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Article: Polysomnography and Neuropsychological Analysis of Patients With Post-Traumatic Stress Disorder Two Years After the COVID-19 Pandemic in Wuhan.

Mei, Junhua / Xu, Yanjie / Gong, Xue / Xu, Jinmei / Chen, Guohua / Chen, Weiqi / Wang, Yicong / Kong, Zhaohong / Wang, Yilong / Yang, Qing

Psychiatry investigation

2024 Volume 21, Issue 3, Page(s) 219–229

Abstract: Objective: We used polysomnography (PSG) monitoring and neuropsychological scales to explore the characteristics of coronavirus disease-2019 (COVID-19) patients diagnosed with post-traumatic stress disorder (PTSD) in Wuhan, two years after the onset of ... ...

Abstract	Objective: We used polysomnography (PSG) monitoring and neuropsychological scales to explore the characteristics of coronavirus disease-2019 (COVID-19) patients diagnosed with post-traumatic stress disorder (PTSD) in Wuhan, two years after the onset of the COVID-19 pandemic. Methods: A total of 42 patients in the Sleep Medicine Center were diagnosed with insomnia between December 2021 and May 2022; they were divided into the PTSD group (patients with PTSD diagnosed with insomnia after COVID-19 infection) and the non-PTSD group (patients with insomnia without PTSD). A healthy control group was simultaneously included. Results: The PTSD group was more significant than the non-PTSD group in partial manifestations of sleep disorders, neuropsychological clinical symptoms, and partial PSG data. Patients with different COVID-19 subtypes showed significant differences in the course of disease, sleep disorders, neuropsychological clinical symptoms, relevant scale scores, and PSG data analysis. Conclusion: The emotional anxiety and depression of COVID-19 patients diagnosed with PTSD two years after the COVID-19 pandemic in Wuhan are more significant, and will not be self-alleviated with the passage of time. It is necessary to continue to pay attention to the PTSD symptoms and sleep psychology of COVID-19 infected patients, and take appropriate measures. Patients with severe and critical COVID-19 have more severe sleep and mental disorders, and there is a significant correlation between the duration of the disease and the severity of mental and mental disorders and sleep disorders after recovery.
Language	English
Publishing date	2024-03-25
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2414364-9
ISSN	1976-3026 ; 1738-3684
ISSN (online)	1976-3026
ISSN	1738-3684
DOI	10.30773/pi.2023.0095
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Article ; Online: Recent advances in targeted protein degraders as potential therapeutic agents.

Yang, Na / Kong, Bo / Zhu, Zhaohong / Huang, Fei / Zhang, Liliang / Lu, Tao / Chen, Yadong / Zhang, Yanmin / Jiang, Yulei

Molecular diversity

2023 Volume 28, Issue 1, Page(s) 309–333

Abstract: Targeted protein degradation (TPD) technology has gradually become widespread in the past 20 years, which greatly boosts the development of disease treatment. Contrary to small inhibitors that act on protein kinases, transcription factors, ion channels, ... ...

Abstract	Targeted protein degradation (TPD) technology has gradually become widespread in the past 20 years, which greatly boosts the development of disease treatment. Contrary to small inhibitors that act on protein kinases, transcription factors, ion channels, and other targets they can bind to, targeted protein degraders could target "undruggable targets" and overcome drug resistance through ubiquitin-proteasome pathway (UPP) and lysosome pathway. Nowadays, some bivalent degraders such as proteolysis-targeting chimeras (PROTACs) have aroused great interest in drug discovery, and some of them have successfully advanced into clinical trials. In this review, to better understand the mechanism of degraders, we elucidate the targeted protein degraders according to their action process, relying on the ubiquitin-proteasome system or lysosome pathway. Then, we briefly summarize the study of PROTACs employing different E3 ligases. Subsequently, the effect of protein of interest (POI) ligands, linker, and E3 ligands on PROTAC degradation activity is also discussed in detail. Other novel technologies based on UPP and lysosome pathway have been discussed in this paper such as in-cell click-formed proteolysis-targeting chimeras (CLIPTACs), molecular glues, Antibody-PROTACs (Ab-PROTACs), autophagy-targeting chimeras, and lysosome-targeting chimeras. Based on the introduction of these degradation technologies, we can clearly understand the action process and degradation mechanism of these approaches. From this perspective, it will be convenient to obtain the development status of these drugs, choose appropriate degradation methods to achieve better disease treatment and provide basis for future research and simultaneously distinguish the direction of future research efforts.
MeSH term(s)	Proteasome Endopeptidase Complex ; Transcription Factors ; Dietary Supplements ; Drug Discovery ; Ubiquitins ; Proteolysis
Chemical Substances	Proteasome Endopeptidase Complex (EC 3.4.25.1) ; Transcription Factors ; Ubiquitins
Language	English
Publishing date	2023-02-15
Publishing country	Netherlands
Document type	Journal Article ; Review
ZDB-ID	1376507-3
ISSN	1573-501X ; 1381-1991
ISSN (online)	1573-501X
ISSN	1381-1991
DOI	10.1007/s11030-023-10606-w
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Article ; Online: Application of microlecture teaching methods in standardized residency training during COVID-19 in Wuhan: a randomized, controlled study.

Kong, Zhaohong / Li, Tao / Zhang, Zhaohui / Jiang, Jian / Mei, Junhua

Annals of palliative medicine

2021 Volume 10, Issue 4, Page(s) 4017–4024

Abstract: Background: Providing high-quality training to residency students during the coronavirus 2019 (COVID-19) pandemic has been a goal of our institution. Since 2108, we began to take microlectures to students teaching. Microlectures are online presentations, ...

Abstract	Background: Providing high-quality training to residency students during the coronavirus 2019 (COVID-19) pandemic has been a goal of our institution. Since 2108, we began to take microlectures to students teaching. Microlectures are online presentations, and the microlecture teaching method has many advantages, such as a short teaching time, situational resource composition, diverse communication, strong pertinence and can attend microlectures from home. The aim of the present study was to evaluate the advantages of the microlecture teaching method on students in standardized residency training. Methods: Students from our department were randomly divided into the traditional teaching group (control group) and the microlecture teaching group (observation group). The teaching duration for both groups was 3 months. All students were assessed on basic knowledge of the neurology before enrollment. After the teaching session, the students were assessed on teaching effect, theoretical operation, and clinical practice satisfaction. The students also evaluated the teachers, and the teachers evaluated the students. Results: A total of 84 students participated in the study and were divided equally into the observation group (42 students) and the control group (42 students). The results showed that the rate of reaching the standard of teaching effect, achievement of theory and operation, satisfaction with clinical practice, the student's grades by teachers, and student satisfaction with teachers were significantly higher in the observation group than in the control group (all P<0.05). Conclusions: The microlecture teaching method can effectively improve the clinical teaching effect for neurology students and should be adopted in clinical teaching, especially during the COVID-19 pandemic.
MeSH term(s)	COVID-19 ; Humans ; Internship and Residency ; Pandemics ; SARS-CoV-2 ; Students ; Teaching
Language	English
Publishing date	2021-03-18
Publishing country	China
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2828544-X
ISSN	2224-5839 ; 2224-5839
ISSN (online)	2224-5839
ISSN	2224-5839
DOI	10.21037/apm-21-22
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Article: Clinical characteristics and endovascular treatment in patients with intracranial giant serpentine aneurysms.

Dao, Wenxin / Xiao, Zhe / Kong, Zhaohong / Jiang, Jian / Lu, Zuneng

publication RETRACTED

Quantitative imaging in medicine and surgery

2021 Volume 11, Issue 4, Page(s) 1490–1495

Abstract: Background: Giant serpentine aneurysms (GSAs) are a rare subtype of intracranial aneurysm. Recently, GSAs have been successfully treated with endovascular parent artery occlusion with or without distal bypass. The present study retrospectively analyzed ... ...

Abstract	Background: Giant serpentine aneurysms (GSAs) are a rare subtype of intracranial aneurysm. Recently, GSAs have been successfully treated with endovascular parent artery occlusion with or without distal bypass. The present study retrospectively analyzed the clinical outcomes of endovascular parent artery occlusion for intracranial GSAs. Methods: Medical records and cerebral angiograms from our endovascular center were retrospectively analyzed. Twenty-two patients with serpentine aneurysms were treated with endovascular occlusion of the parent artery at the site of the aneurysm. These patients had selective treatment. Clinical and angiographic outcomes of the patients were assessed between the 3-month to 3-year stage. Results: The clinical manifestations of GSA included headache, hemiparesis, SAH, epilepsy, memory loss, right oculomotor palsy, and intracerebral hemorrhage. No cerebral infarction occurred. The average Glasgow Outcome Scale (GOS) score was 5. There were no clinical complications and none of the patients had recurrence after selective embolization. All of the patients recovered well, and no recurrence or rebleeding was noted at the follow-up. Conclusions: Endovascular parent artery occlusion may be a safe and effective way to treat intracranial GSAs.
Language	English
Publishing date	2021-02-24
Publishing country	China
Document type	Journal Article ; Retracted Publication
ZDB-ID	2653586-5
ISSN	2223-4306 ; 2223-4292
ISSN (online)	2223-4306
ISSN	2223-4292
DOI	10.21037/qims-20-698
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Article ; Online: Neurocognitive improvement after angioplasty in patients with chronic middle cerebral artery stenosis and cerebral ischemia.

Kong, Zhaohong / Mo, Yanhong / Zhang, Zhaohui / Jiang, Jian

Annals of palliative medicine

2020 Volume 10, Issue 2, Page(s) 1642–1649

Abstract: Background: The use of middle cerebral artery (MCA) angioplasty compared with drug therapy has been controversial. Few studies have reported the correlations between cognitive function improvement and MCA angioplasty. This study aimed to explore ... ...

Abstract	Background: The use of middle cerebral artery (MCA) angioplasty compared with drug therapy has been controversial. Few studies have reported the correlations between cognitive function improvement and MCA angioplasty. This study aimed to explore neurocognitive function after angioplasty in patients with middle cerebral artery stenosis (MCAS) and objective cerebral ischemia. Methods: We identified 14 patients diagnosed with MCAS aged 45-65 years. Neurocognitive function evaluation was performed by 2 independent clinical psychologists using the Mini-Mental State Examination (MMSE), Montreal cognitive assessment scale (MoCA), and Multi-Dimensional Psychology. All patients received general anesthesia, underwent diagnostic cerebral angiography (DSA) via the femoral route and angioplasty, and then were sent to the neurologic intensive care unit (NICU) for overnight hemodynamic and neurologic monitoring. Aspirin and clopidogrel treatments were continued for 3 months after successful intervention. Complete neurologic examinations, including assessment with the National Institutes of Health Stroke (NIHSS), and modulate RANK score (MRS) were conducted by 2 independent neurologists. The patients received a family follow-up at 1 week, 1 month, and 3 months after the interventional procedure. Neurologic sequelae, intracranial hemorrhages, and deaths were recorded as an endpoint. Follow-up clinical and imageological examinations were scheduled at 6 months after the intervention. Follow-up brain computed tomography (CT) perfusion or magnetic resonance angiography (MRA) perfusion scans performed by 2 imageological scanners were scheduled 6 months after the procedure. Results: Angioplasty technical success was achieved in 14 parents (100%). We found that 10 patients did not have recurrent MCAS in the angioplasty site and had significant improvements in the associated brain perfusion situation and cognitive founction as compared before and after angioplasty. Also, 4 patients had evident restenosis in the angioplasty site. In the nonstenosis group, we found significant improvements in the MMSE, 3-dimensional (3D) mental rotation, simple calculation, and spatial working memory. In the recurrent stenosis group, we found no statistically significant changes in cognitive function compared with the baseline and after a 6-month follow up. There were high correlations between the changes in perfusion and the changes in word and picture memory. There was a significant correlation between the change in perfusion with MMSE (-0.522), spatial working memory (0.655), and Raven's progressive matrices test (0.637); a moderate correlation with 3D rotation (0.413), and simple calculation (-0.359); and weak correlation with visual tracking (0.026) and MoCA (0.279). Conclusions: Angioplasty surgery significantly improves neurocognitive function in patients with middle cerebral artery stenosis (MCAS) and objective cerebral ischemia.
MeSH term(s)	Aged ; Angioplasty ; Brain Ischemia/diagnostic imaging ; Brain Ischemia/therapy ; Constriction, Pathologic ; Humans ; Middle Aged ; Middle Cerebral Artery ; Stents ; Treatment Outcome ; United States
Language	English
Publishing date	2020-12-11
Publishing country	China
Document type	Journal Article
ZDB-ID	2828544-X
ISSN	2224-5839 ; 2224-5839
ISSN (online)	2224-5839
ISSN	2224-5839
DOI	10.21037/apm-20-15
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Article: Heat transfer performance of deep borehole heat exchanger with different operation modes

Huang, Shuai / Zhu, Ke / Dong, Jiankai / Li, Ji / Kong, Weizheng / Jiang, Yiqiang / Fang, Zhaohong

Renewable energy. 2022 June, v. 193

2022

Abstract: The deep borehole heat exchanger (DBHE) is an essential component of medium-depth geothermal heat pump systems (MD-GHPs). Compared with the conventional borehole heat exchanger, the DBHE has the advantages of minimal land area need, good seasonal heat ... ...

Abstract	The deep borehole heat exchanger (DBHE) is an essential component of medium-depth geothermal heat pump systems (MD-GHPs). Compared with the conventional borehole heat exchanger, the DBHE has the advantages of minimal land area need, good seasonal heat storage performance and high efficiency in winter. However, most current DBHE research is focused on a single operation mode, and few studies on multiple operation modes. In this study, a DBHE heat transfer model is developed and its governing equations are discretized using the Finite Difference Method (FDM). The model is then validated using measured data from a real-world engineering project. This is followed by an analysis of the outlet water temperature, heat loss rate, maximum heat affected radius, and rock and soil heat recovery characteristics of DBHE with a variety of run-stop ratios (i.e., the ratio of the running time to the intermission time in a day). The following are the key findings: thermal recovery of rock and soil, as well as DBHE operation stability, are negatively correlated with the run-stop ratio, but DBHE heat loss rate is positively correlated with the run-stop ratio; when the run-stop ratio is 24:0 after 15 years of operation, the heat affected radius of DBHE on the surrounding rock and soil is 91.36 m; the other three run-stop ratios (i.e., 16:8,12:12 and 8:16) maybe reduced by 9.07%, 17.34% and 24.86%, respectively. The results of this study have implications for the design of DBHE with different operation modes.
Keywords	heat exchangers ; heat pumps ; heat recovery ; models ; renewable energy sources ; soil ; water temperature ; winter
Language	English
Dates of publication	2022-06
Size	p. 645-656.
Publishing place	Elsevier Ltd
Document type	Article
ZDB-ID	2001449-1
ISSN	1879-0682 ; 0960-1481
ISSN (online)	1879-0682
ISSN	0960-1481
DOI	10.1016/j.renene.2022.05.055
Database	NAL-Catalogue (AGRICOLA)

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Article: 2019 novel coronavirus pneumonia with onset of dizziness: a case report.

Kong, Zhaohong / Wang, Jingwei / Li, Tao / Zhang, Zhaohui / Jian, Jiang

Annals of translational medicine

2020 Volume 8, Issue 7, Page(s) 506

Abstract: The 2019 novel coronavirus (2019-nCoV) epidemic continues, with the number of infections and deaths increasing. The respiratory tract is the main route of transmission of the virus, and the majority of symptoms are respiratory relative. Until now, there ... ...

Abstract	The 2019 novel coronavirus (2019-nCoV) epidemic continues, with the number of infections and deaths increasing. The respiratory tract is the main route of transmission of the virus, and the majority of symptoms are respiratory relative. Until now, there has been no reports concerning the nervous system onset. We present a 2019-nCoV patient with the onset of simple dizziness, accompanied by dry throat, no fever, no cough, no headache, no mental abnormality, and no obvious abnormality in the nuclear magnetic resonance imaging (MRI) of the head. Meanwhile, chest computed tomography (CT) scans showed multiple small spot shadows and interstitial changes in the early stage, especially in the extrapulmonary zone. There was a development of multiple ground-glass shadows and infiltrative shadows in both lungs with mild pleural effusion. The nucleic acid gene detection was positive, and thus the diagnosis of 2019-nCoV was confirmed. At last, the prognosis was good after active treatment. After antiviral and anti-infective treatment, the symptoms recovered. We presume that 2019-nCoV can also manifest in the nervous system alone, and lung CT, which has relative specificity, should be used as a routine screening method.
Keywords	covid19
Language	English
Publishing date	2020-05-12
Publishing country	China
Document type	Case Reports
ZDB-ID	2893931-1
ISSN	2305-5847 ; 2305-5839
ISSN (online)	2305-5847
ISSN	2305-5839
DOI	10.21037/atm.2020.03.89
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Article: A new method of culturing rat bone marrow endothelial progenitor cells

Kong, Zhaohong / Chen, Meixin / Jiang, Jian / Zhu, Jiang / Liu, Yumin

Cardiovascular diagnosis and therapy

2020 Volume 10, Issue 5, Page(s) 1270–1279

Abstract: Background: Endothelial progenitor cells (EPCs) play an important role in the re-endothelialization of ischemic cerebrovascular disease. However, the current acquisition method has some deficiencies. This study aimed to design a new and practical method ...

Abstract	Background: Endothelial progenitor cells (EPCs) play an important role in the re-endothelialization of ischemic cerebrovascular disease. However, the current acquisition method has some deficiencies. This study aimed to design a new and practical method for obtaining EPCs. Methods: Bone marrow was obtained autologously from the right tibia of living rats. Briefly, the right tibia bone was carefully exposed and two holes (1 mm in diameter) were made in the tuberosity and lower one-third of the tibia, respectively. A PE-50 catheter and syringe (5 mL) were inserted through the holes to aspirate the bone marrow. Bone marrow mononuclear cells (BMMCs) were isolated by density-gradient centrifugation with Ficoll and counted. Adherent cell culture continued for 2 weeks, and the medium was replaced every 3 days. Results: During the first days of culture, adherent cells formed a monolayer, consisting predominantly of small-sized cells. Single large cells with endothelial morphology were observed. On day 4, the nonadherent cells were removed, and the adherent cells were left for further culture. On day 6-7, a proliferating population of round cells formed clusters in the culture chamber, and morphological analysis revealed a homogeneous population of colony-forming units (CFUs). Large, flat cells with endothelial morphology sprouted from the CFUs, which had nearly disappeared by day 14 of culture. The adherent cells were positive for CD133 and vascular endothelial growth factor receptor 2 (VEGFR2), internalized acetylated low-density lipoprotein, and bound ulex europaeus-agglutinin-I, but were negative for CD45, which correlated with the endothelial morphology and ability to form capillaries of EPCs. Conclusions: Our results are direct evidence that mononuclear cells (MCS) from living rat bone marrow can be used to culture EPCs
Language	English
Publishing date	2020-10-15
Publishing country	China
Document type	Journal Article
ZDB-ID	2685043-6
ISSN	2223-3660 ; 2223-3652
ISSN (online)	2223-3660
ISSN	2223-3652
DOI	10.21037/cdt-20-536
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Article ; Online: Edaravone reduces depression severity in patients with symptomatic intracranial stenosis and is associated with the serum expression of sex hormones.

Kong, Zhaohong / Jiang, Jian / Deng, Ming / Zhang, Zhaohui / Wang, Gaohua

Medicine

2020 Volume 99, Issue 8, Page(s) e19316

Abstract: Objective: To investigate the effect of edaravone on depression relief in symptomatic patients with intracranial stenosis and its relationship with the expression of sex hormones.: Methods: We recruited 112 patients with symptomatic intracranial ... ...

Abstract	Objective: To investigate the effect of edaravone on depression relief in symptomatic patients with intracranial stenosis and its relationship with the expression of sex hormones. Methods: We recruited 112 patients with symptomatic intracranial arterial stenosis from Renmin Hospital, Wuhan University, between October 2014 and October 2017. All patients were divided into the traditional or experimental (traditional treatment + intravenous infusion of edaravone 30 mg twice a day for 14 days) treatment groups. The general clinical data were collected, and neurological functional recovery using the Modified Rankin Scale (mRS) and National Institute of Health stroke scale (NIHSS) scores were recorded. Symptom Checklist 90 (SCL-90) was used to assess the general psychological changes of the patient, followed by the 24 Hamilton Depression Scale (HAMD) to examine the incidence of post-stroke depression (PSD). This divided the patients into the mild, moderate, and severe depression groups. Next, we measured the serum protein expression of the sex hormones estradiol (E2), testosterone (T), follicle stimulating hormone (FSH), prolactin (PRL), and luteinizing hormone (LH). Results: The mRS and NIHSS scores were significantly lower in the experimental group than in the control group (P < .05). There was no significant difference in SCL90 score before intervention (P > .05); the scores were significantly lower in the experimental group after intervention (P < .05). There was a significant difference in SCL-90 and HAMD scores between groups before treatment (P < .05), with significantly lower scores in the experimental group post-treatment (P < .05). The incidence of depression was significantly reduced in the experimental group post-treatment. Furthermore, the expression of E2 and FSH was significantly higher (P < .01) and lower (P < .001), respectively, in women than in men in the experimental group post-treatment. Interestingly, the expression of T was significantly lower in men in the experimental group post-treatment (P < .001). Conclusion: Edaravone significantly improved the clinical efficacy of stent implantation in intracranial artery stenosis treatment by alleviating depression and reducing the incidence of PSD.
MeSH term(s)	Arterial Occlusive Diseases/therapy ; Brain/blood supply ; Depression/drug therapy ; Edaravone/therapeutic use ; Estradiol/blood ; Female ; Follicle Stimulating Hormone/blood ; Humans ; Luteinizing Hormone/blood ; Male ; Middle Aged ; Neuroprotective Agents/therapeutic use ; Prolactin/blood ; Severity of Illness Index ; Stents ; Testosterone/blood
Chemical Substances	Neuroprotective Agents ; Testosterone (3XMK78S47O) ; Estradiol (4TI98Z838E) ; Prolactin (9002-62-4) ; Luteinizing Hormone (9002-67-9) ; Follicle Stimulating Hormone (9002-68-0) ; Edaravone (S798V6YJRP)
Keywords	covid19
Language	English
Publishing date	2020-02-20
Publishing country	United States
Document type	Controlled Clinical Trial ; Journal Article
ZDB-ID	80184-7
ISSN	1536-5964 ; 0025-7974
ISSN (online)	1536-5964
ISSN	0025-7974
DOI	10.1097/MD.0000000000019316
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Article: Adiponectin-Transfected Endothelial Progenitor Cells Have Protective Effects After 2-Hour Middle-Cerebral Artery Occlusion in Rats With Type 2 Diabetes Mellitus.

Wang, Meiyao / Li, Yan / Zhang, Renwei / Zhang, Shuaimei / Feng, Hongliang / Kong, Zhaohong / Aiziretiaili, Nadire / Luo, Zhengjin / Cai, Qi / Hong, Yan / Liu, Yumin

Frontiers in neurology

2021 Volume 12, Page(s) 630681

Abstract: Objectives: ...

Abstract	Objectives:
Language	English
Publishing date	2021-03-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564214-5
ISSN	1664-2295
ISSN	1664-2295
DOI	10.3389/fneur.2021.630681
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