1.Enlightenments and reflections of cancer case management abroad to domestic
Xianghua XU ; Ying WANG ; Hong CHEN ; Meijun OU ; Yongyi CHEN
Chinese Journal of Practical Nursing 2017;33(1):68-72
Case management is a flexible, systematic, holistic new care model which can integrate the episodic therapy of cancer patients. Case management applied the process of assess, plan, implementation, evaluation and feedback to the process of case management, conduct the path management from diagnosis to follow-up. This paper introduces the job descriptions and competence of case managers, the development of cancer case management domestic and overseas; so as to offer reference for the domestic implementation of cancer case management. Consequently realize the comprehensive rehabilitation of physical, psychological, social and spiritual function for cancer patients.
2.The research status and prospects of microRNA-glial regulatory network in radiation-induced brain injury
Mingqian OU ; Furong SUN ; Weihao FAN ; Lili CUI ; Minhua LI ; Meijun LIN ; Yangsheng YU ; Shiyun LIANG ; Haihong ZHOU
Chinese Journal of Radiological Medicine and Protection 2020;40(7):564-569
Radiation-induced brain injury (RBI) is the most serious complication of head and neck tumor after radiotherapy. The pathogenesis of RBI is complicated, and the clinical course is irreversible, while no effective treatment available. The activation of glial cells is one of the main theories of RBI, and the prevention and treatment of RBI by targeting glial cells is the focus of current research. As a post-transcriptional regulatory factor, microRNA (miRNA) has been confirmed to be involved in regulatingglial cell radiosensitivity, inflammation type transformation, autophagy, exosomatic, long non-coding RNA (lncRNA), circular RNA (circRNA) and other related pathways, thereby mediating the occurrence and development of cascade reaction of inflammatory injury and neurological function repair of central nervous system (CNS) disease. Therefore, the establishment of miRNA - glial regulatory network may provide a new strategy for the prevention and treatment of RBI.
3.Impact of sitagliptin on aspirin resistance in patients with Type 2 diabetes mellitus.
Yanhua LI ; Lezhi LI ; Meijun OU ; Xuefeng XU ; Ming LI ; Chenyang CHEN
Journal of Central South University(Medical Sciences) 2015;40(11):1186-1191
OBJECTIVE:
To explore the impact of sitagliptin on aspirin resistance (AR) in patients with Type 2 diabetes mellitus (T2DM).
METHODS:
A total of 68 cases of AR were chosen from 136 cases of T2DM patients. The clinical data, including blood samples, fasting plasma glucose (FPG), glycosylated hemoglobin (HbAlc), and high sensitive C reactive protein (hs-CRP) were collected. Aenosine diphosphate (ADP) and arachidonic acid (AA) -induced platelet aggregation rate (PAG) were detected in 1, 3, 6 and 12 months after the treatment to evaluate the impact of sitagliptin on AR.
RESULTS:
After 6 months of hypoglycemic treatment, FPG and HbAlc in two groups were at the normal level. The hypoglycemic effect was not obviously different (P>0.05), but the hsCRP and ADP or AA-induced PAG were decreased in the sitagliptin group with statistical significance when compared with the metformin group (P<0.05).
CONCLUSION
Sitagliptin can significantly improve the oxidative stress inflammatory state in T2DM patients and AR, which is independent on blood glucose control.
Aspirin
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pharmacology
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Blood Glucose
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analysis
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C-Reactive Protein
;
analysis
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Diabetes Mellitus, Type 2
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drug therapy
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Drug Resistance
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Glycated Hemoglobin A
;
analysis
;
Humans
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Hypoglycemic Agents
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pharmacology
;
Metformin
;
pharmacology
;
Oxidative Stress
;
Sitagliptin Phosphate
;
pharmacology