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1Artificial intelligence in healthcare:past,present and future显示文摘Artificial intelligence(AI)aims to mimic human cognitive functions.It is bringing a paradigm shift to healthcare,powered by increasing availability of healthcare data and rapid progress of analytics techniques.We survey the current status of AI applications in healthcare and discuss its future.AI can be applied to various types of healthcare data(structured and unstructured).Popular AI techniques include machine learning methods for structured data,such as the classical support vector machine and neural network,and the modern deep learning,as well as natural language processing for unstructured data.Major disease areas that use AI tools include cancer,neurology and cardiology.We then review in more details the AI applications in stroke,in the three major areas of early detection and diagnosis,treatment,as well as outcome prediction and prognosis evaluation.We conclude with discussion about pioneer AI systems,such as IBM Watson,and hurdles for real-life deployment of AI.Fei Jiang Yong Jiang Hui Zhi Yi Dong Hao Li Sufeng Ma Yilong Wang Qiang Dong Haipeng Shen Yongjun Wang 2017Stroke & Vascular Neurology2017,2,4:76
2The Tartary Buckwheat Genome Provides Insights into Rutin Biosynthesis and Abiotic Stress Tolerance显示文摘Zhang, Lijun Li, Xiuxiu Ma, Bin Gao, Qiang Du, Huilong Han, Yuanhuai Li, Yan Cao, Yinghao Qi, Ming Zhu, Yaxin Lu, Hongwei Ma, Mingchuan Liu, Longlong Zhou, Jianping Nan, Chenghu Qin, Yongjun Wang, Jun Cui, Lin Liu, Huimin Liang, Chengzhi Qiao, Zhijun 2017Molecular Plant2017,10,9:53
3Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of ischaemic cerebrovascular diseases显示文摘Aim Stroke is the leading cause of disability and death in China.Ischaemic stroke accounts for about 60%-80%of all strokes.It is of considerable significance to carry out multidimensional management of ischaemic cerebrovascular diseases.This evidence-based guideline aims to provide the latest detailed and comprehensive recommendations on the diagnosis,treatment and secondary prevention of ischaemic cerebrovascular diseases.Methods We had performed comprehensive searches of MEDLINE(via PubMed)(before 30 June 2019),and integrated the relevant information into charts and distributed to the writing group.Writing group members discussed and determined the recommendations through teleconference.We used the level of evidence grading algorithm of Chinese Stroke Association to grade each recommendation.The draft was reviewed by the Guideline Writing Committee of Chinese Stroke Association Stroke and finalised.This guideline is fully updated every 3 years.results This evidence-based guideline is based on the treatment,care and prevention of ischaemic cerebrovascular diseases,which emphasises on pathogenesis evaluation,intravenous thrombolysis,endovascular therapy,antiplatelet therapy,prevention and treatment of complications,and risk factor management.Conclusions This updated guideline presents a framework for the management of ischaemic cerebrovascular diseases.Timely first-aid measures,professional care in the acute stage,and proactive secondary prevention will be helpful to patients.Liping Liu Weiqi Chen Hongyu Zhou Wanying Duan Shujuan Li Xiaochuan Huo Weihai Xu Li'an Huang Huaguang Zheng Jingyi Liu Hui Liu Yufei Wei Jie Xu Yongjun Wang 2020Stroke & Vascular Neurology2020,5,2:42
4Chinese Stroke Center Alliance:a national effort to improve healthcare quality for acute stroke and transient ischaemic attack:rationale,design and preliminary findings显示文摘Background In June 2015,the Chinese Stroke Association(CSA)initiated the Chinese Stroke Center Alliance(CSCA)to establish the national hospital-based stroke care quality assessment and improvement platform.This article outlines its objectives,operational structure,patient population,quality improvement(QI)intervention tools,data elements,data collection methodology and current patient and hospital data.Methods The CSCA is a national,hospital-based,multicentre,voluntary,multifaceted intervention and continuous QI initiative.This multifaceted intervention includes stroke centre development,written care protocols,workshops and a monitoring/feedback system of evidencebased performance measures.The data coordinating centre of the CSCA resides at the China National Clinical Research Center for Neurological Diseases,Beijing Tiantan Hospital.results As of July 2017,1576 hospitals in China have contributed detailed clinical information to serve as a benchmark for the stroke care quality of 433264 patients with acute stroke/transient ischaemic attacks(TIA),including 352572(81.38%)acute ischaemic stroke,30362(7.01%)TIA,42080(9.71%)spontaneous intracranial haemorrhage,5505(1.27%)subarachnoid haemorrhage and 2745(0.63%)not specified stroke.Conclusion The CSCA programme is designed to establish a continuous national stroke registry and help healthcare providers develop stroke centres and treat patients in a consistent manner in accordance with accepted national guidelines and,ultimately,improve patient outcomes.It supports the CSA mission to reduce stroke burden in China.Yongjun Wang Zixiao Li Yilong Wang Xingquan Zhao Liping Liu Xin Yang Caiyun Wang Hongqiu Gu Fuying Zhang Chunjuan Wang Ying Xian David Z Wang Qiang Dong Anding Xu Jizong Zhao Chinese Stroke Center Alliance investigators 2018Stroke & Vascular Neurology2018,3,4:38
5Coordinated optimal dispatch and market equilibrium of integrated electric power and natural gas networks with P2G embedded显示文摘As power to gas(P2 G) technology gradually matures, the coupling between electricity networks and natural gas networks should ideally evolve synergistically.With the intent of characterizing market behaviors of integrated electric power and natural gas networks(IPGNs)with P2 G facilities, this paper establishes a steady-state model of P2 G and constructs optimal dispatch models of an electricity network and a natural gas network separately. In addition, a concept of slack energy flow(SEF) is proposed as a tool for coordinated optimal dispatch between the two networks. To study how the market pricing mechanism affects coordinated optimal dispatch in an IPGN, a market equilibrium-solving model for an IPGN is constructed according to game theory, with a solution based on the Nikaido-Isoda function. Case studies are conducted on a joint model that combines the modified IEEE 118-node electricity network and the Belgian 20-node gas network.The results show that if the game between an electric power company and a natural gas company reaches market equilibrium, not only can both companies maximize their profits, but also the coordinated operation of the coupling units, i.e., gas turbines and P2 G facilities, will contribute more to renewable energy utilization and carbon emission reduction.Zexing CHEN Yongjun ZHANG Tianyao JI Zexiang CAI Licheng LI Zhiheng XU 2018Journal of Modern Power Systems and Clean Energy2018,6,3:37
6Stenting for symptomatic intracranial arterial stenosis in China:1-year outcome of a multicentre registry study显示文摘background and purpose A multicentre prospective registry study of individually tailored stenting for a patient with symptomatic intracranial atherosclerotic stenosis(ICAS)combined with poor collaterals in China showed that the short-term safety and efficacy of stenting was acceptable.However,it remained uncertain whether the low event rate could be of a long term.We reported the 1-year outcome of this registry study to evaluate the long-term efficacy of individually tailored stenting for patients with severe symptomatic ICAS combined with poor collaterals.Methods Patients with symptomatic ICAS caused by 70%-99% stenosis located at the intracranial internal carotid,middle cerebral,intracranial vertebral or basilar arteries combined with poor collaterals were enrolled.Balloon-mounted stent or balloon plus self-expanding stent were selected based on the ease of vascular access and lesion morphology determined by the operators.The primary outcome was the rate of 30-day stroke,transient ischaemic attack and death,and 12-month ischaemic stroke within the same vascular territory,haemorrhagic stroke and vascular death after stenting.results From September 2013 to January 2015,300 patients(ages 58.3±9.78 years)were recruited.Among them,159 patients were treated with balloon-mounted stent and 141 with balloon plus self-expanding stent.During the 1-year follow-up,25 patients had a primary end point event.The probability of primary outcome at 1 year was 8.1%(95% CI 5.3% to 11.7%).In 76 patients with digital subtraction angiography follow-up,27.6%(21/76)had re-stenosis≥50% and 18.4%(14/76)had re-stenosis≥70%.No baseline characteristic was associated with the primary outcome.Conclusion The event rate remains low over 1 year of individually tailored stenting for patients with severe symptomatic ICAS combined with poor collaterals.Further randomised trial of comparing individually tailored stenting with best medical therapy is needed.Ning Ma Yong Zhang Jie Shuai Changchun Jiang Qiyi Zhu Kangning Chen Li Liu Baomin Li Xiangqun Shi Lianbo Gao Yajie Liu Feng Wang Yongli Li Tieyan Liu Hongbo Zheng Dapeng Mo Feng Gao Yilong Wang Yongjun Wang Lei Feng Zhongrong Miao 2018Stroke & Vascular Neurology2018,3,3:29
7SHRIMP U-Pb Zircon Geochronology of the Xiaotongguanshan and Shatanjiao Intrusions and Its Petrological Implications in the Tongling Area, Anhui显示文摘This paper determines the crystallization ages of the Xiaotongguanshan quartz monzodiorite and Shatanjiao quartz monzonite porphyry from the Tongling area using the SHRIMP zircon U-Pb method. The crystallization age of the former is 142.8±1.8 Ma; that of the latter is 151.8±2.6 Ma. These data indicate that they were formed during the Late Jurassic (142.8 to 151.8 Ma). Zoned magma chamber was formed because of double diffusive convection. Therefore, the intrusive sequence of magma is generally from quartz monzonite through quartz monzodiorite to pyroxene monzodiorite, i.e. an inverted sequence.DI Yongjun WU Ganguo ZHANG Da SONG Biao ZANG Wenshuan ZHANG Zhongyi LI Jinwen 2005Acta Geologica Sinica(English Edition)2005,79,6:22
8Major ozonated autohemotherapy promotes the recovery of upper limb motor function in patients with acute cerebral infarction显示文摘Major ozonated autohemotherapy is classically used in treating ischemic disorder of the lower limbs. In the present study, we performed major ozonated autohemotherapy treatment in patients with acute cerebral infarction, and assessed outcomes according to the U.S. National Institutes of Health Stroke Score, Modified Rankin Scale, and transcranial magnetic stimulation motor-evoked potential. Compared with the control group, the clinical total effective rate and the cortical potential rise rate of the upper limbs were significantly higher, the central motor conduction time of upper limb was significantly shorter, and the upper limb motor-evoked potential amplitude was significantly increased, in the ozone group. In the ozone group, the National Institutes of Health Stroke Score was positively correlated with the central motor conduction time and the motor-evoked potential amplitude of the upper limb. Central motor conduction time and motor-evoked potential amplitude of the upper limb may be effective indicators of motor-evoked potentials to assess upper limb motor function in cerebral infarct patients. Furthermore, major ozonated autohemotherapy may promote motor function recovery of the upper limb in patients with acute cerebral infarction.Xiaona Wu Zhensheng Li Xiaoyan Liu Haiyan Peng Yongjun Huang Gaoquan Luo Kairun Peng 2013Neural Regeneration Research2013,8,5:23
9Accurate single-observer passive coherent location estimation based on TDOA and DOA显示文摘This paper investigates the problem of target position estimation with a single-observer passive coherent location(PCL) system. An approach that combines angle with time difference of arrival(ATDOA) is used to estimate the location of a target. Compared with the TDOA-only method which needs two steps, the proposed method estimates the target position more directly. The constrained total least squares(CTLS) technique is applied in this approach. It achieves the Cramer–Rao lower bound(CRLB) when the parameter measurements are subject to small Gaussian-distributed errors. Performance analysis and the CRLB of this approach are also studied. Theory verifies that the ATDOA method gets a lower CRLB than the TDOA-only method with the same TDOA measuring error. It can also be seen that the position of the target affects estimating precision.At the same time, the locations of transmitters affect the precision and its gradient direction.Compared with the TDOA, the ATDOA method can obtain more precise target position estimation.Furthermore, the proposed method accomplishes target position estimation with a single transmitter,while the TDOA-only method needs at least four transmitters to get the target position. Furthermore,the transmitters' position errors also affect precision of estimation regularly.Li Jing Zhao Yongjun Li Donghai 2014Chinese Journal of Aeronautics2014,27,4:23
10Geochemistry,Nd Isotopic Characteristics of Metamorphic Complexes in Northern Hebei:Implications for Crustal Accretion显示文摘北方中国古地台(NCC ) 的北边缘的中间的片断在 Damiao-Changshaoying 区域主要由变形太古代的 Dantazi 建筑群, Paleoproterozoic Hongqiyingzi 复杂 andunmetamorphosed gabbro-anorthosite-meta-alkaline 花岗石,以及变形迟了的 Paleozoicmafic 组成到 granitoid 岩石。~ 2 .49 Ga Dantazi 复杂 comprisesdioritic-trondhjemitic-granodoritic-monzogranitic 片麻岩在角闪岩变形了到 granulitefacies。石油化学的特征表明大多数岩石属于媒介--tohigh钾计算碱的系列,和显示Mg~#不到 40 ,衰退权利的 REE 模式没有到在使primitivemantle正常化的蜘蛛图的显然积极的 Eu 异例,显然否定的 Th , Nb , Ta 和 Ti 异例,到-0.03,和弄空的披风的ε_( Nd )(t) =+0.65 为agesT_( DM ) =2.78-2.71 Ga 建模。在岩石成因论的学习显示岩石从从在一个大陆人边缘背景的再循环的外壳的 mafic 岩石的部分融化从弄空的披风和 granitoid 岩浆在 mafic 岩浆之间混合的 magmatic 被形成。2.44-2.41 Ga Hongqiyingzi 建筑群被变形 mafic-granodioritic-monzogranitic 片麻岩统治,显示到 Dantazi 建筑群的类似的石油化学的特征,对高钾也就是中等计算碱的系列,和 mafic 岩石在 LILE,否定 Th, Nb, Ta, Zr 异例和积极 Panomalies 显示出明显的变化。并且另外的 granitiod 样品也展出否定 Th, Nb, Ta, P 和 Ti 异例。在 Hongqiyingzi 复杂表演的 Allrocks 没有 Eu 的衰退权利的 REE 模式异例。有ε _(Nd ) 的 Themetamorphic mafic 岩石(t)=-1.64 不能是有 granitoids 的一个相同 magmatic 系列有(t)+3.19 珍视到 +1.94 和 2.55-2.52 Ga 的 T_(DM ) 年龄的ε _(Nd ) 。Thesegranitic 岩石从在一个弧形列岛的外壳的 mafic 岩石设置的少年的部分融化从弄空的披风和岩浆从在 mafic 岩浆之间的混血儿发源。 11 妈 LatePaleozoic 变形 mafic 摇的所有 ~3 和相关花岗石的岩石显示出一个中等钾的 calc-alkalinemagmatic 进化系列,由高Mg~#,显然否定的 Th , Nb , Ta 异例和positive 描绘了 Sr 异例,从不到有ε_( Nd )的强烈否定的 Ti 异例和扁平的 REE 模式(t)= +8.42 ,暗示 mafic 岩浆从弄空的披风被导出。另外的花岗石的岩石不管多么被衰退权利的 REE 模式显然描绘没有到 positiveEu 异例,显著地低的ε_( Nd )(t)= -13.37 到-14.04,和T_( DM ) =1.97-1.96 Ga ,表明 granitoid 岩浆从在来自 ~3 的 mafic 岩浆之间的混血儿被导出 11 Madepleted 披风和 granitoid 岩浆从对早 Paleoproterozoic 太古代古老的外壳的再循环。象上述地质的 andgeochronological 结果一样的地球化学和 Nd 同位素的特征显示 NCC 的北边缘的中间的片断主要经历了四个外壳的生长事件从对太古代晚古生代,它被三个大陆人统治边缘的弧生长( ~2 .49 , ~2 .44 和 311 妈)除了与 post-collisional 扩展有关的 1.76-1.68 Gaepisode ,表明这的外壳的生长分割主要从弧生长和合并被产生到 NCC 大陆块。LIU Shuwen TIAN Wei Lü Yongjun LI Qiugen FENG Yonggang K. H. PARK Y. S. SONG 2006Acta Geologica Sinica(English Edition)2006,80,6:21
11Research and Application Prospect of Computer Simulation on Heat Treatment Process显示文摘In this paper, a modified temperature-phase transformation-stress/strain field coupled 3D non-linear mathematical model was used in the computer simulation on heat treatment processes of workpieces including catch jaw, anchor ring, cold roller, large-scale bearing roller, nitriding crank shaft, etc. The simulation on complicated technologies such as pre-cooled quenching, double media quenching, self-tempering, difference temperature heating, nitriding distortion was carried out. The optimum design of heat treatment technology has been realized. The successful application of computer simulation on heat treatment have also been demonstrated.Pan Jiansheng, Li Yongjun, Cu Jianfeng, Hu Mingjuan Open Research Lab for High Temperature Materials & Testing, SJTU, Shanghai, 200030 2000Journal of Shanghai Jiaotong university(Science)2000,5,1:19
12Hydroformylation of alkenes over rhodium supported on the metal-organic framework ZlF-8显示文摘Chao Hou Guofeng Zhao Yongjun Ji Zhiqiang Niu Dingsheng Wang Yadong Li 2014Nano Research2014,7,9:18
13Identification and functional annotation of novel microRNAs in the proximal sciatic nerve after sciatic nerve transection显示文摘The peripheral nervous system is able to regenerate after injury, and regeneration is associated with the expression of many genes and proteins. MicroRNAs are evolutionarily conserved, small, non-coding RNA molecules that regulate gene expression at the level of translation. In this paper, we focus on the identification and functional annotation of novel microRNAs in the proximal sciatic nerve after rat sciatic nerve transection. Using Solexa sequencing, computational analysis, and quantitative reverse transcription PCR verification, we identified 98 novel microRNAs expressed on days 0, 1, 4, 7, and 14 after nerve transection. Furthermore, we predicted the target genes of these microRNAs and analyzed the biological processes in which they were involved. The identified biological processes were consistent with the known time-frame of peripheral nerve injury and repair. Our data provide an important resource for further study of the role and regulation of microRNAs in peripheral nerve injury and regeneration.LI ShiYing YU Bin WANG YongJun YAO DengBing ZHANG ZhanHu GU XiaoSong 2011Science China(Life Sciences)2011,54,9:16
14Accurate energy model for WSN node and its optimal design显示文摘With the development of CMOS and MEMS technologies, the implementation of a large number of wireless distributed micro-sensors that can be easily and rapidly deployed to form highly redundant, self-configuring, and ad hoc sensor networks. To facilitate ease of deployment, these sensors operate on battery for extended periods of time. A particular challenge in maintaining extended battery lifetime lies in achieving communications with low power. For better understanding of the design tradeoffs of wireless sensor network (WSN), a more accurate energy model for wireless sensor node is proposed, and an optimal design method of energy effcient wireless sensor node is described as well. Different from power models ever shown which assume the power cost of each component in WSN node is constant, the new one takes into account the energy dissipation of circuits in practical physical layer. It shows that there are some parameters, such as data rate, carrier frequency, bandwidth, Tsw, etc, which have a significant effect on the WSN node energy consumption per useful bit (EPUB). For a given quality specification, how energy consumption can be reduced by adjusting one or more of these parameters is shown.Kan Baoqiang Cai Li Zhu Hongsong Xu Yongjun 2008Journal of Systems Engineering and Electronics2008,19,3:16
15Groundwater quality and land use change in a typical karst agricultural region:a case study of Xiaojiang watershed,Yunnan显示文摘Taking the typical karst agricultural region, Xiaojiang watershed in Luxi of Yunnan Province as a research unit, utilizing the groundwater quality data in 1982 and 2004, the aerial photos in 1982 and TM images in 2004, supported by the GIS, we probe into the law and the reason of its space-time change of the groundwater quality over the past 22 years in the paper. The results show: (1) There were obvious temporal and spatial changes of groundwater quality during the past 22 years. (2) Concentrations of NH +4, 2? SO 4, NO 3?, NO 2?, Cl ?and the pH value, total hardness, total alkalinity increased significantly, in which + NH 4, NO 3?, and NO ?2of groundwater exceeded the drinking water standards as a result of non-point pollution caused by the expansion of cultivated land and mass use of the fertilizer and pesticide. (3) Oppositely, Ca2+ and HCO 3?showed an obvious decline trend due to forest reduction and degradation and stony desertification. Meantime, there was a dynamic relation between the groundwater quality change and the land use change.JIANG Yongjun YUAN Daoxian XIE Shiyou LI Linli ZHANG Gui HE Raosheng 2006Journal of Geographical Sciences2006,16,4:14
16Blood Biomarkers in Minor Stroke and Transient Ischemic Attack显示文摘Minor stroke and transient ischemic attack(TIA)are common disorders with a high rate of subsequent disabling stroke, so the early recognition and management of minor stroke and TIA is of great importance. At the moment, the diagnosis of these disorders is based on neurologic deficits in a stroke-clinician's examination of the patient, supplemented by the results of acute brain imaging.However, high variability in TIA diagnosis has been reported between physicians, even trained vascular neurologists, and image-based diagnostic confirmation is not always readily available. Some patients still have ischemic events despite sustained standard secondary preventive therapy. Blood biomarkers are promising to aid in the diagnosis, risk stratification, and individual treatment of minor stroke and TIA. Some studies are being conducted in this field. This mini-review aims to highlight potential biomarkers for diagnosis and those helpful in predicting the risk of future stroke and the selection of treatment.Jiejie Li Yongjun Wang 2016Neuroscience Bulletin2016,32,5:13
17Cerebral small vessel disease or intracranial large vessel atherosclerosis may carry different risk for future strokes显示文摘Background The effect of cerebral small vessel disease(CSVD)and intracranial arterial stenosis(ICAS)on stroke outcomes remains unclear.Methods Data of 1045 patients with minor stroke or transient ischaemic attack(TIA)were obtained from 45 sites of the Clopidogrel in High-Risk Patients with Acute Non-disabling Cerebrovascular Events(CHANCE)trial.We assessed the associations of burdens of CSVD and ICAS with new strokes and bleeding events using multivariate Cox regression models and those with modified Rankin Scale(mRS)scores using ordinal logistic regression models.Results Among the 1045 patients,CSVD was present in 830 cases(79.4%)and ICAS in 460(44.0%).Patients with>1 ICAS segment showed the highest risk of new strokes(HR 2.03,95%CI 1.15 to 3.56,p=0.01).No association between CSVD and the occurrence of new strokes was found.The presence of severe CSVD(common OR(cOR)2.01,95%CI 1.40 to 2.89,p<0.001)and>1 ICAS segment(cOR 2.15,95%CI 1.57 to 2.93,p<0.001)was associated with higher mRS scores.Severe CSVD(HR 10.70,95%CI 1.16 to 99.04,p=0.04),but not ICAS,was associated with a higher risk of bleeding events.Six-point modified CSVD score improved the predictive power for bleeding events and disability.Interpretation CSVD is associated with more disability and bleeding events,and ICAS is associated with an increased risk of stroke and disability in patients with minor stroke and TIA at 3 months.CSVD and ICAS may represent different vascular pathologies and play distinct roles in stroke outcomes.Huimin Chen Yuesong Pan Lixia Zong Jing Jing Xia Meng Yuyuan Xu Hongyi Yan Xingquan Zhao Liping Liu Hao Li S Claiborne Johnston Yongjun Wang Yilong Wang 2020Stroke & Vascular Neurology2020,5,2:13
18Hot deformation behavior of Mg-7.22Gd-4.84Y-1.26Nd-0.58Zr magnesium alloy显示文摘The behavior evolvement of Mg-7.22Gd-4.84Y-1.26Nd-0.58Zr(GWN751K) magnesium alloy during the hot deformation process was discussed.The flow stress behavior of the magnesium alloy over the strain rate range of 0.002 to 2.000 s-1 and in the temperature range of 623 to 773 K was studied on a Gleeble-1500D hot simulator under the maximum deformation degree of 60%.The experimental results showed that the relationship between stress and strain was obviously affected by strain rate and deformation temperature.The flow stress of GWN751K magnesium alloy during high temperature deformation could be represented by the Zener-Hollomon parameter in the hyperbolic Arrhenius-type equation.The stress exponent n and deformation activation energy Q were evaluated by linear regression analysis.The stress exponent n was fitted to be 3.16.The hot deformation activation energy of the alloy during hot deformation was 230.03 kJ/mol.The microstructures of hot deformation were also influenced by strain rate and compression temperature strongly.It was found that the alloy could be extruded at 723 K with the mechanical properties of σ0.2 = 260 MPa,σb = 320 MPa,and δ = 18%.ZHANG Kui MA Minglong LI Xinggang LI Yongjun LIANG Lichao BING Mengfen 2011Rare Metals2011,30,1:13
19Factors Associated with Thrombolysis Outcome in Ischemic Stroke Patients with Atrial Fibrillation显示文摘The outcome of early intravenous thrombolysis for ischemic stroke in patients with atrial fibrillation(AF)is worse than that without thrombosis. How to increase the efficacy of intravenous thrombolysis for AF-related ischemic stroke remains largely unknown. In this study, we investigated factors that influence the effect of intravenous thrombolysis in these patients. Our results showed that thrombolysis was independently associated with a favorable outcome(P \ 0.001) and did not influence the mortality of AF-related ischemic stroke, although it increased the risk of hemorrhage within 24 h after treatment. Risk factors for a poor outcome at admission were:heart failure(P = 0.045); high systolic pressure(P = 0.039); high blood glucose(P = 0.030); and a high National Institutes of Health Stroke Scale(NIHSS) score(P \ 0.001). Moreover, high systolic pressure at admission(P = 0.007), high blood glucose(P = 0.027), and a high NIHSS score(P \ 0.001) were independent risk factors for mortality at 3 months. Besides thrombolysis, a high NIHSS score(P = 0.006) and warfarin taken within 48 h before stroke onset(P = 0.032) were also independent risk factors for symptomatic hemorrhage within 24 h after treatment. Ischemic stroke patients with AF benefited from intravenous thrombolysis with recombinant tissue plasminogen activator within 4.5 h after stroke.Qiuyun Zhao Xiaobo Li Wanli Dong Min Ye Yongjun Cao Meijuan Zhang Qiantao Cheng Junshan Zhou Guofang Chen Ming Yu Shanshan Hong Xiue Wei Bei Wang Guiyun Cui Peng Zhang Hong Ding Rongzhen Xu Yan Chen Yun Xu 2016Neuroscience Bulletin2016,32,2:13
20Exosomes derived from human amniotic epithelial cells accelerate diabetic wound healing via PI3K-AKT-mTOR-mediated promotion in angiogenesis and fibroblast function显示文摘Background:Diabetic wounds are one of the most common and serious complications of diabetes mellitus,characterized by the dysfunction of wound-healing-related cells in quantity and quality.Our previous studies revealed that human amniotic epithelial cells(hAECs)could promote diabetic wound healing by paracrine action.Interestingly,numerous studies demonstrated that exosomes derived from stem cells are the critical paracrine vehicles for stem cell therapy.However,whether exosomes derived from hAECs(hAECs-Exos)mediate the effects of hAECs on diabetic wound healing remains unclear.This study aimed to investigate the biological effects of hAECs-Exos on diabetic wound healing and preliminarily elucidate the underlying mechanism.Methods:hAECs-Exos were isolated by ultracentrifugation and identified by transmission electron microscopy,dynamic light scattering and flow cytometry.A series of in vitro functional analyses were performed to assess the regulatory effects of hAECs-Exos on human fibroblasts(HFBs)and human umbilical vein endothelial cells(HUVECs)in a high-glycemic microenvironment.Highthroughput sequencing and bioinformatics analyses were conducted to speculate the related mechanisms of actions of hAECs-Exos on HFBs and HUVECs.Subsequently,the role of the candidate signaling pathway of hAECs-Exos in regulating the function of HUVECs and HFBs,as well as in diabetic wound healing,was assessed.Results:hAECs-Exos presented a cup-or sphere-shaped morphology with a mean diameter of 105.89±10.36 nm,were positive for CD63 and TSG101 and could be internalized by HFBs and HUVECs.After that,hAECs-Exos not only significantly promoted the proliferation and migration of HFBs,but also facilitated the angiogenic activity of HUVECs in vitro.High-throughput sequencing revealed enriched miRNAs of hAECs-Exos involved in wound healing.Kyoto Encyclopedia of Genes and Genomes and Gene Ontology analyses have shown that the target genes of the top 15 miRNAs were highly enriched in the PI3K-AKT pathway.Further functional studies demonstrated that the PI3K-AKT-mTOR pathway was necessary for the induced biological effects of hAECs-Exos on HFBs and HUVECs,as well as on wound healing,in diabetic mice.Conclusions:Our findings demonstrated that hAECs-Exos represent a promising,novel strategy for diabetic wound healing by promoting angiogenesis and fibroblast function via activation of the PI3K-AKT-mTOR pathway.Pei Wei Chenjian Zhong Xiaolan Yang Futing Shu Shichu Xiao Teng Gong Pengfei Luo Li Li Zhaohong Chen Yongjun Zheng Zhaofan Xia 2020Burns & Trauma2020,8,1:12
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