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Role of H2 receptor blocker famotidine over the clinical recovery of COVID-19 patients: A randomized controlled trial
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作者 Abu Taiub Mohammed Mohiuddin Chowdhury Aktar Kamal +8 位作者 Md Kafil Uddin Abbas Md Rezaul Karim Md Ahsan Ali Shubhashis Talukder H M Hamidullah Mehedi Hamid Hassan Abul Hossain Shahin Yarui Li shuixiang he 《World Journal of Clinical Cases》 SCIE 2022年第23期8170-8185,共16页
BACKGROUND Coronavirus disease 2019(COVID-19)is a global pandemic putting the population at a high risk of infection-related health hazards,mortality and a potential failure of proper medical therapies.Therefore,it is... BACKGROUND Coronavirus disease 2019(COVID-19)is a global pandemic putting the population at a high risk of infection-related health hazards,mortality and a potential failure of proper medical therapies.Therefore,it is necessary to evaluate the potential use of the existing drugs that could be used as options for the medical management of COVID-19 patients.AIM To evaluate the role of the H_(2) receptor blocker“famotidine”in COVID-19 illness.METHODS This study was done on seriously ill COVID-19 patients admitted to the intensive care unit(ICU)from different institutes in Bangladesh.Patients were divided into famotidine treatment group“A”(famotidine 40 mg to 60 mg oral formulation every 8 h with other treatment as given),and control group“B”(treatment as given).National early warning score(NEWS)-2,and sequential organ failure assessment day-1 score was calculated to evaluate the outcome.Outcomes were evaluated by the time required for clinical improvement,characterized as duration required from enrollment to the achievement of NEWS-2 of≤2 maintained for 24 h;time to symptomatic recovery,defined as the duration in days(from randomization)required for the recovery of the COVID-19 symptoms;mortality rate;duration of ICU and hospital stay;total period of hospitalization;the rate of supplementary oxygen requirement;the computed tomography(CT)chest recovery(%),the time required for the viral clearance and“NEWS-2”on discharge.RESULTS A total of 208 patients were enrolled in this study with 104 patients in each group.The famotidine treatment group had comparatively better recovery of 75%and a low mortality of 25%than the control with a recovery of 70%and a mortality of 30%.Duration of clinical improvement(group A 9.53 d,group B 14.21 d);hospitalization period among the recovered patients(group A 13.04 d,group B 16.31 d),pulmonary improvement in chest CT(group A 21.7%,group B 13.2%),and the time for viral clearance(group A 20.7 d,group B 23.8 d)were found to be statistically significant P≤0.05.However,the Kaplan Meier survival test was not significant among the two study groups,P=0.989.CONCLUSION According to our study,treatment with famotidine achieved a better clinical outcome compared to the control group in severe COVID-19 illness,although no significant survival benefit was found. 展开更多
关键词 COVID-19 SARS-CoV-2 FAMOTIDINE COVID-19 acute respiratory distress syndrome COVID-19 treatment BANGLADESH
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Knockdown Wiskott-Aldrich syndrome protein family member 3(WASF3)inhibits colorectal cancer metastasis and sensitizes to cisplatin through targeting ZNF471
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作者 ZHIYONG ZHANG YAN PAN +5 位作者 YAN ZHAO MUDAN REN YARUI LI YUN FENG GUIFANG LU shuixiang he 《BIOCELL》 SCIE 2022年第8期1917-1924,共8页
:Colorectal cancer(CRC)is a heterogeneous cancer,and many risk factors for colorectal cancer have been established.For CRC metastasis,tumor cell migration,adhesion as well as invasion are important processes.Wiskott-A... :Colorectal cancer(CRC)is a heterogeneous cancer,and many risk factors for colorectal cancer have been established.For CRC metastasis,tumor cell migration,adhesion as well as invasion are important processes.Wiskott-Aldrich syndrome protein family member 3(WASF3)is necessary for metastasis of various types of cancers.However,its role in CRC progression has not been fully elucidated.This study examined the in vitro functional roles of WASF3 in the CRC and explored the underlying molecular mechanisms.We used siRNA-WASF3 to gene silence WASF3 in colon cancer cell(HCT116)in vitro.The effects of WASF3 silencing on HCT116 cell apoptosis,proliferation,migration,as well as invasion were assessed by flow cytometry,CCK-8,and transwell assays.ZNF471 protein expressions were detected by immunofluorescence staining and RT-PCR.Moreover,the effects of ZNF471 were studied on a series of in vitro antitumor-promoting assays using HCT116.WASF3 knockdown expression using small interfering RNA(siRNA)ameliorated CRC cell proliferation,anchorage-independent growth,invasion,and metastasis.Furthermore,we observed that WASF3 contributed to upregulating the metastasis signaling pathway through inhibiting the expression of ZNF471.Our study suggests that targeting WASF3 signaling might be a novel therapeutic strategy for treating CRC. 展开更多
关键词 WASF3 Colorectal cancer ZNF471 Proliferation METASTASIS
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磁压榨吻合技术治疗结直肠吻合及重建中的应用分析
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作者 李晶 卢桂芳 +8 位作者 张苗苗 刘仕琪 严小鹏 马锋 任晓阳 孙学军 吕毅 和水祥 任牡丹 《中华消化内镜杂志》 CSCD 2023年第5期397-400,共4页
回顾磁压榨吻合技术(magnetic compression anastomosis,MCA)治疗不同原因、不同类型肠道狭窄/闭锁实现肠道再通的案例,对MCA在结直肠吻合及重建中的临床应用进行分析探讨。4例患者2019年5月—2022年8月在西安交通大学第一附属医院及西... 回顾磁压榨吻合技术(magnetic compression anastomosis,MCA)治疗不同原因、不同类型肠道狭窄/闭锁实现肠道再通的案例,对MCA在结直肠吻合及重建中的临床应用进行分析探讨。4例患者2019年5月—2022年8月在西安交通大学第一附属医院及西北妇女儿童医院行结直肠MCA再通治疗。患者手术过程均顺利,实现肠道吻合再通,磁环排出时间为7~15 d,术后复查肠镜或造影提示吻合口完好。MCA可用于治疗不同原因、不同类型的结直肠狭窄及闭锁,也可用于辅助结直肠手术肠吻合。 展开更多
关键词 结肠 直肠 重建 磁压榨吻合技术 吻合
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磁力疏通技术在术后消化道狭窄中的应用 被引量:3
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作者 李宇 苏茂生 +5 位作者 孙学军 于良 刘昌 和水祥 吴荣谦 孙昊 《科学通报》 EI CAS CSCD 北大核心 2020年第13期1283-1294,共12页
磁吻合或磁力疏通技术是一种创新性的吻合技术,可完成狭窄消化道的重建.我们采用该技术治疗常规治疗方法无效的消化道狭窄,现探讨该技术的安全性及有效性.收集2012年1月~2019年10月西安交通大学第一附属医院及中国人民解放军总医院肝胆... 磁吻合或磁力疏通技术是一种创新性的吻合技术,可完成狭窄消化道的重建.我们采用该技术治疗常规治疗方法无效的消化道狭窄,现探讨该技术的安全性及有效性.收集2012年1月~2019年10月西安交通大学第一附属医院及中国人民解放军总医院肝胆外科收治的17例术后消化道狭窄患者:年龄11~78岁,男女比例11:6;胆道狭窄14例,结直肠吻合口狭窄1例,食管吻合口狭窄2例;完全性狭窄14例,顽固性狭窄3例;末次手术后0~120月发现狭窄,在接受2~8次无效的标准治疗后行磁力疏通技术治疗.疏通装置由子母稀土钕铁硼磁铁构成,柱状或环状.通过不同的输送路径,在狭窄消化道的上下端分别置入子母磁体,通过磁体间的磁力压迫狭窄组织而达到再通,再通后在新吻合口放置支架或进行扩张等治疗.观察指标包括术前狭窄距离、磁吻合再通时间、手术30 d内相关并发症、支架留置时间、吻合口狭窄复发等.采用门诊及电话随访,随访时间至2019年12月. 16例患者完成磁力疏通治疗(成功率94.1%),分别为10例胆道-胆道吻合、3例胆道-肠道吻合、1例食管-食管吻合、1例食管-胃吻合、1例结肠-直肠吻合. 3例患者术后早期子母磁环脱开, 2例自动复位, 1例再次经PTCD(percutaneous transhepatic cholangial drainage)窦道置入一枚子磁体复位耦合. 3例有手术并发症(急性胆管炎、胆道出血及结肠瘘各1例),均予保守治疗后好转. 16例术前狭窄段长度2~7.1(4±1.9) mm,再通时间7~50(15.5±10.6) d.再通后4例置入胆道塑料支架, 5例置入胆道全覆膜金属支架, 4例置入经皮肝胆道引流导管, 2例吻合口球囊扩张+金属支架置入, 1例单纯吻合口球囊扩张.再通后1~17(6.9±4.0)月, 14例患者拔出支架, 1例仍在支架治疗中.脱支架后随访3~70(22.5±24.9)月, 13例胆道狭窄者未见狭窄复发,其中2例出现胆道结石,内镜治愈;3例胃肠道狭窄者中有2例复发.综上所述,磁力疏通技术治疗复杂术后消化道狭窄微创、安全、有效,可作为常规方法治疗无效后的补救措施. 展开更多
关键词 磁吻合 胆道狭窄 食管狭窄 胃肠吻合口狭窄 结直肠吻合口狭窄 再通
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磁控胶囊内镜在消化道疾病筛查与诊断中的临床价值
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作者 和水祥 《中华胃肠内镜电子杂志》 2022年第2期75-75,共1页
磁控胶囊内镜已广泛应用于国内外临床,成为消化道病初筛和检查的重要工具,多项研究已证实磁控胶囊内镜对胃疾病的诊断准确性和传统电子胃镜高度一致,具有舒适、安全、无需麻醉、无交叉感染风险等优点,人群接受度高,是传统电子内镜的有... 磁控胶囊内镜已广泛应用于国内外临床,成为消化道病初筛和检查的重要工具,多项研究已证实磁控胶囊内镜对胃疾病的诊断准确性和传统电子胃镜高度一致,具有舒适、安全、无需麻醉、无交叉感染风险等优点,人群接受度高,是传统电子内镜的有益补充.为此,我们也对磁控胶囊内镜在消化道疾病筛查与诊断中的临床价值做了一些初步探索. 展开更多
关键词 疾病筛查 电子内镜 磁控胶囊内镜 交叉感染 接受度 胃疾病 的临床价值 消化道
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