Objective To establish a modern hospital management system with clear rights and responsibilities, scientific management, perfect management, efficient operation and strong supervision. Methods 37 tertiary hospitals in Shanghai were subject to a simulation of observation, questionnaire investigation and quantitative analysis.On such basis,core regulations were pinpointed and management risk prevention grades identified according to their importance and risk indexes.Results 109 core regulations of modern hospital management were selected along with three management risk prevention and control levels of red(67 regulations), yellow(16 regulations), and blue(26 regulations).Conclusions The basic framework of management risk prevention and control system is thus built for modern hospitals,and IT-based means were put in place against such risks.These measures can help enhance the supervision platform, for dynamic supervision and effective control of modern hospital management risks.

PURPOSE: This study aimed to probe into the associations among circular RNA ZFR (circ-ZFR), miR-130a/miR-107, and PTEN, and to investigate the regulatory mechanism of circ-ZFR–miR-130a/miR-107–PTEN axis in gastric cancer (GC). MATERIALS AND METHODS: GSE89143 microarray data used in the study were acquired from publicly available Gene Expression Omnibus database to identify differentially expressed circular RNAs inGC tissues. The expressions of circ-ZFR, miR-130a, miR-107, and PTEN were examined by real-time reverse transcription polymerase chain reaction, while PTEN protein expression was measured by western blot. The variation of GC cell proliferation and apoptosis was confirmed by cell counting kit-8 assay and flow cytometry analysis. The targeted relationships among circZFR, miR-130a/miR-107, and PTEN were predicted via bioinformatics analysis and demonstrated by dual-luciferase reporter assay and RNA immunoprecipitation assay. The impact of ZFR on gastric tumor was further verified in xenograft mice model experiment. RESULTS: Circ-ZFR and PTEN were low-expressed whereas miR-107 and miR-130a were highexpressed in GC tissues and cells. There existed targeted relationships and interactions between miR-130a/miR-107 and ZFR/PTEN. Circ-ZFR inhibited GC cell propagation, cell cycle and promoted apoptosis by sponging miR-107/miR-130a, while miR-107/miR-130a promoted GC cell propagation and impeded apoptosis through targeting PTEN. Circ-ZFR inhibited cell proliferation and facilitated apoptosis in GC by sponging miR-130a/miR-107 and modulating PTEN. Circ-ZFR curbed GC tumor growth and affected p53 protein expression in vivo. CONCLUSION: Circ-ZFR restrained GC cell proliferation, induced cell cycle arrest and promoted apoptosis by sponging miR-130a/miR-107 and regulating PTEN.
Animals ; Apoptosis* ; Blotting, Western ; Cell Count ; Cell Cycle ; Cell Cycle Checkpoints ; Cell Proliferation* ; Computational Biology ; Flow Cytometry ; Gene Expression ; Heterografts ; Immunoprecipitation ; Mice ; Polymerase Chain Reaction ; PTEN Phosphohydrolase ; Reverse Transcription ; RNA ; Stomach Neoplasms*