Publications by authors named "LianYang Zhang"

Endoscopic techniques have been widely used in orthopedic surgery, such as arthroscopy and transforaminal endoscopy, but the application in fracture is rarely reported. We reported a case of a 69-year-old male with pelvic fracture (AO/OTA type B2.1) who underwent successful laparoscopy-assisted pubic ramus plate fixation without auxiliary incision.

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In this study, we developed and validated a hybrid quantitative model for simulating upper extremity junctional hemorrhage in swine, aiming to advance the development of pre-hospital hemostatic products. Utilizing 12 healthy 8-month-old male Yorkshire swine, we demonstrated the feasibility of a swine axillary artery injury model for evaluating hemostatic efficacy. Animals were divided into three groups to undergo volume-controlled hemorrhage (VCH), mimicking Class I-III hemorrhagic shock by withdrawing blood at different rates.

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  • The study explored the relationship between serum total alkaline phosphatase (T-ALP) levels, bone mineral density (BMD), and osteoporosis risk in adults, using data from the NHANES between 2005-2018.
  • Elevated T-ALP levels were found to correlate with lower BMD and a higher prevalence of osteoporosis among participants.
  • Additionally, higher T-ALP levels were linked to increased mortality rates in individuals already diagnosed with osteoporosis during the follow-up period.
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Unlabelled: Calcium intake is widely recommended, but its association with mortality remains unclear. This study indicated higher levels of calcium intake were associated with lower mortality in American adults. However, a nonlinear association between calcium intake and mortality suggested that excessive calcium intake beyond a certain threshold may increase mortality risk.

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  • Researchers developed a new device called Modified EHCD (M-EHCD) to improve the control of non-compressible torso hemorrhage (NCTH) in emergency care, utilizing intermittent hemostasis to address potential tissue damage during blood flow restoration.
  • In an experiment with 18 pigs, the M-EHCD was tested against two existing devices, the AAJT and SJT, showing faster application time and significantly less blood loss during hemorrhagic shock.
  • Results indicated that M-EHCD not only effectively controlled bleeding but also led to better heart rate management and lower internal pressure changes compared to the other devices, potentially improving patient outcomes in real-life trauma scenarios.
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Background: The impact of dietary carbohydrate intake on bone health remains a subject of controversy, potentially influenced by individuals with diabetic osteoporosis who exhibit normal or elevated bone mineral density (BMD). The cross-sectional study was conducted to explore the association between carbohydrate intake and BMD, osteoporosis and fractures among adults without diabetes, based on the National health and nutrition examination survey (NHANES).

Methods: Participants were from the NHANES 2005-2010, excluding individuals with diabetes and those with incomplete data.

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MoS nanosheets with different concentrations of S vacancies (V-MoS) were synthesized and used for photocatalytic nitrogen reduction reactions (pNRR), and the mechanism of S vacancies enhancing the activity of MoS was explored through DFT calculation. The material characterization confirmed the successful construction of S vacancies at different concentrations on the spherical cluster structure of MoS. The experimental results show that the introduction of S vacancies significantly improves the activity of pNRR, and it increases significantly with the increase of vacancy number, consistent with the trend of photoelectric performance.

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Integrating flexible triboelectric nanogenerators (TENGs) into firefighting clothing offers exciting opportunities for wearable portable electronics in personal protective technology. However, it is still a grand challenge to produce eco-friendly TENGs from biodegradable and low-cost natural polymers for mechanical-energy harvesting and self-powered sensing. Herein, conductive polypyrrole (PPy) and natural chitosan (CS)/phytic acid (PA) tribonegative materials were employed onto the Lycra fabric (LC) in turn to assemble the biodegradable and flame-retardant single-electrode mode LC/PPy/CS/PA TENG (abbreviated as LPCP-TENG).

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  • The management of torso hemorrhage (TH) has gained attention due to the limitations of conventional techniques, as they struggle with bleeding from internal organs and vessels.
  • Special tourniquets for noncompressible torso hemorrhage (NCTH) have been developed and approved for use, alongside endovascular methods like REBOA, but medical personnel have shown gaps in understanding and effectiveness regarding these treatments.
  • The authors suggest that NCTH should be subdivided for clarity and propose a comprehensive program aimed at enhancing the safety and efficacy of external NCTH control through improved tourniquet design, training, and prevention strategies.
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Introduction: infection has long been a serious concern in the medical field, with methicillin-resistant (MRSA) posing a considerable challenge to public health. Given the escalating bacterial resistance and the favorable biosafety and environmental properties of phages, the resurgence of phage therapy offers a promising alternative to antibiotics.

Methods: In this study, we isolated and characterized a MRSA phage named StAP1 from a Chinese hospital.

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  • The study investigates the safety and effectiveness of the SAM junctional tourniquet (SJT) when applied in the axilla to control hemorrhage in a swine model.
  • Eighteen male Yorkshire swines were used, divided into three groups, with two groups receiving SJT and one using vascular blocking bands to stop bleeding, while monitoring respiratory effects and blood loss.
  • Results focused on comparing physiological responses, such as mean arterial pressure and heart rate, during controlled hemorrhagic shock and subsequent resuscitation across the different groups.
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Background: Altered levels of inflammatory markers secondary to severe trauma present a major problem to physicians and are prone to interfering with the clinical identification of sepsis events. This study aimed to establish the profiles of cytokines in trauma patients to characterize the nature of immune responses to sepsis, which might enable early prediction and individualized treatments to be developed for targeted intervention.

Methods: A 15-plex human cytokine magnetic bead assay system was used to measure analytes in citrated plasma samples.

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  • The study focused on creating a facet-oriented heterojunction by integrating CuO with poly-facet-exposed BiOCl to enhance photocatalytic nitrogen reduction efficiency.
  • The CuO@BiOCl[100] structure exhibited significantly improved pNRR activity, achieving 181.9 μmol·g·h, outperforming standalone CuO and BiOCl and random CuO mixtures.
  • The mechanism involves electron transfer from CuO to the [100] facet of BiOCl, leading to effective charge separation and increased photocatalytic ammonia synthesis, suggesting a new design approach for advanced photocatalysts.
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The crystal structures of cellulose nanomaterials play an important role in their morphologies and applications, however, there was still lacking systematic research on preparing various crystalline allomorphs of cellulose nanocrystals with high thermal stability. Herein, the efficient synthesis route was presented to design various crystalline allomorphs of cellulose from cotton. And then, cellulose nanocrystals with different crystal structures (CNC-I, CNC-II, CNC-III, CNC-IV) were prepared by hydrogen peroxide hydrolysis of resultant cellulose.

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  • The study focuses on healthcare workers' knowledge and barriers regarding noncompressible torso hemorrhage (NCTH) in China, which is critical for improving prehospital care and reducing mortality.
  • A survey of 575 healthcare workers showed that while most recognized the importance of NCTH, many lacked prior knowledge and had minimal access to continuing education on the topic.
  • The main barrier to obtaining information was identified as insufficient continuing training, highlighting the need for improved education programs.
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A 35-year-old male was diagnosed with severe acute pancreatitis (SAP). CT showed inflammation changes of the pancreas and peripancreatic tissue, known as pseudocyst formation. The patient subsequently heard a clicking noise in his abdomen, followed by left low back pain and abdominal distension with palpitation and hemodynamic instability.

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Objective: This study is the largest clinical study of noninvasive Abdominal wall tension (AWT) measurement with a tensiometer to date. It also initially applies a polynomial regression equation to analyze the correlation between AWT measurement and intravesical pressure (IVP) measurement and remarkably finds interesting changes between different IVP intervals and AWT.

Methods: Critically ill patients who were treated in the intensive care unit (ICU) of Daping Hospital, Army Medical University, from August 30, 2018, to June 30, 2020, and met the inclusion criteria were prospectively included in this study.

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  • The use of advanced tourniquets has greatly reduced deaths from limb wounds, shifting the focus to non-compressible torso hemorrhage as a major cause of preventable death in both military and civilian settings.
  • New hemostatic devices and materials have led to significant changes in treatment strategies for managing non-compressible torso hemorrhage.
  • This review aims to summarize current treatment methods and equipment, while also suggesting areas for future research to aid medical professionals and researchers in this field.
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  • EHCDs can significantly lower death risk from noncompressible torso hemorrhage (NCTH), but their effectiveness is limited by the size of the pressurized area, which can lead to organ damage.
  • This study examined CT images of 200 patients to analyze the anatomical relationships of key arteries to determine optimal EHCD placement, confirming findings with 3D-printed mannequins.
  • The results showed accurate localization of crucial arteries relative to anatomical landmarks, providing valuable data to enhance EHCD design and minimize collateral injuries during use.
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Background: Increasing genetic variants associated with sepsis have been identified by candidate-gene and genome-wide association studies, but single variants conferred minimal alterations in risk prediction. Our aim is to evaluate whether a weighted genetic risk score (wGRS) that aggregates information from multiple variants could improve risk discrimination of traumatic sepsis.

Methods: Sixty-four genetic variants potential relating to sepsis were genotyped in Chinese trauma cohort.

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Two-dimensional (2D) materials have a wide range of applications in adsorption and catalysis because of their high specific surface areas and large number of surface active sites. In this paper, bulk ZnAl layered double hydroxides (ZnAl-LDHs or bulk-LDHs) and 2D monolayer ZnAl-LDHs (monolayer-LDHs) were constructed and used for CO capture at temperatures of 298-573 K. The experimental results show that monolayer-LDHs have a large specific surface area (455 m g) and shows an excellent CO capture performance (4.

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Background: This study aimed to investigate the clinical features, current management strategies, and outcomes of open pelvic fracture patients.

Methods: We performed a retrospective review of data on patients with blunt trauma and open pelvic fractures admitted to our trauma center over a 5-year period (January 2013 to December 2017). Demographic as well as clinical data including injury mechanism, injury severity score (ISS), fracture classifications, transfusion requirements, interventions, length of hospital and intensive care unit (ICU) stay, and prognosis were investigated.

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Background: A novel coronavirus pneumonia outbreak began in Wuhan, Hubei Province, in December 2019; the outbreak was caused by a novel coronavirus previously never observed in humans. China has imposed the strictest quarantine and closed management measures in history to control the spread of the disease. However, a high level of evidence to support the surgical management of potential trauma patients during the novel coronavirus outbreak is still lacking.

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Background: Idiopathic megacolon (IMC) is an uncommon disease in adults. To date, only a few laparoscopic experiences and functional outcomes of IMC have been reported. This study was to retrospectively analyse our 12 year surgical experience and functional outcomes in adult patients with IMC.

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