1.Epidemiology, pathogenesis and early identification of coronary artery lesions in Kawasaki disease
International Journal of Pediatrics 2022;49(6):365-368
Coronary artery lesions are the most serious complications of Kawasaki disease.The incidence of Kawasaki disease is still on the rise in recent years, and the proportion of children with coronary artery dilatation increased in parallel with the incidence of Kawasaki disease.But the incidence of severe coronary artery lesions, such as giant coronary aneurysms, coronary artery stenosis and even occlusion is stable or declining.The pathological changes of coronary artery disease are different with the severity and duration of the disease.Early recognition of coronary artery lesions should not be limited to the observation of luminal dimensions, but also should be explored in depth about the changes of coronary artery structure and function.
2.The Role of Signal Transducer and Activator of Transcription 3 in Bone Homeostasis and Load-Driven Bone Remodeling
Yiwen CUI ; Zilu WANG ; Weiqi LI ; Yingqi CHENG ; Zhiyun YE ; Xinyi GONG ; Siru ZHOU ; Yiling YANG ; Lingyong JIANG
Journal of Medical Biomechanics 2021;36(5):E818-E823
Bone homeostasis is a relative balance between bone formation and resorption. Signal transducer and activator of transcription 3 (STAT3), which is closely related to bone homeostasis, takes part in multiple intracellular and extracellular signal pathways. STAT3 participates in the process of osteoblast differentiation regulated by several factors. It can also maintain bone homeostasis by regulating the recruitment, differentiation and activation of osteoclasts. In addition, STAT3 is involved in the interaction between osteoblasts and osteoclasts. Patients with STAT3 mutations can have several inherited bone metabolism diseases. Furthermore, STAT3 plays a critical role in load-driven bone remodeling. Mechanical stimulation promotes osteoblast differentiation and bone formation through activating or enhancing STAT3 expression during bone remodeling process. This review summarizes the participation of STAT3 in maintaining bone homeostasis together with its possible mechanisms and discusses the connection between STAT3 and mechanical stimulation in bone remodeling, so as to provide a potential pharmacological target for the treatment of bone diseases.
3. Consensus on emergency surgery and infection prevention and control for severe trauma patients with 2019 novel coronavirus pneumonia
Yang LI ; Zhanfei LI ; Qingxiang MAO ; Ding LIU ; Letian ZHANG ; Fan YANG ; Yu XIE ; Siru ZHOU ; Huayu ZHANG ; Shanmu AI ; Hao TANG ; Qiu ZHONG ; Qingshan GUO ; Yaoli WANG ; Weiguo ZHANG ; Liyong CHEN ; Xiangjun BAI ; Lianyang ZHANG
Chinese Journal of Trauma 2020;36(2):1-7
A novel coronavirus pneumonia (NCP) epidemic has occurred in Wuhan, Hubei Province since December 2019, caused by a novel coronavirus (2019-nCoV) never been seen previously in human. China has imposed the strictest quarantine and closed management measures in history to control the spreading of the disease. However, severe trauma can still occur in the NCP patients. In order to standardize the emergency treatment and the infection prevention and control of severe trauma patients with hidden infection, suspected or confirmed infection of 2019-nCoV, Trauma Surgery Branch of Chinese Medical Doctors' Association organized this expert consensus. The consensus illustrated the classification of the NCP patients, severe trauma patients in need of emergency surgery, emergency surgery type, hierarchical protection for medical personnel and treatment places. Meanwhile, the consensus standardized the screening, injury severity evaluation, emergency surgical treatment strategy and postoperative management strategy of severe trauma patients during the epidemic period of NCP, providing a basis for the clinical treatment of such kind of patients.