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Objective:To explore the clinical characteristics and influencing factors of myocarditis induced by immune checkpoint inhibitors (ICIs).Methods:Using programmed death receptor-1 (PD-1), nivolumab, pembrolizumab, programmed cell death receptor ligand-1 (PD-L1), atezolizumab, durvalumab, avelumab, cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4), ipilimumab, tremelimumab as keywords respectively, we combined these words with myocarditis or the corresponding Chinese to search.Results:A total of 49 articles were reported, including 64 patients. Nivolumab was the most reported, followed by pembrolizumab and ipilimumab. The average age was (65.47±13.24)years, mainly elderly patients; 37 cases (57.81%) were male; the overall mortality rate was 31.25%(20/64). The clinical symptoms were diverse and nonspecific, with dyspnea being the most common (39/64, 60.94%). Heart biomarkers were elevated in 94.64%(53/56) of the patients. 35 patients (54.69%, 35/64) developed myocarditis after 1-2 doses and 17 patients died. 60 patients received steroids as initial treatment, and immunosuppressive therapies such as infliximab, intravenous immunoglobulin, antithymic globulin, and/or plasmapheresis were used in 25 patients, symptoms improved in 17 cases (68.00%).Conclusions:ICIs can cause myocarditis, with high mortality, and should be closely monitored and timely treatment. Steroids can be used as initial first-line therapy and immunosuppressants and/or plasmapheresis may improve clinical symptoms and survival rate.
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Objective To analyze the articles and authors published in Journal of Chinese Behavioral Medicine and Brain Science(JCBMBS) in 2012.Methods By using the bibliometric statistical methods,all papers published in JCBMBS in the whole year of 2012 were analyzed,including the paper amount,the paper column,the published style of papers,the institute distributions and the area distributions of the first authors,the foundation supported papers amount,the author amount,the citation amount and the published delay.Results 375 papers were published in JCBMBS in 2012,31.25 papers were published in an average issue,and one article included 3.06 pages averagely.The paper density was 0.327 and the information density was 5.21.The main style of published papers was original article,which accounted for 79.7％,and the least style was experts forum articles,which accounted for 2.4％.The amount of clinical research articles were 129,the hygienic articles were 89 and the basic research articles were 80.The area distributions of the first author were wide and imbalance.The top 6 provinces of the most published paper amounts in 2012 were Shandong,Jiangsu,Guangdong,Beijing,Anhui and Henan,where published paper amounts in total were 207 papers,and accounted for 55.2％ of the total papers of the whole year.There were 244 articles supported by various foundations and accounted for 65.06％ of the total papers of the whole year,in which 30.93％ was supported by the national foundations.The average author amount of the published papers,the average citation amount and the average published delay were 4.71 authors,15.58 indexes and 161.5 days respectively.12 corresponding authors had published 3 or more than 3 articles,and 37 corresponding authors had published 2 articles in the year.The top fifteen institutes of the most paper amounts in the periodical had published 145 articles,accounting for 38.7％ of the total amount of the papers.Conclusion The JCBMBS have an aboundant information resource;the main style of the published papers is original article;the clinical researches are the most in all columns.There are higher foundation supported papers and steady authors of this periodical.
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Objective To further investigate the relationship between apolipoprotein E(APOE) genotype and trait anxiety in patients with coronary heart disease (CHD).Methods Use the state-trait anxiety inventory (STAI) to investigate the state anxiety and trait anxiety of 107 CHD patients.According the score of TAI,the CHD patients were divided into CHD with high trait anxiety group ( n=39)and low trait anxiety group(n=68).The genotypes and alleles of apolipoprotein E gene was detected in all CHD patients and 50 healthy control subjects with the polymerase reaction(PCR) and restriction fragment length polymorphisms(RFLP) technique.Correlation analysis and logistic regression analysis were used.Results Apolipoprotein E gene showed positive relationship with trait anxiety score( OR =9.251,95％ CI2.726 ～ 18.266).F4 allele entered the regression equaltion Y =30.252 + 0.048X3 (P ＜ 0.05 ).Conclusion The results suggest the polymorphisms of Apolipoprotein E e4 allele may be associated with the trait anxiety symptom.
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Objective Analysis Chinese Journal Of Behavioral Medicine And Brain Science articles (CJBMBS) in 2009 year. Methods All the articles in CJBMBS which were published periodically on 12 issues in 2009 distribute were taken as the object, papers such as the Notices,Posters and Conferences were not included.Analysis the number of articles published, the article columns, the articles published style and the quotation quantity and so on. Results The CJBMBS in 2009 year altogether published 445 pieces papers, 12 issues, 1152 pages. Each issue carries articles 37.08 pieces equally and each article averages 2.59 pages. The density of each article is 0.3863,the information density is 6.181. The foundation investigative manuscripts account for 18.20%;the clinical investigative manuscripts account for 34.38%; the sanitary precaution manuscripts accounts for 28.09% ;the psychological behavior appraisal class manuscripts account for 6.07%;the monograph class manuscript accounts for 4.72; Summarizes 8.09%. The quotation quantity are 5252,each article' s quotation averages 11.80;The quotation quantity differs greatly, review articles' are the highest to be 34.67, while the short articles' are the lowest to be 10.43. The Pryse index mean value is 58.13%. The review articles' cited frequency is lowest to be 22.52% ,and that of short article report is highest to be 68.78%;the average self cited frequency is 17.86%.Conclusions CJBMBS in 2009 has plentiful information resources;among the total published articles papers are the chief.The quotation quantity per article is higher than average quotation quantity in scientific article in China. The Pryse index is higher than the mean value of various scientific and technology disciplines. Self cited frequency is moderate.