1.CT features of liver abscesses caused by the fasciola hepatica infection
Dong FAN ; Peng LI ; Hua SUN ; Zhihua WANG ; Bo SHE
Chinese Journal of Radiology 2001;0(02):-
Objective To study CT features of liver abscesses caused by the fasciola hepatica infection , and discuss its pathologic basis.Methods CT images of 15 Patients were collected. All patients underwent both unenhanced and biphasic enhanced CT scanning, then its CT performances were analyzed. Results round and nodular lesions were observed in 15 cases, branching and stripping lesions like dilated bile duct in 9 cases. The density of lesions was inhomogeneous, and the lesions were multifocal and multiform. The liver abscesses caused by the fasciola hepatica infection had no “rim sign” or “target” sign, Liver abscesses were less than 3.0 cm in diameter, and the dilation of the bile duct were not observed. Conclusion Liver absessed caused by the fasciola hepatica infection have characteristic CT features. Combined with clinical examination and laboratory test, the reliability of diagnosis will be considerably increased.
2. Construction of informatization system of drug clinical trials ethical review based on cloud architecture
Zhihua SHE ; Songyue LIANG ; Zhou CHEN
Chinese Journal of Clinical Pharmacology and Therapeutics 2021;26(9):1023-1030
AIM: To improve the quality, efficiency, standardization and prospective management of ethical review of drug clinical trials in our hospital through the information system construction of ethical review of drug clinical trials. METHODS: The entire information system was designed based on the cloud architecture, enabling all ethics review applicants and ethics committees to use the same system for online registration and online business, which provided an information solution for the business model of regional ethics committees and multi-center ethics mutual recognition. RESULTS: Through the construction of ethical review platform of cloud architecture, the paperless and electronic management of ethical data have been realized, and online meeting review, tracking review and remote video conference have been realized on mobile and computer terminals. CONCLUSION: The information construction of ethical review system improves the efficiency and management level of ethical review in drug clinical trials.
3.Medication Rules and Academic Experience of Professor WANG Xingkuan in Treatment of Chest Stuffiness and Pain Based on Data Mining
Ziyan WANG ; Jinru FAN ; Chao ZHANG ; Ruining SHE ; Chengxin LIU ; Jiaming WEI ; Zhihua GUO
Chinese Journal of Experimental Traditional Medical Formulae 2023;29(5):204-215
ObjectiveTo study the medication rules of Professor. WANG Xingkuan and inherit his academic experience in the treatment of chest stuffiness and pain with the aid of the Traditional Chinese Medicine Inheritance Computing Platform V3.0 (TCMICS V3.0). MethodThe original medical records of patients with angina pectoris in coronary heart disease (CHD) diagnosed and treated by Prof. WANG in the outpatient department of Hunan University of Chinese Medicine from 2017 to 2020 were collected and entered into the TCMICS V3.0. The rules of prescriptions and drugs were analyzed by the software. ResultA total of 1 044 prescriptions of Prof. WANG for the treatment of chest stuffiness and pain were collected. Most of the drugs were sweet and bitter in flavor and mainly acted on the lung meridian, followed by heart, spleen, liver, stomach, and kidney meridians. Among the prescriptions, Shengmaisan was the most commonly used classic prescription, and Xintongling No. Ⅲ was the top experienced prescription. High-frequency drugs mainly included Ophiopogonis Radix, Pinelliae Rhizoma, Salviae Miltiorrhizae Radix et Rhizoma, Trichosanthis Pericarpium, Coptidis Rhizoma, Schisandrae Chinensis Fructus, and Bupleuri Radix. The common doses of drugs were 3, 5, 10, and 15 g. The analysis of formulation rules revealed 129 combinations of common drugs, 58 combinations with confidence > 0.99, and the core drugs of common syndromes. Six core drug combinations were obtained by drug clustering. ConclusionProfessor WANG treats chest stuffiness and pain based on syndrome differentiation following the principles of benefiting Qi, nourishing Yin, eliminating phlegm, resolving stasis, soothing liver, and promoting bile secretion, reflecting his academic idea of "regulation of multiple organs and comprehensive treatment". The core prescriptions can be used for reference by clinical practitioners, but further clinical and experimental studies are still needed to verify their efficacy.