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Decoding the evolution and transmissions of the novel pneumonia coronavirus(SARS-CoV-2/HCoV-19)using whole genomic data 被引量:29
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作者 Wen-Bin Yu Guang-Da Tang +1 位作者 Li Zhang Richard T.Corlett 《Zoological Research》 SCIE CAS CSCD 2020年第3期247-257,共11页
The outbreak of COVID-19 started in mid-December2019 in Wuhan, China. Up to 29 February 2020,SARS-CoV-2(HCoV-19/2019-nCoV) had infected more than 85 000 people in the world. In this study,we used 93 complete genomes o... The outbreak of COVID-19 started in mid-December2019 in Wuhan, China. Up to 29 February 2020,SARS-CoV-2(HCoV-19/2019-nCoV) had infected more than 85 000 people in the world. In this study,we used 93 complete genomes of SARS-CoV-2 from the GISAID EpiFlu TM database to investigate the evolution and human-to-human transmissions of SARS-CoV-2 in the first two months of the outbreak.We constructed haplotypes of the SARS-CoV-2 genomes, performed phylogenomic analyses and estimated the potential population size changes of the virus. The date of population expansion was calculated based on the expansion parameter tau(τ)using the formula t=τ/2 u. A total of 120 substitution sites with 119 codons, including 79 non-synonymous and 40 synonymous substitutions, were found in eight coding-regions in the SARS-CoV-2 genomes.Forty non-synonymous substitutions are potentially associated with virus adaptation. No combinations were detected. The 58 haplotypes(31 found in samples from China and 31 from outside China)were identified in 93 viral genomes under study and could be classified into five groups. By applying the reported bat coronavirus genome(bat-RaTG13-CoV)as the outgroup, we found that haplotypes H13 and H38 might be considered as ancestral haplotypes,and later H1 was derived from the intermediate haplotype H3. The population size of the SARS-CoV-2 was estimated to have undergone a recent expansion on 06 January 2020, and an early expansion on 08 December 2019. Furthermore,phyloepidemiologic approaches have recovered specific directions of human-to-human transmissions and the potential sources for international infected cases. 展开更多
关键词 COVID-19 HCoV-19 SARS-CoV-2 novel pneumonia outbreak Human-to-human transmission Phyloepidemiology
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低频脉冲磁场诱导TRPC1改善COVID-19患者康复期下肢的肌肉无力症状 被引量:1
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作者 厉中山 包义君 +6 位作者 刘洁 孔维签 李伟 陈琳 白石 杨铁黎 王春露 《中国组织工程研究》 CAS 北大核心 2024年第16期2605-2612,共8页
背景:肌肉无力是新型冠状病毒(COVID-19)感染后的常见症状,影响康复期人体日常活动能力。在强度1.5 mT,频率3300 Hz的低频脉冲磁场刺激下可通过诱导和激活经典瞬时感受器电位通1(classical transient receptor potential channel 1,TRPC... 背景:肌肉无力是新型冠状病毒(COVID-19)感染后的常见症状,影响康复期人体日常活动能力。在强度1.5 mT,频率3300 Hz的低频脉冲磁场刺激下可通过诱导和激活经典瞬时感受器电位通1(classical transient receptor potential channel 1,TRPC1),提升人体骨骼肌的最大自主收缩力与力量耐力,对肌肉组织产生一系列生理支持效应,该手段是否会改善新型冠状病毒肺炎患者康复期的肌无力症状尚无研究。目的:选用低频脉冲磁场对新型冠状病毒肺炎患者下肢肌群进行磁刺激,以观察该刺激对新型冠状病毒肺炎患者康复期下肢肌群肌无力改善的影响。方法:招募胶体金法抗原检测试剂(COVID-19)为阳性并伴有肌肉无力症状的新型冠状病毒(奥密克戎毒株)感染患者14例,将所有受试者随机分成2组,分别为接受磁场刺激的试验组和接受假治疗的对照组。试验总时长3周,试验组每隔48 h对腿部进行低频脉冲磁刺激,对照组与试验组干预流程一致但给予假刺激,两组患者均不被告知磁刺激仪器是否运行,两组患者共进行9次操作,随后观察两组患者下肢局部肌群最大自主收缩力、腿部爆发力与力量耐力的变化情况。结果与结论:①在采集的8个局部肌群中,试验组患者7个局部肌群在经过3周的低频脉冲磁场刺激,最大自主收缩力值均增长。对照组除3个肌群最大自主收缩力自行增长改善以外,其他肌群肌力无提升。②试验组的左腿前群与双腿后群提升率显著高于对照组。③两组的纵跳摸高高度与膝关节峰值角速度相比试验前测均提升,试验组摸高高度提升率高于对照组。④在疲劳状态下,试验组膝关节峰值角速度下降率显著下降,对照组膝关节峰值角速度下降率无显著性变化;试验组摸高高度下降率显著下降,而对照组摸高高度下降率无显著性变化。⑤上述数据证实,在强度1.5 mT,频率3300 Hz的低频脉冲磁场刺激方案下,新型冠状病毒肺炎患者在康复期经过3周的低频脉冲磁场刺激相比人体自愈过程可使更多的下肢局部肌群肌力获得提升,对基于腿部爆发力的全身协调发力能力及功能状态明显改善。因此,低频脉冲磁场刺激可作为一种改善新冠感染患者下肢肌肉无力症状的有效、非运动的康复手段。 展开更多
关键词 新型冠状病毒 COVID-19 新型冠状病毒肺炎 脉冲磁场 经典瞬时感受器电位通道1 TRPC1 肌肉无力
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Electron beam irradiation on novel coronavirus(COVID-19):A Monte-Carlo simulation 被引量:2
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作者 Guobao Feng Lu Liu +1 位作者 Wanzhao Cui Fang Wang 《Chinese Physics B》 SCIE EI CAS CSCD 2020年第4期556-562,共7页
The novel coronavirus pneumonia triggered by COVID-19 is now raging the whole world.As a rapid and reliable killing COVID-19 method in industry,electron beam irradiation can interact with virus molecules and destroy t... The novel coronavirus pneumonia triggered by COVID-19 is now raging the whole world.As a rapid and reliable killing COVID-19 method in industry,electron beam irradiation can interact with virus molecules and destroy their activity.With the unexpected appearance and quickly spreading of the virus,it is urgently necessary to figure out the mechanism of electron beam irradiation on COVID-19.In this study,we establish a virus structure and molecule model based on the detected gene sequence of Wuhan patient,and calculate irradiated electron interaction with virus atoms via a Monte Carlo simulation that track each elastic and inelastic collision of all electrons.The characteristics of irradiation damage on COVID-19,atoms’ionizations and electron energy losses are calculated and analyzed with regions.We simulate the different situations of incident electron energy for evaluating the influence of incident energy on virus damage.It is found that under the major protecting of an envelope protein layer,the inner RNA suffers the minimal damage.The damage for a^100-nm-diameter virus molecule is not always enhanced by irradiation energy monotonicity,for COVID-19,the irradiation electron energy of the strongest energy loss damage is 2 keV. 展开更多
关键词 ELECTRON BEAM IRRADIATION novel coronavirus(COVID-19) NUMERICAL SIMULATION
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Characterization of the 19 Novel Cotton FLA Genes and Their Expression Profiling in Fiber Development and in Response to Phytohormones and Salt Stress 被引量:12
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作者 HUANG Geng-qing,XU Wen-liang,GONG Si-ying,WANG Xiu-lan,LI Xue-bao(College of Life Sciences,Huazhong Normal University,Wuhan 430079,China) 《棉花学报》 CSCD 北大核心 2008年第S1期55-,共1页
Fasciclin-like arabinogalactan proteins(FLAs),a subclass of arabinogalactan proteins(AGPs),are usually involved in cell development in plants.To investigate the expression profiling as well
关键词 FLA Characterization of the 19 novel Cotton FLA Genes and Their Expression Profiling in Fiber Development and in Response to Phytohormones and Salt Stress
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Fractional Analysis of Dynamical Novel COVID-19 by Semi-Analytical Technique
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作者 S.Iqbal D.Baleanu +2 位作者 Javaid Ali H.M.Younas M.B.Riaz 《Computer Modeling in Engineering & Sciences》 SCIE EI 2021年第11期705-727,共23页
This study employs a semi-analytical approach,called Optimal Homotopy Asymptotic Method(OHAM),to analyze a coronavirus(COVID-19)transmission model of fractional order.The proposed method employs Caputo’s fractional d... This study employs a semi-analytical approach,called Optimal Homotopy Asymptotic Method(OHAM),to analyze a coronavirus(COVID-19)transmission model of fractional order.The proposed method employs Caputo’s fractional derivatives and Reimann-Liouville fractional integral sense to solve the underlying model.To the best of our knowledge,this work presents the first application of an optimal homotopy asymptotic scheme for better estimation of the future dynamics of the COVID-19 pandemic.Our proposed fractional-order scheme for the parameterized model is based on the available number of infected cases from January 21 to January 28,2020,in Wuhan City of China.For the considered real-time data,the basic reproduction number is R0≈2.48293 that is quite high.The proposed fractional-order scheme for solving the COVID-19 fractional-order model possesses some salient features like producing closed-form semi-analytical solutions,fast convergence and non-dependence on the discretization of the domain.Several graphical presentations have demonstrated the dynamical behaviors of subpopulations involved in the underlying fractional COVID-19 model.The successful application of the scheme presented in this work reveals new horizons of its application to several other fractional-order epidemiological models. 展开更多
关键词 novel COVID-19 semi-analytical scheme fractional analysis
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“Literature”in the 19th-Century Sinological Works:The History of a Concept
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作者 Huang Zhuoyue 《Contemporary Social Sciences》 2020年第3期120-142,共23页
In the 19th century,the English term"literature"and its Chinese equivalent"文学"(wenxue)had their respective connotations and prehistories and did not belong to the same discursive genealogy,althou... In the 19th century,the English term"literature"and its Chinese equivalent"文学"(wenxue)had their respective connotations and prehistories and did not belong to the same discursive genealogy,although the two concepts later mixed together and have since been inter-translated by scholars.This paper attempts to examine literature as an independent system of representation by analyzing historical materials of English sinology to identify their special meanings in the 19th-century English context.To ensure the wholeness of the examination,this paper divides the collected materials into three categories;annotations in English-Chinese dictionaries,denotations in works with the word"literature"in their titles,and explanations in articles and chapters(of works)with the word"literature"in their titles.Such an examination inevitably involves some key issues related to semantics,history of translation and cross-cultural studies.It is hoped that this study can help further a general understanding of the dissemination history of literature as a concept. 展开更多
关键词 wenxue LITERATURE 19th-century sinology history of English sinology
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Local Colorism American Novels of 19th Century
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作者 WenJun Fu 《International English Education Research》 2015年第8期98-99,共2页
Local Colorism can be seen as a new literature type, which sprung up in 1920s. As a literature trend, local novels open a new road for realistically sentimental novels of view literature. Therefore, this paper is aim ... Local Colorism can be seen as a new literature type, which sprung up in 1920s. As a literature trend, local novels open a new road for realistically sentimental novels of view literature. Therefore, this paper is aim to study the Local Colorism American Novels of 19th Century, especially in west and south of American. American southern literature and western literature although established respectively unique sense of place suffer from complex history. And it proves that American literature has been increasingly building it popularity and a new type of literature. 展开更多
关键词 Local Colorism American novels 19th Century
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Increased alcohol consumption during the COVID-19 pandemic:A cross-sectional study
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作者 Rajni Rathore Shahid Bakhsh Rangrej Victoria Carvalho 《World Journal of Clinical Cases》 SCIE 2024年第18期3410-3416,共7页
BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has significantly impacted health,mental well-being,and societal functioning,particularly for individuals with psychiatric conditions and substance use disorde... BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has significantly impacted health,mental well-being,and societal functioning,particularly for individuals with psychiatric conditions and substance use disorders.Recent evidence highlights a concerning increase in alcohol consumption during the pandemic,with a study spanning 2015-2020 indicating heightened usage,especially among young and middle-aged adults,for relaxation and tension relief.Additionally,addressing challenges exacerbated by the pandemic,another study underscored persistent barriers to healthcare access,resulting in increased alcohol and tobacco use rates and limited healthcare options.These findings shed light on the unique vulnerabilities exposed by the pandemic,emphasizing the need to investigate further its impact on alcohol consumption in diverse non-urban American communities.AIM To investigate the impact of the COVID-19 pandemic on alcohol abuse using socioeconomic and medical parameters in diverse non-urban community in America.METHODS Based on a cross-sectional analysis of 416 participants the United States in 2021,the study utilized The Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition criteria to categorize alcohol consumption levels.Participants aged 21 years and above were surveyed through an online platform due to COVID-19 challenges.The survey was conducted from January 14 to January 31,2022,recruiting participants via social media and ensuring anonymity.Informed consent was secured,emphasizing the voluntary nature of participation,and participants could only take the survey once.RESULTS Out of 416 survey respondents,396 met eligibility criteria,with 62.9%reporting increased alcohol consumption during COVID-19.Males(68.8%)and ages 21-29 years(34.6%)predominated.Low alcohol consumption decreased by 2.8%(P=0.237),moderate by 21.4%(P<0.001),and heavy increased by 14.9%(P<0.001).Alcohol abuse rose by 6.5%(P=0.0439),with a 7%increase in self-identified alcohol abusers/alcoholics.Seeking treatment during COVID-19 rose by 6.9%.Easier alcohol access(76.0%)was reported,while 80.7%found it harder to access medical care for alcohol-related issues.These findings highlight the pandemic's impact on alcohol consumption and healthcare access,emphasizing the need for targeted interventions during public health crises.CONCLUSION The COVID-19 pandemic exacerbated alcoholism and abuse,with increased heavy consumption(P<0.001)and abuse(P=0.0439).Access to medical programs for addressing alcohol abuse declined,highlighting the need for targeted intervention. 展开更多
关键词 ALCOHOLISM 2019 novel coronavirus SARS-CoV-2 COVID-19 Mental health issue
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Subdural effusion associated with COVID-19 encephalopathy: A case report
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作者 Zhi-Yuan Xue Zhong-Lin Xiao +5 位作者 Ming Cheng Tao Xiang Xiao-Li Wu Qiao-Ling Ai Yang-Ling Wu Tao Yang 《World Journal of Clinical Cases》 SCIE 2024年第10期1799-1803,共5页
BACKGROUND The precise mechanism by which severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)impacts the central nervous system remains unclear,with manifestations spanning from mild symptoms(e.g.,olfactory an... BACKGROUND The precise mechanism by which severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)impacts the central nervous system remains unclear,with manifestations spanning from mild symptoms(e.g.,olfactory and gustatory deficits,hallucinations,and headache)to severe complications(e.g.,stroke,seizures,encephalitis,and neurally demyelinating lesions).The occurrence of single-pass subdural effusion,as described below,is extremely rare.CASE SUMMARY A 56-year-old male patient presented with left-sided limb weakness and slurred speech as predominant clinical symptoms.Through comprehensive imaging and diagnostic assessments,he was diagnosed with cerebral infarction complicated by hemorrhagic transformation affecting the right frontal,temporal,and parietal regions.In addition,an intracranial infection with SARS-CoV-2 was identified during the rehabilitation process;consequently,an idiopathic subdural effusion developed.Remarkably,the subdural effusion underwent absorption within 6 d,with no recurrence observed during the 3-month follow-up.CONCLUSION Subdural effusion is a potentially rare intracranial complication associated with SARS-CoV-2 infection. 展开更多
关键词 Cerebral infarction Hemorrhagic transformation Subdural effusion COVID-19 encephalopathy novel coronavirus infection Brain fog Case report
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CT征象及动态变化对COVID-19疑似病例鉴别诊断的价值 被引量:5
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作者 肖慧娟 谷艳博 +6 位作者 梁盼 刘杰 郑颖 张永高 周志刚 岳松伟 高剑波 《郑州大学学报(医学版)》 CAS 北大核心 2021年第1期136-140,共5页
目的:探讨CT征象及动态变化对COVID-19疑似病例鉴别诊断的价值。方法:回顾性分析2020年1月20日至2020年2月25日收治的54例COVID-19疑似病例的资料。最终COVID-19确诊病例25例,患者年龄3~94岁,≤50岁16例(64%)。排除病例(非COVID-19)29例... 目的:探讨CT征象及动态变化对COVID-19疑似病例鉴别诊断的价值。方法:回顾性分析2020年1月20日至2020年2月25日收治的54例COVID-19疑似病例的资料。最终COVID-19确诊病例25例,患者年龄3~94岁,≤50岁16例(64%)。排除病例(非COVID-19)29例。54例均行CT平扫,首次检查后间隔3~6 d复查。结果:COVID-19病灶多分布于双肺胸膜下,主要征象为磨玻璃密度改变并小叶内间隔增厚,伴血管影增粗;进展期13例呈胸膜下融合改变,好转消散期15例密度增高,边缘平直及出现纤维条索。非COVID-19病灶多沿支气管血管束分布,树芽征及腺泡结节7例,均见于细菌性肺炎及支原体肺炎患者;进展期9例沿支气管血管束扩散,好转消散期27例表现为整体密度浅淡。两组以上征象检出率差异均有统计学意义(P<0.05)。结论:精准CT征象分析可以用于COVID-19和非COVID-19的鉴别,有助于缩小疑诊范围,减轻临床排查压力。 展开更多
关键词 新型冠状病毒 肺炎 CT COVID-19 SARS-CoV-2
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生命伦理视阈下新型冠状病毒肺炎(COVID-19)疫情的反思 被引量:6
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作者 贺竹梅 程焉平 《生命科学研究》 CAS CSCD 2020年第1期1-6,共6页
病毒丰富的遗传多样性使其具有进化上的优势,并已成为人类面临的最具威胁力的对手之一。人类直立行走至今,其文明不断发展与壮大,特别是科学与技术的发展日新月异,但对病毒所引发的疫情危害仍然措手不及。频频发生的疫情,一次次地考验... 病毒丰富的遗传多样性使其具有进化上的优势,并已成为人类面临的最具威胁力的对手之一。人类直立行走至今,其文明不断发展与壮大,特别是科学与技术的发展日新月异,但对病毒所引发的疫情危害仍然措手不及。频频发生的疫情,一次次地考验着人类的灵魂与智慧,也一次次呼唤我们对生命伦理的全新认知。本文在生命伦理视阈下,对当前我国正在经历的大规模新冠肺炎(COVID-19)疫情进行反思,期待人们对自然与生命、科学研究与应用,特别是对人类自身与自然的关系,有更深刻和清醒的认识。 展开更多
关键词 新冠肺炎(COVID-19) 疫情 生命伦理 病毒
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COVID-19不同临床分型患者病例资料回顾性分析 被引量:24
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作者 陈敏 安薇 +5 位作者 夏飞 杨萍 廖亚玲 方莎莎 许鑫 张明伟 《医药导报》 CAS 北大核心 2020年第4期459-464,共6页
目的分析不同临床分型的新型冠状病毒性肺炎(COVID-19)确诊病例的特征。方法收集江汉大学附属湖北省第三人民医院2020年1月24日至2月8日确诊COVID-19患者54例,分为普通组,重症组及死亡组。比较3组患者流行病学、临床症状、检验结果、影... 目的分析不同临床分型的新型冠状病毒性肺炎(COVID-19)确诊病例的特征。方法收集江汉大学附属湖北省第三人民医院2020年1月24日至2月8日确诊COVID-19患者54例,分为普通组,重症组及死亡组。比较3组患者流行病学、临床症状、检验结果、影像资料及用药情况。结果COVID-19确诊患者的核酸检测阳性率为45.5%;普通组、重症组、死亡组患者中位年龄分别为49岁、60岁、70岁,差异有统计学意义(P<0.05);合并基础疾病比率分别为13.0%,80.0%,66.7%,差异有统计学意义(P<0.01);潜在并发症比率分别为4.4%,40.0%,100.0%,差异有统计学意义(P<0.01);死亡组患者住院时间为6.5 d,低于普通组(11 d,P=0.026)和重症组(21 d,P=0.045);临床症状主要为发热47例(87.0%)、咳嗽41例(75.9%)、乏力29例(53.7%)、肌肉酸痛25例(46.3%);患者入院当天中位淋巴细胞计数为0.7×109·L-1(IQR0.6~1.2),C反应蛋白为46.4 mg·L-1(IQR12.7~84.3),血清淀粉样蛋白为373.5 ng·mL^-1(IQR57.1~961.7)及红细胞沉降率为42.7 mm·h-1(IQR17.3~74.5);死亡组中位肌钙蛋白为0.6μg·L-1(IQR0.5~0.6),乳酸脱氢酶为842.0 U·L-1(IQR556.5~1127.5);影像学检查提示68.5%患者肺部出现斑片状影;抗病毒药物、抗菌药物、提高免疫力药物及皮质类固醇药物使用率分别为100.0%,100.0%,51.9%,85.2%。结论核酸检测结果存在一定的假阴性,患者临床症状、实验室指标中淋巴细胞计数、C反应蛋白、血清淀粉样蛋白、红细胞沉降率及影像资料具有一定参考意义。重症患者多为老年患者且合并基础性疾病。COVID-19患者使用抗菌药物、皮质类固醇药物比率较高。 展开更多
关键词 新型冠状病毒肺炎 COVID-19 临床特征 临床诊断
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2019新型冠状病毒检测方法 被引量:2
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作者 潘晓芳 姚燕丽 +2 位作者 曹春玲 黄宇哲 吴静标 《中国医疗器械杂志》 2020年第4期359-362,370,共5页
综述了2019新型冠状病毒(severe acute respiratory syndrome coronavirus 2,SARS-CoV-2)的检测方法和原理,并对各种方法的优点和局限性进行对比分析,可为该病毒临床诊断方法的选择提供依据。
关键词 2019新型冠状病毒(SARS-CoV-2) COVID-19 检测方法
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新型冠状病毒(COVID-19)感染性肺炎现代中医诊疗建议方案与探讨 被引量:108
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作者 王金榜 梁保丽 孙树椿 《世界中医药》 CAS 2020年第1期35-46,共12页
自2019年12月以来,以我国湖北武汉地区为中心,以人群集散辐射传播为特点,全国各地病例陆续出现增加。疫情发源地罹患患者早期以身热不扬、干咳气促、身楚乏力为主要症状,以脉濡缓、舌苔厚腻、胸部X线检查显示炎性反应性改变为特征的新... 自2019年12月以来,以我国湖北武汉地区为中心,以人群集散辐射传播为特点,全国各地病例陆续出现增加。疫情发源地罹患患者早期以身热不扬、干咳气促、身楚乏力为主要症状,以脉濡缓、舌苔厚腻、胸部X线检查显示炎性反应性改变为特征的新型冠状病毒(COVID-19)感染性肺炎为主的新型传染病。疫情传入地的患者早期症状由于地域的不同,有所差异。各地传统中医、现代医学先后集体或个人出台了相关诊疗方法和建议方案。作为现代中医,按照习近平主席:“遵循中医发展规律,传承精华,守正创新”和“中西并重”的指示精神。为规范这一新型传染病“瘟疫”的认知和诊疗,综合相关资料,根据疫情演变规律,结合个人经验与体会,特此探讨COVID-19感染性肺炎的诊疗建议方案。 展开更多
关键词 新型冠状病毒 肺炎 湿浊瘟疫 诊断与辨证 治疗 解表化湿 宣畅气机 清热解毒 开窍醒神 醒脾化湿 新加升降散 宣白承气汤 凉开三宝
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重症COVID-19的肺部影像学表现及演变特点分析 被引量:2
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作者 贾翠宇 赵大伟 +3 位作者 冯骥良 李瑞利 宋文艳 李宏军 《北京医学》 CAS 2020年第6期489-492,共4页
目的探讨重型COVID-19的肺部影像表现及演变特点。方法回顾性分析2020年1月20日至2020年2月20日首都医科大学附属北京佑安医院60例经反转录聚合酶链反应(reverse transcription polymerase chain reaction,RTPCR)确诊的新型冠状病毒肺炎... 目的探讨重型COVID-19的肺部影像表现及演变特点。方法回顾性分析2020年1月20日至2020年2月20日首都医科大学附属北京佑安医院60例经反转录聚合酶链反应(reverse transcription polymerase chain reaction,RTPCR)确诊的新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)患者的临床及胸部高分辨率CT(high resolution CT,HRCT)表现。其中男24例、女36例,中位年龄59.5岁。分析短期动态观察中胸部HRCT的演变特点。结果参照新型冠状病毒感染的肺炎诊疗方案(试行第七版)的分组标准,将60例患者分为重症组(29例,48.3%)和轻症组(31例,51.7%)。轻症组的中位年龄(46岁)明显低于重症组(69岁),差异有统计学意义(P<0.05)。重症组的典型HRCT表现为多个肺叶(≥3个肺叶)磨玻璃密度病灶(ground-glass opacities,GGO)48.3%,多个肺叶GGO伴实变(≥3个肺叶)51.7%。轻症组HRCT表现为单侧肺GGO(22.6%),多个肺叶GGO(≥3个肺叶)38.7%,多个肺叶GGO伴实变(≥3个肺叶)12.9%。铺路石征和支气管充气征在重症组分别为17.2%和41.4%,在轻症组为3.2%和9.7%。结论COVID-19的影像表现主要为GGO、铺路石征、GGO伴实变。铺路石和实变提示病变的不同进展状态。HRCT可以为COVID-19的诊断和治疗提供重要依据。 展开更多
关键词 新型冠状病毒 新型冠状病毒肺炎 高分辨率CT
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中药天然产物抗新型冠状病毒肺炎(COVID-19)研究进展 被引量:2
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作者 何正有 罗璞 +3 位作者 高鑫 蒋用 毕建军 汤秀强 《国外医药(抗生素分册)》 CAS 2020年第4期274-282,共9页
新型冠状病毒肺炎(COVID-19)患者往往表现出"寒、热、虚、实、表、里、阴、阳"中的多个表象,因此中药处方将根据机体的不同表象及其诊断结果进行调药遣方,体现出"中药-药对-经方-处方"的用药形式。各地推荐的新型... 新型冠状病毒肺炎(COVID-19)患者往往表现出"寒、热、虚、实、表、里、阴、阳"中的多个表象,因此中药处方将根据机体的不同表象及其诊断结果进行调药遣方,体现出"中药-药对-经方-处方"的用药形式。各地推荐的新型冠状病毒肺炎(COVID-19)中药处方以解表、祛湿、祛痰、清热、理气为主,辅以和解、泻下、温里、补益等经典方剂,在疾病的不同阶段进行辨证施治。分析各地推荐处方和相关文献,新方法与新技术大量应用于中药科学的现代化研究,充分描述了中药"多成分-多靶点-多途径-多网络"的作用特点,同时也极大地丰富了传统中医药的科学内涵,推动了中医药事业的发展。但是,中药"多成分-多药味-多通路-多网络"的复杂性本质依然存在,本文分析了部分中药抗COVID-19的相关文献,试图结合其实际应用,整合出中药天然产物抗COVID-19的作用规律,对后续实验研究、临床应用和新药开发提供有益借鉴。另外,中医药是个宝库,从中筛选并发掘出少量结构独特且具有抗COVID-19活性的天然产物,结合化学合成技术和成药性评价方法,将为抗病毒药物的开发,尤其是抗COVID-19的新药开发提供有益参考。 展开更多
关键词 新型冠状病毒肺炎(COVID-19) 中药 天然产物 网络药理学 分子对接
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貂源冠状病毒与2019新型冠状病毒的遗传进化关系 被引量:1
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作者 杨艳玲 程世鹏 任林柱 《中国动物检疫》 CAS 2020年第4期21-26,共6页
为进一步明确貂源冠状病毒与新型人冠状病毒HCoV-19的遗传进化关系,比较了NCBI上公布的3株水貂冠状病毒、5株雪貂冠状病毒以及人冠状病毒HCoV-19和SARS-Cov的全基因组、ORF1a、ORF1ab和病毒表面蛋白Spike的序列同源性,分析了其遗传进化... 为进一步明确貂源冠状病毒与新型人冠状病毒HCoV-19的遗传进化关系,比较了NCBI上公布的3株水貂冠状病毒、5株雪貂冠状病毒以及人冠状病毒HCoV-19和SARS-Cov的全基因组、ORF1a、ORF1ab和病毒表面蛋白Spike的序列同源性,分析了其遗传进化关系,以及组成病毒的结构蛋白和非结构蛋白的种类、基因位置及氨基酸数量。结果显示:貂源冠状病毒与新型冠状病毒HCoV-19全基因组、ORF1a、ORF1ab、Spike蛋白的相似性分别为68%、46.96%、52.44%、47.36%;貂源冠状病毒与HCoV-19不属于同一分支,且亲缘关系较远;同时,貂源冠状病毒与HCoV-19全基因组在蛋白组成、氨基酸数量、基因位置上均存在显著差异。结果表明,貂源冠状病毒与新型冠状病毒HCoV-19不是同一种冠状病毒,此次在人群中流行的新型冠状病毒HCoV-19由貂源冠状病毒重组而成的可能性很小,因此可初步排除HCoV-19来源于水貂和雪貂的可能性。 展开更多
关键词 水貂冠状病毒 新型冠状病毒(HCoV-19) 基因组 遗传进化关系
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影响普通型COVID-19患者病毒核酸转阴时间的因素 被引量:1
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作者 滕海风 袁晓燕 +3 位作者 周业建 张启波 张剑 杜山鹏 《医学检验与临床》 2021年第6期27-29,59,共4页
目的:报告某地区收治的30例普通型新冠肺炎患者的临床特点,分析新型冠状病毒核酸转阴的影响因素。方法:收集2020年1月1日~2020年2月29日期间收治的30例普通型新冠肺炎患者的病历资料。记录病史、接触史、症状、体征等信息。结果:30例患... 目的:报告某地区收治的30例普通型新冠肺炎患者的临床特点,分析新型冠状病毒核酸转阴的影响因素。方法:收集2020年1月1日~2020年2月29日期间收治的30例普通型新冠肺炎患者的病历资料。记录病史、接触史、症状、体征等信息。结果:30例患者中,病毒核酸转阴时间小于10天的有10例(33.3%),大于10天的有20例(66.7%)。发病年龄超过30岁对病毒核酸转阴时间的长短有影响,差异具有统计学意义(P=0.009),但患者的性别对病情的转归无影响(P=0.70)。发病时最常见的症状为发热(29/30,96.7%)、咳嗽(18/30,60.0%)和乏力(13/30,43.3%),发热的最高温度通常集中在38℃左右,腹泻(2/30,6.7%)一般较不常见。有一半的患者存在基础疾病如糖尿病、高血压和其他疾病如脑血栓、疾病术后及肿瘤化疗等(15/30,50%)。结论:对于确诊为普通型新冠肺炎的患者,特别是发烧3天以上、年龄大于30岁的患者,核酸转阴时间延长,应考虑加强对该类患者的监护。 展开更多
关键词 SARS-CoV-2 COVID-19 普通型 新型冠状病毒核酸
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基于挖掘整理民族民间秘验方探讨抗新型冠状病毒(COVID-19)民族药的研究策略 被引量:1
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作者 韩忠耀 王玉明 +2 位作者 邓先扩 周福军 陆锦锐 《中国民族民间医药》 2020年第17期121-126,共6页
化学药、中药在2019新型冠状病毒(COVID-19)疫情中发挥着重要作用。在当前没有疫苗及特效药的背景下,在少数民族聚集区或聚集地发掘整理具有抗新型冠状病毒潜力的民族民间秘方、验方,探讨抗新型冠状病毒(COVID-19)的民族药意义重大。文... 化学药、中药在2019新型冠状病毒(COVID-19)疫情中发挥着重要作用。在当前没有疫苗及特效药的背景下,在少数民族聚集区或聚集地发掘整理具有抗新型冠状病毒潜力的民族民间秘方、验方,探讨抗新型冠状病毒(COVID-19)的民族药意义重大。文章挖掘整理部分防治新型冠状病毒(COVID-19)的民族药材及民族民间秘验方,探讨如何挖掘整理抗新型冠状病毒(COVID-19)民族民间秘方与验方,以期为治疗新型冠状病毒民族药的临床应用提供参考。 展开更多
关键词 2019新型冠状病毒 民族药 挖掘整理 秘方 验方
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1例寒湿郁肺证新型冠状病毒(2019-nCov)肺炎的中医特色护理经验 被引量:3
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作者 张静 《中国中医药现代远程教育》 2020年第5期I0004-I0006,共3页
本文总结了2020年1月26日收治的1例辨证为寒湿郁肺证的新型冠状病毒肺炎患者,使用中医特色护理的方法:服用小柴胡汤合玉屏风散加减,以和解少阳,扶正祛邪;头部经络刮痧配合点穴按摩促进解肌退热;指导患者进行八段锦气功锻炼舒筋活络,并... 本文总结了2020年1月26日收治的1例辨证为寒湿郁肺证的新型冠状病毒肺炎患者,使用中医特色护理的方法:服用小柴胡汤合玉屏风散加减,以和解少阳,扶正祛邪;头部经络刮痧配合点穴按摩促进解肌退热;指导患者进行八段锦气功锻炼舒筋活络,并能改善肺功能,缓解呼吸道症状。患者住院11 d,经过中西医结合治疗配合中医特色护理,其发热、乏力、咳嗽等症状完全缓解,各项指标恢复正常,康复出院。 展开更多
关键词 新型冠状病毒(COVID-19) 新型冠状病毒肺炎(NCP) 中医特色护理 瘟疫
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