Publications by authors named "Jihui Chen"

Article Synopsis
  • The earth pressure balance tunnel boring machine (EPB-TBM) with a horseshoe-shaped cross section was tested for its structural integrity in a loess mountain tunnel, leading to full-scale ring tests to examine its behavior.
  • The tests revealed that the most significant structural failures occurred in the arch area of the segmental lining, while the invert structure remained stable.
  • Findings indicated similarities in deformation and failure mechanisms between horseshoe-shaped and circular tunnel linings, with joint positioning affecting bending moments and initial segment damage frequently happening at the inferior joints.
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  • The study aimed to investigate the risk factors and clinical outcomes of carbapenem-resistant Klebsiella pneumoniae (CRKP) infections in adult patients and create a predictive nomogram for infection and mortality risks.
  • Data was collected from 467 patients, revealing that CRKP infection was linked to factors such as high comorbidity scores, use of central venous catheters, recent hospitalizations, and prior antibiotic exposure.
  • The resulting nomogram demonstrated strong predictive capabilities for CRKP infection and indicated that older age, severe comorbidity, and certain clinical conditions increased the likelihood of 30-day mortality.
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Background: Polymyxin B (PMB)-based combination therapies are used to treat severe carbapenem-resistant gram-negative bacterial (CR-GNB) infections. This observational study investigated the relationship between clinical factors, including PMB concentration, and clinical efficacy and safety.

Patients And Methods: Polymyxin B regimens were optimized through therapeutic drug monitoring (TDM) and area under the concentration-time curve (AUC).

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Background: All the scoring methods for the DLQI miss the moderate impact of the disease on patients, which may underestimate the impact of psoriasis on patients' quality of life. To improve the accuracy of the assessment of the Dermatology Life Quality Index score (DLQI) for patients with psoriasis, this study proposed and validated a new scoring method, the DLQI-NS, which includes the moderate impact option in the self-assessment of each item in psoriasis patients.

Methods: A cross-sectional study was conducted in which patients with psoriasis were enrolled.

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  • High-dose methotrexate (HDMTX) is vital for treating pediatric malignant hematological tumors, but its effectiveness is often hampered by delayed drug excretion and associated side effects.
  • The study analyzed clinical data from 99 children to pinpoint risk factors for delayed HDMTX excretion, finding significant correlations with age and methotrexate concentration levels.
  • Delayed excretion resulted in higher rates of negative side effects, including infections and mucositis, emphasizing the need for careful monitoring of affected patients.
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  • - This study assessed the effectiveness and drug behavior of high-dose methotrexate (HDMTX) in over 500 Chinese children with acute lymphoblastic leukaemia, finding that lower drug levels were linked to worse outcomes in higher-risk patients.
  • - It was noted that this negative correlation was especially evident in patients with MLL gene rearrangements, while low-risk patients did not show this same trend.
  • - The research also highlighted how factors like kidney function, age, sex, and other medications affect methotrexate dosing, suggesting tailored treatment plans to improve patient results.
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In Inertial Confinement Fusion (ICF), the asymmetry of a hot spot is an important influence factor in implosion performance. Neutron penumbral imaging, which serves as an encoded-aperture imaging technique, is one of the most important diagnostic methods for detecting the shape of a hot spot. The detector image is a uniformly bright range surrounded by a penumbral area, which presents the strength distribution of hot spots.

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  • ShuGan-QieZhi capsule (SGQZC) is a traditional Chinese treatment aimed at tackling hyperlipidemia, obesity, and non-alcoholic fatty liver disease (NAFLD), but its exact effects and active ingredients are yet to be fully understood.
  • A study on mice revealed that SGQZC improved liver conditions by reducing lipid accumulation and inflammation, particularly after a 12-week treatment alongside a high-fat diet.
  • The research also identified eight key components in SGQZC that work together to enhance liver metabolism by regulating specific pathways involved in lipid processing and inflammation.
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Shengmai injection is a common treatment for coronary heart disease. The accurate dose regimen is important to maximize effectiveness and minimize adverse reactions. We aim to explore the effect of Shengmai injection in patients with coronary heart disease based on real-world data and establish a personalized medicine model using machine learning and deep learning techniques.

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The stoichiometry of senesced leaves is pivotal in nutrient cycling and can be significantly influenced by soil salinization, a rising global issue threatening the functionality of ecosystems. However, the impacts of soil salinization on senesced leaf stoichiometry are not fully understood. In this study, we conducted a pot experiment with varying soil salt concentrations to examine their influence on the concentrations and stoichiometric ratios of nitrogen (N), phosphorus (P), sodium (Na), potassium (K), calcium (Ca), magnesium (Mg), and zinc (Zn) in the senesced leaves of (Bunge).

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We present a Fresnel zone plate (FZP) mask-based system for single-shot lensless confocal imaging. The system uses an FZP as coded aperture, which allows each point source to cast a unique pattern onto the sensor, representing their horizontal and axial positions. This results in a 2D sensor measurement comprising a series of FZP patterns, which records the spatial intensity distribution of the incoherent illuminant.

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Objectives: To describe the pharmacokinetics of vancomycin in a large Chinese paediatric cohort with varying degrees of renal function and ages and to develop practical dosing guidelines.

Patients And Methods: We conducted a retrospective population pharmacokinetic study using data from paediatric patients who received vancomycin between June 2013 and June 2022. A non-linear mixed-effect modelling approach with a one-compartment model structure was applied.

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Schisandrin B (Sch.B) shows antineoplastic activity in colorectal cancer, but the mechanism is still obscure. The intracellular spatial distribution may be helpful in elucidating the mechanism.

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Soil acidification induced by reactive nitrogen (N) inputs can alter the structure and function of terrestrial ecosystems. Because different N-transformation processes contribute to the production and consumption of H , the magnitude of acidification likely depends on the relative amounts of organic N (ON) and inorganic N (IN) inputs. However, few studies have explicitly measured the effects of N composition on soil acidification.

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  • A study was conducted to evaluate the effectiveness of specific antimicrobial drugs against Carbapenem-resistant Klebsiella pneumoniae (CRKP) using a nematode model system, aiming to find viable treatment options for infected patients.
  • The research involved testing various concentrations of antimicrobial agents at multiple time points to assess their protective effects on the nematodes infected with CRKP, with 10 strains isolated from clinical specimens for validation.
  • Results demonstrated that some agents (PB and TGC) provided strong antibacterial protection and improved nematode survival, and the findings aligned with traditional testing methods, suggesting that this model system is a valuable tool for antibiotic screening in clinical research.
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  • Podocyte lipid accumulation is a target for treating diabetic nephropathy (DN), and this study investigates how Gandi capsule (GDC) helps regulate lipid metabolism in podocytes.
  • Utilizing network pharmacology, the research identified key molecules and pathways, revealing that GDC may improve DN by affecting the SIRT1/AMPK/HNF4A signaling pathway.
  • The results indicated that GDC and its active ingredient baicalin improved kidney function and reduced lipid accumulation in db/db mice, while reversing negative expression changes of specific proteins involved in lipid metabolism.
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  • The study focused on adult patients with carbapenem-resistant Klebsiella pneumoniae (CRKP) infections to analyze clinical data and develop a nomogram for predicting mortality risk.
  • Key factors linked to a higher 30-day mortality included age over 65, respiratory failure, and delays in treatment.
  • The research also found that three-drug combination therapy was beneficial for high-risk patients, while specific antimicrobials like ceftazidime-avibactam were effective against CRKP, although tigecycline showed a potential risk for increased mortality.
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There are limited pharmacokinetic (PK) studies on vancomycin in patients treated with continuous renal replacement therapy (CRRT), and the results have been inconsistent. Because of individual differences, proposing a definite recommendation for the clinical regimen is not possible. Rapidly reaching target vancomycin concentrations will facilitate effective treatment for critically ill patients treated with CRRT.

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To assess the pharmacokinetic parameters of vancomycin in Chinese critically ill pediatric patients, children treated with vancomycin, hospitalized in the intensive care unit were included. Samples to determine peak and trough serum concentrations were obtained on the third day of treatment. Half-life was significantly longer in neonates and showed a decreasing trend in infants and children.

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Oxidation of Al-Sn bearing alloy occurs during production, processing and use, which reduces both alloy performance and performance of coatings applied to the alloy surface. Therefore, the oxidation mechanism of Al-Sn bearing alloy is studied at 25, 180, 300, and 500 °C. The oxidation morphologies of the alloy were observed by scanning electron microscopy (SEM), and the oxidation products were determined by X-ray diffraction (XRD).

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Purpose: This study aimed to establish an optimal model to predict vancomycin trough concentrations by using machine learning.

Patients And Methods: We enrolled 407 pediatric patients (age < 18 years) who received vancomycin intravenously and underwent therapeutic drug monitoring from June 2013 to April 2020 at Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine. The median (interquartile range) age and weight of the patients were 2 (0.

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Objectives: Despite therapeutic vancomycin is regularly monitored, its dose requirements vary considerably between individuals. Various innovative vancomycin dosing strategies have been developed for dose optimization; however, the utilization of individual factors and extensibility is insufficient. We aimed to develop an optimal dosing algorithm for vancomycin based on the high-dimensional data using the proposed variable engineering and machine-learning methods.

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