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疫苗真实世界研究中的统计方法
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作者 戚洋洋 蒋志伟 +2 位作者 王永吉 夏结来 汪萱怡 《中国食品药品监管》 2023年第12期162-167,共6页
随机对照盲法临床试验用于评价疫苗安全性与有效性是公认的金标准,但由于其设计上的严苛,使得疫苗上市后,在大规模应用场景下的疫苗真实保护效果与临床试验获得的保护效力往往存在偏差,疫苗真实世界研究在此基础上被提出。新冠病毒疫苗... 随机对照盲法临床试验用于评价疫苗安全性与有效性是公认的金标准,但由于其设计上的严苛,使得疫苗上市后,在大规模应用场景下的疫苗真实保护效果与临床试验获得的保护效力往往存在偏差,疫苗真实世界研究在此基础上被提出。新冠病毒疫苗真实世界研究被大量报道,其结果被各国采用,及时优化疫苗免疫策略。本文概括了常见的疫苗真实世界研究设计,并着重介绍了近些年发展出来的解决真实世界研究中混杂偏倚的统计方法:倾向评分和工具变量。 展开更多
关键词 疫苗 保护效果 真实世界研究 统计方法 倾向评分 工具变量
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Expression of matrix metalloproteinase-9 was effected by epoxy chloropropan on creating tissue engineered heart valves
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作者 王云 魏旭峰 +6 位作者 顾继伟 李庆新 陈瑜 易定华Department of Cardiovascular Surgery Institute of Cardiology xijing hospital Fourth Military Medical University of the Chinese PLA 《China Medical Abstracts》 2007年第3期247-252,共6页
Objectives To investigate the effects of epoxy chloropropan on the expression of matrix metalloproteinases-9 (MMP-9)in creating tissue engineered heart valves(TEHV),on the tissue structures of TEHV,and to study th... Objectives To investigate the effects of epoxy chloropropan on the expression of matrix metalloproteinases-9 (MMP-9)in creating tissue engineered heart valves(TEHV),on the tissue structures of TEHV,and to study the effects of epoxy chloropropan on the calcification of TEHV.Methods The porcine aortic valve leaflets were digested and decellularized by using detergent and trypsin.Those treated with 0.3% glutaraldehyde for 48 hours were the control group;those treated with 3% epoxy choloropropan for 24 hours were the experimental group.The cultured human bone marrow mesenchymal stem cells(hBMSCs)were seeded onto the decellularized scaffolds of TEHV.The histological studies were done with pathological sections and scanning electron microscopy and reverse transcriptase-polymerase chain reaction(RT-PCR)were used to detect the expression of MMP-9.Results In the experimental group.the histology showed that the BMSCs grew well into the pores and formed a confluent layer in decellularized scaffolds;RT-PCR indicated significantly attenuated expressions of MMP-9,compared with the control(P〈0.05).Conclusion The decellularized porcine aortic valves treated with 3% epoxy chloropropan may inhibit the expression of MMP-9;therefore epoxy chloropropan may prevent the calcification of tissue engineered heart valves. 展开更多
关键词 Tissue engineered heart valve Epoxy chloropropan Matrix metalloproteinase-9 CALCIFICATION
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