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Chronic rhinosinusitis,asthma,and gastroesophageal reflux:Epidemiology,pathophysiology,and comorbidity
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作者 Yang-Guang Sun Li-Yuan Zhang 《Allergy Medicine》 2025年第1期8-15,共8页
Chronic rhinosinusitis(CRS)is a persistent inflammatory condition affecting the mucosa of nasal cavity and paranasal sinus,often stemming from untreated or recurrent acute sinusitis.Asthma is characterized by airway i... Chronic rhinosinusitis(CRS)is a persistent inflammatory condition affecting the mucosa of nasal cavity and paranasal sinus,often stemming from untreated or recurrent acute sinusitis.Asthma is characterized by airway inflammation,intermittent bronchospasm,and symptoms such as wheezing and dyspnea.These two conditions frequently coexist,sharing overlapping pathogenic mechanisms and inflammatory pathways.Gastroesophageal reflux disease(GERD),a condition where stomach contents reflux into the esophagus,is another prevalent comorbidity associated with asthma and CRS.Notably,GERD is more common in CRS patients,suggesting the intricate and potentially bidirectional relationship among CRS,asthma,and GERD.Despite this complexity,a comprehensive understanding of these interconnections remains elusive in the literature.This review synthesizes findings from the past decade,focusing on the epidemiology,pathophysiology,and comorbidity mechanisms linking these three conditions.By addressing current knowledge gaps,it aims to provide insights into their shared mechanisms and implications for integrated clinical management. 展开更多
关键词 chronic rhinosinusitis crs paranasal sinusoften nasal cavity acute sinusitisasthma chronic rhinosinusitis asthma inflammatory condition reflux disease gerd
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Paths to Modernization
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作者 XIA YUANYUAN 《China Today》 2026年第1期42-44,共3页
Discussions on Chinese modernization are offering African countries both conceptual inspiration and practical references as they explore their own sustainable development paths.
关键词 chinese modernization conceptual inspiration sustainable development pathS practical references MODERNIZATION sustainable development paths African countries
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HS-APF-RRT*: An Off-Road Path-Planning Algorithm for Unmanned Ground Vehicles Based on Hierarchical Sampling and an Enhanced Artificial Potential Field
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作者 Zhenpeng Jiang Qingquan Liu Ende Wang 《Computers, Materials & Continua》 2026年第1期1218-1235,共18页
Rapidly-exploring Random Tree(RRT)and its variants have become foundational in path-planning research,yet in complex three-dimensional off-road environments their uniform blind sampling and limited safety guarantees l... Rapidly-exploring Random Tree(RRT)and its variants have become foundational in path-planning research,yet in complex three-dimensional off-road environments their uniform blind sampling and limited safety guarantees lead to slow convergence and force an unfavorable trade-off between path quality and traversal safety.To address these challenges,we introduce HS-APF-RRT*,a novel algorithm that fuses layered sampling,an enhanced Artificial Potential Field(APF),and a dynamic neighborhood-expansion mechanism.First,the workspace is hierarchically partitioned into macro,meso,and micro sampling layers,progressively biasing random samples toward safer,lower-energy regions.Second,we augment the traditional APF by incorporating a slope-dependent repulsive term,enabling stronger avoidance of steep obstacles.Third,a dynamic expansion strategy adaptively switches between 8 and 16 connected neighborhoods based on local obstacle density,striking an effective balance between search efficiency and collision-avoidance precision.In simulated off-road scenarios,HS-APF-RRT*is benchmarked against RRT*,GoalBiased RRT*,and APF-RRT*,and demonstrates significantly faster convergence,lower path-energy consumption,and enhanced safety margins. 展开更多
关键词 RRT* APF path planning OFF-ROAD Unmanned Ground Vehicle(UGV)
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Regulating effect of glycyrrhetinic acid on bronchial asthma smooth muscle proliferation and apoptosis as well as inflammatory factor expression through ERK1/2 signaling pathway 被引量:20
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作者 Tao Zhang Jia-Yi Liao +1 位作者 Li Yu Guo-Sheng Liu 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2017年第12期1172-1176,共5页
Objective: To study the influence of glycyrrhetinic acid(GA) on bronchial asthma(BA)smooth muscle proliferation and apoptosis as well as inflammatory factor expression and its molecular mechanism.Methods: Male SD guin... Objective: To study the influence of glycyrrhetinic acid(GA) on bronchial asthma(BA)smooth muscle proliferation and apoptosis as well as inflammatory factor expression and its molecular mechanism.Methods: Male SD guinea pigs were selected and made into asthma models, bronchial asthma smooth muscle cells were cultured and divided into BA group, GA group and GA + LM group that were treated with serum-free RPMI1640 culture medium, serumfree RPMI1640 culture medium containing 50 ng/mL glycyrrhetinic acid, serum-free RPMI1640 culture medium containing 50 ng/mL glycyrrhetinic acid and 100 ng/mL LM22B-10 respectively; normal guinea pigs were collected and bronchial smooth muscle cells were cultured as control group. The cell proliferation activity as well as the expression of proliferation and apoptosis genes, inflammatory factors and p-ERK1/2 was determined.Results: Proliferation activity value and m RNA expression of Bcl-2, TNF-α, IL-4, IL-6,YKL-40, protein expression of p-ERK1/2 of airway smooth muscle cell in BA group were significantly higher than those of control group while m RNA expression levels of Bax,caspase-9 as well as caspase-3 were significantly lower than that of control group(P < 0.05); proliferation activity value and m RNA expression of Bcl-2, TNF-α, IL-4, IL-6, YKL-40, protein expression of p-ERK1/2 of airway smooth muscle cell in GA group were significantly lower than those of BA group(P < 0.05) while the m RNA expression levels of Bax, caspase-9 as well as caspase-3 were significantly higher than those of BA group(P < 0.05); proliferation activity value and m RNA expression of Bcl-2, TNF-α, IL-4, IL-6, YKL-40 of airway smooth muscle cell in GA + LM group were significantly higher than those of GA group(P < 0.05) while m RNA expression levels of Bax, caspase-9 as well as caspase-3 were significantly lower that of GA group(P < 0.05).Conclusion: GA can inhibit the proliferation of bronchial smooth muscle cells and reduce the expression of inflammatory factors by inhibiting the phosphorylation of ERK1/2. 展开更多
关键词 Bronchial asthma Glycyrrhetinic acid Extracellular signal-regulated kinase 1/2 Apoptosis Inflammatory factors
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Effects of Mitochondrial ATP-sensitive K^+ Channel on Protein Kinase C Pathway and Airway Smooth Muscle Cell Proliferation in Asthma 被引量:4
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作者 万璇 赵建平 谢俊刚 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2012年第4期480-484,共5页
The effects of ATP-sensitive mitochondrial K + channel(mitoK ATP) on mitochondrial membrane potential(Δψm),cell proliferation and protein kinase C alpha(PKCα) expression in airway smooth muscle cells(ASMCs) were in... The effects of ATP-sensitive mitochondrial K + channel(mitoK ATP) on mitochondrial membrane potential(Δψm),cell proliferation and protein kinase C alpha(PKCα) expression in airway smooth muscle cells(ASMCs) were investigated.Thirty-six Sprague-Dawley(SD) rats were immunized with saline(controls) or ovalbumin(OVA) with alum(asthma models).ASMCs were cultured from the lung of control and asthma rats.ASMCs were treated with diazoxide(the potent activator of mitoK ATP) or 5-hydroxydencanote(5-HD,the inhibitor of mitoK ATP).Rhodamine-123(R-123) was used to detect Δψm.The expression of PKCα protein was examined by using Western blotting,while PKCα mRNA expression was detected by using real-time PCR.The proliferation of ASMCs was measured by MTT assay and cell cycle analysis.In diazoxide-treated normal ASMCs,the R-123 fluorescence intensity,protein and mRNA levels of PKCα,MTT A values and percentage of cells in S phase were markedly increased as compared with untreated controls.The ratio of G 0 /G 1 cells was decreased(P<0.05) in diazoxide-treated ASMCs from normal rats.However,there were no significant differences between the ASMCs from healthy rats treated with 5-HD and the normal control group.In untreated and diazoxide-treated ASMCs of asthmatic rats,the R-123 fluorescence intensity,protein and mRNA levels of PKCα,MTT A values and the percentage of cells in S phase were increased in comparison to the normal control group.Furthermore,in comparison to ASMCs from asthmatic rats,these values were considerably increased in asthmatic group treated with diazoxide(P<0.05).After exposure to 5-HD for 24 h,these values were decreased as compared with asthma control group(P<0.05).In ASMCs of asthma,the signal transduction pathway of PKCα may be involved in cell proliferation,which is induced by the opening of mitoK ATP and the depolarization of Δψm. 展开更多
关键词 asthma airway smooth muscle cells ATP-sensitive K + channel protein kinase C
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Pingchuan formula(平喘方) improves allergic asthma in mice through inhibiting nuclear factor-kappa B/mitogen-activated protein kinase signaling pathway 被引量:9
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作者 WU Mingyun YU Jianer +7 位作者 BAI Li XUE Zheng JIANG Shenhua LI Liqing PIAO Xiang XU Wanchao WANG Jiani SHEN Qian 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2021年第6期883-890,共8页
OBJECTIVE:To examine the role and decipher the mechanism of Pingchuan formula(平喘方,PCF)in treating allergic asthma.METHODS:The mice were treated with saline,dexamethasone(DXM)and PCF for 1 week after the asthma mode... OBJECTIVE:To examine the role and decipher the mechanism of Pingchuan formula(平喘方,PCF)in treating allergic asthma.METHODS:The mice were treated with saline,dexamethasone(DXM)and PCF for 1 week after the asthma model was established and their respiratory function including respiratory resistance(RI),pulmonary dynamic compliance(Cdyn)and maximum voluntary ventilation(MVV)were measured.In addition,cellular changes in bronchoalveolar lavage fluid(BALF)and pathological changes in lung biopsy as well as the expression level ofα-smooth muscle actin(α-SMA),transforming growth factor-beta1(TGF-β1)in BALF and interleukin-5(IL-5),interleukin-13(IL-13),tumor necrosis factor-α(TNF-α),interferon-γ(IFN-γ),nuclear factor-kappa B-p65(NF-κBp65),inhibitor-αof nuclear transcription factorκB(IκBα),p38 mitogen-activated protein kinase(p38 MAPK),c-jun n-terminal kinase(JNK)and its phosphorylated proteins in lung tissue were also examined and compared among different groups.RESULTS:Our data suggested that the respiratory functions were significantly improved and the pathological changes ameliorated in the DXM group and the PCF group compared to the model group.Both DXM and PCF effectively decreased the number of eosinophils,lymphocytes,and neutrophils in BAL as well as the secretion ofα-SMA and TGF-β1,IL-5,IL-13,while increased the expression of TNF-αand IFN-γ.Furthermore,our study indicated that the NF-κBp65,IκBα,p38 MAPK and JNK pathways were inhibited under the treatment of PCF.CONCLUSION:Our data indicated that PCF can attenuate the inflammatory response in asthma through inhibiting the NF-κB/MAPK signaling pathway.This study not only supported the use of PCF in allergic asthma in clinic but also shed light upon afurther understanding of the disease pathogenesis. 展开更多
关键词 asthma NF-kappa B p38 mitogen-activated protein kinases signal transduction Pingchuan formula
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Pathogenetic and prognostic roles of bloodborne fibrocytes in asthma 被引量:2
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作者 Sabrina MATTOLI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2015年第8期651-660,共10页
Bloodborne fibrocytes are cells mobilized from the bone marrow, which express surface antigens commonly ascribed to hematopoietic progenitors and have phenotypic and functional characteristics similar to those of imma... Bloodborne fibrocytes are cells mobilized from the bone marrow, which express surface antigens commonly ascribed to hematopoietic progenitors and have phenotypic and functional characteristics similar to those of immature mesenchymal cells. They exhibit predominant proinflammatory or profibrotic activities at tissue sites, depending on the host's response to environmental insults and on the characteristics of the cell infiltrate and cytokine milieu. In patients with allergic asthma, fibrocytes egress from the bone marrow and are recruited into the airways after every allergen exposure and during viral infections. Recruited fibrocytes amplify the inflammatory responses driven by T helper type 2 lymphokines and favor viral replication and further inflammation on respiratory virus infections. Persistently elevated blood fibrocyte counts and persisting airway fibrocytosis are present in patients with chronically undertreated or corticosteroid-insensitive asthma, and are linked to an enhanced risk of adverse outcomes because of the major involvement of fibrocytes in the development of structural abnormalities that lead to chronic airflow obstruction in these patients. Consequently, blood fibrocyte count is an emerging biomarker of asthma control and disease progression and its clinical applicability as a new outcome measure deserves further evaluation in large clinical trials. 展开更多
关键词 Airway remodeling asthma BIOMARKER Chronic inflammation FIBROCYTE
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Clinical and pathobiological heterogeneity of asthma—Mechanisms of severe and glucocorticoid-resistant asthma
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作者 Yasuhiro Matsumura 《Health》 2013年第2期344-350,共7页
It is increasingly recognized that asthma represents a syndrome, and there is clinical and pathobiological heterogeneity. Many genes are reported to be associated with asthma, and may be involved in the disease hetero... It is increasingly recognized that asthma represents a syndrome, and there is clinical and pathobiological heterogeneity. Many genes are reported to be associated with asthma, and may be involved in the disease heterogeneity. Diverse cells, such as T helper 1 (Th1)-cells, Th2-cells, Th17-cells, airway epithelial cells, and innate and adaptive immunity associated cells, contribute to the pathobiology of asthma independently of each other or they can also coexist and interact. Although, generally, Th2 immunity is important in most asthma endotypes, non- Th2-driven inflammation tends to be difficult to manage. Recently, increased attention has been focused on severe asthma and glucocorticoid (GC)-resistant (GC-R) asthma, in which diverse inflammatory processes may be involved. Treatment approaches should take into account pathological differences. 展开更多
关键词 asthma Phenotype GENOME-WIDE Association Study (GWAS) GLUCOCORTICOID (GC)-Resistant (GC-R) asthma SEVERE asthma
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The airway epithelium dysfunction in the pathogenesis of asthma: The evidence
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作者 Salvatore Leonardi Alfina Coco +2 位作者 Michele Miraglia Del Giudice Gianluigi L. Marseglia Mario La Rosa 《Health》 2013年第2期331-338,共8页
Asthma is traditionally defined as a chronic, multisystem, multicellular disease characterized by bronchial hyper-responsiveness (BHR) and lung inflammation. In this illness is particularly involving the airway epithe... Asthma is traditionally defined as a chronic, multisystem, multicellular disease characterized by bronchial hyper-responsiveness (BHR) and lung inflammation. In this illness is particularly involving the airway epithelium as the place where the inflammation begins, develops and often returns through airway remodelling. In specific way there is also an evolving awareness of the active participation of structural elements, such as the airway epithelium, airway smooth muscle, and endothelium, in this process. The airway inflammation and remodelling together likely explain the clinical manifestations of asthma that is demonstrated by complicated respiratory manifestations in which wheeze occurring secondary to bronchoconstriction in the setting of airway hyper-responsiveness and mucous hypersecretion. This is confirmed by also the histopathological analyses of bronchial biopsies from asthmatic subjects. For this reason is very important to understand the physiological role of the airway epithelium and their changes during the exacerbation of disease. 展开更多
关键词 AIRWAY EPITHELIUM DYSFUNCTION asthma EVIDENCE
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Mechanobiology of airway smooth muscle cells and its regulations in pathogenesis of asthma
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作者 Linhong Deng 《医用生物力学》 EI CAS CSCD 北大核心 2013年第S1期104-106,共3页
Introduction Excessive narrowing of airways is the most important pathological feature of asthma,but its mechanism remains puzzling.One certain thing is that the contraction of airway smooth muscle(ASM)ultimately caus... Introduction Excessive narrowing of airways is the most important pathological feature of asthma,but its mechanism remains puzzling.One certain thing is that the contraction of airway smooth muscle(ASM)ultimately causes airway narrowing,thus both structural and functional alterations of airway smooth muscle(ASM)are thought as common final pathway responsible for the bronchial hyperresponsiveness(BHR),the hall mark of asthma.Many chemical and physical factors such as air pollutants,inflammatory agents,mechanical and geometrical properties of the microenvironment could influence structure and/or function of ASM cells.In addition,some re- 展开更多
关键词 airway asthma pathOGENESIS BRONCHIAL REGULATIONS OVALBUMIN alterations contraction ultimately cytometry
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Different allergen-induced asthma and anaphylaxis show distinctive IgE pathway dependence 被引量:1
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作者 Yingchun Shen Xuan Yuan +2 位作者 Shaobing Xie Wei Tu Peisong Gao 《Allergy Medicine》 2024年第2期28-36,共9页
Background:The pathogenesis of allergic asthma is classically understood to involve allergens crosslinking Immunoglobulin E(IgE)bound to mast cells,leading to the release of histamine and other inflammatory mediators.... Background:The pathogenesis of allergic asthma is classically understood to involve allergens crosslinking Immunoglobulin E(IgE)bound to mast cells,leading to the release of histamine and other inflammatory mediators.Objective:This study aims to explore whether different allergens have distinct IgE-dependent mechanisms in mouse models of both asthma and anaphylaxis.Methods:Wild type(WT)and IgE knockout(IgE KO)mice were used to generate asthma mouse models.Lung inflammation was assessed by histological analysis and inflammatory cells in Bronchial Alveolar Lavage Fluids(BALF).Passive Cutaneous Anaphylaxis(PCA)was conducted to quantify IgE,and Toluidine Blue staining was used to visualize mast cell recruitment.Results:All allergen-treated mice exhibited significant airway inflammation.Compared to WT mice,HDM-treated IgE KO mice showed an attenuated inflammatory profile,particularly with reduced eosinophils.These mice had lower serum levels of HDM-specific IgE and IgG1 as well as reduced levels of Th2 cytokines interleukin 4(IL-4)and IL-5 in BALF.CRE-treated IgE KO mice also displayed a reduced inflammation,with significant differences only in eosinophils.Interestingly,no significant differences in airway inflammation were observed between OVA-treated IgE KO mice and WT mice.Furthermore,both HDM and CRE-induced PCA model showed significantly less Evan’s blue dye leakage and mast cell recruitment in the ears of IgE KO mice compared to WT mice,with no differences for OVA-induced PCA and mast cell recruitment.Conclusion:The results highlight the variability in IgE pathway dependence among different allergens,emphasizing the need for further research to delineate the underlying mechanisms. 展开更多
关键词 ALLERGEN asthma ANAPHYLAXIS IGE Cockroach allergen House dust allergen OVA Mast cell
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Study on TCM intervention of NF-κB signal pathway in the treatment of bronchial asthma
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作者 LAI Hai-yan YI Wei +5 位作者 DENG Kun LONG Juan REN Meng-yao QIAO Yun ZHOU Bei LI Wei-wei 《Journal of Hainan Medical University》 2022年第21期68-72,共5页
Bronchial asthma(asthma for short)is a common chronic respiratory disease inchildren,which has adverse effects on children's physical and mental health.Nuclear factorκB(NF-κB)signaling pathway is an important tr... Bronchial asthma(asthma for short)is a common chronic respiratory disease inchildren,which has adverse effects on children's physical and mental health.Nuclear factorκB(NF-κB)signaling pathway is an important transcription factor in airway inflammation,and plays an important role in airway inflammation and airway remodeling in asthma.Clinical studies have found that traditional Chinese medicine has positive effects in the treatment of asthma.Hence,this paper aims to review the literatures on the treatment of asthma through traditional Chinese medicine compound and single herbs and extracts by regulating the NF-κB signaling pathway for nearly a decade.It is found that traditional Chinese medicine can inhibit airway inflammation,relieve airway smooth muscle spasm and reduce airway resistance through the regulation of NF-κB signaling pathway,so as to play a key role in the treatment of asthma,and provide a scientific basis for the treatment of asthma with traditional Chinese medicine. 展开更多
关键词 Bronchial asthma NF-ΚB Traditional Chinese medicine Research overview
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Research Progress of Vitamin D and Pathogenesis of Bronchial Asthma
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作者 Zhilu Li Bingxin Xu +5 位作者 Yingjing Du Xiaomin Zhuang Yuxuan Wang Saijia Li Honghai Li Pingping Yan 《Journal of Advances in Medicine Science》 2020年第3期31-35,共5页
At present the incidence of bronchial asthma on the rise,its pathogenesis and the genetic immune and the relationship between social environment and other aspects are inseparable the activity of vitamin D(Vit D)in the... At present the incidence of bronchial asthma on the rise,its pathogenesis and the genetic immune and the relationship between social environment and other aspects are inseparable the activity of vitamin D(Vit D)in the body in the form of 1,25-(OH)2 d3,mainly involved in bone metabolism and calcium absorption in addition to this,a growing number of studies show that in Vit D plays an important role in the pathogenesis of bronchial asthma,play a role in the immune function of bronchial asthma growth hormone sensitivity adjustment and airway remodeling in this paper,the development of a variety of mechanisms,such as Vit D.Review the possible mechanisms affecting bronchial asthma,hoping to provide adjuvant treatment for patients with bronchial asthma,discover new treatment approaches,and improve the quality of life for patients. 展开更多
关键词 Bronchial asthma Vitamin D pathOGENESIS
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Diabetes-inducing effects of bronchial asthma
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作者 Mohammed Al-Beltagi Adel Salah Bediwy +2 位作者 Nermin Kamal Saeed Hosameldin A Bediwy Reem Elbeltagi 《World Journal of Diabetes》 SCIE 2025年第1期121-139,共19页
BACKGROUND The relationship between diabetes mellitus(DM)and asthma is complex and can impact disease trajectories.AIM To explore the bidirectional influences between the two conditions on clinical outcomes and diseas... BACKGROUND The relationship between diabetes mellitus(DM)and asthma is complex and can impact disease trajectories.AIM To explore the bidirectional influences between the two conditions on clinical outcomes and disease control.METHODS We systematically reviewed the literature on the relationship between DM and asthma,focusing on their impacts,mechanisms,and therapeutic implications.Various studies were assessed,which investigated the effect of glycemic control on asthma outcomes,lung function,and exacerbations.The study highlighted the role of specific diabetes medications in managing asthma.RESULTS The results showed that poor glycemic control in diabetes can exacerbate asthma,increase hospitalizations,and reduce lung function.Conversely,severe asthma,especially in obese individuals,can complicate diabetes management and make glycemic control more difficult.The diabetes-associated mechanisms,such as inflammation,microangiopathy,and oxidative stress,can exacerbate asthma and decrease lung function.Some diabetes medications exhibit anti-inflammatory effects that show promise in mitigating asthma exacerbations.CONCLUSION The complex interrelationship between diabetes and asthma suggests bidirectional influences that affect disease course and outcomes.Inflammation and microvascular complications associated with diabetes may worsen asthma outcomes,while asthma severity,especially in obese individuals,complicates diabetes control.However,the current research has limitations,and more diverse longitudinal studies are required to establish causal relationships and identify effective treatment strategies for individuals with both conditions. 展开更多
关键词 Diabetes mellitus Bronchial asthma Glycemic control Lung function asthma exacerbation Disease interaction MICROANGIOpathY
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Study on the Relationship between Inflammatory Phenotype of Bronchial Asthma and Respiratory Tract Pathogen Infection in Acute Exacerbation Stage
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作者 SONGZhenxin SHENWenzhe YANRuonan 《外文科技期刊数据库(文摘版)医药卫生》 2022年第3期182-186,共5页
background: chronic airway inflammation is the basic pathophysiological feature of asthma. Asthma can be classified into different inflammatory phenotypes according to the classification and count of induced sputum ce... background: chronic airway inflammation is the basic pathophysiological feature of asthma. Asthma can be classified into different inflammatory phenotypes according to the classification and count of induced sputum cells. Airway inflammatory phenotype can predict the severity and treatment response of asthma. Studies have shown that respiratory tract infection can cause airway immune inflammatory reaction, leading to the aggregation of various inflammatory cells in the airway. However, the relationship between pathogen infection and asthma inflammatory phenotype has not been clearly defined. Objective: to investigate the infection rate of respiratory tract common pathogens (respiratory syncytial virus, adenovirus, influenza virus, parainfluenza virus, mycoplasma pneumoniae, chlamydia pneumoniae and bacteria) in acute exacerbation adult asthma, and to explore the relationship between inflammatory phenotype and respiratory tract common pathogen infection in acute exacerbation adult asthma. Methods: 62 patients with acute exacerbation of adult asthma hospitalized in Hongqi Hospital affiliated to Mudanjiang Medical College from October 2020 to November 2021 were selected. All patients were examined for induced sputum. According to the classification and count of induced sputum cells, they were divided into neutrophil phenotype group (n=33) and non-neutrophil phenotype group (n=29). All patients were tested for common respiratory pathogens by respiratory disease detection chip technology. Sputum specimens were cultured according to pathogen culture procedures, and the results were statistically analyzed. Results: there was no significant difference in age, sex, smoking rate, incidence of allergic rhinitis and family history of bronchial asthma between neutrophil group and non-neutrophil group (P > 0.05). Comparing the ACT score and FEV1% between the two groups, the ACT score and Fev1% of neutrophil phenotype group were lower, the difference was statistically significant (p < 0.05). In acute exacerbation stage, the infection rates of asthma virus, mycoplasma pneumoniae, chlamydia pneumoniae and bacteria were 53.22%, 19.35%, 25.81% and 13.9%, respectively. The virus infection rate of neutrophil asthma group was higher than that of non-neutrophil asthma group in acute exacerbation stage (p < 0.05), and there was no difference in infection rates of mycoplasma, chlamydia and bacteria between the two groups of phenotypic asthma (p > 0.05). Correlation analysis showed that there was correlation between neutrophil asthma and respiratory virus infection (r=0.350,P=0.005). Conclusion: the acute exacerbation of bronchial asthma is usually accompanied by respiratory tract pathogen infection. Compared with non-neutrophilic asthma, neutrophilic asthma has more severe airflow limitation, and the disease is not well controlled in the near future. The inflammatory phenotype of neutrophils in acute exacerbation of asthma is correlated with respiratory virus infection, while bacteria, mycoplasma and chlamydia are not correlated with inflammatory phenotype of neutrophils in asthma. 展开更多
关键词 asthma PHENOTYPES pathogen infection
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Application of Clinical Nursing Pathway in Health Education of Patients with Bronchial Asthma
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作者 BAIYunlei 《外文科技期刊数据库(文摘版)医药卫生》 2022年第6期018-021,共4页
Objective: to study the effect of health education on patients with bronchial asthma using clinical nursing pathway. Methods: 100 patients with bronchial asthma who received treatment in our hospital from February 202... Objective: to study the effect of health education on patients with bronchial asthma using clinical nursing pathway. Methods: 100 patients with bronchial asthma who received treatment in our hospital from February 2020 to February 2022 were selected as the research object and divided into 50 cases of control group and 50 cases of observation group. The patients in the control group were treated with conventional nursing mode and the patients in the observation group were treated with clinical nursing pathway. The asthma score, hospitalization time and health education score of the patients in the control group and the observation group were compared. Results: the asthma score of the patients in the control group was higher than that in the observation group, and the random variable obeying normal distribution was 0.05, with obvious difference;The length of hospital stay of the patients in the control group was longer than that of the observation group, and the random variable obeying normal distribution was 0.05, with significant difference. The health education score of the patients in the control group was lower than that in the observation group, and the random variable obeying normal distribution was 0.05, with significant difference. Conclusion: compared with the conventional nursing model, the clinical nursing pathway is more effective in quality and health education for patients with bronchial asthma. The asthma symptoms of the patients are significantly improved, the hospitalization time is significantly shortened, and the health education score is higher, which is worthy of further promotion in clinical practice. 展开更多
关键词 clinical nursing pathway bronchial asthma health education
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A parameter-variant trochoidal-like tool path planning method for chatter-free and high-efficiency milling 被引量:1
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作者 Zhaoliang LI Jinbo NIU +1 位作者 Shuoxue SUN Yuwen SUN 《Chinese Journal of Aeronautics》 2025年第2期559-576,共18页
Trochoidal milling is known for its advantages in machining difficult-to-machine materials as it facilitates chip removal and tool cooling.However,the conventional trochoidal tool path presents challenges such as lowe... Trochoidal milling is known for its advantages in machining difficult-to-machine materials as it facilitates chip removal and tool cooling.However,the conventional trochoidal tool path presents challenges such as lower machining efficiency and longer machining time due to its time-varying cutter-workpiece engagement angle and a high percentage of non-cutting tool paths.To address these issues,this paper introduces a parameter-variant trochoidal-like(PVTR)tool path planning method for chatter-free and high-efficiency milling.This method ensures a constant engagement angle for each tool path period by adjusting the trochoidal radius and step.Initially,the nonlinear equation for the PVTR toolpath is established.Then,a segmented recurrence method is proposed to plan tool paths based on the desired engagement angle.The impact of trochoidal tool path parameters on the engagement angle is analyzed and coupled this information with the milling stability model based on spindle speed and engagement angle to determine the desired engagement angle throughout the machining process.Finally,several experimental tests are carried out using the bull-nose end mill to validate the feasibility and effectiveness of the proposed method. 展开更多
关键词 Trochoidal milling Milling stability Tool path planning Machining efficiency Bull-nose end mill
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Optimization-based conformal path planning for in situ bioprinting during complex skin defect repair 被引量:1
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作者 Wenxiang Zhao Chuxiong Hu +3 位作者 Yunan Wang Shize Lin Ze Wang Tao Xu 《Bio-Design and Manufacturing》 2025年第1期1-19,I0001,共20页
The global demand for effective skin injury treatments has prompted the exploration of tissue engineering solutions.While three-dimensional(3D)bioprinting has shown promise,challenges persist with respect to achieving... The global demand for effective skin injury treatments has prompted the exploration of tissue engineering solutions.While three-dimensional(3D)bioprinting has shown promise,challenges persist with respect to achieving timely and compatible solutions to treat diverse skin injuries.In situ bioprinting has emerged as a key new technology,since it reduces risks during the implantation of printed scaffolds and demonstrates superior therapeutic effects.However,maintaining printing fidelity during in situ bioprinting remains a critical challenge,particularly with respect to model layering and path planning.This study proposes a novel optimization-based conformal path planning strategy for in situ bioprinting-based repair of complex skin injuries.This strategy employs constrained optimization to identify optimal waypoints on a point cloud-approximated curved surface,thereby ensuring a high degree of similarity between predesigned planar and surface-mapped 3D paths.Furthermore,this method is applicable for skin wound treatments,since it generates 3D-equidistant zigzag curves along surface tangents and enables multi-layer conformal path planning to facilitate the treatment of volumetric injuries.Furthermore,the proposed algorithm was found to be a feasible and effective treatment in a murine back injury model as well as in other complex models,thereby showcasing its potential to guide in situ bioprinting,enhance bioprinting fidelity,and facilitate improvement of clinical outcomes. 展开更多
关键词 In situ bioprinting path planning Robot control Skin injury repair
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Intelligent Teaching Reform:Innovation of Personalized Learning Path Models Based on Artificial Intelligence 被引量:1
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作者 Zhuolin Huang Ling Peng 《Journal of Contemporary Educational Research》 2025年第6期106-110,共5页
With the rapid development of artificial intelligence(AI)technology,the teaching mode in the field of education is undergoing profound changes.Especially the design and implementation of personalized learning paths ha... With the rapid development of artificial intelligence(AI)technology,the teaching mode in the field of education is undergoing profound changes.Especially the design and implementation of personalized learning paths have become an important direction of intelligent teaching reform.The traditional“one-size-fits-all”teaching model has gradually failed to meet the individualized learning needs of students.However,through the advantages of data analysis and real-time feedback,AI technology can provide tailor-made teaching content and learning paths based on students’learning progress,interests,and abilities.This study explores the innovation of the personalized learning path model based on AI technology,and analyzes the potential and challenges of this model in improving teaching effectiveness,promoting the all-round development of students,and optimizing the interaction between teachers and students.Through case analysis and empirical research,this paper summarizes the implementation methods of the AI-driven personalized learning path,the innovation of teaching models,and their application prospects in educational reform.Meanwhile,the research also discussed the ethical issues of AI technology in education,data privacy protection,and its impact on the teacher-student relationship,and proposed corresponding solutions. 展开更多
关键词 Intelligent teaching Artificial intelligence Personalized learning Educational reform Learning path Teaching innovation
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Path Planning for Thermal Power Plant Fan Inspection Robot Based on Improved A^(*)Algorithm 被引量:1
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作者 Wei Zhang Tingfeng Zhang 《Journal of Electronic Research and Application》 2025年第1期233-239,共7页
To improve the efficiency and accuracy of path planning for fan inspection tasks in thermal power plants,this paper proposes an intelligent inspection robot path planning scheme based on an improved A^(*)algorithm.The... To improve the efficiency and accuracy of path planning for fan inspection tasks in thermal power plants,this paper proposes an intelligent inspection robot path planning scheme based on an improved A^(*)algorithm.The inspection robot utilizes multiple sensors to monitor key parameters of the fans,such as vibration,noise,and bearing temperature,and upload the data to the monitoring center.The robot’s inspection path employs the improved A^(*)algorithm,incorporating obstacle penalty terms,path reconstruction,and smoothing optimization techniques,thereby achieving optimal path planning for the inspection robot in complex environments.Simulation results demonstrate that the improved A^(*)algorithm significantly outperforms the traditional A^(*)algorithm in terms of total path distance,smoothness,and detour rate,effectively improving the execution efficiency of inspection tasks. 展开更多
关键词 Power plant fans Inspection robot path planning Improved A^(*)algorithm
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