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( Po-yao Hsu ),( Yu-ju Wei ),( Jia-jung Lee ),( Sheng-wen Niu ),( Jiun-chi Huang ),( Cheng-ting Hsu ),( Tyng-yuan Jang ),( Ming-lun Yeh ),( Ching-i Huang ),( Po-cheng Liang ),( Yi-hung Lin ),( Ming-ye 대한간학회 2021 Clinical and Molecular Hepatology(대한간학회지) Vol.27 No.1
Background/Aims: Direct-acting antivirals (DAAs) have been approved for hepatitis C virus (HCV) treatment in patients with end-stage renal disease (ESRD) on hemodialysis. Nevertheless, the complicated comedications and their potential drug-drug interactions (DDIs) with DAAs might limit clinical practice in this special population. Methods: The number, class, and characteristics of comedications and their potential DDIs with five DAA regimens were analyzed among HCV-viremic patients from 23 hemodialysis centers in Taiwan. Results: Of 2,015 hemodialysis patients screened in 2019, 169 patients seropositive for HCV RNA were enrolled (mean age, 65.6 years; median duration of hemodialysis, 5.8 years). All patients received at least one comedication (median number, 6; mean class number, 3.4). The most common comedication classes were ESRD-associated medications (94.1%), cardiovascular drugs (69.8%) and antidiabetic drugs (43.2%). ESRD-associated medications were excluded from DDI analysis. Sofosbuvir/velpatasvir/voxilaprevir had the highest frequency of potential contraindicated DDIs (red, 5.6%), followed by glecaprevir/pibrentasvir (4.0%), sofosbuvir/ledipasvir (1.3%), sofosbuvir/velpatasvir (1.3%), and elbasvir/grazoprevir (0.3%). For potentially significant DDIs (orange, requiring close monitoring or dose adjustments), sofosbuvir/velpatasvir/voxilaprevir had the highest frequency (19.9%), followed by sofosbuvir/ledipasvir (18.2%), glecaprevir/pibrentasvir (12.6%), sofosbuvir/velpatasvir (12.6%), and elbasvir/grazoprevir (7.3%). Overall, lipid-lowering agents were the most common comedication class with red-category DDIs to all DAA regimens (n=62), followed by cardiovascular agents (n=15), and central nervous system agents (n=10). Conclusions: HCV-viremic patients on hemodialysis had a very high prevalence of comedications with a broad spectrum, which had varied DDIs with currently available DAA regimens. Elbasvir/grazoprevir had the fewest potential DDIs, and sofosbuvir/velpatasvir/voxilaprevir had the most potential DDIs. (Clin Mol Hepatol 2021;27:186-196)
Manikandan, Arumugam,Ilango, P. Robert,Chen, Chia-Wei,Wang, Yi-Chung,Shih, Yu-Chuan,Lee, Ling,Wang, Zhiming M.,Ko, Hyunhyub,Chueh, Yu-Lun The Royal Society of Chemistry 2018 Journal of Materials Chemistry A Vol.6 No.31
<P>Here, we demonstrate the successful synthesis of (1T/2H) MoS2/α-MoO3 heterostructured nanoflowers at a low temperature of 200 °C by a one-step hydrothermal method. By tuning the reaction time under the influence of thiourea and hydrazine hydrate, we established a complete phase-engineered MoS2 with 1T and 2H phases on the surface of α-MoO3. Active sites associated with the phase-engineered (1T/2H) MoS2/α-MoO3 hybrid nanoflowers enable them to exhibit dual roles as a superior dye adsorbent and an electrocatalyst towards the hydrogen evolution reaction. The 2H-rich (1T/2H) MoS2/α-MoO3 hybrid heterostructured nanoflowers prepared at 16 h achieved a high surface area of 37.97 m<SUP>2</SUP> g<SUP>−1</SUP>, and 97% of the RhB dye with an initial concentration of 47.9 mg L<SUP>−1</SUP> was removed within 10 min through the adsorption process, which is the highest known removal efficiency reported in the literature. As a hydrogen evolution reaction (HER) electrocatalyst in acidic solution, the 1T-rich (1T/2H) MoS2/α-MoO3 hybrid heterostructured nanoflowers prepared at 12 h exhibited a highly efficient catalytic activity by achieving a low overpotential of 232 mV at a current density of 10 mA cm<SUP>−2</SUP>, which is comparable to those of previously reported HER catalysts based on MoS2. Moreover, this sample reached a low Tafel slope of 81 mV dec<SUP>−1</SUP> and was stable when operated for more than 1000 cycles.</P>
Bodywork in the Clinical Humanities
An‐Bang Yu,Der‐Heuy Yee,Wei‐Lun Lee 강원대학교 인문과학연구소 2010 Journal of Humanities Therapy Vol.1 No.-
This paper begins with a discussion of the importance of the clinical humanities, the study of the interface between medicine and the humanities and the application of the results to clinical practice. The clinical humanities applies the insights of both the humanities and social sciences―including such seemingly unrelated fields as the fine arts, philosophy, literature, history, anthropology, psychology, and religion―to the understanding and alleviation of suffering. In recognition of the healing power of the humanities, it is hoped that this paper will encourage scholars working in the humanities and social sciences to give more attention to how their respective disciplines might contribute to the alleviation of suffering. Each discipline has the potential to contribute to this endeavor in a unique way, thereby forging a synergistic field of knowledge characterized by interdisciplinary communication and collaboration. An embodied space for the humanities is not only an attitude towards life, but also a type of bodywork, a lifestyle, and a way of thinking. Beginning with a discussion of the theories on body feeling, this paper adopts the perspective of the phenomenology of the body to investigate various types of bodywork steeped in the humanities and develop a “hands on” approach to the clinical humanities. We use the term “body feeling” with reference to a subtle impression or sensation, what Laozi referred to as xiwei希微, the infinitesimal. This refers to highly subtle emotive transformations, and is quite distinct from what we normally refer to as “emotions.” Body feeling can be seen as a manifestation of the human spirit, and is an important factor which organizes and influences human thought and behavior. Due to this emphasis on body feeling, the clinical humanities is closely related to humanistic healing, thereby revealing the contours of a lived world thoroughly imbued with the spirit and sensitivity of the humanities.