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Clinical Characteristics and Outcomes of Type 2 Diabetes Patients Infected with COVID-19: A Retrospective Study 被引量:2
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作者 Yingyu Chen Jiankun Chen +6 位作者 Xiao Gong Xianglu Rong Dewei Ye Yinghua Jin zhongde zhang Jiqiang Li Jiao Guo 《Engineering》 SCIE EI 2020年第10期1321-1330,共10页
据报道,糖尿病及其相关的代谢性疾病是新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)患者的主要合并症。这项临床研究旨在调查有或没有合并糖尿病的COVID-19患者的临床特征、影像学和实验室检查、并发症、治疗方法以及临床结局... 据报道,糖尿病及其相关的代谢性疾病是新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)患者的主要合并症。这项临床研究旨在调查有或没有合并糖尿病的COVID-19患者的临床特征、影像学和实验室检查、并发症、治疗方法以及临床结局。这项回顾性研究纳入2020年1月12日至3月25日208例经实验室确认的COVID-19的住院患者(≥45岁)。分析病历信息包括临床特征、影像学和实验室检查、并发症、治疗和临床结果。其中,96名(46.2%)患者患有2型糖尿病。在COVID-19合并2型糖尿病患者中,高血压(58.3%vs.31.2%)、冠心病(17.1%vs.8.0%)和慢性肾脏病(6.2%vs.0%)的共存率明显高于没有2型糖尿病的COVID-19患者。COVID-19合并2型糖尿病患者的CT胸部扫描异常频率和程度显著增加,包括毛玻璃样混浊(85.6%vs.64.9%,P<0.001)和双侧斑片状阴影(76.7%vs.37.8%,P<0.001)。此外,患有糖尿病的COVID-19患者的血糖水平[7.23 mmol·L^-1(IQR:5.80~9.29)vs.5.46 mmol·L^-1(IQR:5.00-6.46)]、血液中低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)[2.21 mmol·L^-1(IQR:1.67~2.76)vs.1.75 mmol·L^-1(IQR:1.27~2.01)]和收缩压[130 mmHg(IQR:120~142)vs.122 mmHg(IQR:110~137),P<0.001]显著高于没有糖尿病的患者(P<0.001)。2型糖尿病和其他代谢性疾病共存于COVID-19患者中,这可能会增加发病率并加重COVID-19的病情。血糖和脂质代谢的最佳管理是确保更好的临床结果的关键。对于患有糖尿病及其他基础和慢性代谢性疾病的COVID-19患者,应提高临床警惕性。 展开更多
关键词 新冠病毒肺炎 冠状病毒 糖尿病 临床特征 合并症
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Application of Three-Dimensional Visualization Technology in Project Management of Offshore Platform Engineering Construction
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作者 Jianyuan Yang Songlin Xia +2 位作者 Jie Shang Shaofang Li zhongde zhang 《Engineering(科研)》 2019年第11期727-734,共8页
Three-dimensional visualization technology converts engineering design drawings and data into graphics or images, realizes virtual reality perception of simulated users in future construction scene, enhances the inter... Three-dimensional visualization technology converts engineering design drawings and data into graphics or images, realizes virtual reality perception of simulated users in future construction scene, enhances the interaction between project management and technical personnel and engineering construction achievement, and provides intuitive, flexible and strong realistic experience for project management. It can effectively improve the level of project communication, and assist the needs of project construction planning management, training, exhibition, etc. As a tool to help improve project management skills, it has good application effect and prospects. 展开更多
关键词 THREE-DIMENSIONAL VISUALIZATION VIRTUAL REALITY ENGINEERING Construction PROJECT Management
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Molecular epidemiology demonstrates that imported and local strains circulated during the 2014 dengue outbreak in Guangzhou, China 被引量:7
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作者 Geng Li Pan Pan +11 位作者 Qiuyan He Xiujuan Kong Kailang Wu Wei zhang Yuntao Liu Huiting Huang Jianbo Liu zhongde zhang De Wu Xiaoping Lai Xiaohong Liu Jianguo Wu 《Virologica Sinica》 SCIE CAS CSCD 2017年第1期63-72,共10页
The dengue virus (DENV) is a vital global public health issue. The 2014 dengue epidemic in Guangzhou, China, caused approximately 40,000 cases of infection and five deaths. We carried out a comprehensive investigati... The dengue virus (DENV) is a vital global public health issue. The 2014 dengue epidemic in Guangzhou, China, caused approximately 40,000 cases of infection and five deaths. We carried out a comprehensive investigation aimed at identifying the transmission sources in this dengue epidemic. To analyze the phylogenetics of the 2014 dengue strains, the envelope (E) gene sequences from 17 viral strains isolated from 168 dengue patient serum samples were sequenced and a phylogenetic tree was reconstructed. All 17 strains were serotype I strains, including 8 genotype I and 9 genotype V strains. Additionally, 6 genotype I strains that were probably introduced to China from Thailand before 2009 were widely transmitted in the 2013 and 2014 epidemics, and they continued to circulate until 2015, with one affinis strain being found in Singapore. The other 2 genotype I strains were introduced from the Malaya Peninsula in 2014. The transmission source of the 9 genotype V strains was from Malaysia in 2014. DENVs of different serotypes and genotypes co-circulated in the 2014 dengue outbreak in Guangzhou. Moreover, not only had DENV been imported to Guangzhou, but it had also been gradually exported, as the viruses exhibited an enzootic transmission cycle in Guangzhou. 展开更多
关键词 dengue virus (DENV) phylogenetic analysis envelope (E) gene enzootic transmission cycle
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A urinary proteomic landscape of COVID-19 progression identifies signaling pathways and therapeutic options 被引量:2
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作者 Yuntao Liu Lan Song +16 位作者 Nairen Zheng Jinwen Shi Hongxing Wu Xing Yang Nianci Xue Xing Chen Yimin Li Changqing Sun Cha Chen Lijuan Tang Xiaotian Ni Yi Wang Yaling Shi Jianwen Guo Guangshun Wang zhongde zhang Jun Qin 《Science China(Life Sciences)》 SCIE CAS CSCD 2022年第9期1866-1880,共15页
Signaling pathway alterations in COVID-19 of living humans as well as therapeutic targets of the host proteins are not clear.We analyzed 317 urine proteomes,including 86 COVID-19,55 pneumonia and 176 healthy controls,... Signaling pathway alterations in COVID-19 of living humans as well as therapeutic targets of the host proteins are not clear.We analyzed 317 urine proteomes,including 86 COVID-19,55 pneumonia and 176 healthy controls,and identified specific RNA virus detector protein DDX58/RIG-I only in COVID-19 samples.Comparison of the COVID-19 urinary proteomes with controls revealed major pathway alterations in immunity,metabolism and protein localization.Biomarkers that may stratify severe symptoms from moderate ones suggested that macrophage induced inflammation and thrombolysis may play a critical role in worsening the disease.Hyper activation of the TCA cycle is evident and a macrophage enriched enzyme CLYBL is up regulated in COVID-19 patients.As CLYBL converts the immune modulatory TCA cycle metabolite itaconate through the citramalyl-CoA intermediate to acetyl-CoA,an increase in CLYBL may lead to the depletion of itaconate,limiting its anti-inflammatory function.These observations suggest that supplementation of itaconate and inhibition of CLYBL are possible therapeutic options for treating COVID-19,opening an avenue of modulating host defense as a means of combating SARS-CoV-2 viruses. 展开更多
关键词 COVID-19 URINE PROTEOME CLYBL itaconate
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