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Nanomedicine-mediated immunogenic cell death and its combination with immune checkpoint blockade therapy
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作者 CHEN JunBin ZHANG YuXi +2 位作者 SU Miao ZHU YueQiang yang xianzhu 《Science China(Technological Sciences)》 SCIE EI CAS CSCD 2024年第8期2350-2362,共13页
Cancer immunotherapies, which train the natural immune system to specifically kill tumor cells while sparing the healthy cells,have helped revolutionize cancer treatments and demonstrated promising clinical therapeuti... Cancer immunotherapies, which train the natural immune system to specifically kill tumor cells while sparing the healthy cells,have helped revolutionize cancer treatments and demonstrated promising clinical therapeutic benefits for decades. However, the therapeutic outcome of immunotherapies, even for the most successful immune checkpoint blockade(ICB) therapy, remains unsatisfactory in the clinical practice, mainly due to the low immunogenicity of solid tumors and its immunosuppressive tumor microenvironment(TME). Notably, several cancer treatment modalities, including chemotherapy, radiotherapy, and phototherapy, have been revealed to evoke tumor immunogenicity and reverse immunosuppressive TME via inducing immunogenic cell death(ICD) of tumor cells, which synergistically sensitized tumors to ICB therapy. Nanomedicines have been extensively applied to augment ICD-inducing treatment modalities and potentiate ICB therapeutic efficacy therapy due to the opportune convergence of immunotherapy and nanotechnology. Here, we discuss the recent advances in nanomedicine-mediated ICD and its combination with ICB therapy. 展开更多
关键词 cancer immunotherapy NANOMEDICINE immunogenic cell death immune checkpoint blockade
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护士睡眠质量和职业倦怠的关系:正念的调节作用 被引量:11
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作者 杨显珠 傅声帆 黄孔阳 《中华现代护理杂志》 2018年第33期4031-4035,共5页
目的分析护士睡眠质量和职业倦怠的关系,研究正念在两者关系间的调节效应。方法采用方便抽样法于2017年9月—2018年3月选取温州医科大学附属第二医院护士240名,采用一般资料调查表、职业倦怠量表、睡眠质量指数和正念注意觉知量表调查... 目的分析护士睡眠质量和职业倦怠的关系,研究正念在两者关系间的调节效应。方法采用方便抽样法于2017年9月—2018年3月选取温州医科大学附属第二医院护士240名,采用一般资料调查表、职业倦怠量表、睡眠质量指数和正念注意觉知量表调查护士一般资料、职业倦怠感、睡眠质量和正念水平。发放并收回问卷240份,有效问卷226份。结果226名护士职业倦怠得分为(3.04±1.01)分,职业倦怠及各维度与睡眠质量评分均呈正相关(r=0.389-0.422,P<0.01),与正念评分呈负相关(r=-0.198- -0.296,P<0.05)。结构方程模型多组分析显示,正念能够调节睡眠质量和职业倦怠的关系(P<0.01)。结论护士群体具有较差的睡眠质量和较高的职业倦怠感,护士的正念可以调节睡眠质量和职业倦怠间的关系,提高护士正念水平可以改善护士职业倦怠。 展开更多
关键词 护士 职业倦怠 睡眠质量 正念 调节效应
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三甲医院临床护士工作成瘾现状及其影响因素分析 被引量:4
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作者 杨显珠 傅声帆 黄孔阳 《中华现代护理杂志》 2019年第33期4336-4341,共6页
目的调查三甲医院临床护士工作成瘾、组织过度工作氛围、成就动机现状,并三甲医院临床护士工作成瘾的影响因素。方法采用方便抽样法于2018年8—10月选取浙江省2所三甲医院的临床护士作为研究对象,使用一般资料调查表、护士工作成瘾量表... 目的调查三甲医院临床护士工作成瘾、组织过度工作氛围、成就动机现状,并三甲医院临床护士工作成瘾的影响因素。方法采用方便抽样法于2018年8—10月选取浙江省2所三甲医院的临床护士作为研究对象,使用一般资料调查表、护士工作成瘾量表、过度工作氛围量表和成就动机量表进行问卷调查。使用SPSS 20.0统计学软件进行统计描述、单因素分析和多重线性回归分析。本研究共发放问卷750份,回收有效问卷687份,有效问卷回收率为91.6%。结果687名三甲医院临床护士工作成瘾得分为(59.11±13.59)分,组织过度工作氛围得分为(29.14±5.72)分,成就动机量表中追求成功动机维度得分为(2.79±0.65)分,避免失败动机维度得分为(2.58±0.61)分。单因素分析结果显示,过度工作氛围、追求成功、避免失败、性别、文化程度、职称、人事关系和子女数有可能影响临床护士的工作成瘾水平(P<0.05)。多重线性回归分析结果显示,追求成功动机、组织过度工作氛围、合同制人事关系和文化程度可影响工作成瘾水平(P<0.05)。结论医院管理者应关注护士的工作成瘾倾向,对于有明显工作成瘾倾向的护士,应采取措施将其工作成瘾控制在一个恰当的水平,以利于医院的长期稳定发展。 展开更多
关键词 护士 三甲医院 组织过度工作氛围 成就动机 工作成瘾
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Surface-modulated and thermoresponsive polyphosphoester nanoparticles for enhanced intracellular drug delivery 被引量:2
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作者 LI yang WANG Feng +3 位作者 SUN TianMeng DU JinZhi yang xianzhu WANG Jun 《Science China Chemistry》 SCIE EI CAS 2014年第4期579-585,共7页
The chemical structure of end groups influenced the phase transition temperature of thermoresponsive polymers. We demonstrated a strategy for the preparation of the pH/thermo-responsive polymeric nanoparticles via sub... The chemical structure of end groups influenced the phase transition temperature of thermoresponsive polymers. We demonstrated a strategy for the preparation of the pH/thermo-responsive polymeric nanoparticles via subtle modification of end groups of thermoresponsive polymer segments with a carboxyl group and revealed its potential application for enhanced intracellular drug delivery. By developing a polymeric nanoparticle composed of poly(aliphatic ester) as the inner core and thermoresponsive polyphosphoester as the outer shell, we showed that end groups of thermoresponsive polyphosphoester segments modified by carboxyl groups exhibited a pH/thermo-responsive behavior due to the hydrophilic to hydrophobic transitions of the end groups in response to the pH. Moreover, by encapsulating doxorubicin into the hydrophobic core of such pH/thermo-responsive polymer nanoparticles, their intracellular delivery and cytotoxicity to wild-type and drug-resistant tumor cells were significantly enhanced through the phase-transition-dependent drug release that was triggered by endosomal/lysosomal pH. This novel strategy and the multi-responsive polymer nanoparticles achieved by the subtle chain-terminal modification of thermoresponsive polymers provide a smart platform for biomedical applications. 展开更多
关键词 THERMORESPONSIVE drug release POLYPHOSPHOESTER drug resistance
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