1.Preparation of sustained-release dropping pills of total glucosides in Radix Paeoniae Alba
Ning LI ; Zhaojia FENG ; Xiujin YE ; Chongkai GAO
Chinese Traditional and Herbal Drugs 1994;0(09):-
Objective To optimize the formulation in preparation of dropping pills with total glucosides in Radix Paeoniae Alba and evaluate its accumulative release percentage in vitro.Methods With the hardness,roundness,and adhesion as the evaluation,orthogonal design was conducted.With dissolution rate of 12 h as the indices,according to the uniform design,the optimum coating formulation of Eudragit RL and RS was established.Results The dropping pills met the criterion of formulation,and the preparation release met the characteristics of the sustained release of the first order kinetics.Conclusion The optimal formulation is simple,which provides the basis for further development of new preparations of total glucosides in Radix Paeoniae Alba.
2.Effectiveness of influenza vaccination for school-age children in preventing school absenteeism in Shenzhen: an empirical study
Daqin CHEN ; Yawen JIANG ; Fang HUANG ; Xiaoliang WU ; Zhaojia YE ; Yu WU ; Ziyan LU ; Jie TAN ; Tiejian FENG ; Xu XIE
Chinese Journal of Epidemiology 2021;42(10):1900-1906
Objective:To assess the impact of vaccination at school and influenza vaccination rates among school-age children on school absenteeism in Shenzhen.Methods:The study subjects were primary school students in Shenzhen. School absenteeism panel database from December 2017 to June 2020 of 286 primary schools in Shenzhen was merged with vaccination rates and organizational patterns ( i.e., vaccination at school vs. non-school) data of 9 districts in Shenzhen after influenza vaccination for children. The outcome was the number of school absenteeism. The treatment and control groups were distinguished by organizational patterns and district vaccination rates. Difference-in-Difference (DiD) Poisson regressions were used to analyze the effectiveness of vaccination at school and higher vaccination rates. Besides, a robustness test was performed on the regression results. Results:Poisson regression analysis and robustness test of regression results showed that vaccination at school and higher vaccination rates effectively reduced the risk of school absenteeism, with effectiveness against absenteeism of 32.6% (95% CI: 17.0%-45.3%, P<0.01) and 53.0% (95% CI: 42.1%-61.8%, P<0.01), respectively. Conclusion:A free influenza vaccination program for school-age children in Shenzhen and prioritizing school-based vaccination may be an effective measure to reduce the risk of school absenteeism.
3.Based on a Markov model, cost-effectiveness analysis of influenza vaccination among people aged 60 years and older in Shenzhen
Xiaoliang WU ; Zhaojia YE ; Xu XIE ; Fang HUANG ; Dongfeng KONG ; Tiejian FENG ; Shunxiang ZHANG ; Yawen JIANG
Chinese Journal of Epidemiology 2022;43(7):1140-1146
Objective:To assess the cost-effectiveness of influenza vaccination among people aged 60 years and older in Shenzhen.Methods:A Markov state transition model was constructed to evaluate the cost-effectiveness of annual influenza vaccination for preventing influenza infection compared with no vaccination among the elderly from the social perspective. Allowing seasonal variation of influenza activity, the model followed a five-year cohort using weekly cycles. We employed once the Chinese gross domestic product (GDP) per capita in 2019 (70 892 yuan) as the willingness-to-pay (WTP) threshold and calculated the net monetary benefit (NMB) with costs and quality-adjusted life-years (QALYs) discounted at 5% annually. The impact of parameter uncertainty on the results was examined using one-way and probabilistic sensitivity analyses (PSA).Results:The base case amounted to approximately 35 yuan of cost-saving and a net gain of 0.007 QALYs. Correspondingly, the NMB was 529 yuan per vaccinated person. One-way sensitivity analyses showed that the NMB was relatively sensitive to changes in the attack rate of influenza and vaccine effectiveness. Based on the results of PSA with 1 000 Monte Carlo simulations, influenza vaccination had a probability of being cost-effective in 100% of the repetitions.Conclusions:The present study provides evidence that influenza vaccination is a cost-saving disease prevention strategy for people aged 60 years and older in Shenzhen.