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Effect of bivalirudin on myocardial microcirculation and adverse events after interventional therapy in older patients with acute coronary syndrome

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World Journal of Clinical Cases 2024年第22期12卷 4890-4896页

作者： ya-Kun Du Li-Jun Cui Hong-bo Gao Cardiovascular Department Hanzhong People’s HospitalHanzhong 723000Shaanxi ProvinceChina

BACKGROUND Bivalirudin,a direct thrombin inhibitor,is used in anticoagulation therapies as a substitute for heparin,especially during cardiovascular procedures such as percutaneous coronary *** To explore the effect of bivalirudin on myocardial microcirculation following an intervention and its influence on adverse cardiac events in elderly patients with acute coronary syndrome(ACS).METHODS In total,165 patients diagnosed with acute myocardial at our hospital between June 2020 and June 2022 were enrolled in this *** June 2020 to June 2022,elderly patients with ACS with complete data were selected and treated with interventional *** study cohort was randomly divided into a study group(n=80,administered bivalirudin)and a control group(n=85,administered unfractionated heparin).Over a 6-mo follow-up period,differences in emergency processing times,including coronary intervention,cardiac function indicators,occurrence of cardiovascular events,and recurrence rates,were *** Significant differences were observed between the study cohorts,with the observation group showing shorter emergency process times across all stages:Emergency classification;diagnostic testing;implementation of coronary intervention;and conclusion of emergency treatment(P<0.05).Furthermore,the left ventricular ejection fraction in the observation group was significantly higher(P<0.05),and the creatine kinase-MB and New York Heart Association scores were CONCLUSION In elderly patients receiving interventional therapy for ACS,bivalirudin administration led to increased activated clotting time achievement rates,enhanced myocardial reperfusion,and reduced incidence of bleeding complications and adverse cardiac events.

关键词： Bivalirudin Heparin Acute coronary syndrome Corrected thrombolysis in myocardial infarction flow frame count Thrombolysis in myocardial infarction myocardial perfusion classification

Mast cell degranulation-triggered by SARS-CoV-2 induces tracheal-bronchial epithelial inflammation and injury

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Virologica Sinica 2024年第2期39卷 309-318页

作者： Jian-bo cao Shu-Tong Zhu Xiao-Shan Huang Xing-Yuan Wang Meng-Li Wu Xin Li Feng-Liang Liu Ling Chen Yong-Tang Zheng Jian-Hua Wang Guangzhou Institutes of Biomedicine and Health Chinese Academy of SciencesGuangzhou 510530China School of Life Sciences and Medicine University of Science and Technology of ChinaHefei 230026China Key Laboratory of Bioactive Peptides of Yunnan Province Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of SciencesKIZCUHK Joint Laboratory of Bioresources and Molecular Research in Common DiseasesCenter for Biosafety Mega-ScienceKunming Institute of ZoologyChinese Academy of SciencesKunming 650223China University of Chinese Academy of Sciences Beijing 101408China

SARS-CoV-2 infection-induced hyper-inflammation is a key pathogenic factor of *** research,along with others',has demonstrated that mast cells(MCs)play a vital role in the initiation of hyper-inflammation caused by *** previous study,we observed that SARS-CoV-2 infection induced the accumulation of MCs in the peri-bronchus and bronchioalveolar-duct junction in humanized ***,we found that MC degranulation triggered by the spike protein resulted in inflammation in alveolar epithelial cells and capillary endothelial cells,leading to subsequent lung *** trachea and bronchus are the routes for SARS-CoV-2 transmission after virus inhalation,and inflammation in these regions could promote viral *** are widely distributed throughout the respiratory ***,in this study,we investigated the role of MCs and their degranulation in the development of inflammation in tracheal-bronchial *** analyses showed the accumulation and degranulation of MCs in the peri-trachea of humanized mice infected with *** degranulation caused lesions in trachea,and the formation of papillary hyperplasia was *** transcriptome analysis in bronchial epithelial cells,we found that MC degranulation significantly altered multiple cellular signaling,particularly,leading to upregulated immune responses and *** administration of ebastine or loratadine effectively suppressed the induction of inflammatory factors in bronchial epithelial cells and alleviated tracheal injury in *** together,our findings confirm the essential role of MC degranulation in SARS-CoV-2-induced hyper-inflammation and the subsequent tissue ***,our results support the use of ebastine or loratadine to inhibit SARS-CoV-2-triggered degranulation,thereby preventing tissue damage caused by hyper-inflammation.

关键词： SARS-CoV-2 Mast cell(MC) Bronchial epithelial cell Inflammation Tracheal injury

Specific metabolic impairments indicate loss of sustained liver improvements in metabolic dysfunction-associated steatotic liver disease treatment

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Hepatobiliary Surgery and Nutrition 2024年第4期13卷 632-649,I0025-I0035页

作者： Ling Luo Junzhao Ye Shuyu Zhuo bo Ma Weiyi Mai Xiaopei cao Liuqin Liang Wei Wang Shiting Feng Zhi Dong Bihui Zhong Department of Gastroenterology The First Affiliated HospitalSun Yat-sen UniversityGuangzhouChina Department of Nutrition The First Affiliated HospitalSun Yat-sen UniversityGuangzhouChina Department of Gastroenterology The East Division of the First Affiliated HospitalSun Yat-sen UniversityGuangzhouChina Department of Cardiology The First Affiliated HospitalSun Yat-sen UniversityGuangzhouChina Department of Endocrinology The First Affiliated HospitalSun Yat-sen UniversityGuangzhouChina Department of Rheumatology The First Affiliated HospitalSun Yat-sen UniversityGuangzhouChina Department of Ultrasound The First Affiliated HospitalSun Yat-sen UniversityGuangzhouChina Department of Radiology The First Affiliated HospitalSun Yat-sen UniversityGuangzhouChina

Background:High liver fat content(LFC)induces increased risks of both hepatic and extrahepatic progression in metabolic dysfunction-associated steatotic liver disease(MASLD),while maintaining a significant decline in magnetic resonance imaging-based proton density fat fraction(MRI-PDFF)(≥30%decline relative to baseline)without worsening fibrosis results in improved histological severity and ***,the factors associated with the loss of sustained responses to treatment remain unclear,and we aim to identify ***:Consecutive treatment-naïve MASLD patients between January 2015 and February 2022,with follow-up until April 2023,were included in this prospective cohort *** quantified by MRI-PDFF and liver stiffness measurements(LSM)determined by two-dimensional shear wave elastography(2D-SWE)were evaluated at weeks 0,24 and ***-PDFF response was defined as a≥30%relative decline in PDFF values,and LSM response was defined as a≥1 stage decline from ***:A total of 602 MASLD patients were *** the 303 patients with a 24-week MRI-PDFF response and complete follow-up of 48 weeks,the rate of loss of MRI-PDFF response was 29.4%,and multivariable logistic regression analyses showed that 24-week insulin resistance(IR),still regular exercise and caloric restriction after 24 weeks,and the relative decline in LFC were risk factors for loss of MRI-PDFF *** of LSM response at 48 weeks occurred in 15.9%of patients,and multivariable analysis confirmed 24-week serum total bile acid(TBA)levels and the relative decline in TBA from baseline as independent *** significant association was found at 48 weeks between loss of MRI-PDFF response and loss of LSM ***:MASLD patients with IR and high TBA levels are at higher risks of subsequent diminished sustained improvements of steatosis and fibrosis,respectively.

关键词： Metabolic dysfunction-associated steatotic liver disease(MASLD) loss of response magnetic resonance imaging-based proton density fat fraction response(MRI-PDFF response) liver stiffness measurements response(LSM response)

Perioperative outcomes of transvaginal specimen extraction laparoscopic total gastrectomy and conventional laparoscopicassisted total gastrectomy

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1527-1536页

作者： Zhi-cao Zhang Wen-Sheng Wang Jiang-Hong Chen Yuan-Hang Ma Qi-Fa Luo Yun-bo Li yang yang Dan Ma Department of General Surgery Xinqiao Hospital of Army Medical UniversityChongqing 400037China

BACKGROUND Natural orifice specimen extraction surgery(NOSES)has emerged as a promising alternative compared to conventional laparoscopic-assisted total gastrectomy(LATG)for treating gastric cancer(GC).However,evidence regarding the efficacy and safety of NOSES for GC surgery is *** study aimed to compare the safety and feasibility,in addition to postoperative complications of NOSES and *** Dual circular staplers were used in Roux-en-Y digestive tract reconstruction for transvaginal specimen extraction LATG,and its outcomes were compared with LATG in a cohort of 51 GC patients with tumor size≤5 *** study was conducted from May 2018 to September 2020,and patients were categorized into the NOSES group(n=22)and LATG group(n=29).Perioperative parameters were compared and analyzed,including patient and tumor characteristics,postoperative outcomes,and anastomosis-related complications,postoperative hospital stay,the length of abdominal incision,difference in tumor type,postoperative complications,and postoperative *** Postoperative exhaust time,operation duration,mean postoperative hospital stay,length of abdominal incision,number of specific staplers used,and Brief Illness Perception Questionnaire score were significant in both groups(P<0.01).In the NOSES group,the postoperative time to first flatus,mean postoperative hospital stay,and length of abdominal incision were significantly shorter than those in the LATG *** in the NOSES group had faster postoperative recovery,and achieved abdominal minimally invasive incision that met aesthetic *** were no significant differences in gender,age,tumor type,postoperative complications,and postoperative survival between the two *** The application of dual circular staplers in Roux-en-Y digestive tract reconstruction combined with NOSES gastrectomy is safe and *** approach offers better short-term outcomes compared to LATG,while long-term survival

关键词： Gastric cancer Circular stapler Natural orifice specimen extraction surgery Laparoscopic-assisted total gastrectomy

Hollow tubes constructed by carbon nanotubes self-assembly for CO_(2) capture

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Journal of Central South University 2024年第7期31卷 2256-2267页

作者： CHEN Xu-rui WU Jun GU Li cao Xue-bo College of Chemistry and Materials Science Zhejiang Normal UniversityJinhua 321004China College of Biological Chemical Sciences and EngineeringJiaxing UniversityJiaxing 314001China College of Materials and Textile Engineering Jiaxing UniversityJiaxing 314001China College of Advanced Materials Engineering Jiaxing Nanhu UniversityJiaxing 314001China

Carbon nanotubes(CNTs)have garnered significant attention in the fields of science,engineering,and medicine due to their numerous *** initial step towards harnessing the potential of CNTs involves their macroscopic *** present study employed a gentle and direct self-assembly technique,wherein controlled growth of CNT sheaths occurred on the metal wire’s surface,followed by etching of the remaining metal to obtain the hollow tubes composed of *** controlling the growth time and temperature,it is possible to alter the thickness of the CNTs *** immersing in a solution containing 1 g/L of CNTs at 60℃ for 24 h,the resulting CNTs layer achieved a thickness of up to 60μ*** hollow CNTs tubes with varying inner diameters were prepared through surface reinforcement using polymers and sacrificing metal wires,thereby exhibiting exceptional attributes such as robustness,flexibility,air tightness,and high adsorption capacity that effectively capture CO_(2) from the gas mixture.

关键词： carbon nanotubes self-assembly hollow tubes CO_(2) capture

Land use and cover change and influencing factor analysis in the Shiyang River Basin,China

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Journal of Arid Land 2024年第2期16卷 246-265页

作者： ZHAO yaxuan cao bo SHA Linwei CHENG Jinquan ZHAO Xuanru GUAN Weijin PAN Baotian Key Laboratory of Western China's Environmental Systems(Ministry of Education) College of Earth and Environmental SciencesLanzhou UniversityLanzhou 730030China Shiyang River Basin Scientific Observing Station Lanzhou UniversityLanzhou 730030China

Land use and cover change(LUCC)is the most direct manifestation of the interaction between anthropological activities and the natural environment on Earth's surface,with significant impacts on the environment and social *** economic development and climate change have resulted in significant changes in land use and *** Shiyang River Basin,located in the eastern part of the Hexi Corridor in China,has undergone significant climate change and LUCC over the past few *** this study,we used the random forest classification to obtain the land use and cover datasets of the Shiyang River Basin in 1991,1995,2000,2005,2010,2015,and 2020 based on Landsat *** validated the land use and cover data in 2015 from the random forest classification results(this study),the high-resolution dataset of annual global land cover from 2000 to 2015(AGLC-2000-2015),the global 30 m land cover classification with a fine classification system(GLC_FCS30),and the first Landsat-derived annual China Land Cover Dataset(CLCD)against ground-truth classification results to evaluate the accuracy of the classification results in this ***,we explored and compared the spatiotemporal patterns of LUCC in the upper,middle,and lower reaches of the Shiyang River Basin over the past 30 years,and employed the random forest importance ranking method to analyze the influencing factors of LUCC based on natural(evapotranspiration,precipitation,temperature,and surface soil moisture)and anthropogenic(nighttime light,gross domestic product(GDP),and population)*** results indicated that the random forest classification results for land use and cover in the Shiyang River Basin in 2015 outperformed the AGLC-2000-2015,GLC_FCS30,and CLCD datasets in both overall and partial ***,the classification results in this study exhibited a high level of agreement with the ground truth *** 1991 to 2020,the area of bare land exhibited a decreasing trend,with chan

关键词： land use and cover classification land use and cover change(LUCC) climate change random forest accuracy assessment three-dimensional sampling method Shiyang River Basin

Review of Baduanjin and resistance exercise for the mental health of patients with hematologic malignancies

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World Journal of Psychiatry 2024年第8期14卷 1165-1173页

作者： ya-Zhou Shen Feng Chen Jia-Wen Yu yan Zhang Ling-Xiang Lu Yong-Li Huo Si-Ting Chu Bing cao Lei-Wen Tang Department of Nursing Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310000Zhejiang ProvinceChina Department of Nursing The Second Affiliated Hospital of Zhejiang University School of MedicineHangzhou 310000Zhejiang ProvinceChina

Patients with hematological tumors experience physical and psychological stress,and negative psychological ***,an emerging psychological rehabil-itation method combined with resistance exercise,has received widespread *** study reviews the current status of the application of Baduanjin combined with resistance exercise in improving the negative psychological state of patients with hematological tumors and discusses its problems and *** a literature review and comprehensive analysis,the application of Baduanjin and resistance exercise in the psychological rehabilitation of patients with hematological tumors was identified and *** results showed that Baduanjin with resistance exercise had a positive effect on improving negative psychological states of patients with hematological tumors,which can alleviate anxiety,depression,and other adverse emotions,and improve quality of ***,there is a lack of unified and standardized exercise intervention programs for practical application,and patient participation and compliance must be *** combined with resistance exercise can potentially improve the negative psychological status of patients with hematological tumors;however,it is still necessary to further standardize and improve the exercise program improving patient participation and *** studies should strengthen theoretical exploration and empirical research,providing more effective psychological rehabilitation strategies for patients with hematological tumors.

关键词： Hematological tumors Baduanjin Resistance exercise Negative psychological state Psychological rehabilitation

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城际铁路岩溶综合勘察方法研究

铁道标准设计 2024年第8期68卷 65-71页

作者：曹波广西南崇铁路有限责任公司南宁530022

灰岩地区岩溶发育情况对城际铁路的施工及安全运营有重要影响,因此针对性进行高精度地质勘察十分重要。为降低复杂城区环境的影响、提高城际铁路岩溶勘察的精度与效率,依托某城际铁路,通过理论与实际探测效果对比,统计分析实际探测溶洞... 详细信息

灰岩地区岩溶发育情况对城际铁路的施工及安全运营有重要影响,因此针对性进行高精度地质勘察十分重要。为降低复杂城区环境的影响、提高城际铁路岩溶勘察的精度与效率,依托某城际铁路,通过理论与实际探测效果对比,统计分析实际探测溶洞的大小并对比分析200 m长度试验区域跨孔地震CT、钻孔、等值反磁通瞬变电磁法(OCTEM)与微动4种方法的岩溶探测效果,研究不同孔间距对跨孔地震CT的探测效果,跨孔地震CT探测溶洞的分辨率,特定区域跨孔地震CT波速解释原则以及OCTEM、微动在不具备开展跨孔地震CT条件时的勘察效果。研究结果表明,跨孔地震CT工作中15 m孔间距相对30 m孔间距原始数据质量更高,岩溶识别率、分辨率更高,岩溶发育规模、空间位置形态的确定更准确,后期施工注浆及注浆用量的估算更可靠;15 m孔间距跨孔地震CT能够对2 m以上的溶洞进行精准揭示;在特定区域可以根据地震波速大小,将灰岩地区岩溶发育情况定量解释为风化层、溶蚀裂隙、溶洞以及较完整灰岩;在不具备跨孔地震CT工作条件时开展OCTEM和微动进行补充勘察,可以探明较大的溶洞,定性查明灰岩地区岩溶发育的程度。勘察方法具有勘察精度高以及不易受城际铁路沿线环境影响的特点,对城际铁路工程岩溶勘察具有重要意义,可在其他城际铁路岩溶勘察中推广使用。

关键词：城际铁路岩溶勘察跨孔地震CT 等值反磁通瞬变电磁法微动

Mitigated reaction kinetics between lithium metal anodes and electrolytes by alloying lithium metal with low-content magnesium

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Journal of Energy Chemistry 2024年第8期95卷 644-650,I0014页

作者： yang-yang Wang ya-Nan Wang Nan yao Shu-Yu Sun Xiao-Qing Ding Chen-Xi Bi Qian-Kui Zhang Zhao Zheng Cheng-Bin Jin bo-Quan Li Xue-Qiang Zhang Jia-Qi Huang School of Materials Science and Engineering Beijing Institute of TechnologyBeijing 100081China Advanced Research Institute of Multidisciplinary Science Beijing Institute of TechnologyBeijing 100081China Beijing Key Laboratory of Green Chemical Reaction Engineering and Technology Department of Chemical EngineeringTsinghua UniversityBeijing 100084China College of Materials and Chemistry China Jiliang UniversityHangzhou 310018ZhejiangChina

Lithium(Li)metal is regarded as a promising anode candidate for high-energy-density rechargeable ***,Li metal is highly reactive against electrolytes,leading to rapid decay of active Li metal ***,alloying Li metal with low-content magnesium(Mg)is proposed to mitigate the reaction kinetics between Li metal anodes and *** atoms enter the lattice of Li atoms,forming solid solution due to the low amount(5 wt%)of *** atoms mainly concentrate near the surface of Mg-alloyed Li metal *** reactivity of Mg-alloyed Li metal is mitigated kinetically,which results from the electron transfer from Li to Mg atoms due to the electronegativity *** on quantitative experimental analysis,the consumption rate of active Li and electrolytes is decreased by using Mgalloyed Li metal anodes,which increases the cycle life of Li metal batteries under demanding ***,a pouch cell(1.25 Ah)with Mg-alloyed Li metal anodes delivers an energy density of 340 Wh kg^(-1)and a cycle life of 100 *** work inspires the strategy of modifying Li metal anodes to kinetically mitigate the side reactions with electrolytes.

关键词： Lithium metal anodes Alloying Anode/electrolyte interface Reaction kinetics Pouch cell