1.Simultaneous Determination of Fructose, Glucose, Sucrose and Maltose in Honey by HPLC-CAD
Biqin TAN ; Yong ZHAO ; Yanming LIU
China Pharmacist 2017;20(7):1316-1318
Objective: To establish an HPLC-CAD method for the simultaneous determination of fructose, glucose, sucrose and maltose in honey.Methods: The samples were separated on an Alltech Prevail carbohydrate ES(250 mm×4.6 mm,5 μm)column using acetonitrile-water (70:30) as the mobile phase at a flow rate of 0.8 ml·min-1, and detected by a charged aerosol detector.
2.Analysis of risk factor and intervention of intracranial hemorrhage in the premature infants
Ming YI ; Fan RAO ; Yanming TAN ; Wei DUAN ; Xiaohong ZHANG
Chongqing Medicine 2014;(23):3002-3004
Objective To explore the risk factors and seek effective intervention of intracranial hemorrhage in the premature in-fants .Methods Clinical data of the premature infants in our hospital from January 2009 to December 2013 was retrospectively ana-lysed and single factor analysis of 20 relevant factors was done for cases with intracerebral haemorrhage and without intracerebral haemorrhage .Logistic regression analysis were done for some influence factors of intracranial hemorrhage .Results 1 726 cases of premature babies were included in the study ,including 264 cases of intracranial hemorrhage .Logistic regression analysis results shown that the neonatal transport network and integrated active transport models are protective factors of intracranial hemorrhage in the premature infant .We found that basic-level hospital transport was an independent risk factor .Between January 2009 and De-cember 2011 ,142 of 714 premature infants were intracranial hemorrhage ,including 88 cases from 348 patients transported from bas-ic-level hospital ,the incidence of intracranial hemorrhage was 25 .29% ,and compared with the incidence of intracranial hemorrhage (14 .75% ) of our hospital ,the difference was statistically significant (P<0 .05) .From January 2012 ,we established perfect neonatal transport network and implementation of comprehensive active transport model .122 of 1 012 premature infants were intracranial hemorrhage ,including 75 cases of 490 patients from basic-level hospitals .The incidence was statistically significant different com-pared with the incidence of intracranial hemorrhage(9 .00% ) transported from our hospital(P<0 .05) .The incidence of intracranial hemorrhage in the premature infants transported from basic-level hospitals were statistically different before and after neonatal transport network and comprehensive active transport model was established (P<0 .01) .Conclusion It will effectively reduce the incidence of intracranial hemorrhage in the premature infant by establishing the perfect regional neonatal three-level network trans-port system and comprehensive active transport models .
3.Clinical Comprehensive Evaluation of Xianyu Capsules in Treatment of Epilepsy with Wind-phlegm Obstruction Syndrome
Chao LEI ; Chang TAN ; Qiang ZHANG ; Xin CUI ; Zhifei WANG ; Yanming XIE
Chinese Journal of Experimental Traditional Medical Formulae 2023;29(3):117-126
ObjectiveTo perform a clinical comprehensive evaluation of Xianyu capsules in the treatment of epilepsy with wind-phlegm obstruction syndrome to provide methodological references for clinical rational medication and post-marketing research on Chinese medicine. MethodBased on evidence-based medicine,clinical epidemiology,clinical medicine,evidence-based pharmacy, and pharmacoeconomics,the clinical comprehensive evaluation was carried out from the "6 + 1" dimensions of safety,effectiveness,economy,innovation,suitability,and accessibility, as well as characteristics of traditional Chinese medicine (TCM) using public data,literature data,pharmaceutical research,questionnaire survey, and other information by qualitative and quantitative evaluation methods in combination. Multi-criteria decision analysis (MCDA) model and CSC software V2.0 were adopted to evaluate the clinical value of Xianyu capsules. The evaluation results of each dimension were divided into four grades, i.e., A,B,C, and D. ResultMultiple sources of safety evidence such as spontaneous reporting system (SRS) monitoring data,literature reports, and clinical studies showed that the main adverse reactions of Xianyu capsules were dizziness,drowsiness, and nausea,and there were no serious adverse reactions. Due to the sufficient evidence and the controllable risk, they were graded B for the safety. Meta-analysis showed that Xianyu capsules combined with conventional western medicine in the treatment of epilepsy were better than conventional western medicine alone in reducing the frequency of seizures (times/month) and improving the total clinical effective rate,and they were graded B for the effectiveness. The results of pharmacoeconomic research showed that Xianyu capsules combined with conventional western medicine (magnesium valproate sustained-release tablets) had cost-effectiveness advantages over magnesium valproate sustained-release tablets alone in the treatment of epilepsy,but the level of incremental effect was not significant. Therefore, they were graded B for economy. Xianyu capsules are the only Chinese patent medicine that can treat epilepsy under the list of phlegm-eliminating and orifices-opening agents with aromatics in the current national medical insurance catalogue. They are designed for the syndrome of wind-phlegm obstruction with clear syndrome type. The company has insisted on inheritance and innovation based on the classic famous prescriptions by virtue of modern science and technology,and obtained a number of patents for invention. Hence, they were graded A for the innovation. The questionnaire results showed that the use of drugs could meet the medication needs of clinical doctors and patients,and the publicity materials such as instructions and labels were accurate and complete without exaggeration and misleading. The information service of drug instructions,labels, and packaging was normative. According to the comprehensive questionnaire and the information service results of Chinese patent medicine,they were graded A for the suitability. Compared with the price of similar drugs,the price of Xianyu capsules is moderate. The cost of treatment accounts for a high proportion of per capita disposable income and is generally affordable. Because of a wide sales scope, sustainable medicinal material resources, and good availability,they were graded B for the accessibility. Xianyu capsules are derived from the combination of the classic prescriptions Qianzhengsan and Tianma Goutengyin, which are designed for the syndrome of wind-phlegm obstruction with rich experience in human use. Hence, they were rated as grade B for TCM characteristics. Based on the evidence evaluation results of "6 + 1" dimensions of Xianyu capsules,the comprehensive evaluation of clinical value was B. ConclusionThe clinical value of Xianyu capsules in the treatment of epilepsy with wind-phlegm obstruction syndrome is high,and the TCM characteristics are prominent. It is suggested to convert into the relevant policy results of basic clinical medication management according to the procedure.