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        Efficacy and Safety of Anti-Tumor Necrosis Factor- Alpha Agents for Patients with Intestinal Behcet’s Disease: A Systematic Review and Meta-Analysis

        Qingfeng Zhang,Chunyan Ma,Rongrong Dong,Weizhen Xiang,Meiqi Li,Zhenzhen Ma,Qingrui Yang 연세대학교의과대학 2022 Yonsei medical journal Vol.63 No.2

        Purpose: Intestinal Behcet’s disease (BD) is a systemic autoimmune disease for which treatment options are limited. As a prospectivetherapeutic strategy for intestinal BD, anti-tumor necrosis factor-alpha (anti-TNF-α) agents have received increasing attention. In this study, we conducted a systematic review and meta-analysis to evaluate the efficacy and safety of anti-TNF-αagents for patients with intestinal BD. Materials and Methods: We searched PubMed, Embase, and Cochrane Library databases up to July 1, 2021 and articles that metthe eligibility criteria were further assessed. Pooled rates were synthesized by a randomized effects model using Stata software. Results: Eleven clinical trials covering 671 patients with intestinal BD were included. According to compositive data, the pooledrate for remission was 39% [95% confidence interval (CI) 26–52] in patients receiving anti-TNF-α agents. Intestinal symptomswere cured in 70% (95% CI 53–84) of the patients, and the rate for endoscopic healing was 65% (95% CI 52–78). Corticosteroid discontinuationwas achieved in 43% (95% CI 28–58) of the patients, and the dose reduction of corticosteroid was 20.43 mg (95% CI13.4–27.46). There were 239 adverse events and 80 serious adverse events during follow-up. Conclusion: Our study indicated that anti-TNF-α agents may serve as an effective treatment with acceptable safety for patientswith intestinal BD. However, more robust evidence from randomized controlled trials is urgently needed to assess the long-termefficacy and safety of anti-TNF-α agents for those patients.

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        Antibacterial Magnetic Nanoparticles Functionalized with N-Halamine/Quaternary Ammonium Polymer Coatings

        Xiaoqin Chen,Qian Xiang,Chunyan Yong,Zu Liang Liu,Xiao Dong Xing 성균관대학교(자연과학캠퍼스) 성균나노과학기술원 2016 NANO Vol.11 No.12

        The bactericidal magnetic nanoparticles were prepared by modifying magnetic nanoparticles (MNPs) with N-halamine polymer coating and quaternary ammonium polymer coating via a two-step soap-free emulsion polymerization method. The success of the surface functionalization was confirmed by Fourier transform infrared (FT-IR), X-ray photoelectron spectra (XPS), thermogravimetric analysis (TGA), transmission electron microscopy (TEM) and zeta-potential measurement. The results of antibacterial tests showed that the functional MNPs exhibited excellent antibacterial efficiency against both Gram negative bacteria E. coli and Gram positive bacteria S. aureus. Meanwhile the nanoparticles could be removed easily from water by an external magnetic field after antibacterial tests.

      • Two-stage damage identification for bridge bearings based on sailfish optimization and element relative modal strain energy

        Minshui Huang,Zhongzheng Ling,Chang Sun,Yongzhi Lei,Chunyan Xiang,Zihao Wan,Jianfeng Gu 국제구조공학회 2023 Structural Engineering and Mechanics, An Int'l Jou Vol.86 No.6

        Broad studies have addressed the issue of structural element damage identification, however, rubber bearing, as a key component of load transmission between the superstructure and substructure, is essential to the operational safety of a bridge, which should be paid more attention to its health condition. However, regarding the limitations of the traditional bearing damage detection methods as well as few studies have been conducted on this topic, in this paper, inspired by the model updating-based structural damage identification, a two-stage bearing damage identification method has been proposed. In the first stage, we deduce a novel bearing damage localization indicator, called element relative MSE, to accurately determine the bearing damage location. In the second one, the prior knowledge of bearing damage localization is combined with sailfish optimization (SFO) to perform the bearing damage estimation. In order to validate the feasibility, a numerical example of a 5-span continuous beam is introduced, also the noise robustness has been investigated. Meanwhile, the effectiveness and engineering applicability are further verified based on an experimental simply supported beam and actual engineering of the I-40 Bridge. The obtained results are good, which indicate that the proposed method is not only suitable for simple structures but also can accurately locate the bearing damage site and identify its severity for complex structure. To summarize, the proposed method provides a good guideline for the issue of bridge bearing detection, which could be used to reduce the difficulty of the traditional bearing failure detection approach, further saving labor costs and economic expenses.

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