1.Establishment of descriptive indicators evaluation method for hospital pharmacy production efficiency
Hua HUO ; Zhipeng LUAN ; Hongshuang GU ; Haibo HUANG
Journal of Pharmaceutical Practice 2015;(5):471-473
Objective To establish a method to objectively and easily evaluate the production efficiency of pharmacy divi-sion .Methods Data of the input and output of 25 military hospitals pharmacy were analyzed ;indicators of descriptive evalua-tion on pharmacy production efficiency were established .Results A method of descriptive evaluation on pharmacy production efficiency was established ,which included annual drug income per capita ,annual drug income per bed ,daily deployment pre-scriptions per capita as economic output efficiency indicators ,service time of clinical pharmacists as improvement efficiency indi-cators ,and scores of preventing medication errors as prevention efficiency indicators .Conclusion The economic output efficien-cy indicators have limitations .The quantitative methods of quality output efficiency indicators need further improvement .
2.Statistical analysis of biological samples collection and DNA test results in 1574 larceny cases
Saihu HUO ; Zhipeng YE ; Haijun XU ; Lifeng QIAN
Chinese Journal of Forensic Medicine 2018;33(2):162-166
Objective To analyze the 2496 biological samples collected from 1574 larceny cases and improve the application of DNA in the larceny cases. Methods Make a summary of the biological samples collection methods and DNA test results in different type of larceny cases. Results Touch samples have already become the most common type of biological samples in larceny cases, but their DNA test success rate are still low, more work should be done for the DNA mixed type to improve DNA hit. The DNA positive result rate had statistical difference in biological samples with different collection methods. For the Touch samples, flocked swab and original are the best collection methods. Conclusion More Valuable biological samples collected by the crime scene investigators are the Key factor in improvement of DNA detection capability, awareness of trace biological evidence and the touch sample collection technique are very important for the crime scene investigators.
3.Analysis on dynamic changes of pharmacy human resources in military hospitals in a region
Zhipeng LUAN ; Hua HUO ; Hongshuang GU ; Haibo HUANG
Journal of Pharmaceutical Practice 2016;34(3):278-282
Objective To provide a reference for optimizing pharmacy human resources allocation in military hospitals in a region .Methods Data of pharmacy human resources of 15 military hospitals in a region were collected from 2 pharmacy re-sources investigations of military hospitals in 2006 and 2013 .For comparison analysis on the changes of pharmacy human re-sources in regional military hospitals in 8 years during 2001-2005 and 2010-2012 ,15 military hospitals were divided into 3 groups according actual beds number ,as 399 beds or less ,400-600 beds ,1000 beds above .Results 2010-2012 ,the average annual growth rate of pharmacy human resources was 7 .11% in 1000 beds above group ,5 .05% in 400-600 beds group ,and 2 .28% in 399 beds or less group .It was showed that the changes of pharmacy human resources had grown trend since 2005 . But the average annual growth rate of pharmacy human resources was much lower than the average annual growth rate of hospi-tal outpatient .Pharmacy human resources with high educational background or high title were concentrated in 1000 beds above group .Half of the staff had bachelor's degree in all groups .The incoming staffs were basically with junior title or intermediate title since 2005 .Conclusion Pharmacy staff accounted for the low proportion of medical technicians ,and per capita workload increased every year in pharmacy department .So pharmacy human resources should be increased .Dispensing ,preparation ,as traditional posts ,and pharmacy intravenous admixture ,clinical pharmacy ,as new posts competed pharmacy human resources . So the human resources needs of the development of clinical pharmacy should be rationally controlled .The distribution of high-level human resources in regional military hospitals shows more concentrated ,which should be a holistic approach to optimize the layout of pharmaceutical human resources .
4.Exploration of the Mechanism of Yangxue Qingnao Granules in the Treatment of Hypertension Based on Network Pharmacology and Molecular Docking
Jiawen SHI ; Lei HAO ; Yu WANG ; Zhipeng HUO ; Yiqian ZHANG ; Zhaohui SONG ; Yi HE
Traditional Chinese Drug Research & Clinical Pharmacology 2024;35(8):1206-1214
Objective To explore the mechanism of Yangxue Qingnao Granules(Siwu Decoction modified)in the treatment of hypertension based on network pharmacology and molecular docking.Methods The chemical composition analysis results of Yangxue Qingnao Granules in the early stage of the research group were used as the basis for the screening of active compounds.The oral bioavailability≥30%and drug-likeness≥0.18 were used as the screening conditions,and the blood components were supplemented in combination with the literature.TCMSP,chemical professional database and SWISS database were used to predict the targets of potential active compounds of Yangxue Qingnao Granules.Hypertension-related targets were obtained through GeneCards and DiGSeE databases.The intersection of the targets related to hypertension disease and the targets of the potential active compounds of Yangxue Qingnao Granules(common targets)is the potential target of Yangxue Qingnao Granules for the treatment of hypertension.The potential targets were matched with the potential active compounds of Yangxue Qingnao Granules to obtain the antihypertensive active compounds of Yangxue Qingnao Granules.PPI analysis was performed on the potential targets of serum brain granules in the treatment of hypertension through the STRING database,and the core targets were screened according to the degree value.The David database was used to analyze the GO function and KEGG pathway enrichment of the core targets.The core targets with the top six degrees were selected as the docking target proteins,and molecular docking verification was performed with the antihypertensive active compounds.Results A total of 32 potential active compounds,161 active compound targets and 1 539 hypertension-related targets were obtained.After intersection,88 potential targets(common targets)of Yangxue Qingnao Granules in the treatment of hypertension were obtained,involving 29 antihypertensive active compounds.PPI analysis screened 14 core targets:PPARG,ACHE,IL4,CCL2,JUN,NOS3,APP,IL1B,CAT,PTGS2,CASP3,TP53,TNF,IL6,involving 158 GO entries and 13 signaling pathways.Five key active ingredients,chlorogenic acid,rosmarinic acid,paeoniflorin catechinic acid and aloe emodin,were obtained by molecular docking,which were combined with PTGS2,CASP3,TNF,CAT,TP53 and IL6,respectively.Conclusion Yangxue Qingnao Granules may act on core targets such as PTGS2 and CASP3 through key active components such as chlorogenic acid and rosmarinic acid,regulate key pathways such as TNF signaling pathway,MAPK signaling pathway and Toll-like receptor signaling pathway,and play a role in the treatment of hypertension through anti-inflammatory effects.
5. Systematic review and Meta-analysis of 26 randomized controlled clinical trials of Compound Danshen Dripping Pill for non-proliferating diabetic retinopathy
Yu WANG ; Lei HAO ; Zhipeng HUO ; Yuanxue LIU ; Yujing SUN ; Zhaohui SONG
Chinese Herbal Medicines 2022;14(1):142-153
Objective: Diabetic retinopathy (DR) is the retinal consequence of chronic progressive diabetic microvascular leakage and occlusion. Non-proliferating diabetic retinopathy (NPDR) is the early stage of DR. It eventually occurs to some degree in all patients with diabetes mellitus. In recent years, many clinical trials have shown that Compound Danshen Dripping Pill (CDDP) may be associated with the improvement of NPDR symptoms. The aim of this study was to quantitatively summarize the association between CDDP and the therapeutic effects of NPDR. Methods: It was conducted that a systematic literature search of PubMed, Web of Science, CNKI, VIP and Wanfang Data updated in June 2020 with the following search terms: “diabetic retinopathy” or “retinopathy” or “DR” or “NPDR”, in combination with “Compound Danshen Dripping Pill” or “Salvia miltiorrhiza” or “Danshen”. Risk ratio (RR) and weighted mean difference (WMD) with their 95% confidence interval (CI) was calculated between treatment and control groups. The sensitivity analyses were undertaken by removing each individual study when high heterogeneity appeared. Subgroup analysis, Meta-regression, and publication bias analysis were also conducted. The strength of evidence was evaluated with the Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) method. Results: Twenty-six RCTs involving 2047 subjects were included to conduct a Meta-analysis after screening the studies, extracting the data, and assessing the study quality. The Stata15.0 software was utilized for processing. Meta-analysis indicated that curative effects of treatment group with CDDP was significantly better than control [RR = 0.54, 95% CI (0.40, 0.73); moderate-quality evidence]. In addition, the results showed that CDDP was significantly associated with improving retinal hemorrhages [WMD = −0.62, 95% CI (−0.78, −0.46); low-quality evidence], the vision [WMD = 0.14, and 95% CI (0.09, 0.19), low-quality evidence], fundus fluorescence angiography [RR = 0.37 and 95% CI (0.23, 0.60); low-quality evidence], reduction of retinal microaneurysm [WMD = −3.74 and 95% CI (−4.38, −3.11); moderate-quality evidence], hemangioma volume [WMD = −3.15, 95%CI (−3.45, −2.85); moderate-quality evidence], macular thickness [WMD = −5.52, 95%CI = (−64.27, −48.78); low-quality evidence], mean defect [WMD = −1.65 and 95% CI (−1.95, −1.34); very low-quality evidence], fasting blooding glucose [WMD = −0.95, 95% CI (−1.19, −0.70); low-quality evidence), hemoglobin A1c [WMD = −0.62, 95% CI (−0.93, −0.30); low-quality evidence], high sensitive C reaction protein [WMD = −5.66, 95% CI (−8.01, −3.31); low-quality evidence]. Sensitivity, subgroup, and Meta-regression analyses were also assessed. Conclusion: The study demonstrated that CDDP has beneficial clinical effects for treating NPDR and improve the vision. Moreover, it indicated that oral CDDP in NPDR patients led to significant regulation of serum level of fasting blooding glucose, hemoglobin A1c and high sensitive C reaction protein, which was associated with the pathogenesis of NPDR. However, high-quality and large randomized clinical trials will be needed to prove the consequence in future.