1.Determination of terpenelactones in Yinxing Tongzhi Dripping Pills by HPLC-ELSD
Qin LI ; Fengxian MA ; Tiefeng CHENG
Chinese Traditional Patent Medicine 1992;0(06):-
AIM:To determine terpenelactonesines content in Yinxing Tongzhi Dripping Pills(ginkgoflavone,ginkgolide).METHODS:HPIC with evaporative light scattering detector(ELSD) was established to determine terpenelactones content in Yinxing Tongzhi Dripping Pills..The analysis was carried out on Angilent Hypersil ODS(5 ?m,4 mm?250 mm) column.The mobile phase consisted of THF-MeOH-H_2O(10:20:70).The operating conditions of the ELSD were a nebulizer nitrogen,flow-rate of 2.51 L/min and an evaporator tube temperature of 103(?C).RESULTS:No interference was found in the terpenelactones peak position.The method was simple,with a good linear relationship.The relative standard deviation of reproducibility about BB、GA、GB、GC was 1.33%,(1.79%,)1.92%,1.58% respectively and the average recoveries were 97.0%,96.5%,96.3%,97.6%,respectively.CONCLUSION:The method can be used for quality control.
2.Determination of geniposidic acid,chlorogenic acid and geniposide in Duzhong Pingya Tablet by RP-HPLC
Fengxian MA ; Jinjin HE ; Qin LI
Chinese Traditional Patent Medicine 1992;0(01):-
AIM: To estabish a RP-HPLC method for determing geniposidic acid、chlorogenic acid、geniposide in Duzhong Pingya Tablet(Folium Eucommiae).METHODS:Geniposidic acid,chlorogenic acid and geniposide were analysed by using C_(18) column with the mobile phase of methanol-water-aceacid(15∶85∶1.5) at the flow rate of 1 mL/min,the detective wavelength was set at 237 nm. RESULTS: The analytical had good linearity.The precision of geniposidic acid,chlorogenic acid and geniposide were 1.93%、1.50%、1.66%,respectively and the recoveries were 97.3%,97.2%,96.7%,respectively. CONCLUSION: This method is simple,quick and reproducible and could be used for the determination of three constituents in Duzhong Pingya Tablet.
4.Quality control in maternal serum prenatal screening in the second trimester
Fengxian SHEN ; Li ZHAO ; Shiming LYU ; Yuhuan SHEN
Chinese Journal of Laboratory Medicine 2014;(11):870-875
Objective To analyze the features of quality management of maternal serum prenatal screening for Down syndrome in the second trimester and investigate the methods to establish and improve quality control system.Methods Prenatal screening and clinical data were collected for statistical analysis from 17 prenatal screening centers in Zhejiang Province from 2011 to 2012.The impacts of maternal age , weight, gestational age , specimen collection , the median values of serum markers selection and different analysis software on prenatal screening results for Down syndrome were analyzed respectively .Results Totally 417 347 and 463 846 prenatal screening cases were collected in 2011 and 2012 respectively.The maternal age of the entire province presented as a Gaussian distribution.The age distributions of different screening institutions were inconsistent , while maternal weight distributions were similar.The approach to determine gestational age was significantly different among screening institutions.Median MoM of the samples from the blood collection points was different from those of the main screening center.Median MoM-freeβ-hCG was positive bias , particularly the specimens from the blood collection points.After strengthening the control of temperature and time during samples transportation , Median MoM-free β-hCG of specimens from blood collection points became nearly equal to those of main screening center .Use of local median made the median MoM value closer to 1.0 in the centers with positive or negtive bias of the markers , which had little effect in detection rate and decreased the false positive rate and screening positive rate.Six more positive cases were detected by the Lifecycle software instead of 2T software in 213 followed-up positive cases, which means the Lifecycle software can improve the detection rate.Conclusions The impact of maternal age, weight, gestational age, specimen collection and other factors on screening performance should be taken into consideration when it evaluates the screening quality of different laboratory .The use of local medians is necessary in prenatal screening.Optimization of screening analysis software can reduce false negative rate.
5.TGF-?1 upregulates Smad2 expression in peritoneal mesothelial cells
Qiongqiong YANG ; Xueqing YU ; Wenjuan DUAN ; Xiaoyan LI ; Fengxian HUANG
Chinese Journal of Pathophysiology 2000;0(10):-
AIM: To investigate the expression of Smad2 signal protein in peritoneal mesothelial cells and how transforming growth factor ?1 (TGF-?1) affects its expression. METHODS: Rat peritoneal mesothelial cells were cultured in different levels of TGF-?1 (0,1.25,2.5,10 ?g/L) for different time (0,5,15,30,60,120 min). Endogenous Smad2 expression was evaluated by RT-PCR and immunohistochemical assay. The alteration of subcellular location of Smad2 was determined by immunohistochemical assay. RESULTS: TGF-?1 induced Smad2 mRNA expression, which increased at 5 min, peaked at 30 min, and declined to baseline levels by 120 min, in a time-dependent manner. Smad2 mRNA expression induced by TGF-?1 was also in a dose -dependent manner. TGF-?1 induced Smad2 phosphorlylation and nuclear localization in both time-dependent and dose-dependent manner, which was concordant with mRNA expression. Smad2 translocated from cytoplasm to nuclear accumulation in response to TGF-?1, and peaked at 30 min. CONCLUSIONS: Smad2 is present in peritoneal mesothelial cells. TGF-?1 may activate Smad2 expression and translocation to nuclear in a time-dependent and dose-dependent manner. [
6.Clinical medication response under new major infectious disease: off-label use and compassionate use
Zhuman LI ; Zhijun GUO ; Feng XU
Journal of Pharmaceutical Practice 2020;38(3):207-210
At present, there are no specific targeted drugs for the treatment of pneumonia (COVID-19) caused by the novel coronavirus (SARS-CoV-2). Interferon, lopinavir/ritonavir, ribavirin, chloroquine phosphate were chosen as off-label use, and remdesivir was chosen as compassionate use. This paper reviewed the behavior of the two medication response to the new major infectious disease.
7.Investigation of leprosy survivors in Fengxian District, Shanghai
Qi SUN ; Qun LU ; Yao-zhong QIAN ; Peng LI ; Wei XU ; Lin ZHANG ; Bai-chen LI ; Xiu LI
Shanghai Journal of Preventive Medicine 2021;33(8):762-766
Objective:To understand the current living and health status of leprosy survivors in Fengxian District, Shanghai, and to provide scientific evidence for improving their quality of life. Methods:In January 2018-June 2020, professionally trained CDC staff performed a household investigation on 41 patients with leprosy (case group) and 82 non-leprosy persons (control group) every year. Living and health status, and routine laboratory examinations such as blood pressure, blood glucose, and blood lipids were monitored. Results:Majority of the patients with leprosy had low educational level (68.29% being primary school) and were mostly farmers (51.22%).The patients had abnormal residual Ⅱ level 5 (12.20%) and mostly were tb-like (TT) (53.66%). Moreover, some patients were not incapacitated (46.34%), had no family financial difficulties (29.27%), did not acquire the national subsistence allowance policy (58.54%), and asked for "regular physical examination" (68.29%).Compared to the 82 control persons, the patients with leprosy had significantly different body mass index (BMI) and blood pressure (
8.Virulence gene, molecular typing and drug resistance of 210 Vibrio Parahaemolyticus strains in Fengxian District, Shanghai
Hongwei ZHAO ; Xiaohong XIE ; Lixin TAO ; Chunli SHEN ; Jie WANG ; Li SHEN
Shanghai Journal of Preventive Medicine 2022;34(9):901-905
ObjectiveTo determine the drug resistance, main virulence genes and molecular typing of Vibrio parahaemolyticus from multiple sources in Fengxian District, Shanghai. MethodsA total of 210 strains of Vibrio parahaemolyticus were isolated in Fengxian District, Shanghai, from 2018 to 2020. Then drug susceptibility tests of 17 antibiotics, virulence gene detection of thermolabilehemolysin (tlh), thermostable direct hemolysin (tdh) and thermostable direct hemolysin-relatedhemolysin (trh), and pulsed-field gel electrophoresis (PFGE) were conducted. ResultsA total of 147 drug-resistant strains were detected, with the drug resistance of 70.00%. Among them, 126 strains were resistant to single antibiotic, mainly resistant to CFZ; 15 strains were resistant to two antibiotics, mainly resistant to CFZ and AMP; and 6 strains of MDR, mainly resistant to AMP, SXT, CFZ, CTX, CAZ and FEP. The AMP resistance of food-borne strains was higher than that of human-derived strains (P<0.05). All 210 strains of Vibrio parahaemolyticus carried the virulence gene tlh. Furthermore, 84 human-derived strains carried tdh (89.29%) and trh (7.14%). In contrast, 126 food-borne strains carried trh (1.59%), while did not carry tdh. In additionally, 173 band patterns were determined by PFGE, sharing the similarity of 48.80%‒100.00%, among which major clones were prevalent. ConclusionVibrio parahaemolyticus in Fengxian District has multi-drug resistance, especially the resistance to β-lactam antibiotics. The prevalence of virulence gene remains high in human-derived strains. Furthermore, major clones are prevalent in human-derived strains, though the PFGE banding patterns are generally diverse. Due to high risk of food-borne diseases, this study warrants strengthening the prevention and control against Vibrio parahaemolyticus.
9.Bibliometric analysis of advances in clinical nutrition in Chinese Journals
Qiuhong YU ; Yanwu ZHANG ; Yongzhen LI ; Shuiping BAI ; Fengxian XIAO ; Qiaohua LI
Chinese Journal of Clinical Nutrition 2013;21(1):35-41
Objective To reveal the tendency in clinical nutrition research in chinese journals by bibliometric analysis.Methods Literature was searched in Chinese Biomedical Databases (CBM) of SinoMed.By using Noteexpress software,the year distribution,document cartier classifications,research areas,cited frequency of articles and first author distribution were analyzed.Results The number of Chinese literature on clinical nutrition had increased steadily from 1 paper in 1974 to 1980 papers in 2011.The journals with more clinical nutrition articles are mainly professional journals,accounted for 9.21%.Research in the recent 5 years was mainly focused on the modes and timing of nutrition support.The proportions of studies on parenteral nutrition and enternal nutrition were close.Conclusion Clinical nutrition has became one of the hot research topics in China in recent years,although the appropriate and reasonable use of clinical nutrition remain challenging.
10.Drug resistance and homology of diarrheagenic Escherichia coli in sentinel hospital of Fengxian District of Shanghai, 2019‒2022
Hongwei ZHAO ; Xiaohong XIE ; Lixin TAO ; Li SHEN ; Chunli SHEN ; Meihua LIU ; Yuan SHI ; Huangfei SHENG
Shanghai Journal of Preventive Medicine 2024;36(4):352-358
ObjectiveWe conducted a drug resistance and homology analysis of diarrheagenic Escherichia coli (DEC) in Fengxian District of Shanghai in order to provide a basis for clinical rational drug use, risk monitoring and early warning. MethodsDEC were isolated from diarrheal patients in Fengxian District, Shanghai from 2019 to 2022. The minimum inhibitory concentrations (MIC) of 21 drugs to the DEC were determined. Genotyping and homology analysis were conducted with pulsed-field gel electrophoresis (PFGE). ResultsThe DEC detection rate of diarrhea cases was 18.99% (131/690), including enteroaggregative E.coli (EAEC) 64.89% (85/131), enterotoxigenic E.coli (ETEC) 22.14% (29/131), enteropathogenic E.coli (EPEC) 12.21% (16/131), and enterohemorrhagic E.coli (EHEC) 0.76%(1/131). The DEC detection showed obvious seasonal characteristics with a high incidence in summer. The DEC multidrug resistance rate was 66.41% with a total of 65 drug resistance profiles. The five antimicrobial drugs with the highest resistance rate were ampicillin (60.31%), nalidixic acid (51.91%), cefazolin (50.38%), tetracycline (44.27%), and cotrimoxazole (35.11%). The rate of DEC resistance to levofloxacin was significantly increased from 2019 to 2022. Cluster analysis showed that the similarity of 85 EAEC cluster was 58.4%‒100.0%, and 69 band patterns were obtained. The similarity of 29 ETEC cluster was 58.5%‒100.0%, and 13 band patterns were obtained, including 2 dominant band types. The similarity of 16 EAEC clusters was 53.9%‒100.0%, and 15 band patterns were obtained. Five groups of homologous strains were found, consistent with the resistance phenotypes. ConclusionAmong the diarrhea cases, the DEC epidemic intensity is high, the drug resistance situation is severe, and the risk of outbreak infection is high in Fengxian District, Shanghai. Therefore, health monitoring and prevention need to be strengthened.