1.Clinical application of the modified Epworth Sleepiness Score in the gestation women combined with obstructive sleep apnea-hypopnea syndrome
Zhong XU ; Qiaoli LUO ; Taoping LI ; Huishu LIU ; Dongjian HUANG ; Dunjin CHEN
Chinese Journal of Primary Medicine and Pharmacy 2011;18(1):9-11
Objective Screening OSAHS patients on pregnancy with Modified Epworth Sleepiness Scale( Epworth sleepiness scale,ESS)and to assess its effect. Methods 22 patients underwent the pregnancy,and pregnancy with OSAHS( mild in 23 cases,22 cases of moderate and severe in 19 cases)group were 64 people, By ESS and modified ESS score, EP and modified EP values was derived. The neck circumference ( NC), body mass index (BMI) was measured. Conduct of polysomnography ( PSG), apnea hypopnea index ( AHI ) and lowest oxygen saturation ( LSaO2 )ESS and modified ESS correlation with the AHI was analyzed and ROC curves was drawn. Results The EP value of pregnancy with mild OSAHS group has no significant difference between normal pregnancy group( P > 0.05) ;the rest of pregnancy OSAHS group modified EP, EP values and the normal pregnancy group were significantly different ( all P<0.05) ;modified EP, EP, NC, BMI values positively correlated with the AHI value, the correlation coefficient r were :0.876,0.748,0.671,0.670 ( all P < 0.001 ) ;modified EP, EP, NC, BM I of the A UC values were 0.901,0.819,0.750, 0.779; when the modified EP = 8.5, had higher sensitivity ( 84.4% ) and specificity ( 90.9% ).Conclusion Modified ESS on pregnancy OSAHS patients had better clinical value of screening.
2.Risk exposure of county-level medical insurance system in China
Qiaoli XIE ; Tiantian HU ; Xiaoxu ZOU ; Dan LIU ; Zhenni LUO ; Pengqian FANG
Chinese Journal of Hospital Administration 2014;30(6):405-407
Medical insurance system plays a key role in China's social security system.In the social insurance system,medical insurance features the widest coverage and the most complex in mechanism,while China' s medical insurance system itself is found with many setbacks.This paper probed into such risks found in the county-level medical insurance system as excessive cost growth causing overpayment of the medical insurance fund and poor supervision of the fund.On such basis,the authors recommended such policy changes as payment reform,and enhanced supervision over the fund,the demand side,and the government,in an effort to optimize China' s medical insurance system for theoretical and decision reference of other county-level hospitals in their reforms.
3.Clinical effectiveness of treatment combining Jiaweichaiqinchengqi decoction and acupoint application in patients with acute pancreatitis
Lei DAI ; Linghe LUO ; Qiaoli JIANG
China Modern Doctor 2018;56(13):115-117,122
Objective To investigate the clinical effectiveness of treatment combining Jiaweichaiqinchengqi decoction and acupoint application in patients with acute pancreatitis(AP). Methods 40 patients with AP received and cured in our hospital from May 2015 to May 2017 were randomly selected and divided into two groups according to different treatments. Observation group consisted of patients with basic treatment of western medicine plus coming Jiaweichaiqinchengqi decoction and acupoint application (n=20). Control group consisted of patients with only basic treatment of western medicine (n=20). Patients in both of two groups received the basic treatment of western medicine of AP. Patients in observation group received the additional treatment combining Jiaweichaiqinchengqi decoction and acupoint application. The clinical effects in two groups were compared. Results The times of blood amylase recovery, gastrointestinal decompression and hospitalization in observation group were significantly shorter than those in control group (P<0. 05). The total rate of treatment effectiveness in observation group 95. 0% (19/20) was significantly higher than that in control group 85. 0% (17/20) (P<0. 05). The differences of incidence of complications and transferring to ICU in observation and control group were not significant(P>0. 05). Conclusion Combining Jiaweichaiqinchengqi decoction and acupoint application could reduce the times of blood amylase recovery, gastrointestinal decompression and hospitalization in patients with AP so as to improve the clinical effectiveness. It was worth promotion.
4.Human umbilical cord-derived mesenchymal stem cells co-cultured with hepatocytes can differentiate into hepatocyte-like cells
Hua LI ; Feng WEN ; Zhongchun QI ; Jinjun ZHOU ; Yajie ZHU ; Peng CHENG ; Dong WEI ; Xiaomei SU ; Yong TAN ; Jingjing PENG ; Qiaoli LUO ; Dong LI ; Tao ZHANG
Chinese Journal of Tissue Engineering Research 2013;(32):5772-5777
BACKGROUND:The studies have shown that the mesenchymal stem cel s derived from bone marrow and umbilical cord can be continuously cultured in vitro, and maintain the characteristics of stem cel s. The mesenchymal stem cel s can differentiate into hepatocyte-like cel s after“cocktail”induction by various cytokines. OBJECTIVE:To further identify whether umbilical cord-derived mesenchymal stem cel s in vitro co-cultured with normal hepatocytes can differentiate into hepatocyte-like cel s, and to investigate the differentiation method. METHODS:Mesenchymal stem cel s were isolated from human umbilical cord with adherent method, and the surface markers of umbilical cord-derived mesenchymal stem cel s were detected with flow cytometry. The umbilical cord-derived mesenchymal stem cel s were co-cultured with liver LO2 cel s without adding exogenous inducers. The expressions of alpha-fetoprotein, albumin and human cytokeratin 19 mRNA of hepatocyte specific markers were detected with reverse transcription PCR at 7, 14 and 21 days after culture, and periodic acid-Schiff staining was used to identify the functions. RESULTS AND CONCLUSION:Mesenchymal stem cel s could isolated from human umbilical cord successful y, showing fibroblastic morphology and adherent cel characterization. Among these cel s, 96.02%cel s were CD29 positive cel s and 96.6%cel s were CD105 positive cel s. The percentage of CD34 negative cel s was 99.65%. The percentage of CD105+CD29+double positive cel s was 94.84%. The mRNA of alpha-fetoprotein was found on the 7th day after co-cultured with LO2 cel s, and the mRNA of albumin and human cytokeratin 19 were found on the 14th day. After co-cultured for 21 days, the alpha-fetoprotein mRNA could not be observed in the co-culture group. The expressions of albumin and human cytokeratin 19 were increased at 14 days. After co-cultured for 21 days, the glycogen staining was positive. Umbilical cord-derived mesenchymal stem cel s can differentiate into hepatocyte-like cel s after co-cultured with normal hepatocytes.
5.Effects of cucurbitacin Ⅱa on apoptosis of humanlung cancer cell lines NCI-H460 and A549 and its mechanism
Yulin CHEN ; Qing XIAN ; Cui XIAO ; Yueling ZHONG ; Xiaomei SU ; Li XU ; Qiaoli LUO ; Peng CHENG ; Tao WANG ; Jin LIU ; Tao ZHANG ; Tai YANG ; Qiang ZOU ; Hua LI
Chinese Pharmacological Bulletin 2017;33(7):922-927
Aim To study the apoptosis effect of cucurbitacin Ⅱa on non-small cell lung cancer cell lines NCI-H460 and A549 and its underlying mechanism.Methods Cell viability was assessed by CCK-8 assay.The apoptosis effect and cell cycle arrest were detected by Flow cytometry.Western blot was employed to detect the related protein.Results The proliferation of lung cancer cell lines NCI-H460 and A549 was inhibited by CuⅡa, which showed cytotoxic activity with IC50 values of 224.9 nmol·L-1 and 108.3 nmol·L-1 against NCI-H460 and A549 respectively.CuⅡa induced the cells apoptosis and cell cycle arrest at G2/M phase.The results of Western blot showed CuⅡa inhibited the phosphorylation of STAT3 and Cofilin in a dose-dependent manner.Further, CuⅡa inhibited the phosphorylation of Aurora A, in line with the important characteristics of anti-tumor effect of Aurora A kinase inhibitor with blocking cells in the G2/M phase.Conclusion CuⅡa has obvious anti-tumor effect against non-small cell lung cancer, which suggests its value as a lead compound for lung cell carcinoma.
6.Construction of Runx1 transgenic mice.
Xiaoju TANG ; Junli LI ; Xiaojing LIU ; Yi LEI ; Qiaoli SU ; Qingbo WU ; Fengming LUO
Journal of Biomedical Engineering 2013;30(3):584-587
This study was aimed to construct transgenic mouse model with target for Runxl gene. Runxl cDNA of mice was amplified by PCR from pcDNA3. 1 Flag Runx1 FL vector and inserted into ptetO7-Asc-IRES-EGFP vector to form a recombinant vector, and then the recombinant vector was injected into fertilized egg by microinjection technology to get a transgenic mouse. The results of PCR and Southern blot indicated that the Runx1 transgenic mouse was constructed successfully, and this could provide an important tool for studying the function of Runxl gene in vivo.
Animals
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Base Sequence
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Core Binding Factor Alpha 2 Subunit
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genetics
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Female
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Genetic Vectors
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genetics
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Male
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Mice
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Mice, Inbred C57BL
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Mice, Transgenic
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genetics
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Microinjections
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Molecular Sequence Data
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Recombination, Genetic
7.Survey on knowledge, attitudes and practice about chronic obstructive pulmonary disease among general practitioners in Sichuan province
Kang AN ; Xin RAO ; Caizheng LI ; Yi SHE ; Shuangqing LI ; Dan LUO ; Feng LIU ; Yuehua MA ; Dan JIA ; Qiaoli SU
Chinese Journal of General Practitioners 2021;20(9):972-977
Objective:To survey the knowledge, attitudes, and practice about chronic obstructive pulmonary disease (COPD) among general practitioners in Sichuan province.Methods:From October to November 2020, a questionnaire survey on knowledge, attitudes and practice (KAP) among 104 general practitioners who participated in the training of the comprehensive prevention and control of COPD organized by Sichuan Provincial Health Commission. The content of the questionnaire included the basic information and the KAP status of COPD. The descriptive analysis, Mann-Whitney U test, and Kruskal-Wallis H were used for statistical analysis. Results:A total of 104 questionnaires were distributed and 102 were returned with a response rate of 98.1%. General practitioners with different ages, professional titles, visits of COPD patients each month, and whether or not to refer COPD patients to higher-level hospitals were not significantly different in the scores of knowledge( U=1 276.00, H=0.78, U=1 074.00, U=589.00), attitude( U=1 141.50, H=1.75, U=1 090.00, U=585.00), and practice( U=1 221.00, H=0.31, U=1 163.00, U=499.50) (all P>0.05). In knowledge part the highest correctness rate was "quitting smoking is the most powerful interventions affecting the natural disease course of COPD" (100.0%, 102/102); the lowest was that"the main objective examination for judging the airflow limitation of COPD patients is the lung function test"(5.9%, 6/102). In the part of the attitude, the highest positive rate was "educating patients to quit smoking and avoid exposure to second-hand smoke" (65.7%,67/102); the lowest positive rate was "provide exercise guidance to patients "(43.1%, 44/102) and " be responsible for long-term treatment follow-up" (43.1%, 44/102). In the part of practice, the highest behavioral rate was "when receiving patients with COPD, actively pay attention to the treatment of comorbid diseases" (95.1%, 97/102); the lowest behavioral rate was "when patients with COPD were seen at the clinic, and the patients were advised of the best time to use the inhaler" (65.7%, 67/102). Conclusions:The study indicates that the relevant departments need to increase the intensity of knowledge training for general practitioners in Sichuan province. General practitioners should continuously improve their education, prevention, and treatment ability and implement the primary responsibilities for COPD management.
8. Imaging features of cerebral small vessel disease in systemic lupus erythematosus patients with impaired renal function and its associated risk factors
Yubing YE ; Song LUO ; Longjiang ZHANG ; Zhen CHENG ; Yan ZHOU ; Gang ZHENG ; Qiaoli XU ; Jiankang ZHANG ; Zongjun ZHANG
Chinese Journal of Radiology 2018;52(8):575-580
Objective:
To investigate the imaging features of cerebral small vessel disease(SVD) in systemic lupus erythematosus(SLE) patients with impaired renal function and their related risk factors.
Methods:
Seventy-six SLE patients and forty age- and sex-matched healthy controls were recruited, and SLE patients were divided into the impaired renal function group [estimated glomerular filtration rate (eGFR) <90 ml/(min·1.73 m2)] (
9.Age and Sex Distribution of Chinese Chronic Cough Patients and Their Relationship With Capsaicin Cough Sensitivity
Kefang LAI ; Li LONG ; Fang YI ; Jiaman TANG ; Zhe CHEN ; Fagui CHEN ; Jianmeng ZHOU ; Wen PENG ; Liting ZHANG ; Hu LI ; Wenzhi ZHAN ; Ruchong CHEN ; Wei LUO ; Qiaoli CHEN ; Kian Fan CHUNG ; Nanshan ZHONG
Allergy, Asthma & Immunology Research 2019;11(6):871-884
PURPOSE: An older female predominance has been reported among chronic cough patients in Western countries, which is considered to be associated with a higher cough sensitivity in females. However, the characteristics of Chinese chronic cough patients remain unclear. This study aimed to explore the age and sex distribution as well as their relationship with cough reflex sensitivity to capsaicin in Chinese chronic cough patients. METHODS: We analyzed the demographic features of 1,882 consecutive chronic cough patients who attended our cough clinic in Guangzhou, China. Cough sensitivity to capsaicin, which was defined as the lowest concentration of capsaicin causing 5 coughs or more (C5), was measured in 539 of the 1,882 patients and 68 healthy volunteers. RESULTS: The mean age of the patients was 43.0 ± 13.7 years and patients aged <50 years accounted for more than two-thirds of the study population. Around 87% of the patients were never-smokers. The proportion of females (51.5%) was almost equal to that of males (48.5%). The pattern of the age and sex distribution was consistently reflected within most common causes of chronic cough, while a female predominance was shown in patients with cough-variant asthma and patients aged ≥50 years. Female patients had higher cough sensitivity to capsaicin than male patients (log C5: 1.58 ± 0.84 vs. 2.04 ± 0.84 μmol/L, P = 0.001), and patients aged ≥50 years had higher cough sensitivity to capsaicin than patients aged <50 years. CONCLUSIONS: In China, patients with chronic cough have a roughly equal sex distribution and a middle-aged predominance, irrespective of a higher cough sensitivity to capsaicin in females and older patients. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02591550
Age Distribution
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Asian Continental Ancestry Group
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Asthma
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Capsaicin
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China
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Cough
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Female
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Healthy Volunteers
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Humans
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Male
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Reflex
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Sex Distribution
10.Effects of different processing method on cytology and inflammatory mediators of induced sputum
Ruchong CHEN ; Chen ZHAN ; Shanglong MO ; Chunli LIU ; Qiaoli CHEN ; Wei LUO
The Journal of Practical Medicine 2017;33(20):3410-3413
Objective To assess the effects of two different methods on differential cell count and the detection on inflammatory mediators in the process of induced sputum. Methods Induced sputum samples from outpatients with respiratory diseases were collected. Each sample was equally divided into two parts. One portion was processed at a regular way by incubation at 37 ℃ for 15 min in 0.1% dithiothreitol (DTT). Another was processed at 0 ℃ for 60 min in 0.1% DTT. The cell pellet was used for the cytology analysis by HE staining. The levels of IL-4,IL-5 and IL-8 were measured by Elisa Kit. Results Induced sputum was successfully collected from 20 subjects with chronic airway diseases ,including 7 males and 13 females . Total cell counts was lower in 0 ℃-incubated group than in 37 ℃-incubated group(P < 0.05). However,there was no difference in differential cell counts between two groups ,as well as the levels of IL-4 ,IL-5 and IL-8 in sputum supernatants(all P >0.05). Conclusions Except a difference in the total cell number ,there was no difference between two methods on the differential cell count and levels of certain inflammatory mediators.