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Clinical characteristics and risk factors of COVID-19 patients with chronic hepatitis B: a multi-center retrospective cohort study

《医学前沿(英文)》 2022年 第16卷 第1期   页码 111-125 doi: 10.1007/s11684-021-0854-5

摘要: The coronavirus disease 2019 (COVID-19) has spread globally. Although mixed liver impairment has been reported in COVID-19 patients, the association of liver injury caused by specific subtype especially chronic hepatitis B (CHB) with COVID-19 has not been elucidated. In this multi-center, retrospective, and observational cohort study, 109 CHB and 327 non-CHB patients with COVID-19 were propensity score matched at an approximate ratio of 3:1 on the basis of age, sex, and comorbidities. Demographic characteristics, laboratory examinations, disease severity, and clinical outcomes were compared. Furthermore, univariable and multivariable logistic and Cox regression models were used to explore the risk factors for disease severity and mortality, respectively. A higher proportion of CHB patients (30 of 109 (27.52%)) developed into severe status than non-CHB patients (17 of 327 (5.20%)). In addition to previously reported liver impairment markers, such as alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, and total bilirubin, we identified several novel risk factors including elevated lactate dehydrogenase (≥245 U/L, hazard ratio (HR) = 8.639, 95% confidence interval (CI) = 2.528–29.523; P <0.001) and coagulation-related biomarker D-dimer (≥0.5 μg/mL, HR= 4.321, 95% CI= 1.443–12.939; P = 0.009) and decreased albumin (<35 g/L, HR= 0.131, 95% CI= 0.048–0.361; P <0.001) and albumin/globulin ratio (<1.5, HR= 0.123, 95% CI= 0.017–0.918; P = 0.041). In conclusion, COVID-19 patients with CHB were more likely to develop into severe illness and die. The risk factors that we identified may be helpful for early clinical surveillance of critical progression.

关键词: COVID-19     chronic hepatitis B     liver injury     coagulation dysfunction    

New definition of metabolic dysfunction-associated fatty liver disease with elevated brachial-ankle pulse

《医学前沿(英文)》 2022年 第16卷 第5期   页码 714-722 doi: 10.1007/s11684-021-0888-8

摘要: A new definition of metabolic dysfunction-associated fatty liver disease (MAFLD) has recently been proposed. We aim to examine the associations of MAFLD, particularly its discordance from non-alcoholic fatty liver disease (NAFLD), with the progression of elevated brachial-ankle pulse wave velocity (baPWV) and albuminuria in a community-based study sample in Shanghai, China. After 4.3 years of follow-up, 778 participants developed elevated baPWV and 499 developed albuminuria. In comparison with the non-MAFLD group, the multivariable adjusted odds ratio (OR) of MAFLD group for new-onset elevated baPWV was 1.25 (95% confidence interval (CI) 1.01–1.55) and 1.35 (95% CI 1.07–1.70) for albuminuria. Participants without NAFLD but diagnosed according to MAFLD definition were associated with higher risk of incident albuminuria (OR 1.77; 95% CI 1.07–2.94). Patients with MAFLD with high value of hepamet fibrosis score or poor-controlled diabetes had higher risk of elevated baPWV or albuminuria. In conclusion, MAFLD was associated with new-onset elevated baPWV and albuminuria independently of body mass index, waist circumference, and hip circumference. Individuals without NAFLD but diagnosed as MAFLD had high risk of albuminuria, supporting that MAFLD criteria would be practical for the evaluation of long-term risk of subclinical atherosclerosis among fatty liver patients.

关键词: metabolic dysfunction-associated fatty liver disease     non-alcoholic fatty liver disease     fibrosis score     brachial-ankle pulse wave velocity     albuminuria    

Endothelial dysfunction in COVID-19 calls for immediate attention: the emerging roles of the endothelium

Weijian Hang, Chen Chen, Xin A. Zhang, Dao Wen Wang

《医学前沿(英文)》 2021年 第15卷 第4期   页码 638-643 doi: 10.1007/s11684-021-0831-z

摘要: The COVID-19 pandemic has caused numerous deaths around the world. A growing body of evidence points to the important role of overwhelming inflammatory responses in the pathogenesis of COVID-19 and the effectiveness of anti-inflammation therapy against COVID-19 is emerging. In addition to affecting the lungs, COVID-19 can be a severe systemic inflammatory disease that is related to endothelial dysfunction. We are calling for closer attention to endothelial dysfunction in COVID-19 not only for fully revealing the pathogenic mechanism of COVID-19 but also for properly adjusting the strategy of clinical intervention.

关键词: COVID-19     endothelial dysfunction     inflammation reaction     cytokine storm    

Berberine alleviates myocardial diastolic dysfunction by modulating Drp1-mediated mitochondrial fission

《医学前沿(英文)》 doi: 10.1007/s11684-023-0983-0

摘要: Berberine alleviates myocardial diastolic dysfunction by modulating Drp1-mediated mitochondrial fission and Ca homeostasis in a murine model of HFpEF

关键词: mitochondrial fission Ca     Berberine alleviates myocardial     murine model HFpEF    

Aortic aneurysm and chronic disseminated intravascular coagulation: a retrospective study of 235 patients

null

《医学前沿(英文)》 2017年 第11卷 第1期   页码 62-67 doi: 10.1007/s11684-017-0498-7

摘要:

Chronic disseminated intravascular coagulation (DIC) is a rare but devastating complication of aortic aneurysm (AA). This study investigated the clinical manifestations, laboratory findings, and treatment of patients with AA-associated chronic DIC (AA-DIC) and explored the mechanisms, duration, and therapeutic response of AA-DIC. We retrospectively reviewed the medical records of 235 AA patients admitted at the Peking Union Medical College Hospital between September 2009 and January 2015. The patients were classified as those with DIC (AA-DIC) and those without DIC (non-DIC). The AA-DIC group showed a significantly higher proportion of female patients and a significantly longer AA disease course than the non-DIC group did. The AA-DIC patients presented mural thrombi, dissecting aneurysms, a family history of AA, and diabetes significantly more frequently than the non-DIC patients did. Furthermore, multiple regression analyses revealed that sex, mural thrombus, aneurysm type, diabetes, and stent surgery are possible independent risk factors for AA-DIC patients. Fifty-two (22.1%) patients presented AA-DIC. Among these patients, 43 had non-typical DIC and 9 had typical DIC; the mortality rate of the latter was 22.2%. The mean age of the patients with typical DIC was significantly higher than of that of patients with non-typical DIC. The non-typical DIC patients also presented abnormal coagulation disorders of varying degrees. Furthermore, heparin or low-molecular-weight heparin improved the clinical symptoms and laboratory parameters in patients with AA and typical DIC. Thus, chronic DIC should be considered in patients with AA.

关键词: aortic aneurysm     disseminated intravascular coagulation     anticoagulation therapy    

Enhanced cross-flow filtration with flat-sheet ceramic membranes by titanium-based coagulation for membrane

《环境科学与工程前沿(英文)》 2022年 第16卷 第8期 doi: 10.1007/s11783-022-1531-x

摘要:

• Ceramic membrane filtration showed high performance for surface water treatment.

关键词: Ceramic membrane     Coagulation     Polytitanium chloride     Membrane fouling    

Performance evaluation on the pollution control against wet weather overflow based on on-site coagulation

Zongqun Chen, Wei Jin, Hailong Yin, Mengqi Han, Zuxin Xu

《环境科学与工程前沿(英文)》 2021年 第15卷 第6期 doi: 10.1007/s11783-021-1400-z

摘要: Abstract • A way for overflow control based on on-site coagulation/flocculation was proposed. • Coagulant and flocculant dose were optimized based on pollutant removal performance. • Settling time of 5 min is enough in a proper transmission distance. • Fast removal of particulate pollutants could be achieved under varied flow. The pollution caused by wet weather overflow in urban drainage systems is a main factor causing blackening an odorization of urban rivers. The conventional overflow treatment based on coagulation/flocculation in terminal drainage systems requires relatively large space and long retention time demand that makes it not applicable in crowded urban drainage systems or under heavy rains. On-site coagulation/flocculation in terminal drainage pipes was proposed in this study which was aimed to transfer the coagulation/flocculation process to the inside of pipes at the terminal drainage system to save space and reduce the retention time of the coagulation/flocculation process. The optimized dose of chemicals was studied first which was 80 mg/L of coagulant and 0.8 mg/L of flocculant. Settling for only 5 min can remove most of the pollutants at 406.5 m of transmission distance. In addition, the relation of wet weather overflow rate and concentration of pollution load on the on-site coagulation/flocculation process was investigated, which indicated that high removal of pollutant was gained at a large range of flow velocity and pollutant concentration. Finally, the study confirmed electric neutralization, bridging, and net capture as the major mechanisms in this process, and further optimization was proposed. The proposed process can reduce much turbidity, chemical oxygen demand, and total phosphorous, but hardly remove soluble ammonia and organics. This work provides scientific guidance to address wet weather overflow in terminal drainage pipes.

关键词: Wet weather overflow     On-site coagulation/flocculation     Fast removal of particulate pollutants    

Surface water treatment benefits from the presence of algae: Influence of algae on the coagulation behavior

Yanxia Zhao, Huiqing Lian, Chang Tian, Haibo Li, Weiying Xu, Sherub Phuntsho, Kaimin Shih

《环境科学与工程前沿(英文)》 2021年 第15卷 第4期 doi: 10.1007/s11783-020-1350-x

摘要: Abstract • Emerging titanium coagulation was high-efficient for algae-laden water treatment. • Polytitanium coagulation was capable for both algae and organic matter removal. • Surface water purification was improved by around 30% due to algae inclusion. • Algae functioned as flocculant aid to assist polytitanium coagulation. • Algae could enhance charge neutralization capability of polytitanium coagulant. Titanium-based coagulation has proved to be effective for algae-laden micro-polluted water purification processes. However, the influence of algae inclusion in surface water treatment by titanium coagulation is barely reported. This study reports the influence of both Microcystis aeruginosa and Microcystis wesenbergii in surface water during polytitanium coagulation. Jar tests were performed to evaluate coagulation performance using both algae-free (controlled) and algae-laden water samples, and floc properties were studied using a laser diffraction particle size analyzer for online monitoring. Results show that polytitanium coagulation can be highly effective in algae separation, removing up to 98% from surface water. Additionally, the presence of algae enhanced organic matter removal by up to 30% compared to controlled water containing only organic matter. Polytitanium coagulation achieved significant removal of fluorescent organic materials and organic matter with a wide range of molecular weight distribution (693–4945 Da) even in the presence of algae species in surface water. The presence of algae cells and/or algal organic matter is likely to function as an additional coagulant or flocculation aid, assisting polytitanium coagulation through adsorption and bridging effects. Although the dominant coagulation mechanisms with polytitanium coagulant were influenced by the coagulant dosage and initial solution pH, algae species in surface water could enhance the charge neutralization capability of the polytitanium coagulant. Algae-rich flocs were also more prone to breakage with strength factors approximately 10% lower than those of algae-free flocs. Loose structure of the flocs will require careful handling of the flocs during coagulation-sedimentation-filtration processes.

关键词: Coagulation     Polytitanium chloride     Coagulation behaviour     Algae     Floc property    

Fouling mechanisms in the early stage of an enhanced coagulation-ultrafiltration process

Haiqing CHANG,Baicang LIU,Wanshen LUO,Guibai LI

《环境科学与工程前沿(英文)》 2015年 第9卷 第1期   页码 73-83 doi: 10.1007/s11783-014-0692-7

摘要: We investigated the fouling performances of ultrafiltration (UF) membrane for treating in-line coagulated water in an enhanced coagulation-UF hybrid process. Then we analyzed the fouling mechanisms in the early stage of UF using mathematical models and microscopy observation methods. Finally, we discussed the impact of aeration on membrane fouling in this paper. The results showed that a two-stage of trans-membrane pressure (TMP) profile during the operation of enhanced coagulation-UF membrane was observed, and the relationship between permeability and operation time fitted well with a logarithmic curve. Membrane pores blocking and cake filtration were confirmed as main membrane fouling mechanisms using the mathematical models. The two stages of membrane fouling mechanisms were further deduced, namely, the membrane pore narrowing followed by the formation of cake layer. Membrane autopsy analysis using scanning electron microscopy (SEM) images of the membrane surface sampled from different filtration cycles also confirmed the mechanisms of pores blocking and cake filtration. Moreover, according to the variations of the permeability and membrane fouling resistance, aeration was able to mitigate and control the membrane fouling to a certain extent, but the optimization of aeration conditions still needs to be studied.

关键词: coagulation-UF     trans-membrane pressure (TMP)     permeability     membrane fouling resistance     scanning electron microscopy (SEM)    

Clinical study on the related markers of blood coagulation in the patients with ANFH after SARS

WU Lianhua, GAO Chunjin, WANG Guozhong, YANG Lin, HOU Xiaomin, GE Huan, XIA Chengqing, QI Man

《医学前沿(英文)》 2007年 第1卷 第4期   页码 410-412 doi: 10.1007/s11684-007-0080-9

摘要: The aim of this research was to investigate the blood coagulation function in the patients with avascular necrosis of the femoral head (ANFH) after severe acute respiratory syndrome (SARS). The expression of CD31, CD61, CD62p, CD63 and PAC-1 on platelet membrane was measured respectively by flowcytometry, and the plasma prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT) and fibrinogen (Fbg) were measured by blood clotting instrument in 26 patients with ANFH after SARS and in 17 healthy adults. The expression of CD31, CD61, CD 62p, CD63 and PAC-1 on platelet membrane in 26 patients was all lower than that in 17 healthy subjects (<0.01). The levels of PT, APTT, TT and Fbg in 26 patients were all normal. There is no significant difference (>0.05) in those markers between patients and 17 healthy adults. The blood may not be in hypercoagulable state in patients with ANFH after SARS.

关键词: significant difference     partial thromboplastin     coagulation function     femoral     healthy    

Effects of water quality on the coagulation performances of humic acids irradiated with UV light

Wendong WANG,Qinghai FAN,Zixia QIAO,Qin YANG,Yabo WANG,Xiaochang WANG

《环境科学与工程前沿(英文)》 2015年 第9卷 第1期   页码 147-154 doi: 10.1007/s11783-014-0749-7

摘要: The presence of humic acid in drinking water treatment has received significant attention in recent years because of its adverse effects on the removal of many pollutants in coagulation. In this paper, the effects of water quality including pH, turbidity, alkalinity, and hardness on the removal of humic acid were investigated in a UV light hybridized coagulation process. Our results suggested that UV light radiation could effectively improve the removal rate of humic acid in coagulation under both neutral and basic conditions, and the variations of the selected water quality parameters had little adverse effect on the function of UV light. After UV light radiation, the removal rate of the nitro-humic acid (NHA) increased from 20% to 60% in coagulation, and increased further to 75% and 85% for the raw waters with 10.0 NTU kaolin and 100 mg·L hardness, respectively. In addition to NHA, the removal rates of the humic acid extracted from peat coal (PHA) and the humic acid provided by Japan metals and chemicals company (JHA) in coagulation were also improved, both in the range of 80%–90% after undergoing UV light radiation. By changing the radiation location from prior to coagulation to the flocculation process, similar experimental results were obtained. The formation of positive charged sites after UV light radiation was considered to be the primary factor that led to an enhanced removal of the humic acid in coagulation.

关键词: coagulation     drinking water     humic acid     UV light radiation     water quality    

Influence of coagulation bath on morphology of cellulose membranes prepared by NMMO method

LU Yangcheng, WU Yingxin

《化学科学与工程前沿(英文)》 2008年 第2卷 第2期   页码 204-208 doi: 10.1007/s11705-008-0027-y

摘要: To control the morphology of cellulose membranes used for separation, they were prepared by the NMMO method using water, methanol, ethanol and their binary solution as coagulation baths. Morphologies of the surface and cross section of dry membranes were observed. The pore structure parameters of wet membranes were determined. By comparison, the process and mechanism of pore formation in dry membranes were suggested, and the relativity of cellulose crystal size to average pore diameter in wet membranes and their influences were discussed. The results show that the morphology of dry membranes is clearly varied with coagulation baths, while the porosity of wet membranes is almost constant. Porous structures can appear in the compact region of dry membranes due to swelling from water. These pores have a virtual effect on the average pore diameter of wet membranes. By changing the composition of coagulation baths, the microstructure of cellulose membranes in a dry or wet environment can be adjusted separately.

关键词: comparison     NMMO     constant     diameter     process    

Development of combined coagulation-hydrolysis acidification-dynamic membrane bioreactor system for treatment

Xue Shen, Lei Lu, Baoyu Gao, Xing Xu, Qinyan Yue

《环境科学与工程前沿(英文)》 2019年 第13卷 第1期 doi: 10.1007/s11783-019-1093-8

摘要:

• We created a combined system for treating oilfield polymer-flooding wastewater.

• The system was composed of coagulation, hydrolysis acidification and DMBR.

• Coagulant integrated with demulsifier dominated the removal of crude oil.

• The DMBR proceed efficiently without serious membrane fouling.

关键词: Coagulation     Hydrolysis acidification     Dynamic membrane bioreactor     Polymer flooding    

Optimization and modeling of coagulation-flocculation to remove algae and organic matter from surface

Ziming Zhao, Wenjun Sun, Madhumita B. Ray, Ajay K Ray, Tianyin Huang, Jiabin Chen

《环境科学与工程前沿(英文)》 2019年 第13卷 第5期 doi: 10.1007/s11783-019-1159-7

摘要: Charge neutralization and sweep flocculation were the major mechanisms. Effect of process parameters was investigated. Optimal coagulation conditions were studied by response surface methodology. ANN models presented more robust and accurate prediction than RSM. Seasonal algal blooms of Lake Yangcheng highlight the necessity to develop an effective and optimal water treatment process to enhance the removal of algae and dissolved organic matter (DOM). In the present study, the coagulation performance for the removal of algae, turbidity, dissolved organic carbon (DOC) and ultraviolet absorbance at 254 nm (UV254) was investigated systematically by central composite design (CCD) using response surface methodology (RSM). The regression models were developed to illustrate the relationships between coagulation performance and experimental variables. Analysis of variance (ANOVA) was performed to test the significance of the response surface models. It can be concluded that the major mechanisms of coagulation to remove algae and DOM were charge neutralization and sweep flocculation at a pH range of 4.66–6.34. The optimal coagulation conditions with coagulant dosage of 7.57 mg Al/L, pH of 5.42 and initial algal cell density of 3.83 × 106 cell/mL led to removal of 96.76%, 97.64%, 40.23% and 30.12% in term of cell density, turbidity, DOC and UV254 absorbance, respectively, which were in good agreement with the validation experimental results. A comparison between the modeling results derived through both ANOVA and artificial neural networks (ANN) based on experimental data showed a high correlation coefficient, which indicated that the models were significant and fitted well with experimental results. The results proposed a valuable reference for the treatment of algae-laden surface water in practical application by the optimal coagulation-flocculation process.

关键词: Algae     Coagulation-flocculation     Response surface methodology     Artificial neural networks    

Alteration of heat shock protein 20 expression in preeclamptic patients and its effect in vascular and coagulation

Fanfan Li, Mengzhou He, Meitao Yang, Yao Fan, Yun Chen, Xi Xia, Yin Xie, Dongrui Deng

《医学前沿(英文)》 2018年 第12卷 第5期   页码 542-549 doi: 10.1007/s11684-017-0576-x

摘要:

Preeclampsia (PE) is a pregnancy-specific, multi-system disorder and the leading cause of maternal and perinatal morbidity and mortality in obstetrics worldwide. Excessive vasoconstriction and dysregulated coagulation function are closely associated with PE. Heat shock protein 20 (HSP20) is ubiquitously expressed under normal physiological conditions and has important roles in vascular dilatation and suppression of platelet aggregation. However, the role of HSP20 in the pathogenesis of PE remains unclear. In this study, we collected chorionic plate resistance arteries (CPAs) and serum from 118 healthy pregnant women and 80 women with PE and detected the levels of HSP20 and its phosphorylated form. Both HSP20 and phosphorylated HSP20 were downregulated in CPAs from women with PE. Comparison of the vasodilative ability of CPAs from the two groups showed impaired relaxation responses to acetyl choline in preeclamptic vessels. In addition to the reduced HSP20 in serum from women with PE, the platelet distribution width and mean platelet volume were also decreased, and the activated partial thromboplastin time and thromboplastin time were elevated. With regard to the vital roles of HSP20 in mediating vasorelaxation and coagulation function, the decreased HSP20 might contribute to the pathogenesis of PE.

关键词: preeclampsia     heat shock protein 20     vascular relaxation     coagulation-fibrinolytic system    

标题 作者 时间 类型 操作

Clinical characteristics and risk factors of COVID-19 patients with chronic hepatitis B: a multi-center retrospective cohort study

期刊论文

New definition of metabolic dysfunction-associated fatty liver disease with elevated brachial-ankle pulse

期刊论文

Endothelial dysfunction in COVID-19 calls for immediate attention: the emerging roles of the endothelium

Weijian Hang, Chen Chen, Xin A. Zhang, Dao Wen Wang

期刊论文

Berberine alleviates myocardial diastolic dysfunction by modulating Drp1-mediated mitochondrial fission

期刊论文

Aortic aneurysm and chronic disseminated intravascular coagulation: a retrospective study of 235 patients

null

期刊论文

Enhanced cross-flow filtration with flat-sheet ceramic membranes by titanium-based coagulation for membrane

期刊论文

Performance evaluation on the pollution control against wet weather overflow based on on-site coagulation

Zongqun Chen, Wei Jin, Hailong Yin, Mengqi Han, Zuxin Xu

期刊论文

Surface water treatment benefits from the presence of algae: Influence of algae on the coagulation behavior

Yanxia Zhao, Huiqing Lian, Chang Tian, Haibo Li, Weiying Xu, Sherub Phuntsho, Kaimin Shih

期刊论文

Fouling mechanisms in the early stage of an enhanced coagulation-ultrafiltration process

Haiqing CHANG,Baicang LIU,Wanshen LUO,Guibai LI

期刊论文

Clinical study on the related markers of blood coagulation in the patients with ANFH after SARS

WU Lianhua, GAO Chunjin, WANG Guozhong, YANG Lin, HOU Xiaomin, GE Huan, XIA Chengqing, QI Man

期刊论文

Effects of water quality on the coagulation performances of humic acids irradiated with UV light

Wendong WANG,Qinghai FAN,Zixia QIAO,Qin YANG,Yabo WANG,Xiaochang WANG

期刊论文

Influence of coagulation bath on morphology of cellulose membranes prepared by NMMO method

LU Yangcheng, WU Yingxin

期刊论文

Development of combined coagulation-hydrolysis acidification-dynamic membrane bioreactor system for treatment

Xue Shen, Lei Lu, Baoyu Gao, Xing Xu, Qinyan Yue

期刊论文

Optimization and modeling of coagulation-flocculation to remove algae and organic matter from surface

Ziming Zhao, Wenjun Sun, Madhumita B. Ray, Ajay K Ray, Tianyin Huang, Jiabin Chen

期刊论文

Alteration of heat shock protein 20 expression in preeclamptic patients and its effect in vascular and coagulation

Fanfan Li, Mengzhou He, Meitao Yang, Yao Fan, Yun Chen, Xi Xia, Yin Xie, Dongrui Deng

期刊论文