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1. Public Health Interventions’ Effect on Hospital Use in Patients With COVID-19: Comparative Study

Author

Wang, Xiaofeng, Ren, Rui, Kattan, Michael W, Jehi, Lara, Cheng, Zhenshun, and Fang, Kuangnan

Subjects
Public aspects of medicine, RA1-1270
Abstract

BackgroundDifferent states in the United States had different nonpharmaceutical public health interventions during the COVID-19 pandemic. The effects of those interventions on hospital use have not been systematically evaluated. The investigation could provide data-driven evidence to potentially improve the implementation of public health interventions in the future. ObjectiveWe aim to study two representative areas in the United States and one area in China (New York State, Ohio State, and Hubei Province), and investigate the effects of their public health interventions by time periods according to key interventions. MethodsThis observational study evaluated the numbers of infected, hospitalized, and death cases in New York and Ohio from March 16 through September 14, 2020, and Hubei from January 26 to March 31, 2020. We developed novel Bayesian generalized compartmental models. The clinical stages of COVID-19 were stratified in the models, and the effects of public health interventions were modeled through piecewise exponential functions. Time-dependent transmission rates and effective reproduction numbers were estimated. The associations of interventions and the numbers of required hospital and intensive care unit beds were studied. ResultsThe interventions of social distancing, home confinement, and wearing masks significantly decreased (in a Bayesian sense) the case incidence and reduced the demand for beds in all areas. Ohio’s transmission rates declined before the state’s “stay at home” order, which provided evidence that early intervention is important. Wearing masks was significantly associated with reducing the transmission rates after reopening, when comparing New York and Ohio. The centralized quarantine intervention in Hubei played a significant role in further preventing and controlling the disease in that area. The estimated rates that cured patients become susceptible in all areas were small (

Published
2020
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7. Effect of Metagenomic Next-Generation Sequencing on Clinical Outcomes of Patients With Severe Community-Acquired Pneumonia in the ICU: A Multicenter, Randomized Controlled Trial

Author

Wu, Xiaojing, Sun, Ting, He, Hangyong, Xing, Lihua, Cheng, Zhenshun, Geng, Shuang, Xu, Dexiang, Luo, Hong, Chen, Cheng, Jiang, Mingyan, Hou, Guopeng, Zhai, Tianshu, Cai, Ying, Liu, Yijie, Li, Junlu, Ni, Lan, Li, Xueying, Qu, Binbin, Lei, Cheng, Wang, Yang, Gu, Zi, Zhang, Peng, Huang, Xu, Li, Min, Xia, Jingen, He, Lian, and Zhan, Qingyuan

Published
2024
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12. High-flow nasal cannula versus conventional oxygen therapy in acute COPD exacerbation with mild hypercapnia: a multicenter randomized controlled trial

Author

Xia, Jingen, Gu, Sichao, Lei, Wei, Zhang, Jihua, Wei, Hui, Liu, Chao, Zhang, Han, Lu, Rongli, Zhang, Liqiong, Jiang, Mingyan, Hu, Chao, Cheng, Zhenshun, Wei, Chaojie, Chen, Yusheng, Lu, Fengfeng, Chen, Min, Bi, Hong, Liu, Hui, Yan, Cunzi, Teng, Hong, Yang, Yang, Liang, Chen, Ge, Yanlei, Hou, Pengguo, Liu, Jialin, Gao, Weiwei, Zhang, Yi, Feng, Yingying, Tao, Cheng, Huang, Xu, Pan, Pinhua, Luo, Hong, Yun, Chunmei, and Zhan, Qingyuan

Published
2022
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15. Tele‐rehabilitation in COVID‐19 survivors (TERCOV): An investigator‐initiated, prospective, multi‐center, real‐world study.

Author

Wen, Geyi, Yang, Lulu, Qumu, Shiwei, Situ, Xuanming, Lei, Jieping, Yu, Biqin, Liu, Bing, Liang, Yajun, He, Jiaze, Wang, Rujuan, Ni, Fang, Wu, Changrong, Zheng, Xing, Yin, Yao, Lin, Jing, Bao, Jiangping, Yang, Ting, Hu, Yi, Cheng, Zhenshun, and Guo, Guangyun

Subjects
HOME care services, PEARSON correlation (Statistics), PULMONARY function tests, RESEARCH funding, SMARTPHONES, DATA analysis, KRUSKAL-Wallis Test, FISHER exact test, TELEREHABILITATION, CELL phones, FUNCTIONAL status, DESCRIPTIVE statistics, HEALTH surveys, LONGITUDINAL method, MUSCLE strength, RESEARCH, AEROBIC exercises, QUALITY of life, LUNG diseases, MEDICAL rehabilitation, ANXIETY testing, SELF-report inventories, CONFIDENCE intervals, DATA analysis software, PSYCHOLOGICAL tests, COVID-19, RESPIRATORY muscles, REGRESSION analysis, MENTAL depression
Abstract

Introduction: Center‐based rehabilitation is limited by COVID‐19 infectivity and social distancing policy. We hypothesized that discharged patients benefit from 8‐week home‐based tele‐rehabilitation (tele‐PR) using mobile phones and low‐cost instruments. Methods: The TERCOV (Tele‐rehabilitation in COVID‐19 survivors) is an investigator‐initiated, prospective, multi‐center, real‐world study. After proper assessment, 186 discharge patients received tele‐PR by smartphone, including breathing exercise, respiratory muscle training, aerobic exercise, and resistance training. Physicians, physiotherapists, and nurses provided guidance through smartphone applications. The primary outcome was six‐minute walk distance (6MWD). The secondary outcomes included hand grip, short physical performance battery, maximal inspiratory pressure, maximal expiratory pressure, self‐rating anxiety/depression scale (SAS/SDS), 36‐item short‐form health survey (SF‐36) and international physical activity questionnaire. Results: Dyspnea subgroups were more functionally impaired. After tele‐PR, improvements were observed in exercise capacity(∆6MWD: 16.80 m, 95% CI 1.18–32.42, p < 0.0001), limb muscle function (∆SPPB 0.25 points, 95% CI 0.05–0.46), respiratory muscle strength (∆MIP 16.50 cm H2O, 95% CI 9.22–23.78, p < 0.0001; ∆MEP: 12.09 cm H2O, 95% CI 3.48–20.70, p = 0.0002), health‐related quality of life (∆SF‐36 49.85, 95% CI: 21.01–78.69, p < 0.0001), physical activity(∆HEPA 13.01%, p = 0.0029). Anxiety reduced in patients with mMRC ≥ 2 (∆SAS = −4.19 points, CI −8.16 to −0.22, p = 0.03). Greater change was seen in dyspnea patients. Implications on Physiotherapy Practice: Supervised/semi‐supervised tele‐PR is a promising option during the pandemic. Patients with Dyspnea benefit more. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial

Author

Wang, Yeming, Zhang, Dingyu, Du, Guanhua, Du, Ronghui, Zhao, Jianping, Jin, Yang, Fu, Shouzhi, Gao, Ling, Cheng, Zhenshun, Lu, Qiaofa, Hu, Yi, Luo, Guangwei, Wang, Ke, Lu, Yang, Li, Huadong, Wang, Shuzhen, Ruan, Shunan, Yang, Chengqing, Mei, Chunlin, Wang, Yi, Ding, Dan, Wu, Feng, Tang, Xin, Ye, Xianzhi, Ye, Yingchun, Liu, Bing, Yang, Jie, Yin, Wen, Wang, Aili, Fan, Guohui, Zhou, Fei, Liu, Zhibo, Gu, Xiaoying, Xu, Jiuyang, Shang, Lianhan, Zhang, Yi, Cao, Lianjun, Guo, Tingting, Wan, Yan, Qin, Hong, Jiang, Yushen, Jaki, Thomas, Hayden, Frederick G, Horby, Peter W, Cao, Bin, and Wang, Chen

Published
2020
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19. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

Author

Huang, Chaolin, Wang, Yeming, Li, Xingwang, Ren, Lili, Zhao, Jianping, Hu, Yi, Zhang, Li, Fan, Guohui, Xu, Jiuyang, Gu, Xiaoying, Cheng, Zhenshun, Yu, Ting, Xia, Jiaan, Wei, Yuan, Wu, Wenjuan, Xie, Xuelei, Yin, Wen, Li, Hui, Liu, Min, Xiao, Yan, Gao, Hong, Guo, Li, Xie, Jungang, Wang, Guangfa, Jiang, Rongmeng, Gao, Zhancheng, Jin, Qi, Wang, Jianwei, and Cao, Bin

Published
2020
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21. Azvudine is a thymus-homing anti-SARS-CoV-2 drug effective in treating COVID-19 patients

Author

Zhang, Jin-Lan, Li, Yu-Huan, Wang, Lu-Lu, Liu, Hong-Qi, Lu, Shuai-Yao, Liu, Yong, Li, Ke, Liu, Bin, Li, Su-Yun, Shao, Feng-Min, Wang, Kun, Sheng, Ning, Li, Rui, Cui, Jin-Jin, Sun, Pei-Chun, Ma, Chun-Xia, Zhu, Bo, Wang, Zhe, Wan, Yuan-Hao, Yu, Shi-Shan, Che, Yongsheng, Wang, Chao-Yang, Wang, Chen, Zhang, Qiangqian, Zhao, Li-Min, Peng, Xiao-Zhong, Cheng, Zhenshun, Chang, Jun-Biao, and Jiang, Jian-Dong

Published
2021
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22. Trends in Hospitalization and In-Hospital Mortality From VTE, 2007 to 2016, in China

Author

Zhang, Jin, Zhang, Peng, Mao, Yimin, Yang, Xiaohong, Xu, Xiaomao, Xia, Guoguang, Zheng, Rui, Gao, Yuan, Zhu, Guangfa, Zhu, Chenxi, Fu, Yingyun, Chen, Hong, Yu, Fangfei, Kuang, Jiulong, Li, Ziqiang, Cheng, Zhe, Wu, Rui, Cheng, Zhaozhong, Tong, Li, Jiang, Yanwen, Sun, Jie, Xu, Qixia, Pan, Huiyun, Wang, Lihong, Zeng, Mian, Chen, Yanzhu, Yu, Chunxiao, Hua, Jing, Tang, Yongjun, Ji, Yingqun, An, Jun, Zhang, Yongxiang, Ding, Yanyan, Zhang, Wei, Wu, Xiaomai, Chai, Wenshu, Li, Jing, Yi, Qun, Wang, Haixia, Chen, Xiaoju, Zhang, Aizhen, Han, Jun, Ying, Kejing, Xu, Xiaoling, Shi, Zhihong, Sun, Jiaolin, Zhao, Qiuliang, Liu, Guangjie, Zhuo, Jie, Shi, Guochao, Ding, Yongjie, He, Zhihong, Lang, Zhe, Hu, Xiaoyun, Fan, Fangfang, Liu, Hong, Sun, Guohua, Xing, Guoqiang, Zhang, Yingqi, Su, Guanli, Ni, Jixiang, Zhao, Tianming, Wang, Jun, Zhang, Nuofu, Qin, Simin, Huang, Songping, Xu, Qinghua, Li, Yunqiu, Liu, Qian, Wu, Qi, Li, Li, Chen, Xisheng, Niu, Zhiwei, Huang, Jianan, Zeng, Daxiong, Yuan, Yadong, Tian, Qian, Zhang, Jian, Han, Xinpeng, Yang, Jingping, Bo, Baoying, Huang, Yurong, Luo, Qian, Pang, Guifen, Zheng, Hongfei, Zhang, Ping, Xu, Ruhong, Zhang, Yunfeng, Ni, Songshi, Li, Shengqing, Gong, Yi, Zhang, Jie, Zhu, Ling, Xia, Shuyue, Chang, Yule, Zhang, Hongyu, Xu, Xia, Zhang, Yiwen, Pan, Jingjing, Qin, Zhiqiang, Lao, Miaochan, Liu, Zhihong, Luo, Qin, Wang, Ning, Yang, Huiqin, Tang, Xiaoli, Bai, Xiaomin, Chen, Yanwei, Han, Dan, Shen, Shasha, Jin, Chen, Ye, Yanping, Suo, Lijun, Huang, Xiaoying, Wang, Jialie, Zhang, Xiangyan, Yang, Guoru, Yu, Guohua, Zhang, Shudong, Yang, Yinlou, Cheng, Jiangtao, Duo, Jie, Zhang, Hong, Wang, Ping, Li, Yueyue, Guo, Changcheng, Bian, Tao, Cai, Shaoxi, Cheng, Zhenshun, Wang, Ting, He, Yong, Huang, Wentong, Liu, Chengying, Zhao, Hongda, Tu, Fenglin, Zhu, Youming, Tian, Guizhen, Zhang, Zhu, Lei, Jieping, Shao, Xiang, Dong, Fen, Wang, Jing, Wang, Dingyi, Wu, Sinan, Xie, Wanmu, Wan, Jun, Yang, Yuanhua, Zhai, Zhenguo, and Wang, Chen

Published
2019
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26. Evaluation of the efficacy and safety of intravenous remdesivir in adult patients with severe COVID-19: study protocol for a phase 3 randomized, double-blind, placebo-controlled, multicentre trial

Author

Wang, Yeming, Zhou, Fei, Zhang, Dingyu, Zhao, Jianping, Du, Ronghui, Hu, Yi, Cheng, Zhenshun, Gao, Ling, Jin, Yang, Luo, Guangwei, Fu, Shouzhi, Lu, Qiaofa, Du, Guanhua, Wang, Ke, Lu, Yang, Fan, Guohui, Zhang, Yi, Liu, Ying, Ruan, Shunan, Liu, Wen, Jaki, Thomas, Hayden, Frederick G., Horby, Peter W., Cao, Bin, and Wang, Chen

Published
2020
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28. Early‐stage predictors of deterioration among 3145 nonsevere SARS‐CoV‐2‐infected people community‐isolated in Wuhan, China: A combination of machine learning algorithms and competing risk survival analyses

Author

Min, Kaiyuan, primary, Cheng, Zhenshun, additional, Liu, Jiangfeng, additional, Fang, Yanhong, additional, Wang, Weichen, additional, Yang, Yehong, additional, Geldsetzer, Pascal, additional, Bärnighausen, Till, additional, Yang, Juntao, additional, Liu, Depei, additional, Chen, Simiao, additional, and Wang, Chen, additional

Published
2023
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35. Polymyxin B/Tigecycline Combination vs. Polymyxin B or Tigecycline Alone for the Treatment of Hospital-Acquired Pneumonia Caused by Carbapenem-Resistant Enterobacteriaceae or Carbapenem-Resistant Acinetobacter baumannii

Author

Chang, Kang, primary, Wang, Haibo, additional, Zhao, Jianping, additional, Yang, Xianghong, additional, Wu, Bo, additional, Sun, Wenkui, additional, Huang, Man, additional, Cheng, Zhenshun, additional, Chen, Hong, additional, Song, Yuanlin, additional, Chen, Ping, additional, Chen, Xiangqi, additional, Gan, Xin, additional, Ma, Wanli, additional, Xing, Lihua, additional, Wang, Yimin, additional, Gu, Xiaoying, additional, Zou, Xiaohui, additional, and Cao, Bin, additional

Published
2022
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37. Predicting Ki‐67 labeling index level in early‐stage lung adenocarcinomas manifesting as ground‐glass opacity nodules using intra‐nodular and peri‐nodular radiomic features

Author

Zhu, Minghui, primary, Yang, Zhen, additional, Zhao, Wei, additional, Wang, Miaoyu, additional, Shi, Wenjia, additional, Cheng, Zhenshun, additional, Ye, Cheng, additional, Zhu, Qiang, additional, Liu, Lu, additional, Liang, Zhixin, additional, and Chen, Liangan, additional

Published
2022
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39. Additional file 4 of High-flow nasal cannula versus conventional oxygen therapy in acute COPD exacerbation with mild hypercapnia: a multicenter randomized controlled trial

Author

Xia, Jingen, Gu, Sichao, Lei, Wei, Zhang, Jihua, Wei, Hui, Liu, Chao, Zhang, Han, Lu, Rongli, Zhang, Liqiong, Jiang, Mingyan, Hu, Chao, Cheng, Zhenshun, Wei, Chaojie, Chen, Yusheng, Lu, Fengfeng, Chen, Min, Bi, Hong, Liu, Hui, Yan, Cunzi, Teng, Hong, Yang, Yang, Liang, Chen, Ge, Yanlei, Hou, Pengguo, Liu, Jialin, Gao, Weiwei, Zhang, Yi, Feng, Yingying, Tao, Cheng, Huang, Xu, Pan, Pinhua, Luo, Hong, Yun, Chunmei, and Zhan, Qingyuan

Abstract

Additional file 4. Figure S1: Kaplan-Meier analysis of time since intervention to readmission during 90 days follow-up period. The cumulative incidence function and Gray’s test were used to consider deaths as competing events to evaluate the difference of time to readmission for acute exacerbation between two groups.

Published
2022
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40. Additional file 1 of High-flow nasal cannula versus conventional oxygen therapy in acute COPD exacerbation with mild hypercapnia: a multicenter randomized controlled trial

Author

Xia, Jingen, Gu, Sichao, Lei, Wei, Zhang, Jihua, Wei, Hui, Liu, Chao, Zhang, Han, Lu, Rongli, Zhang, Liqiong, Jiang, Mingyan, Hu, Chao, Cheng, Zhenshun, Wei, Chaojie, Chen, Yusheng, Lu, Fengfeng, Chen, Min, Bi, Hong, Liu, Hui, Yan, Cunzi, Teng, Hong, Yang, Yang, Liang, Chen, Ge, Yanlei, Hou, Pengguo, Liu, Jialin, Gao, Weiwei, Zhang, Yi, Feng, Yingying, Tao, Cheng, Huang, Xu, Pan, Pinhua, Luo, Hong, Yun, Chunmei, and Zhan, Qingyuan

Subjects
respiratory system, human activities, humanities
Abstract

Additional file 1. Table S1: Settings of treatment, vital sign, Borg scores, airway dryness score and blood gas analysis between the conventional oxygen therapy group and the high-flow nasal cannula group within 72 hours after randomization.

Published
2022
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41. Additional file 2 of High-flow nasal cannula versus conventional oxygen therapy in acute COPD exacerbation with mild hypercapnia: a multicenter randomized controlled trial

Author

Xia, Jingen, Gu, Sichao, Lei, Wei, Zhang, Jihua, Wei, Hui, Liu, Chao, Zhang, Han, Lu, Rongli, Zhang, Liqiong, Jiang, Mingyan, Hu, Chao, Cheng, Zhenshun, Wei, Chaojie, Chen, Yusheng, Lu, Fengfeng, Chen, Min, Bi, Hong, Liu, Hui, Yan, Cunzi, Teng, Hong, Yang, Yang, Liang, Chen, Ge, Yanlei, Hou, Pengguo, Liu, Jialin, Gao, Weiwei, Zhang, Yi, Feng, Yingying, Tao, Cheng, Huang, Xu, Pan, Pinhua, Luo, Hong, Yun, Chunmei, and Zhan, Qingyuan

Abstract

Additional file 2. Table S2: Comparison of daily duration of treatment with 7days after randomization, the time of treatment failure and noninvasive positive pressure ventilation start between the conventional oxygen therapy group and the high-flow nasal cannula group.

Published
2022
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42. Additional file 3 of High-flow nasal cannula versus conventional oxygen therapy in acute COPD exacerbation with mild hypercapnia: a multicenter randomized controlled trial

Author

Xia, Jingen, Gu, Sichao, Lei, Wei, Zhang, Jihua, Wei, Hui, Liu, Chao, Zhang, Han, Lu, Rongli, Zhang, Liqiong, Jiang, Mingyan, Hu, Chao, Cheng, Zhenshun, Wei, Chaojie, Chen, Yusheng, Lu, Fengfeng, Chen, Min, Bi, Hong, Liu, Hui, Yan, Cunzi, Teng, Hong, Yang, Yang, Liang, Chen, Ge, Yanlei, Hou, Pengguo, Liu, Jialin, Gao, Weiwei, Zhang, Yi, Feng, Yingying, Tao, Cheng, Huang, Xu, Pan, Pinhua, Luo, Hong, Yun, Chunmei, and Zhan, Qingyuan

Abstract

Additional file 3. Table S3: The comparison of age, gender, oxygenation and blood gas parameters on admission between the enrolled patients and the declined patients.

Published
2022
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44. LOW DOSE OF ESMOLOL ATTENUATES SEPSIS-INDUCED IMMUNOSUPPRESSION VIAMODULATING T-LYMPHOCYTE APOPTOSIS AND DIFFERENTIATION

Author

Ma, Ying, Cheng, Zhenshun, Zheng, Yong, Wang, Wei, He, Shaojun, Zhou, Xiaolian, Yang, Jiong, and Wei, Chaojie

Abstract

Background:Immunosuppression caused by immune cell apoptosis and an imbalance of T helper 2 cells (TH2) and T helper 1 cells (TH1), is associated with poor outcomes in septic patients. Esmolol was reported to improve survival by modulating immune responses in septic shock. Whether esmolol could alleviate sepsis-induced immunosuppression and the optimal dose are unclear. Methods:Four hours after cecal ligation and puncture (CLP), Wistar rats were randomized into CLP, CLP + E-5 (esmolol: 5 mg·kg−1·h−1) and CLP + E-18 (esmolol: 18 mg·kg−1·h−1) groups. Eight rats were underwent sham operation. Eighteen hours after CLP, hemodynamics and organ histological injuries were evaluated, peripheral blood mononuclear cells apoptosis and T-lymphocyte subsets counts were determined by flow cytometry, and the expression of p-Akt, Bcl-2, cleaved Caspase-3, and p-Erk1/2 in splenic CD4+T-lymphocytes was determined by western blot and immunohistochemistry. β1-Adrenoreceptor expressions were evaluated using real-time polymerase chain reaction and immunohistochemistry. Results:Cecal ligation and puncture induced tachycardia, hypotension, hyperlactatemia, and multiple organ injury. Heart rate was unchanged in the CLP + E-5 group but decreased in the CLP + E-18 group. Hypotension, lactatemia, and multiple organ injuries were improved only in the CLP + E-5 group. T-lymphocyte apoptosis and TH2/TH1 ratio was decreased in CLP + E-5 but not in CLP + E-18. p-Akt and Bcl-2 expressions were increased, while cleaved Caspase-3 and p-Erk1/2 expressions were decreased in CLP + E-5. β1-Adrenoreceptor expressions were unchanged in both CLP + E-5 and CLP + E-18 groups. Conclusions:Low dose of esmolol reduced T-lymphocyte apoptosis and restored TH2/TH1 ratio in septic shock. Esmolol might modulate Akt/Bcl-2/Caspase-3 pathway to relieve T-lymphocyte apoptosis and inhibit Erk1/2 activity to decrease TH0 differentiation to TH2. Esmolol may be a potential immunoregulator of septic shock.

Published
2023
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46. Favipiravir Versus Arbidol for Clinical Recovery Rate in Moderate and Severe Adult COVID-19 Patients: A Prospective, Multicenter, Open-Label, Randomized Controlled Clinical Trial

Author

Chen, Chang, primary, Zhang, Yi, additional, Huang, Jianying, additional, Yin, Ping, additional, Cheng, Zhenshun, additional, Wu, Jianyuan, additional, Chen, Song, additional, Zhang, Yongxi, additional, Chen, Bo, additional, Lu, Mengxin, additional, Luo, Yongwen, additional, Ju, Lingao, additional, Zhang, Jingyi, additional, and Wang, Xinghuan, additional

Published
2021
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47. Antinuclear Autoimmunity Potentially Makes the Middle-aged and Female with COVID-19 Prone to Severe Progression: A Case-control Study

Author

Cao, Zhen, primary, Zhou, Fuling, additional, Zhang, Jun, additional, Chen, Cheng, additional, Zhao, Zhigang, additional, Chen, Tielong, additional, Liang, Ke, additional, Wu, Kaisong, additional, Cheng, Zhenshun, additional, Peng, Zhiyong, additional, Zhang, Yongxi, additional, Xie, Conghua, additional, Zhou, Yunfeng, additional, and Wei, Yongchang, additional

Published
2021
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