematically investigated.The DCSs demonstrate highly sensitive detection of chiral biomolecules owing to their easily accessible geometry and enhanced uniform chiral field.

关键词： Dielectric chiral shells(DCS) Si deposition Magnetic resonance Highly sensitive sensor Chiral field

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Photocatalytic vinyl radical-mediated multicomponent 1,4-/1,8-carboimination across alkynes and olefins/(hetero)arenes

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Science China Chemistry 2024年第2期67卷 558-567页

作者： shan-shan Li Yu-shi Jiang Xue-Ling Luo Xuming Ran Yuqiang Li Dong Wu Cheng-Xue Pan Peng-Ju Xia School of Chemistry and Pharmaceutical Sciences Guangxi Normal UniversityGuilin541004China shanghai Artificial Intelligence Laboratory Shanghai200433China The Institute for Advanced Studies Wuhan UniversityWuhan430064China

We developed a highly selective and efficient multicomponent transformation by utilizing alkynes and olefins/(hetero)arenes through photoinduced energy-transfer catalysis.The reaction involves the formation of three distinct chemical bonds,namely C(sp~3)–C(sp~2),C(sp~2)–C(sp~3),and C(sp~3)–N,in a single coordinated manner.The strategy used a vinyl radical-mediated radical relay approach under mild conditions,exhibiting a broad substrate scope(>70 examples),excellent functional-group tolerance,and remarkable regio-and anti-stereoselectivity.Through the utilization of a combination of experimental techniques and density functional theory(DFT),we delved deeper into the mechanistic intricacies of this distinctive system.Results revealed that the selective radical addition to electron-deficient alkynes,rather than olefins,was governed by the inherent reactivity of alkyl radicals.This discovery presented a highly effective approach for the synthesis of stereodefined multisubstituted alkenes.

关键词： alkyne-olefin coupling DFT studies regio-and anti-stereoselectivity multisubstituted alkenes

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