1.Report of a case of Leuconostoc lactis bacteremia following intestinal perforation with literature review
Liman HUO ; Zhangying FENG ; Juan ZHANG ; Huixian JIA ; Xiajin ZHOU ; Bin SHAN ; Juan HOU ; Wenli DU ; Ping LIANG
Chinese Journal of General Practitioners 2021;20(11):1176-1179
A 24-year female with abdominal pain and fever for 4 days was admitted. The blood culture showed Leuconostoc growth, and sputum culture showed positive Acinetobacterbaumannii. The diagnosis Leuconostoclactis bacteremia following small intestinal perforation was confirmed; surgical treatment was performed and the infection was controlled by piperacillin sodium and tazobactam combined with tegacycline. Wanfang database, CNKI, PubMed and Embase database up to September 2020 were searched with the keywords of " Leuconostoc lactis" "infection" "bacteraemia" for relevant literature. A total of 32 cases were reported in the literature, of whom 13 (39.4%) were infants, 17 (51.5%) had catheter-related bloodstream infection, and one healthy adult male had bacteremia through gastrointestinal perforation. In 20 patients treated with penicillins-based antibiotics, 18 were cured with an effective rate of 90.0%. The results suggest that Leuconostoc infection is likely to occur in the infants, but adults can still get community-acquired Leuconostoc infection. Most β-lactams are susceptible to Leuconostoc, but some exhibit resistance, so it is recommended to select antimicrobial agents based on drug susceptibility.
2.Pharmacoeconomic Systematic Review of Anticoagulants for the Prevention and Therapy of Venous Thrombo- embolism in Cancer Patients
Qian ZHOU ; Xiaonan GAO ; Jinglin GAO ; Zhangying FENG ; Mingxia WANG
China Pharmacy 2021;32(7):850-859
OBJECTIVE:To systematicall y review the pharmacoeconomics of anticoagulants for the prevention and therapy of venous thromboembolism (VTE)in cancer patients. METHODS :Retrieved from PubMed ,Embase,Cochrane library ,CNKI, Wanfang database ,VIP,SinoMed,The NHS Economic Evaluation Database ,The Healthy Technology Assessment Database and EconLit,supplemented by manual retrieval ,the economic evaluation studies on the prevention and therapy of VTE in cancer patients with different anticoagulants were collected. The retrieval time was from the inception to Nov. 12th,2020. After screening and extracting ,the Consolidated Health Economic Evaluation Reporting Standards (CHEERS)was used to evaluate the quality of the included literatures. The basic characteristics of the included literatures were summarized by descriptive methods ,and the economic results were summarized according to medication purpose and different intervention grouping. RESULTS :A total of 15 literatures were included. Three literatures were of excellent quality ;ten were of good quality ;and the other two were of moderate quality. Included studies were widely conducted in countries of different economic levels ,including China (1 piece),the United States(7 pieces),Canada(3 pieces),France(2 pieces),the Netherlands (1 piece),Brazil(1 piece)and Austria (1 piece). For preventing VTE in cancer patients ,the economic evaluation results of warfarin and low-molecular-weight heparin (LMWH)needed to be updated. Novel oral anticoagulants (NOACs)for the prevention of VTE were less cost-effective among cancer patients with medium- and high-risk venous thrombosis in China than in the United States ,but the economic advantage increased among the high-risk patients. Compared to enoxaparin ,aspirin was absolutely dominant to preventing VTE in patients with myeloma. For the treatment of VTE in cancer patients ,LMWH was not cost-effective ,compared to warfarin in the United States ;but it was cost-effective in Canada and some countries of Northern Europe. Compared with LMWH ,NOACs could save total cost ,but the incremental utility in the United States and Brazil were opposite. Sensitivity analysis showed that economic results were sensitive to drug prices ,the baseline rate of thrombosis risk ,and the risk of adverse events (thrombosis recurrence ,major bleeding and death ) of different interventions ,the first two of which could reverse the conclusions. CONCLUSIONS :For the prevention of VTE in cancer patients ,compared with no intervention or placebo ,the economic advantages of NOACs were different in different countries or for patients with different thrombosis risk ;the economics of warfarin and LMWH were not yet clear. Aspirin had obvious economic advantages compared with enoxaparin. For the treatment of VTE in cancer patients ,LMWH had different economic advantages compared with warfarin in different countries ;NOACs could save costs compared with LMWH. Economic strategies are greatly affected by the risk of diseases ,medical systems ,drug price ,patient preferences and values ,economic levels ,cost-utility threshold standards in different countries. Therefore ,the final economic strategies need to be based on the contexts of different countries.
3.Electroencephalography applied in autism spectrum disorder research in decade: a bibliometrics analysis
Zhe ZHANG ; Xianwen DONG ; Chengming XU ; Wenjing HU ; Tingli HE ; Xinxin CUI ; Hongyan XU ; Zhangying ZHOU ; Ya'nan HAN
Chinese Journal of Rehabilitation Theory and Practice 2024;30(6):693-700
ObjectiveTo analyze the current state, research hotspots, and development trends of electroencephalography (EEG) applied in the field of autism spectrum disorder (ASD). MethodsRelevant literature from the Web of Science core collection database from January, 2014 to January, 2024 were retrieved and analyzed using CiteSpace 6.2.R4. ResultsA total of 1 509 articles were included, with an increasing trend in publication volume over the years. The United States ranked highest in both publication volume and node centrality. The primary journals in this field were concentrated in clinical medicine, immunology and psychology. Keyword co-occurrence and clustering indicated that research primarily focused on the correlation between core symptoms of ASD and EEG indicators, differential diagnosis of ASD and its comorbidities, brain functional connectivity, and assessment of rehabilitation efficacy. Keywords bursted in the past three years mainly included artificial intelligence and machine learning. ConclusionThe researches in EEG technology in the field of ASD is generally increasing. Future researches may focus on exploring the brain network mechanisms of ASD using EEG combined with multimodal neuroimaging, and machine learning technologies.