Structural characteristics of China's COVID-19 patent cooperation network at the province, city, and patent applicant levels.

The Chinese Plan has provided an important model for the global fight against COVID-19 since its outbreak. The present study describes the structural characteristics of China's COVID-19 patent cooperation network at the province, city, and applicant levels by using social network analysis based on data from the Incopat global patent database since 2020, which helps to clarify the current technology accumulation in this field in China, and provide patent information support for the scientific efforts to fight against COVID-19. The findings are as follows: First, the inter-regional cooperation level in China's COVID-19 patent cooperation network shows a decreasing trend from eastern to central to western regions. At the inter-applicant cooperation level, kinship-based cooperation is the strongest, business-based cooperation has the widest scope, while proximity-based cooperation exists throughout these two main models of cooperation. Second, coastal provinces and cities occupy a core position in the network, and play an important role in utilizing structural holes and bridging. Patent applicants with high centrality are mostly firms. Research institutes and universities mainly play the role of bridges. Third and lastly, there is no large number of cliques at the province and city levels. However, there is a tendency for cliques to develop at the applicant level. Hence, actions are needed to prevent the development of information barriers.

Stroke Care in the First Affiliated Hospital of Chengdu Medical College during the COVID-19 Outbreak.

Coronavirus disease-2019 (COVID-19) has become a pandemic disease globally. The First Affiliated Hospital of Chengdu Medical College has adopted telestroke to make stroke care accessible in remote areas. During the period January 2020 to March 2020, there was no COVID-19 case reported in our stroke center. A significant reduction of stroke admission was observed between the ischemic stroke group (235 vs. 588 cases) and the intracerebral hemorrhage group (136 vs. 150 cases) when compared with the same period last year (p < 0.001). The mean door-to-needle time (DNT) and door-to-puncture time (DPT) was 62 and 124 min, respectively. Compared to the same period last year, a significant change was observed in DNT (62 ± 12 vs. 47 ± 8 min, p = 0.019) but not in DPT (124 ± 58 vs. 135 ± 23 min, p = 0.682). A total of 46 telestroke consultations were received from network hospitals. Telestroke management in the central hospital was performed on 17 patients. Of them, 3 (17.6%) patients had brain hernia and died in hospital and 8 (47.1%) patients were able to ambulation at discharge and had a modified Rankin Scale of 0-2 at 3 months. The COVID-19 pandemic impacted stroke care significantly in our hospital, including prehospital and in-hospital settings, resulting in a significant drop in acute ischemic stroke admissions and a delay in DNT. The construction of a telestroke network enabled us to extend health-care resources and make stroke care accessible in remote areas. Stroke education and public awareness should be reinforced during the COVID-19 pandemic.