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2021年中国发布临床实践指南利益冲突与经济学证据的调查分析 被引量:2
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作者 王彦博 赵明娟 +6 位作者 王强 许慧中 陶华 郭家平 黄修森 任学群 曾宪涛 《医学新知》 CAS 2023年第1期8-49,共42页
目的评价2021年中国发布的临床实践指南中利益冲突和经济学证据的情况,并与2017年和2018年发布的临床实践指南进行对比,充分了解中国指南制订变化情况,为进一步完善我国临床实践指南的制订提供参考。方法系统检索中国知网(CNKI)、中国... 目的评价2021年中国发布的临床实践指南中利益冲突和经济学证据的情况,并与2017年和2018年发布的临床实践指南进行对比,充分了解中国指南制订变化情况,为进一步完善我国临床实践指南的制订提供参考。方法系统检索中国知网(CNKI)、中国生物医学文献数据库(CBM)和万方数据库(WanFang Data),搜索2021年1月1日至2021年12月31日我国发布的临床实践指南。由2名研究者独立进行文献筛选、提取纳入指南的利益冲突和是否考虑经济学证据等相关信息后,使用Microsoft Excel 2019软件进行统计分析。结果共纳入临床实践指南164部,其中112部(68.29%)声明了利益冲突,70部(42.68%)报告了资金来源,在临床实践指南推荐意见形成及治疗中考虑经济学证据的只有30部(18.29%),三方面同时报道的指南仅有16部(9.76%)。相较于2017年与2018年,2021年我国发布的临床实践指南在利益冲突声明和资金投入力度方面均有改善,但经济学证据关注仍然很低。结论建议进一步完善我国临床实践指南对利益冲突的声明和管理及对经济学证据的关注,使指南制订更加客观、透明和科学。 展开更多
关键词 临床实践指南 利益冲突 经济学 经费来源 循证医学
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ROCK inhibition enhances neurite outgrowth in neural stem cells by upregulating YAP expression in vitro 被引量:2
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作者 Xu-feng Jia Fei Ye +1 位作者 yan-bo wang Da-xiong Feng 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第6期983-987,共5页
Spontaneous axonal regeneration of neurons does not occur after spinal cord injury because of inhibition by myelin and other inhibitory factors. Studies have demonstrated that blocking the Rho/Rho-kinase (ROCK) path... Spontaneous axonal regeneration of neurons does not occur after spinal cord injury because of inhibition by myelin and other inhibitory factors. Studies have demonstrated that blocking the Rho/Rho-kinase (ROCK) pathway can promote neurite outgrowth in spinal cord injury models. In the present study, we investigated neurite outgrowth and neuronal differentiation in neural stem cells from the mouse subventricular zone after inhibition of ROCK in vitro. Inhibition of ROCK with Y-27632 increased neurite length, enhanced neuronal differentiation, and upregulated the expression of two major signaling pathway effectors, phospho-Akt and phospho-mitogen-activated protein kinase, and the Hippo pathway effector YAP. These results suggest that inhibition of ROCK mediates neurite outgrowth in neural stem cells by activating the Hippo signaling pathway. 展开更多
关键词 nerve regeneration spinal cord injury neural stem cells Rho signalingpathway neurite outgrowth MYELIN YAP neural regeneration
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经尿道前列腺电切术后再发急性进展性前列腺癌1例
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作者 朱述圣 王艳波 +1 位作者 郑琪 侯宇川 《中国现代医学杂志》 CAS 2020年第17期91-92,共2页
临床资料患者,男性,65岁,间断性肉眼血尿3个月。既往史:经尿道前列腺电切术(transurethral resection of prostate,TURP)后15个月,前列腺特异性抗原(PSA):5.92 ng/ml,确诊为良性前列腺增生。入院后完善辅助检查及检验。输尿管CT显示:双... 临床资料患者,男性,65岁,间断性肉眼血尿3个月。既往史:经尿道前列腺电切术(transurethral resection of prostate,TURP)后15个月,前列腺特异性抗原(PSA):5.92 ng/ml,确诊为良性前列腺增生。入院后完善辅助检查及检验。输尿管CT显示:双侧肾上腺肿瘤,考虑转移灶(见图1)。前列腺核磁检查结果:①前列腺癌;②双侧耻骨、坐骨、髋臼多发转移瘤(见图2)。骨显像:双侧耻骨、双侧坐骨、双侧髋臼前列腺癌骨转移。PSA:359 ng/ml。患者行前列腺穿刺活检术,确诊为前列腺癌,HE染色见图3A,免疫组织化学见图3B^D:34βE12(-),P63(-),P504S(+),未行肾上腺穿刺活检。患者使用内分泌治疗(比卡鲁胺+醋酸戈舍瑞林缓释植入剂),近期复查PSA为13.00 ng/ml,状态良好。 展开更多
关键词 前列腺癌 前列腺电切术 进展
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2018年中国发布临床实践指南利益冲突与经济学证据的调查分析 被引量:13
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作者 王彦博 王强 +2 位作者 赵明娟 贺大林 王云云 《医学新知》 CAS 2020年第2期139-158,共20页
目的评价2018年中国发布的临床实践指南中有关利益冲突和经济学证据的情况,并与2017年进行比较,以期了解指南制定变化情况,为完善我国临床实践指南的制定/修订提供参考。方法计算机检索中国知网、万方数据库及中国生物医学文献数据库,检... 目的评价2018年中国发布的临床实践指南中有关利益冲突和经济学证据的情况,并与2017年进行比较,以期了解指南制定变化情况,为完善我国临床实践指南的制定/修订提供参考。方法计算机检索中国知网、万方数据库及中国生物医学文献数据库,检索2018年我国发布的临床实践指南,检索时间为2018年1月1日至2018年12月31日。由2名研究者独立筛选文献、提取纳入指南的利益冲突声明与是否关注经济学证据等相关信息后,使用Microsoft Excel 2019软件进行统计分析。结果共纳入临床实践指南92部,其中23部指南(25.00%)声明了利益冲突,25部(27.17%)报告了资金来源,22部(23.91%)报道了经济学证据,且该报道的指南中有一半都有国家重大或重点专项支持(50.00%)。而2017年中国发布的53部临床实践指南中,有26.42%声明利益冲突,18.87%报告资金来源,11.32%提及经济学证据。结论相较于2017年,2018年我国加大了对临床实践指南制定资金投入的力度,在指南经济学证据方面的关注也有所提高,但是对于指南中利益冲突的声明报告和确切的经济学证据仍然很低。因此,进一步推进和完善我国临床实践指南对利益冲突的声明与经济学证据的关注,使我国临床实践指南制定更加客观、透明和独立是必要的。 展开更多
关键词 临床实践指南 利益冲突 经费来源 经济学证据
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Effect of Intravenous Administration of Liposomal Prostaglandin E1 on Microcirculation in Patients with ST Elevation Myocardial Infarction Undergoing Primary Percutaneous Intervention 被引量:27
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作者 Li-Ye Wei Xiang-Hua Fu +4 位作者 Wei Li Xi-Le Bi Shi-Ru Bai Kun Xing yan-bo wang 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第9期1147-1150,共4页
Background:Several studies have demonstrated that primary percutaneous coronary intervention (PCI) can result in reperfusion injury.This study aims to investigate the effectiveness of liposomal prostaglandin E l (... Background:Several studies have demonstrated that primary percutaneous coronary intervention (PCI) can result in reperfusion injury.This study aims to investigate the effectiveness of liposomal prostaglandin E l (Lipo-PGE1,Alprostadil,Beijing Tide Pharmaceutical Co.,Ltd.) for enhancing microcirculation in reperfusion injury.In addition,this study determined the optimal administration method for acute ST elevation myocardial infarction (STEMI) patients undergoing primary PCI.Methods:Totally,68 patients with STEMI were randomly assigned to two groups:intravenous administration ofLipo-PGE 1 (Group A),and no Lipo-PGE1 administration (Group B).The corrected thrombolysis in myocardial infarction (TIMI) frame count (cTFC) and myocardial blush grade (MBG) were calculated.Patients were followed up for 6 months.Major adverse cardiac events (MACE) were also measured.Results:There was no significant difference in the baseline characteristics between the two groups.The cTFC parameter in Group A was significantly lower than Group B (18.06 ± 2.06 vs.25.31 ± 2.59,P < 0.01).The ratio of final MBG grade-3 was significantly higher (P < 0.05) in Group A (87.9%) relative to Group B (65.7%).There was no significant difference between the two groups in final TIMI-3 flow and no-reflow.Patients were followed up for 6 months,and the occurrence of MACE in Group A was significantly lower than that in Group B (6.1% vs.25.9% respectively,P < 0.05).Conclusions:Myocardial microcirculation of reperfusion injury in patients with STEMI,after primary PCI,can be improved by administering Lipo-PGE1. 展开更多
关键词 Intravenous Administration Liposomal Prostaglandin E l Primary Percutaneous Coronary Intervention ST Elevation Myocardial Infarction
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Influence of Puncture Site on Radial Artery Occlusion After Transradial Coronary Intervention 被引量:7
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作者 Xi-Le Bi Xiang-Hua Fu +5 位作者 Xin-Shun Gu yan-bo wang Wei Li Li-Ye Wei Yan-Ming Fan Shi-Ru Bai 《Chinese Medical Journal》 SCIE CAS CSCD 2016年第8期898-902,共5页
Background:The risk of radial artery occlusion (RAO) needs particular attention in transradial intervention (TRI).Therefore,reducing vascular occlusion has an important clinical significance.The aim of this study... Background:The risk of radial artery occlusion (RAO) needs particular attention in transradial intervention (TRI).Therefore,reducing vascular occlusion has an important clinical significance.The aim of this study was to determine the appropriate puncture site during TRI through comparing the occurrence of RAO between the different puncture sites to reduce the occurrence of RAO after TRI.Methods:We prospectively assessed the occurrence of RAO in 606 consecutive patients undergoing TRI.Artery occlusion was evaluated with Doppler ultrasound in 2 days and 1 year after the intervention.Risk factors for RAO were evaluated using a multivariate model analysis.Results:Of the 606 patients,the RAO occurred in 56 patients.Compared with TRI at 2-5 cm away from the radius styloid process,the odds ratio (OR) for occlusion risk at 0 cm and 1 cm were 9.65 (P =0.033) and 8.90 (P =0.040),respectively.The RAO occurred in the ratio of the arterial diameter to the sheath diameter ≤1 (OR =2.45,P =0.004).Conclusion:Distal puncture sites (0-1 cm away from the radius styloid process) can lead to a higher rate of RAO. 展开更多
关键词 Percutaneous Coronary Intervention Puncture Site Radial Artery Risk Factors
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Strategies of binder design for high-performance lithium-ion batteries:a mini review 被引量:3
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作者 yan-bo wang Qi Yang +4 位作者 Xun Guo Shuo Yang Ao Chen Guo-Jin Liang Chun-Yi Zhi 《Rare Metals》 SCIE EI CAS CSCD 2022年第3期745-761,共17页
Developing high-performance lithium-ion batteries (LIBs) with high energy density, rate capability and long cycle life are essential for the ever-growing practical application. Among all battery components, the binder... Developing high-performance lithium-ion batteries (LIBs) with high energy density, rate capability and long cycle life are essential for the ever-growing practical application. Among all battery components, the binder plays a key role in determining the preparation of electrodes and the improvement of battery performance, in spite of a low usage amount. The main function of binder is to bond the active material, conductive additive and current collector together and provide electron and ion channels to improve the kinetics of electrochemical reaction. With the ever-increasing requirement of high energy density by LIBs, technical challenges such as volume expansion and active material dissolution are attracting worldwide attentions, where binder is thought to provide a new solution.There are two main categories (organic solvent soluble binder and water-soluble binder) and abundant polar functional groups providing adhesion ability. It is of great significance to timely summarize the latest progress in battery binders and present the principles for designing novel binders with both robust binding interaction and outstanding electrode stabilization function. This review begins with an introduction of the binding mechanism and the related binding forces, including mechanical interlocking forces and interfacial forces. Then, we discussed four different strategies (the enhancement of binding force,the formation of three-dimensional (3D) network, the enhancement of conductivity and binders with special functions) for constructing ideal binder system in order to satisfy the specific demands of different batteries, such as LIBs and lithium–sulfur (Li–S) batteries. Finally, some prospective and promising directions of binder design are proposed based on the existing and emerging binders and guide the development of the next-generation LIBs. 展开更多
关键词 Lithium-ion batteries BINDER Binding mechanism Binder design
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Unique Continuation Property with Partial Information for Two-Dimensional Anisotropic Elasticity Systems 被引量:1
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作者 Jin CHENG Yi-kan LIU +1 位作者 yan-bo wang Masahiro YAMAMOTO 《Acta Mathematicae Applicatae Sinica》 SCIE CSCD 2020年第1期3-17,共15页
In this paper,we establish a novel unique continuation property for two-dimensional anisotropic elasticity systems with partial information.More precisely,given a homogeneous elasticity system in a connected open boun... In this paper,we establish a novel unique continuation property for two-dimensional anisotropic elasticity systems with partial information.More precisely,given a homogeneous elasticity system in a connected open bounded domain,we investigate the unique continuation by assuming only the vanishing of one component of the solution in a subdomain.Using the corresponding Riemann function,we prove that the solution vanishes in the whole domain provided that the other component vanishes at one point up to its second derivatives.Further,we construct several examples showing the possibility of further reducing the additional information of the other component.This result possesses remarkable significance in both theoretical and practical aspects because the required data are almost halved for the unique determination of the whole solution. 展开更多
关键词 ANISOTROPIC ELASTICITY system UNIQUE continuation Riemann function
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