1.Main Problems of Scientific Research Funding Management in Hospitals and Countermeasures Discussions
Chinese Journal of Medical Science Research Management 2014;27(5):494-497
With the country's increasing investment in scientific research,research funding corruption cases frequently occurred to researchers and research funding management have sounded the alarm.In these cases,not only a few scientific elites become prisoners,as well as part of the management people related to scientific research projects,such as finance,purchasing personnel,also get involved for varieties of reasons,for profit.This paper,according to the requirements for scientific research funding management,analyzes the current major problems and the reasons in management process of scientific research funding,to further explore appropriate countermeasures to strengthen and standardize the management of scientific research funding.
2.Study on Protective Effect of Glycyrrhiza uralensis Polysaccharide on CCl4 Induced Acute Liver Injury in Mice and Its Mechanism
China Pharmacy 2016;27(10):1322-1325
OBJECTIVE:To study the protective effect of Glycyrrhiza uralensis polysaccharide (GUP) on CCl4 induced acute liver injury in mice and its mechanism. METHODS:60 ICR mice were randomly divided into normal control group (normal sa-line),model group(normal saline),bifendate group(positive drug,100 mg/kg)and GUP high-dose,medium-dose and low-dose groups (400,200 and 100 mg/kg). They were given relevant medicine intragastrically once a day. 15 d later,acute liver injury model was induced by intraperitoneal injection of CCl4 in those groups except for normal control group,and liver index was deter-mined. The levels of AST and ALT in serum,the NOS,NO,SOD,GSH-Px and MDA levels in liver tissues were detected. RE-SULTS:Compared with normal control group,the liver index,the levels of AST and ALT in serum and NOS,NO and MDA in liver tissue increased in model group,while SOD and GSH-Px levels in liver tissue decreased(P<0.05);liver cells became swell-ing,degeneration and necrosis,showed obvious inflammatory injury. Compared with model group,the liver index of GUP groups decreased,there was statistical significance in GUP high-dose medium-dose groups (P<0.05);the levels of AST and ALT in se-rum and NOS,NO and MDA in liver tissue of mice decreased in GUP groups,while the level of SOD and GSH-Px in liver tissue increased(P<0.05);liver cellular swelling,degeneration and necrosis relieved,and pathological injury had been improved. CON-CLUSIONS:GUP has a certain protective effect on CCl4-induced acute liver injury in mice and its protective effect may be related to antioxidation,decrease of NOS and NO levels,and reduction of the production of free radicals.
3.Statistical Analysis of Papers Published in a Special Hospital from 2004 to 2013
Chinese Journal of Medical Science Research Management 2015;28(1):94-98
Bibliometrical method was used in this article to analyze the publications in a hospital from 2004 to 2013.Results show that the number of publications increased during 8 years,and the quality has been improved consistently.However,the rate of clinician participation in research and the present of core authors were still on the lower side.Besides,the age structure of core authors is steady and lack of growth.Based on this analysis,we summarized the past experience and explored the strategies of research management.
4.Legal characterization and risk prevention on the medical research contract
Chinese Journal of Medical Science Research Management 2013;(1):24-26
Medical research contracts including the state-funded research contracts and enterprises-funded research contract,The application of law and dispute resolution approach depends on the legal nature of two contracts.Therefore,the legal nature of the medical research contracts and contract risk prevention is the focus of this study.
5.Progress of microRNAs involved in type 2 diabetes mellitus
Dongxue ZHANG ; Lulu CHEN ; Yunfei LIAO
Chinese Journal of Endocrinology and Metabolism 2012;(11):944-947
Type 2 diabetes mellitus (T2DM) is one of the most serious public health problems,while the detailed mechanisms underlying its pathology remain obscure.MicroRNAs (miRNAs),which are single-stranded noncoding RNAs,are considered to be involved in various pathological processes,especially in T2DM.MiRNA has become a noval player in insulin resistance,islet dysfunction,and even in the diabetes related complications.
6.Anti-aminoacyl-tRNA synthetase antibody as an important predictor for interstitial lung disease in patients with idiopathic inflammatory myopathies
Fang CHEN ; Xiaoming SHU ; Dongxue WANG ; Yao XIE ; Guochun WANG
Chinese Journal of Rheumatology 2012;16(2):96-101
ObjectiveTo determine the serum level of anti-aminoacyl-tRNA synthetase (ARS)antibody in patients with polymyositis (PM) and dermatomyositis (DM) and to investigate the value of anti-ARS antibody for diagnosing interstitial lung diseases(ILD) in patients with PM/DM compared with anti-Jo-1 antibody.MethodsSerum anti-ARS antibody concentrations were measured by ELISA in 109 adult PM/DM patients,20 patients with SLE,20 patients with RA and 50 healthy controls.T test,Mann-Whitney U test,chi-square test or Fisher exact test were used to compare the sensitivity and specificity for diagnosing ILD in PM/DM patients between anti-ARS antibody and anti-Jo-1 antibody.Moreover,McNemar test was employed to analyze the correlation between the clinical features and anti-MDA5 antibody in PM/DM patients.Results The serum positive rate of anti-ARS antibody was 37.9%,7.8%,10%,0 and 0 in PM/DM patients with ILD and without ILD,patients with SLE and RA and healthy controls,respectively.Serum anti-ARS antibody levels and positive rate in the PM/DM patients with ILD were significantly higher when compared with PM/DM patients without ILD,patients with SLE and RA and healthy controls (X2=-13.5,5.45,10.57,15.17; P<0.01 ).Anti-ARS antibody presented a significantly higher sensitivity for diagnosing ILD in patients with PM/DM compared to anti-Jo-1 antibody (P<0.01).The rate of fever and ILD were significantly higher in anti-ARS positive group than anti-ARS negative group(X2=12.55,13.53; P<0.05),while heliotrope rash and shawl sign occurred more often in anti-ARS negative group(X2=5.7,5.8; P<0.05).Additionally,follow-up study showed that the serum anti-ARS antibody were all negative in nine patients who died of PM/DM with ILD (P<0.05).ConclusionSerum anti-ARS antibody is a stronger predictor for early diagnosis of PM/DM with ILD compared to anti-Jo-1 antibody.The detection of anti-ARS antibody can be widely applied to clinical practice.
7.Anti-MDA5 antibody is associated with acute/subacute interstitial pneumonia and predicts poor prognosis for interstitial lung diseases in patients with dermatomyositis
Fang CHEN ; Dongxue WANG ; Xiaoming SHU ; Nakashima RAN ; Mimori TSUNEYO ; Guochun WANG
Chinese Journal of Rheumatology 2012;16(1):13-18
ObjectiveTo determine the serum MDA5 levels and their clinical associations in patients with polymyositis/dermatomyositis (PM/DM).MethodsSerum anti-MDA5 antibody was detected by ELISA in 119 adult PM/DM patients,30 patients with systemic lupus erythematosus(SLE),30 patients with rheumatoid arthritis (RA),15 patients with primary Sj(O)gren's syndrome (SS),21 patients with pulmonary infection and 50 healthy controls.t-test,Mann-Whitney U test or chi-square test or Fisher exact test as well as Logistic multivariate regression analysis were carried out to compare the results of this study.ResultsSerum antiMDA5 antibody positive rate in DM patients(22.6%) were significantly higher compared with that of patients with PM (0,P<0.01),patients with SLE (3.3%,X2=5.68,P<0.05),RA (3.3%,X2=5.68,P<0.05),pSS (0,P<0.05) and pulmonary infection(0,P<0.05) and healthy controls (0,P<0.01).In the DM subgroup,CADM patients presented a higher positive anti-MDA5 antibody rate than classic DM patients.The incidence of arthritis,fever,vrash raised CEA and CA153 level,and serum concentration of GGT and ferritin were significantly higher in the anti-MDA5 positive DM group than anti-MDA5 negative DM group (X2=4.08,8.06,6.357,32.4,4.867; Z=-2.86,-2.44; P value of all these tests were less than 0.05 ),while the rate of serum positive ANA,serum level of CK and T,NK cell counts in the peripheral blood were much lower than those in anti-MDA5 negative DM group(X2=4.08; Z=-2.072,-2.013,-2.907; all P<0.05).Moreover,the incidence of acute/subacute interstitial pneumonia(A/SIP) was significantly higher in anti-MDA5 positive DM patients than anti-MDA5 negative DM patients.The sensitivity and specificity of anti-MDA5 antibody for diagnosing A/SIP in DM patients were 88.2% and 94% respectively.Additionally,logistic multivariate analysis showed that anti-MDA5 was an independent risk factor for death of interstitial lung diseases (ILD) in DM (OR=8.46,95%CI 1.77~40.36,P<0.01).ConclusionIn Chinese PM/DM patients,serum anti-MDA5 antibody is mainly present in DM patients and is a strong predictor for poor prognosis diagnosis of DM with A/SIP and is an independent risk factor for death of ILD in DM.
8.Relationship between Gab1 expression in placenta and neonatal birth weight in gestational diabetes mellitus
Dongxue WANG ; Shuo ZHANG ; Qingyu WAN ; Wenjia SHAO ; Mingming ZHANG ; Miaomiao CHEN ; Weiwei SONG
Chinese Journal of Perinatal Medicine 2016;19(11):872-877
Objective To evaluate the relationship between placental expression of Gab1 and neonatal birth weight in mothers with gestational diabetes mellitus (GDM).Methods From the singleton and full-term cesarean delivered women in Shengjing Hospital Affiliated to China Medical University between October 2014 and May 2015,30 macrosomia babies with maternal GDM were selected as GDM macrosomia group,30 cases of GDM with normal neonatal birth weight as GDM normal group,30 cases without GDM but with macrosomia as normal macrosomia group,and 30 cases without GDM and with normal neonatal birth weight as the normal control group.Gab1 protein and mRNA expression in placentas were detected using immunohistochemistry,Western blot and real-time quantitative-polymerase chain reaction.Analysis of variance,LSD,Dunnett's T3,Chi-square test and Pearson's correlation analysis were used for statistical analysis.Results (1) Gab 1 protein location and positive expression rate:Gab 1 protein expression in human placenta tissue was located in the nucleus.The positive epression rate of Gab 1 protein in the GDM macrosomia group was higher than in the GDM normal group and normal macrosomia group [93%(28/30),73%(22/30) vs 73%(22/30)] and those in the normal macrosomia group and GDM normal group were higher than in the normal control group[47%(14/30)](x2=4.320,4.320,4.444 and 4.444,all P<0.05).(2) The expression levels of Gabl protein and mRNA:The expression level of Gab1 protein in the GDM macrosomia group was higher than in the GDM normal group and normal macrosomia group (1.43 ± 0.58 vs 1.05 ± 0.67 and 0.95± 0.59),and that in the normal macrosomia group and GDM normal group were higher than in the normal control group (0.64±0.38) (LSD test,all P<0.05).The expression levels of Gab1 mRNA showed the same trend as the expression levels of Gab1 protein in the four groups.(3) Gab 1 protein expression level was positively associated with neonatal birth weight (r=0.320,P=0.320).Conclusions The expression of Gab1 in placenta is involved in the regulation of birth weight in GDM mothers.
9.Expression of mRNA and protein of Klotho gene in placental tissue of macrosomia and its relationship with birth weight of neonates
Wenjia SHAO ; Dongxue WANG ; Qingyu WAN ; Mingming ZHANG ; Miaomiao CHEN ; Weiwei SONG
Chinese Journal of Obstetrics and Gynecology 2016;51(6):420-423
Objective To explore the the expression of Klotho mRNA and protein in placenta of macrosomia and its relationship with the birth weight of neonates. Methods The cases were from November 2014 to March 2015 in Shengjing Hospital of China Medical University, divided into 4 groups:the gestational diabetes with macrosomia group (GM), the gestational diabetes with normal birth weight group (GN), the normal pregnancy with macrosomia group (NM) and the normal pregnancy with normal birth weight group (NN). Klotho mRNA and protein expression in the placenta were detected by immunohistochemistry SP method, real-time fluorescent quantitative PCR and western blot, respectively, and were compared among the 4 groups. Results (1) Immunohistochemical detection showed the positive rate of Klotho protein was significantly higher in the placenta of GM (93%,28/30) than in the GN (73%,22/30;P<0.05). The positive rate was significantly higher in the placenta of NM (97%,29/30) than in the NN (80%,24/30;P<0.05). (2) Real-time fluorescent quantitative PCR showed the Klotho mRNA expression was significantly higher in the placenta of GM (4.3 ± 3.1) than in the GN (2.1 ± 2.4;P<0.05). The Klotho mRNA expression was also significantly higher in the placenta of NM (4.8 ± 3.4) than in the NN (2.6 ± 3.3;P<0.05). (3) Western blot showed the Klotho protein expression was significantly higher in the placenta of GM (1.27±0.90) than in the GN (0.64±0.24;P<0.05). It was also significantly higher in the placenta of NM (2.51±3.52) than in the NN (0.77±0.37;P<0.05). (4) There were no significant differences in the expression of Klotho mRNA and protein between GM and NM, GN and NN (P>0.05). Conclusions The up-regulation of Klotho gene may be associated with macrosomia. The relationship is not affected by the complication of gestational diabetes.
10.Diagnostic utility of immunohistochemical markers SALL4, D2-40 and Glypican-3 in primary testicular germ cell tumors
Chunfang ZHANG ; Dongxue QI ; Congying YANG ; Hongxia WANG ; Honglan ZHANG ; Yi LIU ; Chang ZHANG ; Hao CHEN
Chinese Journal of Clinical and Experimental Pathology 2015;(8):850-854
Purpose To investigate the diagnostic utility of the immunohistochemical markers SALL4, D2-40 and Glypican-3 in prima-ry testicular germ cell tumors (TGCTs). Methods The expression of SALL4, D2-40 and Glypican-3 protein was detected by EnVi-sion immunohistochemical method in 56 cases of primary testicular germ cell tumors, including 5 intratubular germ cell neoplasms ( IT-GCNs) , 10 seminomas, 14 embryonal carcinomas ( ECs) , 14 yolk sac tumors ( YSTs) , 1 choriocarcinoma, 5 immature teratomas and 12 mature teratomas. 10 normal testicular tissues and 5 lymphomas were selected as control. Results All of ITGCNs, seminomas, YSTs and ECs were diffusely strongly positive for SALL4. Focal SALL4 staining was seen in choriocarcinoma, 3 of 5 immature terato-mas and 3 of 12 mature teratomas. All of ITGCNs, seminomas showed diffusely strong D2-40 staining. ECs (4/14) were focally posi-tive for D2-40, while choriocarcinoma, YSTs and teratomas were negative for D2-40. Glypican-3 was diffusely positive in YSTs (13/14), and focally weakly positive in ECs (2/14), respectively. ITGCNs, seminomas, choriocarcinoma and teratoma were negative for Glypican-3. In contrast, 10 normal testicular tissues and 5 lymphomas showed no SALL4, D2-40 and Glypican-3 staining. Conclu-sions SALL4 is a useful diagnostic marker with high sensitivity and specificity for TGCTs. Combination of SALL4, D2-40 and Glypi-can-3 is helpful to the diagnosis and differential diagnosis for TGCTs.