1.Effect of performance of pneumatic logistics transmission system on quality of laboratory medicine
Hailong WANG ; Jing WU ; Xiaoya ZHENG ; Yaping WANG ; Lili CHEN ; Zhenbao SONG ; Xun CHEN
International Journal of Laboratory Medicine 2025;46(12):1498-1502
Objective To evaluate the effect of pneumatic logistics transport system(PTS)on the trans-portation efficiency of the transferred samples and the accuracy of the results.Methods The transportation speed,temperature and humidity change of PTS were analyzed by temperature and humidity transmitter.Anti-coagulant samples containing disodium ethylenediaminetetraacetate(EDTA-K2),sodium citrate,lithium hepa-rin and samples containing inert separation gel coagulant were selected.and used respectively for complete blood cell analysis,prothrombin time(PT),activated partial prothrombin time(APTT),troponin T(TnT)and other myocardial markers,as well as the detection of items such as glucose(Glu)and lactate dehydrogen-ase(LDH).According to the transfer mode,they were divided into the manual transfer group and the PTS transfer group,and according to the number of PTS transfers,they were divided into the one-time transfer group,the three-time transfer group and before transfer(control).The differences among each group were statistically analyzed,and 1/3 allowable total error(1/3TEa)was adopted as the criterion for determining the clinical application value.Results There was no statistically significant difference in the changes of tempera-ture and humidity during the transportation process of PTS compared with manual transportation(P>0.05),but it was significantly faster than manual transportation in terms of transportation time(P<0.05).Com-pared with before transfer,the differences between the PT,APTT,Glu and LDH items in the one-time trans-fer group and the three-time transfer group were statistically significant(P<0.01),and their deviations were all much greater than 1/3TEa.However,in the plasma samples,compared with before transport,there were statistically significant differences in Glu and LDH between the one-time transfer group and the three-time transfer group(P<0.05),but the deviations were all less than 1/3TEa.For the items of TnT,red blood cell count and hematocrit,compared with before transfer,there were statistically significant differences between some groups of the one-time transfer group and the three-time transfer group(P<0.05),but the deviations were all less than 1/3TEa.Conclusion PTS can significantly improve the transportation efficiency of sam-ples,but it significantly affects the detection of Glu and LDH in plasma samples,which can be improved by u-sing serum sample transportation instead.In addition,PTS also affects the detection of PT and APTT,and it is not recommended to use PTS to transport coagulation specimen.
2.Establishment of a method for detecting the potency of recombinant human coagulation factor Ⅶa for injection
Rong WU ; Liping WANG ; Jinye LANG ; Yue ZHU ; Jing ZHOU ; Xun LIU ; Jing NI ; Shunbo ZHOU ; Yaling DING
Chinese Journal of Blood Transfusion 2025;38(3):415-420
[Objective] To establish a method for detecting the potency of recombinant human coagulation factor Ⅶa for injection. [Methods] By adding the sample and factor Ⅶ deficient plasma to the sample cup and activating the reaction with prothrombin time assay reagent (PT reagent), the coagulation time of the sample was determined by the change in magnetic bead swing amplitude in the sample cup. The logarithm of coagulation time was inversely proportional to the logarithm of human factor Ⅶa potency. [Results] Under the experimental conditions, the specificity of the methodology was evaluated through spiked recovery, and the recovery rates ranged from 90.0% to 110.0%. Within the range from 0.125 to 1.000 IU/mL, there was a good linear response between the potency and coagulation time of the standard and sample, with correlation coefficients r>0.99. As for the accuracy and repeatability, the recovery rates of various concentrations detected in the stock solution were 101.0%, 100.0% and 112.0%, respectively, with RSD values of 2.6%, 4.0% and 0.0%, respectively. The recovery rates of various concentrations in finished product testing were 104.0%, 94.7% and 112.0%, respectively, with RSD values of 1.9%, 2.4% and 0.0%, respectively. As for the intermediate precision, the RSD were 4.5% and 3.7%, respectively. After treated with sample diluent, the sample was tested at room temperature for 6 hours and still exhibited relatively stable biological activity. [Conclusion] This detection method is accurate, stable, easy to operate and highly automated, and is suitable for detecting the potency of recombinant human coagulation factor Ⅶa for Injection.
3.Characteristics of systemic immune microenvironment of DSS-induced acute ulcerative colitis in mice revealed by Mass cytometry
Zongjing LYU ; Jing XUN ; Xiaolin JIANG ; Bin LIU ; Zehan LIU ; Xueliang WU ; Aimin ZHANG ; Yu WU ; Xiangyang YU ; Ximo WANG ; Qi ZHANG
Chinese Journal of Immunology 2025;41(9):2145-2152,中插1
Objective:To explore the characteristics of systemic immune microenvironment during the progression of dextran sulfate sodium(DSS)-induced acute ulcerative colitis(UC)induced in mice by Mass cytometry(CyTOF).Methods:Male C57BL/6 mice were randomly divided into control group and model group.The control group was given normal drinking water for 15 d.The mouse in the model group were given 5%DSS in drinking water,which was changed to normal drinking water after 7 days.In the model group,peripheral blood was collected on days 4,9 and 15,respectively.CyTOF was used to detect the expressions of 33 immune cell markers and changes in cell subsets in peripheral blood of mice,and the characteristics of systemic immune microenvironment in mice with acute UC were analyzed.Results:The cluster analysis of 33 kinds of immune cell markers showed that CD45+cells in peripheral blood of mice with DSS induced acute UC were divided into 23 fine subgroups,among which the proportions of B cell subgroup,T cell subgroup and neutrophil subgroup showed significant changes.A further dimensional reduction cluster analysis of T cell subsets found significant differences in the composition and proportion of the 10 identified T cell subsets.Conclusion:The systemic immune micro-environment map of mice with acute UC induced by DSS has been successfully constructed,and heterogeneity has been found in the systemic immune microenvironment of mice with acute UC.The changes and activation degree of T cell subpopulations are closely re-lated to disease progression and inflammation level.The results of this study provide theoretical basis for assisting the diagnosis,moni-toring the risk,progression,treatment and prognosis of acute UC.
4.Application of multi-omics and artificial intelligence in the prediction and diagnosis of liver metastases in colorectal cancer
Likun WANG ; Qi HAO ; Weihan JIN ; Shizheng DONG ; Xueliang WU ; Xiaofeng HU ; Liang WU ; Jing XUN ; Hongqing MA
The Journal of Practical Medicine 2025;41(7):1070-1078
Colorectal cancer stands as a leading cause of cancer-related morbidity and mortality globally,with liver metastases being a significant determinant of patient prognosis.Conventional diagnostic methods,includ-ing imaging studies and biomarker testing,frequently exhibit inadequate sensitivity and specificity,underscoring the necessity for more advanced technologies.Recent advancements in genomics,transcriptomics,proteomics,me-tabolomics,and epigenomics have revolutionized our understanding of the biological mechanisms driving colorectal cancer.These methodologies enable comprehensive analyses of genetic mutations,gene expression profiles,protein modifications,and metabolic reprogramming,all of which are pivotal to the metastatic process.This article high-lights the advanced capabilities of artificial intelligence(AI)technologies in processing complex multi-omics data,thereby enhancing diagnostic accuracy and supporting personalized treatment strategies.It also addresses the challenges AI encounters in multi-omics analyses,such as ensuring data quality,improving model interpretability,and facilitating clinical translation.Additionally,it explores the potential integration of emerging technologies like single-cell sequencing and spatial omics into large-scale,multicenter studies to further enhance the clinical utility of these tools.
5.Current status and influencing factors of kinesiophobia in pregnant women with pregnancy-related low back pain
Yu CAO ; Yanfang GU ; Wei ZHANG ; Jing XUN ; Lanjun WU
Chinese Journal of Modern Nursing 2025;31(5):664-669
Objective:To explore the current status of kinesiophobia in pregnant women with pregnancy-related low back pain (PLBP) and its influencing factors, so as to inform the clinical development of intervention programs.Methods:Convenience sampling was used to select 270 pregnant women with PLBP who underwent routine obstetric examination from August to November 2023 at the Obstetrics Clinic of Affiliated Obstetrics and Gynecology Hospital of Jiangnan University. Pregnant women were surveyed using the General Information Questionnaire, Tampa Scale for Kinesio-Phobia, Falls Efficacy Scale-International, Pregnancy Exercise Self-efficacy Scale, and Low Back Pain Knowledge Questionnaire. Multiple linear regression was used to explore the factors influencing kinesiophobia in pregnant women with PLBP.Results:In 270 pregnant women with PLBP, the kinesiophobia score was (47.78±8.80) and the prevalence of kinesiophobia was 89.3% (241/270). Multiple linear regression analysis showed that lower extremity edema, pain, fear of falling, exercise self-efficacy, and knowledge of low back pain were the factors influencing kinesiophobia in pregnant women with PLBP ( P<0.05) . Conclusions:Pregnant women have a high level of kinesiophobia, and there are many influencing factors. Healthcare professionals should consider a variety of factors to develop an intervention program to reduce kinesiophobia and increase activity levels in pregnant women with PLBP.
6.Perioperative management strategies for hiatal hernia in patients 70 years old or above
Yu WU ; Yu WANG ; Jing XUN ; Lin LANG ; Zhongjie LIU
Chinese Journal of General Surgery 2025;40(11):846-849
Objective:To explore perioperative management strategies for hiatal hernia in patients 70 years old or above.Methods:The perioperative clinical data of 102 patients (≥70 years) undergoing minimally invasive hiatal hernia repair from January 2019 to December 2024 was retrospectively analyzed.Results:The elderly group age ranged from 70 to 95 years,including 32 males and 70 females with disease duration of 0.67-51 years (mean 10.1 years), showing 68.63% comorbidity incidence (70 cases). Postoperative complication rates were 22.55%, with no severe complications occurring within one month after surgery.Conclusions:Hiatal hernia patients 70 years old or above exhibit longer disease histories, higher comorbidity rates, and increased postoperative complications. Comprehensive preoperative assessment, precise minimally invasive intraoperative techniques, and enhanced perioperative management ensure safe anesthesia and surgical implementation, improve surgical safety, and facilitate patient recovery.
7.Application of multi-omics and artificial intelligence in the prediction and diagnosis of liver metastases in colorectal cancer
Likun WANG ; Qi HAO ; Weihan JIN ; Shizheng DONG ; Xueliang WU ; Xiaofeng HU ; Liang WU ; Jing XUN ; Hongqing MA
The Journal of Practical Medicine 2025;41(7):1070-1078
Colorectal cancer stands as a leading cause of cancer-related morbidity and mortality globally,with liver metastases being a significant determinant of patient prognosis.Conventional diagnostic methods,includ-ing imaging studies and biomarker testing,frequently exhibit inadequate sensitivity and specificity,underscoring the necessity for more advanced technologies.Recent advancements in genomics,transcriptomics,proteomics,me-tabolomics,and epigenomics have revolutionized our understanding of the biological mechanisms driving colorectal cancer.These methodologies enable comprehensive analyses of genetic mutations,gene expression profiles,protein modifications,and metabolic reprogramming,all of which are pivotal to the metastatic process.This article high-lights the advanced capabilities of artificial intelligence(AI)technologies in processing complex multi-omics data,thereby enhancing diagnostic accuracy and supporting personalized treatment strategies.It also addresses the challenges AI encounters in multi-omics analyses,such as ensuring data quality,improving model interpretability,and facilitating clinical translation.Additionally,it explores the potential integration of emerging technologies like single-cell sequencing and spatial omics into large-scale,multicenter studies to further enhance the clinical utility of these tools.
8.Characteristics of systemic immune microenvironment of DSS-induced acute ulcerative colitis in mice revealed by Mass cytometry
Zongjing LYU ; Jing XUN ; Xiaolin JIANG ; Bin LIU ; Zehan LIU ; Xueliang WU ; Aimin ZHANG ; Yu WU ; Xiangyang YU ; Ximo WANG ; Qi ZHANG
Chinese Journal of Immunology 2025;41(9):2145-2152,中插1
Objective:To explore the characteristics of systemic immune microenvironment during the progression of dextran sulfate sodium(DSS)-induced acute ulcerative colitis(UC)induced in mice by Mass cytometry(CyTOF).Methods:Male C57BL/6 mice were randomly divided into control group and model group.The control group was given normal drinking water for 15 d.The mouse in the model group were given 5%DSS in drinking water,which was changed to normal drinking water after 7 days.In the model group,peripheral blood was collected on days 4,9 and 15,respectively.CyTOF was used to detect the expressions of 33 immune cell markers and changes in cell subsets in peripheral blood of mice,and the characteristics of systemic immune microenvironment in mice with acute UC were analyzed.Results:The cluster analysis of 33 kinds of immune cell markers showed that CD45+cells in peripheral blood of mice with DSS induced acute UC were divided into 23 fine subgroups,among which the proportions of B cell subgroup,T cell subgroup and neutrophil subgroup showed significant changes.A further dimensional reduction cluster analysis of T cell subsets found significant differences in the composition and proportion of the 10 identified T cell subsets.Conclusion:The systemic immune micro-environment map of mice with acute UC induced by DSS has been successfully constructed,and heterogeneity has been found in the systemic immune microenvironment of mice with acute UC.The changes and activation degree of T cell subpopulations are closely re-lated to disease progression and inflammation level.The results of this study provide theoretical basis for assisting the diagnosis,moni-toring the risk,progression,treatment and prognosis of acute UC.
9.Current status and influencing factors of kinesiophobia in pregnant women with pregnancy-related low back pain
Yu CAO ; Yanfang GU ; Wei ZHANG ; Jing XUN ; Lanjun WU
Chinese Journal of Modern Nursing 2025;31(5):664-669
Objective:To explore the current status of kinesiophobia in pregnant women with pregnancy-related low back pain (PLBP) and its influencing factors, so as to inform the clinical development of intervention programs.Methods:Convenience sampling was used to select 270 pregnant women with PLBP who underwent routine obstetric examination from August to November 2023 at the Obstetrics Clinic of Affiliated Obstetrics and Gynecology Hospital of Jiangnan University. Pregnant women were surveyed using the General Information Questionnaire, Tampa Scale for Kinesio-Phobia, Falls Efficacy Scale-International, Pregnancy Exercise Self-efficacy Scale, and Low Back Pain Knowledge Questionnaire. Multiple linear regression was used to explore the factors influencing kinesiophobia in pregnant women with PLBP.Results:In 270 pregnant women with PLBP, the kinesiophobia score was (47.78±8.80) and the prevalence of kinesiophobia was 89.3% (241/270). Multiple linear regression analysis showed that lower extremity edema, pain, fear of falling, exercise self-efficacy, and knowledge of low back pain were the factors influencing kinesiophobia in pregnant women with PLBP ( P<0.05) . Conclusions:Pregnant women have a high level of kinesiophobia, and there are many influencing factors. Healthcare professionals should consider a variety of factors to develop an intervention program to reduce kinesiophobia and increase activity levels in pregnant women with PLBP.
10.Perioperative management strategies for hiatal hernia in patients 70 years old or above
Yu WU ; Yu WANG ; Jing XUN ; Lin LANG ; Zhongjie LIU
Chinese Journal of General Surgery 2025;40(11):846-849
Objective:To explore perioperative management strategies for hiatal hernia in patients 70 years old or above.Methods:The perioperative clinical data of 102 patients (≥70 years) undergoing minimally invasive hiatal hernia repair from January 2019 to December 2024 was retrospectively analyzed.Results:The elderly group age ranged from 70 to 95 years,including 32 males and 70 females with disease duration of 0.67-51 years (mean 10.1 years), showing 68.63% comorbidity incidence (70 cases). Postoperative complication rates were 22.55%, with no severe complications occurring within one month after surgery.Conclusions:Hiatal hernia patients 70 years old or above exhibit longer disease histories, higher comorbidity rates, and increased postoperative complications. Comprehensive preoperative assessment, precise minimally invasive intraoperative techniques, and enhanced perioperative management ensure safe anesthesia and surgical implementation, improve surgical safety, and facilitate patient recovery.

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