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Cross-Reaction between Gliadin and Different Food and Tissue Antigens
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作者 Aristo Vojdani Igal Tarash 《Food and Nutrition Sciences》 2013年第1期20-32,共13页
A subgroup of coeliac disease patients continues to experience symptoms even on a gluten-free diet (GFD). We attempted to determine whether these symptoms could be due to either cross-contamination with gluten-contain... A subgroup of coeliac disease patients continues to experience symptoms even on a gluten-free diet (GFD). We attempted to determine whether these symptoms could be due to either cross-contamination with gluten-containing foods or cross-reactivity between α-gliadin and non-gluten foods consumed on a GFD. We measured the reactivity of affinity-purified polyclonal and monoclonal α-gliadin 33-mer peptide antibodies against gliadin and additional food antigens commonly consumed by patients on a GFD using ELISA and dot-blot. We also examined the immune reactivity of these antibodies with various tissue antigens. We observed significant immune reactivity when these antibodies were applied to cow’s milk, milk chocolate, milk butyrophilin, whey protein, casein, yeast, oats, corn, millet, instant coffee and rice. To investigate whether there was cross-reactivity between α-gliadin antibody and different tissue antigens, we measured the degree to which this antibody bound to these antigens. The most significant binding occurred with asialoganglioside, hepatocyte, glutamic acid decarboxylase 65, adrenal 21-hydroxylase, and various neural antigens. The specificity of anti-α-gliadin binding to different food and tissue antigens was demonstrated by absorption and inhibition studies. We also observed significant cross-reactivity between α-gliadin 33-mer and various food antigens, but some of these reactions were associated with the contamination of non-gluten foods with traces of gluten. The consumption of cross-reactive foods as well as gluten-contaminated foods may be responsible for the continuing symptoms presented by a subgroup of patients with coeliac disease. The lack of response of some CD patients may also be due to antibody cross-reactivity with non-gliadin foods. These should then be treated as gluten-like peptides and should also be excluded from the diet when the GFD seems to fail. 展开更多
关键词 cross-reaction GLIADIN FOOD ANTIGENS Tissue ANTIGENS CELIAC Disease GLUTEN-FREE Diet
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Occurrence of False-Positive Tests and Cross-reactions Between COVID-19 and Dengue With Implications During Diagnosis:A Mixed Evidence Synthesis
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作者 Daniel C.Digwo Chidinma P.Elebe +3 位作者 Vincent N.Chigor Stella N.Madueke Christian K.Ezeh Anthony C.Ike 《Infectious Microbes & Diseases》 CSCD 2023年第2期64-75,共12页
This review aimed to assess the occurrence of false-positive serological reaction between dengue and coronavirus disease 2019(COVID-19)and its implications for diagnosis.Evidence syntheses were conducted by systematic... This review aimed to assess the occurrence of false-positive serological reaction between dengue and coronavirus disease 2019(COVID-19)and its implications for diagnosis.Evidence syntheses were conducted by systematically reviewing available literature using multiple databases,including Web of Science,PubMed,Google Scholar and medRxiv.Among a total of 16 presented cases from clinical settings,cross-reaction to COVID-19 serological tests was observed in two(12.5%)dengue-positive patients,while 14 patients(87.5%)confirmed positive for severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)showed a cross-reaction with dengue serological tests,leading to misdiagnosis and mismanagement by attending clinicians.Of 1789 SARS-CoV-2-positive sera,cross-reaction to dengue serological tests was observed in 180 sera(10%),which is higher than the cross-reaction observed for SARS-CoV-2 in archived pre-COVID-19 sera positive for a dengue infection(75 of 811,9.2%,P=0.674).Clinicians in tropical regions are therefore advised to interpret serological tests with caution and use a more pragmatic approach to triage these infections. 展开更多
关键词 COVID-19 cross-reaction DENGUE SARS-CoV-2
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Cross-Reaction of SARS-CoV Antigen with Autoantibodies in Autoimmune Diseases 被引量:7
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作者 YunshanWang ShanhuiSun +8 位作者 HongShen LihuaJiang MaoxiuZhang DongjieXiao YangLiu XiaoliMa YongZhang NongjianGuo TanghongJia 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2004年第4期304-307,共4页
To investigate the significance of the SARS-associated coronavirus (SARS-CoV) antibody,detected by ELISA and indirect immunofluorescence assays (IFA) for the SARS-CoV Vero E6 cell lysates,in non-SARS subjects, 114 ser... To investigate the significance of the SARS-associated coronavirus (SARS-CoV) antibody,detected by ELISA and indirect immunofluorescence assays (IFA) for the SARS-CoV Vero E6 cell lysates,in non-SARS subjects, 114 serum samples from healthy controls and 104 serum specimens from autoimmune disease patients were collected.The results of ELISA showed that among 114 sera from healthy controls,4 (3.5%) were positive of SARS-CoV-IgG antibody and 114 (100%) were all negative of SARS-CoV-IgM antibody;the specificity of SARS-CoV-IgG antibody for SARS patients was 96.5%,but the specificity of both SARS-CoV-IgG and -IgM antibodies for SARS patients was 100%.In 58 cases with SLE,positive rates of SARS-CoV-IgG and -IgM antibodies were 32.8% (19/58) and 8.6% (5/58),respectively,in which 11 cases (19%) were positive of both SARS-CoV-IgG and -IgM antibodies;in 10 cases with SS,positive rate of both SARS-CoV-IgG and -IgM antibodies was 10% (1/10);in 16 cases with MCTD,positive rate of SARS-CoV-IgG was 37.5% (6/16),positive rate of both SARS-CoV-IgG and -IgM antibodies was 6.3% (1/16);in 20 cases with RA,one case was positive (5%) of SARS-CoV-IgG.However,of all samples with positive SARS-CoV-IgG and -IgM antibodies for autoimmune diseases and healthy controls,SARS-CoV RNA and antibodies were all negative by RT-PCR and IFA.All sera for negative or positive ELISA results were also negative or positive results using ELISA with Vero E6 cells lysates.These studies showed that SARS-CoV Vero E6 cell lysates for the ELISA to detect SARS-CoV antibodies could lead to the false-positive reactions or cross-reactions of SARS-CoV antibodies in non-SARS diseases and healthy controls,and the false-positive reactions or cross-reactions were related to Vero E6 cell lysates and autoantibodies in non-SARS population.Cellular & Molecular Immunology.2004;1(4): 304-307. 展开更多
关键词 SARS-COV autoimmune disease cross-reaction
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高压电缆绝缘低密度聚乙烯交联过程中级数和自催化反应的逆向调控 被引量:1
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作者 李加才 尚恺 +2 位作者 司志成 王诗航 李盛涛 《电工技术学报》 EI CSCD 北大核心 2024年第1期13-22,共10页
在保证交联度的前提下提升耐焦烧性能是进一步发展国产高压电缆低密度聚乙烯绝缘料的关键之一。焦烧和交联度本质上是交联反应及其结果的反映,该文基于高分子化学流变学和凝胶理论,提出了绝缘料耐焦烧性能的定量表征方法,结合实验分析... 在保证交联度的前提下提升耐焦烧性能是进一步发展国产高压电缆低密度聚乙烯绝缘料的关键之一。焦烧和交联度本质上是交联反应及其结果的反映,该文基于高分子化学流变学和凝胶理论,提出了绝缘料耐焦烧性能的定量表征方法,结合实验分析和交联反应动力学模型,首次全面探讨了交联反应与焦烧和交联度的关联机理,提出了提升耐焦烧性能并保证交联度的优化策略。研究发现,低密度聚乙烯交联过程中有级数反应和自催化反应,低温下级数反应的级数越低,越有利于延缓交联反应,增加凝胶时间,提高耐焦烧性能;而高温下自催化反应的级数越高,越有利于加速交联反应,提高交联度。单一添加剂只能同向改变级数反应和自催化反应的级数,复合添加剂的协同作用则能逆向改变级数反应和自催化反应的级数,从而实现了在保证交联度的前提下提升绝缘料的耐焦烧性能。该研究为推进高压电缆低密度聚乙烯绝缘料国产化提供了重要理论支撑。 展开更多
关键词 低密度聚乙烯 级数反应 自催化反应 焦烧 交联度
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氮杂环卡宾-铁配合物催化碳-碳偶联反应的研究进展
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作者 代祯 王亚鹏 +7 位作者 赵慧慧 张斌 刘万聪 张静学 何俊 胡嘉涛 刘浩 张翔 《合成化学》 CAS 2024年第5期469-484,共16页
作为传统贵金属催化剂的理想替代品,铁具有来源广泛、毒性低和环境兼容性好等特点,目前被用于多种环境友好的催化过程。近年来,氮杂环卡宾(NHC)由于其独特的空间和电子性质,常作为配体,不仅能够被应用于贵金属(如钯、镍和铑等)催化,在... 作为传统贵金属催化剂的理想替代品,铁具有来源广泛、毒性低和环境兼容性好等特点,目前被用于多种环境友好的催化过程。近年来,氮杂环卡宾(NHC)由于其独特的空间和电子性质,常作为配体,不仅能够被应用于贵金属(如钯、镍和铑等)催化,在铁催化中也得到了广泛的应用。本文综述了氮杂环卡宾及铁配合物催化剂的特点,并重点讨论了近十年其催化的碳-碳偶联包括芳基-芳基交叉偶联、芳基-烷基交叉偶联、烷基-烷基交叉偶联等反应中的研究进展。 展开更多
关键词 氮杂环卡宾配体 铁催化剂 SUZUKI偶联反应 Kumada偶联反应 合成 催化活性
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尘螨-食物过敏综合征
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作者 胡晓甜 蒋萍 《中华临床免疫和变态反应杂志》 CAS 2024年第1期96-100,共5页
尘螨-食物过敏综合征是由于进食与尘螨存在交叉抗原的食物(例如虾等)出现的速发型超敏反应,目前国内外均有报道尘螨与食物之间存在交叉反应,主要交叉抗原为原肌球蛋白。尘螨-食物过敏综合征患者的过敏症状轻重不一,原肌球蛋白致敏对尘... 尘螨-食物过敏综合征是由于进食与尘螨存在交叉抗原的食物(例如虾等)出现的速发型超敏反应,目前国内外均有报道尘螨与食物之间存在交叉反应,主要交叉抗原为原肌球蛋白。尘螨-食物过敏综合征患者的过敏症状轻重不一,原肌球蛋白致敏对尘螨过敏患者在进食虾等食物时应格外注意,以防发生难以预料的过敏事件。 展开更多
关键词 尘螨过敏 食物过敏 交叉反应 支气管哮喘 尘螨-食物过敏综合征
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过渡金属催化羰基化反应的最新研究进展
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作者 徐山梅 高帆 +2 位作者 孙国庆 李明 权正军 《西北师范大学学报(自然科学版)》 CAS 2024年第3期5-24,共20页
过渡金属催化羰基化反应是制备羰基化合物最直接的方法之一,近年来得到了迅速的发展.利用活性高且廉价的CO气体作羰基源,通过过渡金属催化的方法实现羰基化,是现代有机合成中构建含羰基化合物的有效方法.基于反应原料和产品氧化还原价... 过渡金属催化羰基化反应是制备羰基化合物最直接的方法之一,近年来得到了迅速的发展.利用活性高且廉价的CO气体作羰基源,通过过渡金属催化的方法实现羰基化,是现代有机合成中构建含羰基化合物的有效方法.基于反应原料和产品氧化还原价态的改变等不同方式,将过渡金属催化羰基化反应分为四种主要类型:杂核亲核试剂的羰基化反应,碳亲核试剂的羰基化反应,碳亲电试剂的羰基化反应和还原偶联的羰基化反应,分别综述了各类型羰基化反应的最新研究进展. 展开更多
关键词 过渡金属催化 一氧化碳(CO) 羰基化反应 交叉偶联 还原偶联
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准均相光催化剂制备及其在交叉脱氢偶联反应中的应用
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作者 王照朋 蔡亭伟 +2 位作者 胡金辉 何瑾馨 赵强强 《应用化工》 CAS CSCD 北大核心 2024年第1期102-107,共6页
以甲基丙烯酸甲酯(MMA)和对氯甲基苯乙烯(VBC)为单体,偶氮二异丁脒盐酸盐(AIBA)为引发剂,通过乳液聚合制备温敏聚合物材料P(MMA-co-VBC x%)。通过接枝反应将玫瑰红(RB)引入到P(MMA-co-VBC x%)中,得到上临界溶解温度(UCST)型准均相聚合... 以甲基丙烯酸甲酯(MMA)和对氯甲基苯乙烯(VBC)为单体,偶氮二异丁脒盐酸盐(AIBA)为引发剂,通过乳液聚合制备温敏聚合物材料P(MMA-co-VBC x%)。通过接枝反应将玫瑰红(RB)引入到P(MMA-co-VBC x%)中,得到上临界溶解温度(UCST)型准均相聚合物催化剂P(MMA-co-VBC x%)-RB y%。使用1H NMR、FTIR和GPC表征了P(MMA-co-VBC x%)和P(MMA-co-VBC x%)-RB y%的结构,分析了温敏材料和准均相催化剂的UCST行为,并以N-芳基四氢异喹啉(THIQ)和硝基甲烷(NM)的交叉脱氢偶联反应(CDC)为模型,研究了准均相催化剂的催化性能和回用性能。结果表明,P(MMA-co-VBC x%)的T cp(浊点)随VBC含量增加而下降,准均相催化剂P(MMA-co-VBC x%)-RB y%的T cp随RB含量增加而下降,在乙醇-水体积比为4∶1时,两类聚合物的响应温度位于40~60℃;P(MMA-co-VBC x%)-RB y%具有较好的溶解-析出性能,溶解-析出循环5次时,回收率>90%;在催化THIQ和NM的反应中,P(MMA-co-VBC x%)-RB y%的催化活性与均相催化剂RB相当,且适用于其他衍生物的反应,降温可回收催化剂,重复使用5次,催化活性无明显下降。 展开更多
关键词 UCST型聚合物 可见光光催化 玫瑰红(RB) 交叉脱氢偶联反应
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基于阴阳离子染料对的光捕获体系构建及其在光催化CDC反应中的应用研究
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作者 胡金辉 蔡亭伟 +2 位作者 王照朋 何瑾馨 赵强强 《现代化工》 CAS CSCD 北大核心 2024年第3期145-151,共7页
针对荧光素类染料单独使用中存在光响应范围窄、能量利用率低等问题,利用离子染料之间的静电作用力构建阴阳离子染料对光捕获体系,探究光捕获体系对交叉脱氢偶联(CDC)反应的催化性能及其影响因素。结果表明,染料间阴、阳离子的相互作用... 针对荧光素类染料单独使用中存在光响应范围窄、能量利用率低等问题,利用离子染料之间的静电作用力构建阴阳离子染料对光捕获体系,探究光捕获体系对交叉脱氢偶联(CDC)反应的催化性能及其影响因素。结果表明,染料间阴、阳离子的相互作用可形成稳定的光捕获体系,以阴、阳离子染料玫瑰红(RB)和吖啶橙(AO)为受体和供体构建了光捕获体系“D_(AO)^(+)A_(RB)^(-)”(浓度为2×10^(-5)mol/L),其荧光共振能量转移(FRET)效率可达72%。光捕获体系的荧光共振能量转移(FRET)过程可有效拓宽光响应范围、提高受体光催化性能,“D_(AO)^(+)A_(RB)^(-)”体系对CDC反应展现出优异的光催化性能,其光催化反应速率是以RB为催化剂时的1.60倍。 展开更多
关键词 荧光染料 光捕获体系 离子染料对 荧光共振能量转移 交叉脱氢偶联反应
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幽门螺杆菌相关胃外疾病研究进展
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作者 刘晋阳 陈峥宏 +2 位作者 马牧溪 林永帅 谭伟伟 《中国医学科学院学报》 CAS CSCD 北大核心 2024年第3期414-424,共11页
幽门螺杆菌(Hp)是一种常见的胃肠道感染的革兰氏阴性杆菌,主要存在于胃上皮细胞表面和黏液中,与胃溃疡、胃癌和胃黏膜等相关淋巴瘤有关。研究表明Hp可诱发或加重某些胃外疾病,还与新型冠状病毒感染发生有关,因此Hp可能通过刺激机体产生... 幽门螺杆菌(Hp)是一种常见的胃肠道感染的革兰氏阴性杆菌,主要存在于胃上皮细胞表面和黏液中,与胃溃疡、胃癌和胃黏膜等相关淋巴瘤有关。研究表明Hp可诱发或加重某些胃外疾病,还与新型冠状病毒感染发生有关,因此Hp可能通过刺激机体产生炎症因子或发生交叉免疫反应,间接或直接地参与胃外疾病的发生和发展,同时Hp还可进入念珠菌内,持续释放毒素,且发挥躲避免疫系统识别和药物杀菌作用。本文总结近年国内外对Hp相关胃外疾病的研究报道,旨在引起临床工作者对Hp相关胃外疾病的重视,积极地掌握Hp的感染相关学科知识,从而科学制订避免Hp加重或诱发其他疾病的对策。 展开更多
关键词 幽门螺杆菌 胃外疾病 交叉免疫反应 新型冠状病毒感染
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1-溴-9-芴酮的合成研究
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作者 王玉华 庞纪彩 +2 位作者 王坤 李环 张成新 《化学研究与应用》 CAS 北大核心 2024年第3期663-667,共5页
1-溴-9-芴酮是一种重要的有机光电材料中间体。本文以2-溴苯甲酸甲酯、苯硼酸、1,2-二溴乙烷为原料,经Suzuki偶联反应、酯水解反应、邻位金属化反应、分子内环化反应得到目标化合物,产物结构经^(1)H NMR和GC-MS确证。本文采用的合成方... 1-溴-9-芴酮是一种重要的有机光电材料中间体。本文以2-溴苯甲酸甲酯、苯硼酸、1,2-二溴乙烷为原料,经Suzuki偶联反应、酯水解反应、邻位金属化反应、分子内环化反应得到目标化合物,产物结构经^(1)H NMR和GC-MS确证。本文采用的合成方法简单、产品收率及纯度高,总收率达69.3%,GC纯度达到99.5%,适合规模化生产。 展开更多
关键词 1-溴-9-芴酮 邻位金属化 SUZUKI偶联反应 合成方法
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籽粒苋淀粉的交联变性反应及其产物理化性质研究
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作者 吴静雯 高源远 彭星云 《食品工业科技》 CAS 北大核心 2024年第9期62-71,共10页
为探究极小颗粒淀粉的交联变性反应特性及不同取代度产物的理化性质,本研究以籽粒苋淀粉(Amaranth starch,AS)为原料,三偏磷酸钠作为变性剂,采用糯玉米淀粉(Waxy corn starch,WCS)作为对照,探究了温度(45、50、55℃)、pH(9.0、10.0、11... 为探究极小颗粒淀粉的交联变性反应特性及不同取代度产物的理化性质,本研究以籽粒苋淀粉(Amaranth starch,AS)为原料,三偏磷酸钠作为变性剂,采用糯玉米淀粉(Waxy corn starch,WCS)作为对照,探究了温度(45、50、55℃)、pH(9.0、10.0、11.0)和膨胀抑制剂Na_(2)SO_(4)浓度(5%、10%、15%)对两种淀粉交联反应进程和效率的影响,并对比了不同取代度(Degree of substitution,DS)的变性产物的理化性质。结果表明,与WCS相比,温度对AS交联反应的影响较小,单纯升高温度难以提高交联反应效率;相反,pH与Na_(2)SO_(4)浓度对AS和WCS的交联变性反应均起促进作用,pH越高(10.0~11.0)、Na_(2)SO_(4)浓度越高(5%~15%),交联反应速率就越快。低取代度交联AS(DS 0.1×10^(-3)~0.8×10^(-3))糊化后黏度大于50 cP,具有稳定的增稠作用;高取代度交联AS(DS≥0.8×10^(-3))糊化后黏度在50 cP以下,增稠能力弱,具有类似脂肪的外观和质地。研究表明,反应pH和膨胀抑制剂Na_(2)SO_(4)的浓度是调节籽粒苋淀粉反应速率的有效手段,且交联籽粒苋淀粉的增稠能力较弱,但黏度稳定性好、抗剪切能力强,在作为脂肪替代物应用方面具有潜在价值。 展开更多
关键词 籽粒苋淀粉 交联变性 反应特性 变性淀粉理化性质
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酞菁铜催化的8-氨基喹啉选择性C(sp^(2))-O偶联反应
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作者 齐浩然 曹贝 +1 位作者 曹敏 王凯 《济宁医学院学报》 2024年第1期1-4,共4页
目的开发一种应用非均相催化体系的8-氨基喹啉衍生物选择性C-O键构建方法。方法分别从催化剂及氧化剂等对反应进行优化,并以筛选出的最优条件展开底物普适性考察。结果以酞菁铜作为催化剂,碘苯二乙酸为氧化剂,于50℃下在乙酸中反应5h,... 目的开发一种应用非均相催化体系的8-氨基喹啉衍生物选择性C-O键构建方法。方法分别从催化剂及氧化剂等对反应进行优化,并以筛选出的最优条件展开底物普适性考察。结果以酞菁铜作为催化剂,碘苯二乙酸为氧化剂,于50℃下在乙酸中反应5h,高效实现了8-氨基喹啉C5-H选择性C-O键构建。结论成功开发了一种应用非均相催化体系的C-O键构建方法并将其应用于8-氨基喹啉C5-H选择性官能团化。 展开更多
关键词 非均相催化 酞菁铜 8-氨基喹啉 C-O偶联反应
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邻苯二甲腈封端聚芳醚腈交联行为的研究进展
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作者 何亮 童利芬 刘孝波 《成都大学学报(自然科学版)》 2024年第1期53-60,共8页
邻苯二甲腈封端的聚芳醚腈(PEN-Ph)具有高耐热及高化学稳定性等特点,在航空航天和电子领域有广泛应用.通过后固相化学反应,PEN-Ph端基上的邻苯二甲腈及分子链的侧氰基可相互反应生成稳定的结构,使材料从线性结构转化为体型结构,提升耐... 邻苯二甲腈封端的聚芳醚腈(PEN-Ph)具有高耐热及高化学稳定性等特点,在航空航天和电子领域有广泛应用.通过后固相化学反应,PEN-Ph端基上的邻苯二甲腈及分子链的侧氰基可相互反应生成稳定的结构,使材料从线性结构转化为体型结构,提升耐温等级与机械性能.影响PEN-Ph交联反应的因素有内外2种,内因主要包括聚芳醚腈分子主链化学结构、分子量与分子量分布,以及邻苯二甲腈封端量等;外因主要包括热处理工艺、交联剂和催化剂等.基于此,重点阐述了外因如何影响PEN-Ph的交联行为及性能.此外,还成功制备了耐高温、高强度和高模量PEN-Ph单组分自增强复合材料,以期用于电容器薄膜及挠性覆铜板等领域. 展开更多
关键词 邻苯二甲腈 封端 聚芳醚腈 交联反应 耐高温
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国家会展中心(天津)一期项目防水设计与施工 被引量:1
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作者 刘涛 徐策 +2 位作者 杨建国 沈凯 杨晓虹 《中国建筑防水》 2024年第3期47-49,共3页
国家会展中心(天津)一期项目地下室防水采用1.5 mm厚高分子反应粘交叉膜防水卷材(单面粘)+1.5 mm厚高分子反应粘交叉膜防水卷材(双面粘)湿铺法施工,桩头部位采用水泥基渗透结晶型防水涂料密封处理,施工过程中质量管理严格,取得了良好的... 国家会展中心(天津)一期项目地下室防水采用1.5 mm厚高分子反应粘交叉膜防水卷材(单面粘)+1.5 mm厚高分子反应粘交叉膜防水卷材(双面粘)湿铺法施工,桩头部位采用水泥基渗透结晶型防水涂料密封处理,施工过程中质量管理严格,取得了良好的防水效果。 展开更多
关键词 国家会展中心 地下室防水 高分子反应粘交叉膜防水卷材 水泥基渗透结晶型防水涂料
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药源性交叉过敏医疗纠纷分析及其处方审核策略研究
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作者 李为 张程亮 +2 位作者 薛娉娉 杜金凤 刘东 《药物流行病学杂志》 CAS 2024年第1期2-8,共7页
目的 分析药源性医疗纠纷交叉过敏相关案例的规律与特点,为交叉过敏处方审核策略的制定提供参考。方法 对2010年8月—2023年6月录入北京盈科律师事务所法律文书数据库或中国裁判文书网数据库中交叉过敏相关医疗损害责任纠纷案例的判决... 目的 分析药源性医疗纠纷交叉过敏相关案例的规律与特点,为交叉过敏处方审核策略的制定提供参考。方法 对2010年8月—2023年6月录入北京盈科律师事务所法律文书数据库或中国裁判文书网数据库中交叉过敏相关医疗损害责任纠纷案例的判决书进行分析,汇总分析相关纠纷的原因并制定较为全面的应对措施。结果 共检索到符合标准的判决书7份。导致交叉过敏的药物主要为抗菌药物(青霉素类、头孢菌素类及磺胺类)。7例医疗纠纷法院均判决医方因交叉过敏存在医疗过错,需承担30%~80%的赔偿责任;判罚理由主要为医方对患者的既往过敏史关注不足、选择药物不合理。结论医疗机构可利用信息化的手段降低交叉过敏发生风险,并发挥药师在处方审核与药学服务中的作用。医师应重视患者既往过敏史,切实询问,加强用药教育及监护,减少不良反应对患者造成的生命安全威胁及相关用药纠纷,保障医患双方合法权益。 展开更多
关键词 交叉过敏 医疗纠纷 侵权责任 处方审核 药品不良反应
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Cross-reactivity between aeroallergens and food allergens 被引量:11
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作者 Florin-Dan Popescu 《World Journal of Methodology》 2015年第2期31-50,共20页
In patients with respiratory allergy,cross-reactivity between aeroallergens and foods may induce food allergy,symptoms ranging from oral allergy syndrome to severe anaphylaxis.Clinical entities due to Ig E sensitizati... In patients with respiratory allergy,cross-reactivity between aeroallergens and foods may induce food allergy,symptoms ranging from oral allergy syndrome to severe anaphylaxis.Clinical entities due to Ig E sensitization to cross-reactive aeroallergen and food allergen components are described for many sources of plant origin(pollen-food syndromes and associations,such as birch-apple,cypress-peach and celery-mugwortspice syndromes,and mugwort-peach,mugwortchamomile,mugwort-mustard,ragweed-melon-banana,goosefoot-melon associations),fungal origin(Alternariaspinach syndrome),and invertebrate,mammalian or avian origin(mite-shrimp,cat-pork,and bird-egg syndromes).Clinical cases of allergic reactions to ingestion of food products containing pollen grains of specific plants,in patients with respiratory allergy to Asteraceae pollen,especially mugwort and ragweed,are also mentioned,for honey,royal jelly and bee polen dietary supplements,along with allergic reactions to foods contaminated with mites or fungi in patients with respiratory allergy to these aeroallergens.Medical history and diagnosis approach may be guided by the knowledge about the diverse cross-reacting allergens involved,and by the understanding of these clinical entities which may vary significantly or may be overlapping.The association between primary Ig E sensitization with respiratory symptoms to inhaled allergens and food allergy due to cross-reactive allergen components is important to assess in allergy practice.The use of molecular-based diagnosis improves the understanding of clinically relevant Ig E sensitization to cross-reactive allergen components from aeroallergen sources and foods. 展开更多
关键词 cross-reactIVITY SYNDROMES and associations AEROALLERGENS FOOD allergens
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Evaluation of cross-reactive antibody response to HVR1 in chronic hepatitis C
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作者 Bing-Shui Xiu Xiao-Yan Feng +9 位作者 Jing He Guo-Hua Wang He-Qiu Zhang Xiao-Guo Song Kun Chen Shi-Gan Ling Cui-Xia Zhu Xiang-Ying Zhang Lai Wei Hui-Ying Rao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第35期4460-4466,共7页
AIM:To evaluate the presence and cross-reactive anti-bodies against hypervariable region 1(HVR1) in hepatitis C virus(HCV) infected patients and its relationship with the progression of the disease.METHODS:Sixteen rep... AIM:To evaluate the presence and cross-reactive anti-bodies against hypervariable region 1(HVR1) in hepatitis C virus(HCV) infected patients and its relationship with the progression of the disease.METHODS:Sixteen representative HVR1 proteins selected from a unique set of 1600 natural sequences were used to semiquantitate the cross-reactivity of HVR1 antibodies in the sera of HCV patients.Fifty-five chronic HCV patients including 23 with asymptomatic mild hepatitis,18 with chronic hepatitis and 16 with liver cirrhosis patients were studied.RESULTS:The degree of the cross-reactivity of anti-HVR1 antibodies in 23 patients with mild asymptomatic hepatitis was 3.09 ± 2.68,which was signif icantly lower than in those with chronic hepatitis(5.44 ± 3.93,P < 0.05) and liver cirrhosis(7.44 ± 3.90,P < 0.01).No correlation was observed between the broadness of the cross-reactivity anti-HVR1 antibodies and patient's age,infection time,serum alanine aminotransferase activity,or serum HCV-RNA concentration.It was the breath of cross-reactivity rather than the presence of anti-HVR1 antibody in HCV sera that was associated with the progression of liver disease.CONCLUSION:The broadly cross-reactive HVR1 antibodies generated in natural HCV patients can not neutralize the virus,which results in persistent infection in patients with chronic hepatitis. 展开更多
关键词 Hepatitis C virus Hypervariable region 1 cross-reactIVITY
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Studies on Preparation and Characteristics of Monoclonal Antibodies Against Enrofloxacin and Cross-Reactivity of Related Fluoroquinolones
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作者 CAIQin-ren ZENGZhen-ling YANGGui-xiang CHENZhang-liu 《Agricultural Sciences in China》 CAS CSCD 2004年第11期862-868,共7页
An ester activation method was employed to couple enrofloxacin(ENFX) to the carrier proteins BSA and OVA. The conjugates ENFX-BSA and ENFX-OVA were identified with an UV spectrophotometer and amino acid automation a... An ester activation method was employed to couple enrofloxacin(ENFX) to the carrier proteins BSA and OVA. The conjugates ENFX-BSA and ENFX-OVA were identified with an UV spectrophotometer and amino acid automation analysis instrument, and resulted in conjugates with 48 ENFX molecules per carrier molecule(BSA). Splenocytes from mice immunized with ENFX-BSA were fused with SP2/0 myeloma cells and hybridomas secreting antibodies against enrofloxacin were selected and cloned. Two stable monoclonal antibodies, 2C5, 5D5 of the subclass IgG2a, were isolated. Using antibody 5D5, an indirect competitive inhibition enzyme-linked immunosorbent assay (Ci-ELISA) was developed for the quantitative detection of enrofloxacin and its metabolites. The IC50 of the standard curve was 21.67 ng mL-1 and the limit of detection for enrofloxacin was 0.13 ng mL-1. This method was sensitive and had a linear range from 0.13 to 10 000 ng mL-1 (r= -0.9782). Monoclonal antibody 5D5 exhibited high relative affinity to enrofloxacin, and the cross-reactivities with ciprofloxacin, marbofloxacin, sarafloxacin and danorfloxacin were 110.8, 27.40, 71.05 and 37.41%, respectively. Three non-fluoroquinolones of cefadroxil, chloramphenicol, sulfadimethoxine were tested and there was no cross-reaction between them. 展开更多
关键词 ENROFLOXACIN Monoclonal antibodies cross-reactIVITY
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Immunogenicity of Whole Mycobacterium intracellulare Proteins and Fingding on the Cross-Reactive Proteins between M.intracellulare and M.tuberculosis
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作者 XIAO Shi Qi XU Da +12 位作者 DUAN Hong Yang FAN Xue Ting LI Gui Lian ZHANG Wen LI Ma Chao HAN Na LI Xin Yao LI Na ZHAO Li lan ZHAO Xiu Qin WAN Kang Lin LIU Hai Can FENG Wen Hai 《Biomedical and Environmental Sciences》 CSCD 2021年第7期528-539,共12页
Objectives To evaluate the immunogenicity of Mycobacterium intracellulare proteins and determine the cross-reactive proteins between M.intracellulare and M.tuberculosis.Methods Protein extracts from M.intracellulare w... Objectives To evaluate the immunogenicity of Mycobacterium intracellulare proteins and determine the cross-reactive proteins between M.intracellulare and M.tuberculosis.Methods Protein extracts from M.intracellulare were used to immunize BALB/c mice.The antigens were evaluated using cellular and humoral immunoassays.The common genes between M.intracellular and M.tuberculosis were identified using genome-wide comparative analysis,and cross-reactive proteins were screened using immunoproteome microarrays.Results Immunization with M.intracellulare proteins induced significantly higher levels of the cytokines interferon-γ(IFN-γ),interleukin-2(IL-2),interleukin-12(IL-12),interleukin-6(IL-6)and immunoglobulins IgG,IgG1,IgM,and IgG2a in mouse serum.Bone marrow-derived macrophages isolated from mice immunized with M.intracellulare antigens displayed significantly lower bacillary loads than those isolated from mice immunized with adjuvants.Whole-genome sequence analysis revealed 396 common genes between M.intracellulare and M.tuberculosis.Microchip hybridization with M.tuberculosis proteins revealed the presence of 478 proteins in the serum of mice immunized with M.intracellulare protein extracts.Sixty common antigens were found using both microchip and genomic comparative analyses.Conclusion This is the advanced study to investigate the immunogenicity of M.intracellulare proteins and the cross-reactive proteins between M.intracellulare and M.tuberculosis.The results revealed the presence of a number of cross-reactive proteins between M.intracellulare and M.tuberculosis.Therefore,this study provides a new way of identifying immunogenic proteins for use in tuberculosis vaccines against both M.intracellulare and M.tuberculosis in future. 展开更多
关键词 Mycobacterium intracellulare Mycobacterium tuberculosis cross-reactive immune response Vaccine ANTIGEN
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