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1.
Nanoscale ; 16(18): 8931-8940, 2024 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-38625409

RESUMO

In light of the widespread use of fossil fuels and the resulting environmental pollution, it is crucial to develop efficient photocatalysts for renewable energy applications that utilize visible light. Organic photocatalysts based on ß-ketoenamine offer several advantages, including facile preparation, high stability, structural controllability, and excellent photovoltaic properties. However, in previous studies, the synthesis of porous organic polymers (POPs) often involved long, high-temperature processes. In this study, POPs with donor (D)-acceptor (A) structure were constructed by utilizing various branched bridging groups and 2,4,6-triformylphloroglucinol, across multiple temperature gradients. Through adjustments in hydrothermal temperature, we successfully synthesized a series of POPs with varying enol-keto structure ratios. Among these POPs, the dimethoxybenzidine-POPs (DMDPOPs) with methoxy electron-rich branched chains exhibited superior photovoltaic performance, electron transfer rate, and photocatalytic activity compared to the dihydroxybenzidine-POPs (DHDPOPs) with electron-deficient hydroxyl branched chains. Notably, DMDPOP-30 demonstrated outstanding performance, achieving a conversion rate of 98% within 3 h. Additionally, other POPs exhibited favorable conversions (90%), further confirming the feasibility of this synthetic approach. Moreover, the synthesis of DMDPOP-30 was achieved under mild conditions at room temperature, highlighting its significant potential for practical applications.

2.
ChemSusChem ; : e202300871, 2024 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-38546156

RESUMO

Atomically dispersed catalysts have gained considerable attention due to their unique properties and high efficiency in various catalytic reactions. Herein, a series of Co/N-doped carbon (N-C) catalysts was prepared using a metal-lignin coordination strategy and employed in formic acid dehydrogenation (FAD) and hydrodeoxygenation (HDO) of vanillin. The atomically dispersed Co/N-C catalysts showed outstanding activity, acid resistance, and long-term stability in FAD. The improved activity and stability may be attributed to the high dispersion of Co species, increased surface area, and strong Co-N interactions. XPS and XAS characterization revealed the formation of Co-N3 centers, which are assumed to be the active sites. In addition, DFT calculations demonstrated that the adsorption of formic acid on single-atom Co was stronger than that on Co13 clusters, which may explain the high catalytic activity. The Co/N-C catalyst also showed promising performance in the transfer HDO of vanillin with formic acid, without any external additional molecular H2.

3.
J Transl Med ; 21(1): 388, 2023 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-37322475

RESUMO

BACKGROUND: Uveitis and posterior scleritis are sight-threatening diseases with undefined pathogenesis and accurate diagnosis remains challenging. METHODS: Two plasma-derived extracellular vesicle (EV) subpopulations, small and large EVs, obtained from patients with ankylosing spondylitis-related uveitis, Behcet's disease uveitis, Vogt-Koyanagi-Harada syndrome, and posterior scleritis were subjected to proteomics analysis alongside plasma using SWATH-MS. A comprehensive bioinformatics analysis was performed on the proteomic profiles of sEVs, lEVs, and plasma. Candidate biomarkers were validated in a new cohort using ELISA. Pearson correlation analysis was performed to analyze the relationship between clinical parameters and proteomic data. Connectivity map database was used to predict therapeutic agents. RESULTS: In total, 3,668 proteins were identified and over 3000 proteins were quantified from 278 samples. When comparing diseased group to healthy control, the proteomic profiles of the two EV subgroups were more correlated with disease than plasma. Comprehensive bioinformatics analysis highlighted potential pathogenic mechanisms for these diseases. Potential biomarker panels for four diseases were identified and validated. We found a negative correlation between plasma endothelin-converting enzyme 1 level and mean retinal thickness. Potential therapeutic drugs were proposed, and their targets were identified. CONCLUSIONS: This study provides a proteomic landscape of plasma and EVs involved in ankylosing spondylitis-related uveitis, Behcet's disease uveitis, Vogt-Koyanagi-Harada syndrome, and posterior scleritis, offers insights into disease pathogenesis, identifies valuable biomarker candidates, and proposes promising therapeutic agents.


Assuntos
Síndrome de Behçet , Vesículas Extracelulares , Esclerite , Espondilite Anquilosante , Uveíte , Síndrome Uveomeningoencefálica , Humanos , Síndrome de Behçet/diagnóstico , Síndrome de Behçet/complicações , Síndrome Uveomeningoencefálica/diagnóstico , Síndrome Uveomeningoencefálica/complicações , Esclerite/etiologia , Espondilite Anquilosante/complicações , Proteômica , Uveíte/complicações
4.
Environ Sci Technol ; 57(26): 9615-9626, 2023 07 04.
Artigo em Inglês | MEDLINE | ID: mdl-37350071

RESUMO

Uranium detection and extraction are necessary for the ecological environment as the growing demand for nuclear energy. Hence, exploring stable materials with excellent performance in uranium extraction and detection is highly desired. Herein, by amidoxime-functionalizing tetrafluoroterephthalonitrile (TFTPN) crosslinked hydroquinone (bP), phloroglucinol (tP), and 4,4',4″-trihydroxytriphenylmethane (tBP), three covalent organic polymers (COPs) bPF-AO, tPF-AO, and tBPF-AO with different crosslinked architectures are fabricated. Uranium extraction and detection related to the difference in molecule construction were systemically investigated, giving some reference for the rational design and fabrication of advanced materials for the removal and monitoring of uranium in the environment. The tPF-AO with a compact steric structure achieves the highest theoretical maximum adsorption capacity of 578.9 ± 15.2 mg g-1 and the best recyclability. The scattering electron center and U(VI) selective binding sites endow tBPF-AO with excellent capability in selective detection for U(VI), with a limit of detection of 24.2 nmol L-1, which is well below the standard for U(VI) in drinking water of the World Health Organization (WHO). Moreover, the COPs possess prominent physicochemical stability and recyclability, and more importantly, the PAE-based COPs are derived from inexpensive industry materials with easy processing methods, providing an efficient and economical way for the detection and adsorption of uranium.


Assuntos
Urânio , Floroglucinol , Adsorção , Sítios de Ligação , Elétrons , Polímeros
5.
Retina ; 43(9): 1496-1505, 2023 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-37224445

RESUMO

PURPOSE: To report the clinical profile and outcomes of acute Vogt-Koyanagi-Harada disease with a strict immunosuppression regimen and investigate the risk factors for a prolonged disease course. METHODS: A total of 101 patients with acute Vogt-Koyanagi-Harada (202 eyes) with more than 24 months of follow-up were recruited from January 2011 to June 2020. They were divided into two groups according to the interval between the onset of Vogt-Koyanagi-Harada and treatment. Oral prednisone was gradually tapered off by a diminished dose according to a relatively strict protocol. Patient responses to the treatment regimen were classified as long-term drug-free remission or chronic recurrent. RESULTS: Ninety-six patients (95.0%) achieved long-term drug-free remission without recurrence, while 5 (5.0%) had chronic recurrence. Most patients achieved good best-corrected visual acuity (90.6% ≧20/25). A generalized estimation equation model demonstrated that time of visit, ocular complications, and cigarette smoking were independent risk factors for a longer disease course, and smokers required a higher drug dose and longer treatment course than nonsmokers. CONCLUSION: An immunosuppressive regimen with an appropriate tapering speed can lead to long-term drug-free remission in patients with acute Vogt-Koyanagi-Harada. Cigarette smoking significantly affects ocular inflammation.


Assuntos
Síndrome Uveomeningoencefálica , Humanos , Síndrome Uveomeningoencefálica/diagnóstico , Síndrome Uveomeningoencefálica/tratamento farmacológico , Glucocorticoides , Doença Aguda , Imunossupressores/uso terapêutico , Prednisona/uso terapêutico , Progressão da Doença , Estudos Retrospectivos
6.
BMC Ophthalmol ; 23(1): 113, 2023 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-36944975

RESUMO

BACKGROUND: Vogt‒Koyanagi‒Harada (VKH) disease is a multifactorial systemic autoimmune disorder against melanocytes that is characterized by panuveitis. Familial occurrence of VKH disease is rare. Here, we report two cases of a father and his son with characteristic manifestations of VKH disease. CASE PRESENTATION: A 53-year-old male with typical clinical symptoms of VKH disease was referred to Tangshan Eye Hospital. Examination showed the presence of ciliochoroidal effusion and exudative retinal detachment in both eyes. The patient was given intravenous methylprednisolone 120 mg for 2 days and intravenous methylprednisolone 80 mg for 1 day followed by 48 mg (1 mg/kg/day) oral methylprednisolone daily, accompanied by oral azathioprine 50 mg daily. Cycloplegic agent (0.5% tropicamide three times daily [TID]) was added. The patient was free of symptoms and recurrence within more than 1-year-follow-up period, the best corrected visual acuity (BVCA) was increased and maintained in both eyes with complete resolution of subretinal fluid. One year and nine months later, case 2 (his son) also presented with the typical clinical symptoms of VKH disease at 29 years of age. The son also recovered from VKH disease after routine and standard treatment. CONCLUSIONS: To the best of our knowledge, this is the first VKH disease case report of a father-son relationship. Although genetic factors have been demonstrated to be involved in the pathogenesis of VKH disease, the different inheritance modes of VKH patients need to be further explored and studied.


Assuntos
Glucocorticoides , Metilprednisolona , Síndrome Uveomeningoencefálica , Humanos , Masculino , Pessoa de Meia-Idade , Pai , Glucocorticoides/uso terapêutico , Metilprednisolona/uso terapêutico , Núcleo Familiar , Síndrome Uveomeningoencefálica/diagnóstico , Síndrome Uveomeningoencefálica/tratamento farmacológico , Síndrome Uveomeningoencefálica/complicações , Adulto , Acuidade Visual , Resultado do Tratamento
7.
Sci Total Environ ; 869: 161767, 2023 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-36702283

RESUMO

With the rapid development of industrialization and agriculture, a series of critical imminent environmental problems and water pollution have caught wide attention from the public and society. Piezoelectric catalysis technology with piezoelectric materials is a green and environmental method that can efficiently improve the separation of electron-hole pairs, then generating the active substances such as OH, H2O2 and O2-, which can degrade water pollutants. Therefore, we firstly surveyed the piezoelectric catalysis in piezoelectric materials and systematically concluded and emphasized the relationship between piezoelectric materials and the piezoelectric catalytic mechanism, the goal to elucidate the effect of polarization on piezoelectric catalytic performance and enhance piezoelectric catalytic performance. Subsequently, the applications of piezoelectric materials in water treatment and environmental pollutant remediation were discussed including degradation of organic pollutants, removal of heavy mental ions, radionuclides, bacteria disinfection and water splitting for H2 generation. Finally, the development prospects and future outlooks of piezoelectric catalysis were presented in detail.

8.
J Colloid Interface Sci ; 634: 159-168, 2023 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-36535155

RESUMO

Conjugated polymers have a broad application foreground in the field of photocatalytic organic synthesis to produce value-added chemicals due to their functional diversity, broad light responsive ability, high thermal and chemical stability, and tunable band structure. Herein, using mixed chloride salts (i.e., NaCl/LiCl) as building template, a series of porous conjugated polymers constructed by melamine and terephthalaldehyde monomers were obtained through a Schiff-base reaction in the absence of any external solvent. Melamine-terephthalaldehyde polymer (i.e., PMTPA-x, x represents the mass ratio of salt-mixture to mixed precursors of PMTPA) materials displayed porous morphologies and possessed different energy band structures via regulating the mass ratio of mixed-salt to monomers. Specifically, PMTPA-20 has a larger specific surface area and more suitable redox potential towards the photocatalytic oxidative coupling of amines to imines. Under visible light, with molecular oxygen as oxidant, PMTPA-20 achieves 97% conversion of benzylamine in 8 h which is 3.9 times higher than that of pristine PMTPA (25% conversion in 8 h). In addition, PMTPA-20 catalyst has good structure stability and reusability performance for photocatalytic reactions.

10.
11.
Environ Sci Technol ; 56(19): 14030-14037, 2022 10 04.
Artigo em Inglês | MEDLINE | ID: mdl-36130076

RESUMO

Aqueous hexavalent chromium (Cr(VI)) treatment and chromium resource recovery toward Cr-containing wastes are of significant importance and necessity to both wastewater remediation and resource recovery. Herein, via mild photoreaction conditions with isopropanol (IPA) as an electron donor, a catalyst-free strategy for aqueous Cr(VI) extraction to form an insoluble polyhydroxy Cr(V) complex is developed for the first time. Aqueous Cr(VI) with concentration from 5 to 150 ppm can be efficiently extracted with high selectivity even in the presence of coexisting ions, and the total Cr concentration in residue solution can be as low as 0.5 ppm. The Cr resource could be efficiently recovered as pure Cr2O3 by calcinating the resulting Cr(V) precipitate. Outstanding extraction efficiency could be realized with various IPA concentrations (1.3-12.0 mol/L) by coordinately tuning the pH value to promote the formation of Cr(VI)-IPA ester. The formed ester undergoes intramolecular electron transition under visible light irradiation, resulting in a polyhydroxy solid-state Cr(V) intermediate complex. The controlled pH value blocks further reduction of Cr(V) to soluble Cr(III); thus the insoluble Cr(V) intermediate complex is stabilized thermodynamically under ambient conditions. Because of its electric neutrality property and the strong intermolecule interaction via hydrogen bonds, a dioxo-bridged di-nuclear Cr(V) complex {Cr2(µ-O)2(OH)4[OCH(CH3)2]2} is finally precipitated as the main product. Satisfactory extraction and recovery of Cr from chromium-plating wastewater and discarded stainless steel verify that this approach is ideal for both one-step purification of Cr(VI)-containing wastewater and selective resource recovery from Cr-containing solid wastes in practical application.


Assuntos
Recuperação e Remediação Ambiental , Águas Residuárias , 2-Propanol , Cromo/química , Ésteres , Concentração de Íons de Hidrogênio , Resíduos Sólidos , Aço Inoxidável , Água/química
12.
Mol Biol Rep ; 49(12): 11421-11431, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35988105

RESUMO

BACKGROUND: Vogt-Koyanagi-Harada (VKH) disease is a common type of uveitis that leads to blindness. The clinical manifestations and treatment solutions are different between initial-onset and recurrent VKH. Therefore, identifying the microRNA (miRNA) profiles from initial-onset and recurrent VKH patients may shed light on the molecular mechanisms underlying the pathogenesis of VKH disease. METHODS AND RESULTS: RNAs isolated from peripheral blood mononuclear cells (PBMCs) from patients with initial-onset VKH, recurrent VKH, and healthy individuals were subjected to high-throughput miRNA sequencing. Pairwise analysis of miRNA sequencing data between groups was conducted to identify differentially expressed miRNAs (DEMs), which were verified using real-time quantitative polymerase chain reaction. After receiver operating characteristic analyses, we found that hsa-miR-4664-3p, hsa-miR-7704, hsa-miR-4504, and hsa-miR-206 may serve as biomarkers of different VKH stages. DEMs were classified into three groups based on their differential expression: DEMs in initial-onset stage, DEMs in recurrent stage, and DEMs common between both VKH stages (shared DEMs). Pathway enrichment analysis using the Kyoto Encyclopedia of Genes and Genomes identified the mitogen-activated protein kinase, tumor necrosis factor, and mechanistic target of rapamycin kinase pathways as significantly enriched among the target genes of recurrent stage and shared DEMs. Furthermore, we mapped a network of competing endogenous RNAs for hsa-miR-206, which we used to identify putative targets for VKH treatment. CONCLUSION: Hsa-miR-4664-3p, hsa-miR-7704, hsa-miR-4504, and hsa-miR-206 may serve as biomarkers for different stages of VKH. Additionally, our competing endogenous RNA network of hsa-miR-206 provides a new direction for VKH treatment.


Assuntos
MicroRNAs , Síndrome Uveomeningoencefálica , Humanos , Síndrome Uveomeningoencefálica/genética , Síndrome Uveomeningoencefálica/metabolismo , Síndrome Uveomeningoencefálica/patologia , Leucócitos Mononucleares/metabolismo , MicroRNAs/metabolismo , Sequenciamento de Nucleotídeos em Larga Escala , Biomarcadores/metabolismo
13.
J Hazard Mater ; 426: 127838, 2022 03 15.
Artigo em Inglês | MEDLINE | ID: mdl-34844805

RESUMO

Crystallization and immobilization of actinides to form actinide compounds are of significant importance for the extraction and reutilization of nuclear waste in the nuclear industry. In this paper, the state-of-art progress in the crystallization of actinides are summarized, as well as the main functionalization of the actinide compounds, i.e., as adsorbents for heavy metal ions and organic pollutant in waste management, as (photo)catalysts for organic degradation and conversion, including degradation of organic dyes and antibiotics, dehydrogenation of N-heterocycles, CO2 cycloaddition, selective alcohol oxidation and selective oxidation of sulfides. This review will give a comprehensive summary about the synthesis and application exploration of solid actinide crystalline salts and actinide-based metal organic frameworks in the past decades. Finally, the future perspectives and challenges are proposed in the end to give a promising direction for future investigation.


Assuntos
Elementos da Série Actinoide , Estruturas Metalorgânicas , Resíduos Radioativos , Elementos da Série Actinoide/análise , Cristalização , Metais , Resíduos Radioativos/análise
14.
J Environ Sci (China) ; 115: 190-214, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-34969448

RESUMO

Aluminosilicate clay mineral (ACM) is a kind of typical raw materials that used widely in manufacturing industry owing to the abundant reserve and low-cost exploring. In past two decades, in-depth understanding on unique layered structure and abundant surface properties endows ACM in the emerging research and application fields. In field of solar-chemical energy conversion, ACM has been widely used to support various semiconductor photocatalysts, forming the composites and achieving efficient conversion of reactants under sunlight irradiation. To date, classic ACM such as kaolinite and montmorillonite, loaded with semiconductor photocatalysts has been widely applied in photocatalysis. This review summaries the recent works on ACM-based composites in photocatalysis. Focusing on the properties of surface and layered structure, we elucidate the different features in the composition with various functional photocatalysts on two typical kinds of ACM, i.e., type 1:1 and type 2:1. Not only large surface area and active surface hydroxyl group assist the substrate adsorption, but also the layered structure provides more space to enlarge the application of ACM-based photocatalysts. Besides, we overview the modifications on ACM from both external surface and the inter-layer space that make the formation of composites more efficiently and boost the photo-chemical process. This review could inspire more upcoming design and synthesis for ACM-based photocatalysts, leading this kind of economic and eco-friendly materials for more practical application in the future.


Assuntos
Caulim , Semicondutores , Silicatos de Alumínio , Argila , Minerais
15.
Curr Mol Med ; 21(8): 675-689, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32682377

RESUMO

OBJECTIVES: Vogt-Koyanagi-Harada syndrome is common autoimmune uveitis that can cause blindness. Recent studies have shown that plasma exosomes carry disease-related proteins that may serve as biomarkers. Here, we aimed to find candidate biomarkers of Vogt-Koyanagi-Harada disease using proteomic analysis of plasma exosomes. METHODS: Exosomes were isolated from the plasma of normal controls and Vogt- Koyanagi-Harada patients in the following groups: a) initial inflammatory attack (active stage), b) remission after one month of treatment (unstable stage), and c) stationary phase after three months of treatment (stable stage). Groups were analyzed by mass spectrometry using isobaric tags for relative and absolute quantitation. After functional analysis, proteins of interest were verified by ELISA. RESULTS: 463 proteins were identified in the exosomes. Forty-three were upregulated at the active inflammation stage, including inflammation-associated proteins. Thirty-one were downregulated. Gene ontology and pathway analyses revealed differential proteins related to cell adhesion, cell phagocytosis, cytoskeleton movement, leukocyte migration across endothelial cells, and platelet activation. By ELISA, Carbonic anhydrase 2 and Ras-related protein Rap-1b were verified as more plentiful at the active stage compared to the normal control and stationary phase in exosomes, but not, however, in microvesicles or plasma. CONCLUSION: Plasma exosomes of Vogt-Koyanagi-Harada patients contain many proteins related to the degree of inflammation. The levels of Carbonic anhydrase 2 and Ras-related protein Rap-1b in exosomes can be used as biomarkers for active inflammation in Vogt-Koyanagi-Harada disease. Further investigation could help study the pathogenesis of Vogt-Koyanagi-Harada disease and identify therapeutic targets.


Assuntos
Células Endoteliais/metabolismo , Exossomos/metabolismo , Perfilação da Expressão Gênica , Proteoma/metabolismo , Proteômica , Síndrome Uveomeningoencefálica/sangue , Feminino , Humanos , Masculino
16.
Cancers (Basel) ; 12(9)2020 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-32933182

RESUMO

B cell aplasia caused by "on-target off-tumor" toxicity is one of the clinical side effects during CD19-targeted chimeric antigen receptor (CAR) T (CD19-CAR-T) cells treatment for B cell malignancies. Persistent B cell aplasia was observed in all patients with sustained remission, which increased the patients' risk of infection. Some patients even died due to infection. To overcome this challenge, the concept of incorporating an inhibitory CAR (iCAR) into CAR-T cells was introduced to constrain the T cells response once an "on-target off-tumor" event occurred. In this study, we engineered a novel KIR/PD-1-based inhibitory CAR (iKP CAR) by fusing the extracellular domain of killer cell immunoglobulin-like receptors (KIR) 2DL2 (KIR2DL2) and the intracellular domain of PD-1. We also confirmed that iKP CAR could inhibit the CD19 CAR activation signal via the PD-1 domain and CD19-CAR-T cells bearing an iKP CAR (iKP-19-CAR-T) exerted robust cytotoxicity in vitro and antitumor activity in the xenograft model of CD19+HLA-C1- Burkitt's lymphoma parallel to CD19-CAR-T cells, whilst sparing CD19+HLA-C1+ healthy human B cells both in vitro and in the xenograft model. Meanwhile, iKP-19-CAR-T cells exhibited more naïve, less exhausted phenotypes and preserved a higher proportion of central memory T cells (TCM). Our data demonstrates that the KIR/PD-1-based inhibitory CAR can be a promising strategy for preventing B cell aplasia induced by CD19-CAR-T cell therapy.

17.
Dalton Trans ; 49(17): 5742, 2020 05 07.
Artigo em Inglês | MEDLINE | ID: mdl-32322849

RESUMO

Retraction of 'Enhanced adsorption of Eu(iii) on mesoporous Al2O3/expanded graphite composites investigated by macroscopic and microscopic techniques' by Yubing Sun et al., Dalton Trans., 2012, 41, 13388-13394.

18.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue ; 32(12): 1423-1427, 2020 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-33541491

RESUMO

OBJECTIVE: To investigate the clinical efficacy and short-term and long-term adverse reactions for different antiviral regiments for coronavirus disease 2019 (COVID-19) in Ningxia Hui Autonomous Region during hospitalization and follow-up in 3 months. METHODS: A single-center retrospective study was conducted to enroll the COVID-19 patients in isolation ward of the only designated hospital to receive COVID-19 patients (the Fourth People's Hospital of Ningxia Hui Autonomous Region) when the authors were assigned by the Ningxia Health Commission as experts from January 20, 2020 to March 15, 2020. According to the antiviral regimen, the patients were divided into conventional antiviral group and unconventional antiviral group. The conventional antiviral group received α-interferon combined with Lopinavir/Ritonavir (LPV/R). The unconventional antiviral group was given α-interferon combined with LPV/R and Abidor or Ribavirin or Chloroquine. The patients were divided into mild (13 cases), ordinary (45 cases), severe (14 cases) and critical (1 case) types. The clinical data, length of hospital stay, the first 2019 novel coronavirus (2019-nCoV) nucleic acid negative recovery time, cost of hospitalization, 2019-nCoV nucleic acid positive reversal after 14 days of discharge, and the combination of hormones and antibiotics were collected. The differences in blood routine, liver function, blood lipid level and adverse reactions of antiviral drugs during hospitalization were compared between the two groups at 1, 3 and 7 days after admission and 1 and 3 months after discharge. RESULTS: (1) General information: a total of 75 patients with confirmed COVID-19 were admitted, and 73 patients were eventually enrolled, including 47 cases in the conventional antiviral group and 26 cases in the unconventional antiviral group. Patients with different clinical classification were analyzed, the higher the clinical classification and the patients' age, the higher the proportion of primary diseases and the cost of treatment, and the longer the length of hospital stay. Compared with conventional antiviral group, in unconventional antiviral group the percentage of severe and critical patients were higher [34.6% (9/26) vs. 10.6% (5/47), 3.8% (1/26) vs. 0 (0/47)], the length of hospital stay (days: 16.1±5.6 vs. 11.6±3.3), first nucleic acid negative recovery time (days: 12.4±4.5 vs. 10.0±3.5) were longer, and hospitalization cost was higher [Yuan: 11 984.2 (9 000.6, 24 424.7) vs. 8 140.4 (6 715.7,9 707.7)], with statistically significant differences (all P < 0.05). There were no significant differences in gender, age, proportion of patients with primary diseases and nucleic acid positive reversal rate after 14 days of discharge between the unconventional and conventional antiviral groups (all P > 0.05). (2) Laboratory tests: during the hospitalization, white blood cell count (WBC), platelet count (PLT), total bilirubin (TBil) and three acyl glycerin (TG) levels were first increased and then reduced, lymphocyte count (LYM) was first decreased and then increased in two groups. In the unconventional antiviral group, WBC [(6.53±2.78)×109/L], PLT [(250.77±96.12)×109/L], and TG [(1.94±0.96) µmol/L] all reached their peak values at 7 days after admission. TBil peaked at 3 days after admission, which was (23.69±12.14) µmol/L, and LYM reached the peak 1 month after discharge, which was (1.82±0.50)×109/L; however, there was no statistical significance among the above indicators between two groups. There were no statistically significant differences in alanine aminotransferase (ALT), aspartate aminotransferase (AST) and total cholesterol (TC) between the two groups at each time point. (3) The ratio of combined use of hormones in the non-antiviral group was significantly higher than that in the conventional antiviral group [26.9% (7/26) vs. 4.3% (2/47), P < 0.05]. CONCLUSIONS: Age and associated primary diseases are related to the severity of COVID-19 patients. Unconventional antiviral treatment regimens are mostly used for severe COVID-19 patients whose ucleic acid did not turn negative for a long time. Individual antiviral therapy can be used based on the patients' response and tolerance to drugs.


Assuntos
Antivirais , COVID-19 , Antivirais/efeitos adversos , Humanos , Estudos Retrospectivos , SARS-CoV-2 , Resultado do Tratamento
19.
RSC Adv ; 10(27): 15925, 2020 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-35503289

RESUMO

[This retracts the article DOI: 10.1039/C2RA21713A.].

20.
J Environ Manage ; 256: 109954, 2020 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-31822459

RESUMO

Turbulence has significant influences on the growth rate and community structure of phytoplankton in large shallow lakes. Phytoplankton in moving water may be influenced by turbulence and nutrient concentration gradients on a short time scale. To assess this issue, our research used an ensemble water quality and ecological model by internally coupling the three-dimensional hydrodynamic model, the Environmental Fluid Dynamics Code (EFDC), and the one-dimensional ecosystem model, PCLake. The results showed that turbulence dramatically inhibited phytoplankton growth, while nutrients had the opposite effect. In addition, turbulence was the key factor contributing to phytoplankton growth. However, the effects of turbulence on phytoplankton correlated with nutrient concentrations. For lower nutrient concentrations, phytoplankton growth was controlled by nutrients. Logistic regression models were established with the modeled chlorophyll a, total nitrogen (TN), total phosphorus (TP) and turbulent kinetic energy (Ke). The results also showed that turbulence could improve nutrient uptake by phytoplankton, especially at low nutrient levels. The effects of turbulence on phytoplankton may imply that energy transfer occurs between water turbulence and phytoplankton. Our study will provide insight into management and remediation strategies of ecosystems based on energy processes in the future.


Assuntos
Lagos , Fitoplâncton , Clorofila A , Ecossistema , Transferência de Energia , Monitoramento Ambiental , Eutrofização , Nitrogênio , Fósforo , Qualidade da Água
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