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Evolution of the newest diagnostic methods for COVID-19:a Chinese perspective

Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2023年第6期24卷 463-484页

作者： Mingtao LIU Jiali LYU Xianhui ZHENG Zhiman LIANG Baoying LEI Huihuang CHEN Yiyin MAI Huimin HUANG Baoqing SUN Department of Clinical Laboratory National Center for Respiratory MedicineNational Clinical Research Center for Respiratory DiseaseState Key Laboratory of Respiratory DiseaseGuangzhou Institute of Respiratory Healththe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhou510140China National Center for respiratory medicine National Clinical Research Center of Respiratory DiseaseState Key Laboratory of Respiratory DiseaseGuangzhou Institute of Respiratory Healththe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhou 510140China Guangzhou Medical University Guangzhou 511495China

Coronavirus disease 2019(COVID-19)has continued to spread globally since late 2019,representing a formidable challenge to the world's healthcare systems,wreaking havoc,and spreading rapidly through human contact.With fever,fatigue,and a persistent dry cough being the hallmark symptoms,this disease threatened to destabilize the delicate balance of our global community.Rapid and accurate diagnosis of COVID-19 is a prerequisite for understanding the number of confirmed cases in the world or a region,and an important factor in epidemic assessment and the development of control measures.It also plays a crucial role in ensuring that patients receive the appropriate medical treatment,leading to optimal patient care.Reverse transcription-polymerase chain reaction(RT-PCR)technology is currently the most mature method for detecting viral nucleic acids,but it has many drawbacks.Meanwhile,a variety of COVID-19 detection methods,including molecular biological diagnostic,immunodiagnostic,imaging,and artificial intelligence methods have been developed and applied in clinical practice to meet diverse scenarios and needs.These methods can help clinicians diagnose and treat COVID-19 patients.This review describes the variety of such methods used in China,providing an important reference in the field of the clinical diagnosis of COVID-19.

关键词： Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) Coronavirus disease 2019(COVID-19) Diagnosis Polymerase chain reaction(PCR) Immunoassay Radiography

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Epidemiological characteristics of pulmonary tuberculosis in patients with pneumoconiosis based on its social determinants and risk factors in China:a cross-sectional study from 27 provinces

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Chinese Medical Journal 2022年第24期135卷 2984-2997页

作者： Huanqiang Wang Huaping Dai Jiayu He Xiangpei Lyu Xinran Zhang Tao Li Department of Occupational respiratory Disease National Institute for Occupational Health and Poison ControlChinese Center for Disease Control and PreventionBeijing 100050China National Center for respiratory medicine National Clinical Research Center for Respiratory DiseasesInstitute of Respiratory MedicineChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100029China Department of Pulmonary and Critical Care medicine Center of Respiratory MedicineChina-Japan Friendship HospitalBeijing 100029China Department of Clinical Research and Data Management Center of Respiratory MedicineChina-Japan Friendship HospitalBeijing 100029China

Background:Patients with pneumoconiosis have an elevated risk of contracting pulmonary tuberculosis(PTB)and need particular attention.However,extensive population-based studies on the prevalence of PTB in patients with pneumoconiosis have not been reported in China since 1992.This study aimed to investigate the epidemiological characteristics of PTB in patients with pneumoconiosis based on its social determinants and risk factors in China.Methods:Based on the Commission on Social Determinants of Health(CSDH)framework,data were obtained from a questionnaire survey of patients with pneumoconiosis from China’s 27 provinces(autonomous regions,municipalities)from December 2017 to June 2021.By chi-square and multivariate logistic regression analyses,the epidemiological characteristics of PTB in the patients were identified based on its prevalence and odds ratio(OR)and associated social determinants and risk factors.The population attributable fractions(PAFs)of significant risk factors were also calculated.Results:The prevalence of PTB in patients with pneumoconiosis(n=10,137)was 7.5%(95%confidence interval[CI]:7.0-8.0%).Multivariate logistic regression analysis showed that risk factors included in-hospital exposure to patients with PTB(OR=3.30,95%CI:2.77-3.93),clinically diagnosed cases(OR=3.25,95%CI:2.42-4.34),and northeastern regions(OR=2.41,95%CI:1.76-3.31).In addition,lack of work-related injury insurance(WRII),being born in a rural area,being unemployed,living in western regions,household exposure to patients with PTB,smoking,being underweight,complications of pulmonary bullae or pneumothorax,hospitalization history,and former drinkers among the rural patients were also statistically significant risk factors.Being born in a rural area,lack of WRII and in-hospital exposure to patients with PTB had higher PAFs,which were 13.2%(95%CI:7.9-18.5%),12.5%(95%CI:8.3-16.7%),and 11.6%(95%CI:8.8-14.3%),respectively.Conclusion:The prevalence of PTB in pneumoconiosis remains high in China;it is basically in line with the CSDH m

关键词： Pulmonary tuberculosis Pneumoconiosis Social determinants Risk factors

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Clinical characteristics of hypersensitivity pneumonitis:non-fibrotic and fibrotic subtypes

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Chinese Medical Journal 2023年第23期136卷 2839-2846页

作者： Xueying Chen Xiaoyan Yang Yanhong Ren Bingbing Xie Sheng Xie Ling Zhao Shiyao Wang Jing Geng Dingyuan Jiang Sa Luo Jiarui He Shi Shu Yinan Hu Lili Zhu Zhen Li Xinran Zhang Min Liu Huaping Dai Department of Pulmonary and Critical Care medicine Center of Respiratory MedicineChina-Japan Friendship HospitalNational Center for Respiratory MedicineNational Clinical Research Center for Respiratory DiseasesInstitute of Respiratory MedicineChinese Academy of Medical SciencesPeking Union Medical CollegeBeijing 100029China Department of Pulmonary and Critical Care medicine Center of Respiratory MedicineChina-Japan Friendship HospitalCapital Medical UniversityBeijing 100029China Department of Radiology China-Japan Friendship HospitalBeijing 100029China Department of Pathology China-Japan Friendship HospitalBeijing 100029China institute of Clinical Medical Sciences Center of Respiratory MedicineChina-Japan Friendship HospitalBeijing 100029China

Background:The presence of fibrosis is a criterion for subtype classification in the newly updated hypersensitivity pneumonitis(HP)guidelines.The present study aimed to summarize differences in clinical characteristics and prognosis of non-fibrotic hypersensitivity pneumonitis(NFHP)and fibrotic hypersensitivity pneumonitis(FHP)and explore factors associated with the presence of fibrosis.Methods:In this prospective cohort study,patients diagnosed with HP through a multidisciplinary discussion were enrolled.Collected data included demographic and clinical characteristics,laboratory findings,and radiologic and histopathological features.Logistic regression analyses were performed to explore factors related to the presence of fibrosis.Results:A total of 202 patients with HP were enrolled,including 87(43.1%)NFHP patients and 115(56.9%)FHP patients.Patients with FHP were older and more frequently presented with dyspnea,crackles,and digital clubbing than patients with NFHP.Serum levels of carcinoembryonic antigen,carbohydrate antigen 125,carbohydrate antigen 153,gastrin-releasing peptide precursor,squamous cell carcinoma antigen,and antigen cytokeratin 21-1,and count of bronchoalveolar lavage(BAL)eosinophils were higher in the FHP group than in the NFHP group.BAL lymphocytosis was present in both groups,but less pronounced in the FHP group.Multivariable regression analyses revealed that older age,<20%of lymphocyte in BAL,and≥1.75%of eosinophil in BAL were risk factors for the development of FHP.Twelve patients developed adverse outcomes,with a median survival time of 12.5 months,all of whom had FHP.Conclusions:Older age,<20%of lymphocyte in BAL,and≥1.75%of eosinophil in BAL were risk factors associated with the development of FHP.Prognosis of patients with NFHP was better than that of patients with FHP.These results may provide insights into the mechanisms of fibrosis in HP.

关键词： Interstitial lung disease Hypersensitivity pneumonitis Clinical characteristics Fibrosis Prognosis

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Pharmacological therapy for stable chronic obstructive pulmonary disease

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Chronic Diseases and Translational medicine 2023年第2期9卷 82-89页

作者： Ruirui Duan Baicun Li Ting Yang Department of Pulmonary and Critical Care medicine China-Japan Friendship HospitalBeijingChina National Center for respiratory medicine BeijingChina National Center for respiratory medicine Laboratories BeijingChina Institute of Respiratory Medicine Chinese Academy of Medical SciencesBeijingChina National Clinical Research Center for respiratory Diseases BeijingChina

In recent years,emphasis has shifted from preventing and treating chronic obstructive pulmonary disease(COPD)to early prevention,early treatment,and disease stabilization,with the main goal of improving patients’quality of life and reducing the frequency of acute exacerbations.This review summarizes pharmacological therapies for stable COPD.

关键词： bronchodilator chronic obstructive pulmonary disease inhaled corticosteroid pharmacological therapy

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Long-term outcomes in COVID-19 patients who recovered from the first wave of the pandemic

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National Science Review 2022年第11期9卷 87-96页

作者： Dan Cui Simiao Chen Luzhao Feng Mengmeng Jia Yeming Wang Weijun Xiao Yanxia Sun Qiangru Huang Libing Ma Zhiwei Leng Hao Wang Bin Cao Weizhong Yang Juntao Yang Chen Wang Department of Pulmonary and Critical Care medicine The Second Affiliated Hospital of Harbin Medical UniversityHarbin Medical University Department of Pulmonary and Critical Care medicine National Center for Respiratory Medicine Center of Respiratory MedicineNational Clinical Research Center for Respiratory Diseases China-Japan Friendship Hospital Heidelberg institute of Global Health Faculty of Medicine and University Hospital Heidelberg University School of Population medicine and Public Health Chinese Academy of Medical Sciences &Peking Union Medical College Department of respiratory and Critical Care medicine the Affiliated Hospital of Guilin Medical University Institute of Respiratory Medicine Chinese Academy of Medical Science State Key Laboratory of Medical Molecular Biology Department of Biochemistry and Molecular BiologyInstitute of Basic Medical Sciences Chinese Academy of Medical Sciences & Peking Union Medical College

This cross-sectional study evaluated the long-term health effects of coronavirus disease 2019(COVID-19)in Jianghan District(Wuhan, China). The results showed that 61.4% of COVID-19 patients reported at least one symptom and 8.8% had depressive symptoms at the 17-month follow-up. The proportion of patients with chest radiographic abnormalities in Fangcang shelter hospitals and designated COVID-19hospitals was 31.6% and 41.1%, respectively, and the proportion of patients with impaired pulmonary diffusion capacity in these hospitals was 52.8% and 60.9%, respectively. Female sex(odds ratio[OR] = 1.48, 95% confidence interval [CI]: 1.16–1.88), severe disease(OR = 1.46, 95% CI: 1.01–2.10)and a higher number of initial symptoms(OR = 1.31, 95% CI: 1.23–1.40) were associated with the development of sequelae symptoms at 17 months. This study involving community-dwelling COVID-19adults may help determine the long-term effects of COVID-19 during the first pandemic wave.Nonetheless, larger follow-up studies are needed to characterize the post-COVID-19 condition.

关键词： SARS-CoV-2 post-COVID-19 syndrome follow-up studies

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Pulmonary aspergillosis with in-situ pulmonary artery thrombosis: to anti-coagulate or not?

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Chinese Medical Journal 2019年第14期132卷 1742-1744页

作者： Zhi-Bo Liu Wan-Mu Xie Zhen-Guo Zhai Bin Cao Jun Wan Department of Pulmonary and Critical Care medicine Center of Respiratory MedicineChina-Japan Friendship Hospital/Institute of Respiratory MedicineChinese Academy of Medical Sciences/National Clinical Research Center for Respiratory DiseasesBeijing 100029China

Aspergillus is widespread in the environment and causes a variety of tracheobronchial and pulmonary disorders,depending upon the alterations of immune status of hosts.[1] Among the spectrum of pulmonary aspergillosis (PA),allergic bronchopulmonary aspergillosis,and most chronic pulmonary aspergillosis are considered as noninvasive diseases,whereas invasive pulmonary aspergillosis (IPA) and subacute invasive pulmonary aspergillosis (SAIA) may cause tissue invasion.

关键词： pulmonary artery thrombosis pulmonary aspergillosis (PA) invasive pulmonary aspergillosis (IPA) subacute invasive pulmonary aspergillosis (SAIA)

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Personal knowledge on novel coronavirus pneumonia

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Chinese Medical Journal 2020年第9期133卷 1121-1122页

作者： Han-Yu-Jie Kang Yi-Shan Wang Zhao-Hui Tong Department of respiratory and Critical Care medicine Beijing Institute of Respiratory MedicineBeijing Chao-Yang HospitalCapital Medical UniversityBeijing 100020China

The epidemiological history of some patients infected with novel coronavirus(2019-nCoV)is unclear,and the incubation period of the virus can last for 2 weeks,even longer.During the period of latent infection or the period of incubation following infection,the disease may be infectious.As in cases of influenza,some patients develop only upper respiratory tract infection,whereas others with a severe form of the disease develop pneumonia.Patients may not have fever,mild cough,or apparent respiratory symptoms,and headache or gastrointestinal symptoms may be present.Some patients show insidious onset and slow progression,and do not appear to be sick.Thus,they may not receive attention or be identified.Some patients with severe disease or critical illness may present with moderate-to-low-grade fever,but apparent fever may also be absent.

关键词： pneumonia respiratory infection

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Effectiveness and Acceptability of a Comprehensive Mobile Health-Based Modality for Smoking Cessation-Beijing Municipality,China,2022

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China CDC weekly 2023年第21期5卷 464-468页

作者： Shuilian Chu Hang Jing Di Zhang Yuan Cao Yunliang Qian Xiurong Liu Lin Xiao Zhaohui Tong Lirong Liang Department of Research on Tobacco Dependence Therapies Beijing Institute of Respiratory Medicine and Beijing Chao-Yang HospitalCapital Medical UniversityBeijingChina Beijing Center for Disease Prevention and Control BeijingChina Tobacco Control Office Chinese Center for Disease Control and PreventionBeijingChina Department of respiratory and Critical Care medicine Beijing Institute of Respiratory Medicine and Beijing Chao-Yang HospitalCapital Medical UniversityBeijingChina

Summary What is already known on this topic?Mobile health interventions have been demonstrated to be effective in aiding smoking cessation among smokers.Nevertheless,research on this topic remains limited in China.What is added by this report?Following two months of utilizing the services of a comprehensive mobile health(mHealth)-based modality(“Way to Quit”modality)which integrated three online interventions through the WeChat application,29.1%of participating smokers successfully quit smoking.Participants who used a greater number of online services were more likely to cease smoking.All services were scored highly for satisfaction among smokers.What are the implications for public health practice?This study presents a practical and feasible method to assist Chinese smokers in quitting smoking.The results of this research suggest a promising direction for enhancing the accessibility and utilization of smoking cessation services.Additionally,these findings serve as a critical reference for addressing the obstacles faced by smoking cessation services in China.

关键词： smoke services utilizing

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Late onset of neutral lipid storage disease due to a rare PNPLA2 mutation in a patient with myopathy and cardiomyopathy

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Chinese Medical Journal 2022年第19期135卷 2389-2391页

作者： Ye Tian Shiyao Wang Fang Wang Li Yi Mingrui Dong Xu Huang Department of Pulmonary and Critical Care medicine Center of Respiratory MedicineChina-Japan Friendship HospitalNational Center for Respiratory MedicineInstitute of Respiratory MedicineChinese Academy of Medical SciencesNational Clinical Research Center for Respiratory DiseasesBejing 100029China Department of Cardiology China-Japan Friendship HospitalBeijing 100029China Department of Neurology China-Japan Friendship HospitalBeijing 100029China.

To the Editor:Neutral lipidd storage disease with myopathy(NLSDM)is a rare autosomal recessive disorder caused by mutations in the PNPLA2 gene.The gene encodes adipose triglyceride lipase(ATGL),an enzyme that catalyzes hydrolysis of triglycerides in mammalian adipose tissue and plays key roles in the function of lipid droplets(LDs).The results of many biochemical studies have revealed intracellular localization of ATGLwithLDs,but catalyticactivity iscompletely lost in the context of PNPLA2mutation.

关键词： myopathy rare cardiomyopathy

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In the era of long COVID,can we seek new techniques for better rehabilitation?

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Chronic Diseases and Translational medicine 2022年第3期8卷 149-153页

作者： Jiaze He Ting Yang Graduate School of Capital Medial University BejingChina Department of Pulmonary and Critical Care medicine Center of Respiratory MedicineChina-lapan Friendship HospitalNational Center for Respiratory MedicineInstitute of Respiratory MedicineChinese Academy of Medical SciencesNational Clinical Research Center for Respiratory DiseasesWHO Collaborating Centre for Tobacco Cessation and Respiratory Diseases PreventionBeijingChina

Sincethecoronavirusdisease2019(COVID-19)outbreak has become a pandemic,medical staff and researchers have devotedly managed the disease in terms of pathogens,prevention,and treatment.Even so,the virus continues to wre... 详细信息

关键词： application artificial intelligence long COVID telerehabilitation

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