1.Study on the medical services monitoring under the concept of big data
Yan ZHANG ; Lei DUAN ; Liang ZHANG
Chinese Journal of Health Policy 2017;10(7):71-74
Medical service utilization monitoring of county areas residents is one of the important contents of health policy management and research.Traditional service utilization monitoring, such as National Health Services Survey (NHSS), residents healthcare treatment (clinical) data from medical insurance, had problems of high cost, large deviation, slowly updating monitoring indicators, out of time in health management decisions.The data convergence and re-architecture of multi-source data provide a new idea for the monitoring of residents'' service utilization.Different linking data-sources would come true with the tools of Microsoft Access database administration and Excel programming techniques.At the same time, a new database would be accessed with the indices of residents'' annual medical service utilization, preference in medical services, unconscionable service utilization, and lead to the promotion of medical service utilization monitoring research development.
2.Retroperitoneal Laparoscopy Deroofing for Parapelvic Cyst:Report of 16 Cases
Tong ZHANG ; Jingguo YANG ; Lei LIANG
Chinese Journal of Minimally Invasive Surgery 2005;0(08):-
Objective To explore the efficacy of retroperitoneal laparoscopy in the treatment of parapelvic cyst.Methods From August 2005 to December 2008,16 cases of parapelvic cyst were treated by retroperitoneal laparoscopic deroofing and decompressing in our hospital.Under general anaesthesia,an operational space was established via retroperitoneal route.And then,along the urethra,the parapelvic cyst was explored.Afterwards,the cyst was unroofed 3 to 5 mm from the normal renal tissues.Results The operation was completed in 15 of the patients with a mean operation time of(75?20) minutes and mean blood loss of(28?8) ml.No injuries to the kidney pedicle or pelvis occurred.Another patient was converted to open surgery because of difficulty in exposure of the cyst.This series were followed up for a mean of 13 months(range,6 to 20 months).No one had recurrence during the period.Conclusions Retroperitoneal laparoscopic deroofing is minimally invasive,safe and effective or parapelvic cyst.It should be the first choice for the disease.
3.Effect of rosuvastatin on TLR4 signal pathway in rats with cardiac hypertrophy induced by pressure overload
Fangfang FAN ; Lei ZHANG ; Jiangjiu LIANG
Chinese Pharmacological Bulletin 2016;32(7):970-974
Aim To study the influence of rosuvastatin on toll-like receptor 4 ( TLR4 ) , and its downstream nu-clear transcription factor NF-kappa B p65, IκBα, in-flammation factors TNF alpha in rats with myocardial hypertrophy induced by pressure overload .Methods Myocardial hypertrophy was induced by abdominal aor-tic constriction ( AAC ) .Male Wistar rats were divided into 3 groups(n=10):① sham-operated rats(S);②AAC rats(M);③AAC+rosuvastatin(10 mg· kg -1· d-1 ) rats.From 1 week pre-opertion to 4 weeks post-operation, three groups were performed by gavage ad-ministration with equal volume of rosuvastatin and vehi-cle.The rats underwent cardiac color Doppler exami-nation.The level of ANP,TLR4, NF-κB p65,IκBα, TNF-αmRNA and protein expression in myocardium were detected by real-time PCR, Western blot, immu-nohistochemical and ELISA respectively .Results The sizes of heart and cardiomyocytes and the expression of ANP mRNA and TLR4 signaling molecules were signif-icantly increased in group M , which could be blocked by rosuvastatin .TLR4 protein was positively related to ANP, NF-κB p65 and TNF-αrespectively .Conclusion Rosuvastatin prevents cardiac hypertrophy induced by pressure overload , which is associated with its inhi-bition of TLR4, NF-κB and TNF-αin myocardium ex-pression .
4.Monitoring anti-metastasis effect of vinorelbine-encapsulated micelles on breast cancer by bioluminescence imaging
Fayun ZHANG ; Lei QIN ; Wei LIANG
Chinese Journal of Clinical Oncology 2014;(1):13-17
Objective:Breast cancer metastasis is a major cause of death. Lymphatic metastasis is one of the two main metastatic ways that is crucial to the metastasis process of breast cancer. To treat breast cancer metastasis, we prepared micelle-based drug carrier for lymphatic delivery. Methods:We used in vivo bioluminescence imaging for real-time dynamic monitoring of the inhibitory effect of polyethylene glycol phospholipid micelle encapsulating vinorelbine on breast cancer metastasis. Results: Compared with the free vinorelbine, vinorelbine-encapsulated micelles (NanoVin) showed a significantly enhanced anti-tumor activity both in primary and met-astatic tumors. Conclusion:Intravenous administration of NanoVin markedly prevented the metastasis of tumor cells through both he-matogenous and lymphatic systems. This study provides a new approach for treatment of metastatic tumors. Bioluminescence imaging is a powerful tool to dynamically monitor tumor metastasis and clinical therapeutic effect of anticancer drugs.
5.Predictors of Drive for Thinness in Female College Students in Beijing
Lin LEI ; Jianping WANG ; Liang ZHANG
Chinese Mental Health Journal 1989;0(03):-
Objective: To explore the predictors of drive for thinness in female college students in Beijing. Methods: 499 female students were investigated with Drive For Thinness of EDI, Body-Esteem Scale for Adolescents and Adults and BMI-based Silhouette Matching Test (BMI-SMT). Results: The deviation of perception, the deviation of expectation of one's own body and body-esteem were found to be predictors of drive for thinness. For someone with normal weight, the deviation of perception, the deviation of expectation of one's own body were significantly larger than someone slightly underweight and very underweight, the body-esteem were significantly lower and their drive for thinness were significantly greater. Conclusion: The distorting perception, the unreasonable expectation of one's own body and low body-esteem are important predictors of drive for thinness, which will then cause eating disorder in female college students.
6.Roles of lipid droplets in hepatitis C virus life cycle.
Xiao-Jie YANG ; Lei-Liang ZHANG
Chinese Journal of Virology 2014;30(1):91-97
Lipid droplets are the main storage organelles for intracellular neutral lipids. Many recent studies have found that lipid droplets are closely related to hepatitis C virus (HCV). Lipid droplets play important roles in the multiple processes of HCV life cycle, such as infection, replication, assembly, and secretion. In this review, we summarize the recent research progress in the roles of lipid droplets in HCV life cycle.
Animals
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Hepacivirus
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metabolism
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physiology
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Host-Pathogen Interactions
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Humans
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Lipid Metabolism
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Organelles
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virology
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Viral Proteins
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metabolism
7.The clinical features and identification of autonomic nervous mediated syncope and pseudo psychogenic syncope in children
Lei ZHANG ; Zhangyong LI ; Min LIANG ; Qiuyue LIANG ; Xiaoyan LIU
Journal of Clinical Pediatrics 2016;34(10):755-760
Objectives To analyze and compare the clinical features of autonomic nervous mediated syncope (NMS) and pseudo psychogenic syncope (PPS) in children.Methods Clinical features were retrospectively analyzed in children with syncope complaint not caused by cardiac syncope, situation of syncope, drug-induced syncope, and neurogenic and metabolic diseases that caused brief loss of consciousness, and the clinical features of similarities and differences between NMS and PPS were compared. Results In 106 children with syncope were included, there were 85 cases (80.2%) of NMS, 13 cases (12.3%) of PPS, and 8 cases (7.5%) of unexplained syncope. PPS was induced by recent mental stimulation; the syncope was more frequent; the score of orthostatic intolerance was higher; the omen was rare; the duration of attack was longer. NMS was induced by long time standing, movement and body position change; the omen was mainly dizziness, blurred vision and gastrointestinal symptoms; the duration of attack was short (<5 min).Conclusions NMS is the most common cause of syncope in children, while PPS is an important cause of transient consciousness of non-syncope. There are similarities in clinical features between NMA and PPA and differential diagnosis is needed.
8.Preparation and identification of anti-HIV-1 gp120 monoclonal antibody
Yongchen ZHANG ; Jian WEN ; Liang ZHANG ; Lei ZHAO
Chinese Journal of Biochemical Pharmaceutics 2010;31(1):26-28,31
Purpose To Prepare anti- HIV-1 gp120 monoclonal antibodies and to identify the specificity of antibodies in order to provide technique for preparing HIV remedial antibodies. Methods The gene fragment of HIV-1 gp120 was connected to PEGX-4T-2 prokaryotic expressing vector. The vector was cut by enzyme. GST-HIV protein was expressed by E. coli XL1-blue. The BALB/c mice were immunized with purified GST-HIV antigen, and then the fusion of mice spleen cell and myeloma cell SP2/0 was executed as the routine cell-fusion technique. Positive cells were screened by Indirect ELISA. Immuno-blotting assay and Western blot identified the specificity of antibodies. Results External gene section from the recombinant plasmid by sequencing showed the same size of HIV-1 gp120 gene sequences. An external expressed protein band of 32 KD was obtained after purified protein SDS-PAGE electrophoresis. It indicated that six strains of hybridoma cells secreting special monoclone antibodies had been obtained. ELISA results showed that six strains monoclonal antibodies only reacted to HIV-1 gp120 antigen. Western blot results showed that a band with molecular weight 32 kDa was obtained, which could interact with HIV-1 gp120 monoclonal antibody. Conclusion Six strains of hybridoma cells secreting special monoclone antibodies had been obtained. The prepared monoclonal antibodies have established a basis for HIV remedial antibody.
9.The Role of Metallothioneins (MTs) in the Occurrence and Development of Hepatocellular Carcinoma and Mechanism Behind the Prevention and Treatment of Traditional Chinese Medicine
Zhaoqin FANG ; Chao LIANG ; Wenli LU ; Yuanyuan ZHANG ; Lei PENG
World Science and Technology-Modernization of Traditional Chinese Medicine 2016;18(12):2049-2055
It is a brief review of our research on the role of metallothioneins (MTs) in the occurrence and development of hepatocellular carcinoma (Hcc) in more than a decade,and the mechanism of prevention and treatment for Hcc in the field of TCM.It was found that MTs were required for the malignant proliferation of Hcc cells and their expressions significantly increased under different levels of stress.MTs may exert their effects on promoting proliferation via increasing ribosomal protein gene or other gene expressions.The over-expressions of MTs directly altered the balance of ions in the cell nucleus,and interacted on the genes promoting malignant proliferation.Hepatotoxicity and hepatic damage caused by DEN were reduced and relieved to different extents by the representative formula or constitute,which under the common therapeutic principle,by which MTs expressions were down-regulated as well.In conclusion,both effects above are important in the liver protection,inhibition of hyperplasia and carcinogenesis.
10.Evidence-based Review of the Pharmacoeconomic Evaluation Technical Essentials of Chinese Material Medica in Treating Pelvic Inflammatory Disease Sequela (Chronic Pelvic Inflammation)
Wentao ZHU ; Lei LI ; Xiaoxiao ZHANG ; Xiaoya LIU ; Minhong LIANG
World Science and Technology-Modernization of Traditional Chinese Medicine 2013;(3):461-465
Pelvic inflammatory disease sequela (chronic pelvic inflammation) is one of the diseases that affect women's health conditions, and leads to large economic burden. Chinese Material Medica (CMM) plays an impor-tant role in treating pelvic inflammatory disease sequela (chronic pelvic inflammatory). However, due to the lack of Evidence-based Pharmacoeconomic Evaluation Technical Essentials of CMM in Treatment of Pelvic Inflamma-tory Disease Sequela (Chronic Pelvic Inflammatory), non-standard phenomenon often appears in the research liter-ature, such as the selection of research methods, viewpoint of research, determination of cost, effect and utility. Thus, the publish of Evidence-based Pharmacoeconomic Evaluation Technical Essentials of CMM in Treatment of Pelvic Inflammatory Disease Sequela (Chronic Pelvic Inflammatory) is essential for the pharmacoeconomic evalua-tion of CMM in treating pelvic inflammatory disease sequela (chronic pelvic inflammatory).