1.Analysis of the financial status of urban public hospitals in China based on DuPont analysis system
Yi ZHOU ; Zixuan WANG ; Siping DONG ; Fang LIU ; Xiqin LI
Chinese Journal of Hospital Administration 2025;41(2):90-95
Objective:To analyze the financial status of urban public hospitals in China and provide references for promoting the integration of business and finance as well as refined management in urban public hospitals.Methods:Based on the financial data of urban public hospitals in 31 provinces, autonomous regions, municipalities directly under the central government, and the Xinjiang Production and Construction Corps (excluding Hong Kong, Macao, and Taiwan) from the annual financial reports of public hospitals issued by the Department of Finance of the National Health Commission during 2019—2021, the DuPont analysis system was employed to dissect the financial status of urban public hospitals in China, with return on net assets as the core indicator. The profitability was measured by return on net assets, the operational capability was measured by the total asset turnover rate, and the debt-paying ability was measured by the short-term debt-paying ability indicator, current ratio, and the long-term debt-paying ability indicator, debt-to-asset ratio.Results:From 2019 to 2021, the number of urban public hospitals in China were 2 752, 2 797, and 2 815, respectively. The return on net assets was 8.83%, 9.29%, and 7.65%, respectively, with the changes mainly influenced by medical revevene surplus rate. The total asset turnover rate was 81.92%, 68.36%, and 73.54%, respectively, with the changes mainly affected by total assets and medical income. The current ratios were 1.23, 1.20, and 1.16, respectively, while the debt-to-asset ratios were 44.88%, 44.47%, and 43.86%, respectively, which remained at a relatively high level. The proportion of non-current assets was 53.50%, 55.26%, and 56.88%, respectively.Conclusions:From 2019 to 2021, the profitability and operational efficiency of urban public hospitals in China both declined, showing a current operational status of high asset intensity and high debt. It is recommended that national administrative departments increase financial input and optimize asset allocation. Urban public hospitals should enhance comprehensive budget management and improve the refinement level of operational management to achieve efficient and sustainable development.
2.Comparison of Visual Prostate Symptom Score(Chinese version)and International Prostate Symptom Score in the evaluation of patients with benign prostatic hyperplasia
Xiaolei DUAN ; Hui YAO ; Xin XIANG ; Yiping ZHU ; Yijing WU ; Min YOU ; Siping CAO ; Yi ZHOU
National Journal of Andrology 2025;31(11):993-998
Objective The aim of this study is to examine the Chinese version of Visual Prostate Symptom Score(CVPSS)and the International Prostate Symptom Score(IPSS)in the assessment of lower urinary tract symptoms in BPH pa-tients.Methods By using convenient sampling,inpatients in the urology department of a tertiary grade A hospital in Shanghai were selected as the survey subjects from March 2023 to March 2024.The lower urinary tract symptoms of the patients were eval-uated using the self-designed general information questionnaire.And the CVPSS and IPSS with their urine flow rate were meas-ured.A comparative analysis was conducted from aspects such as internal consistency,correlation of item scores,completion time of the scale,and assistance rate.Results A total of 246 patients with BPH were recruited.The total score and life quality score were 13.93±3.55 and 4.23±1.02 by CVPSS.And the total score and life quality by IPSS was 18.33±7.55 and 4.36±1.02,respectively.The Cronbach's α coefficient were 0.761 and 0.787,respectively.The time taken on CVPSS was less than that on IPSS(P<0.01).And the rate of needing assistance was 23.58%for CVPSS,which was significantly lower than that(65.24%)for IPSS.Conclusion CVPSS is significantly correlated with the corresponding items and total scores of IPSS,as well as the quality of life.Moreover,it takes less time and can be used as a simple and effective self-assessment tool for lower urinary tract symptoms in elderly BPH patients with lower education levels.It reduces the burden of medical staffs as well.
3.Comparison of Visual Prostate Symptom Score(Chinese version)and International Prostate Symptom Score in the evaluation of patients with benign prostatic hyperplasia
Xiaolei DUAN ; Hui YAO ; Xin XIANG ; Yiping ZHU ; Yijing WU ; Min YOU ; Siping CAO ; Yi ZHOU
National Journal of Andrology 2025;31(11):993-998
Objective The aim of this study is to examine the Chinese version of Visual Prostate Symptom Score(CVPSS)and the International Prostate Symptom Score(IPSS)in the assessment of lower urinary tract symptoms in BPH pa-tients.Methods By using convenient sampling,inpatients in the urology department of a tertiary grade A hospital in Shanghai were selected as the survey subjects from March 2023 to March 2024.The lower urinary tract symptoms of the patients were eval-uated using the self-designed general information questionnaire.And the CVPSS and IPSS with their urine flow rate were meas-ured.A comparative analysis was conducted from aspects such as internal consistency,correlation of item scores,completion time of the scale,and assistance rate.Results A total of 246 patients with BPH were recruited.The total score and life quality score were 13.93±3.55 and 4.23±1.02 by CVPSS.And the total score and life quality by IPSS was 18.33±7.55 and 4.36±1.02,respectively.The Cronbach's α coefficient were 0.761 and 0.787,respectively.The time taken on CVPSS was less than that on IPSS(P<0.01).And the rate of needing assistance was 23.58%for CVPSS,which was significantly lower than that(65.24%)for IPSS.Conclusion CVPSS is significantly correlated with the corresponding items and total scores of IPSS,as well as the quality of life.Moreover,it takes less time and can be used as a simple and effective self-assessment tool for lower urinary tract symptoms in elderly BPH patients with lower education levels.It reduces the burden of medical staffs as well.
4.Analysis of the financial status of urban public hospitals in China based on DuPont analysis system
Yi ZHOU ; Zixuan WANG ; Siping DONG ; Fang LIU ; Xiqin LI
Chinese Journal of Hospital Administration 2025;41(2):90-95
Objective:To analyze the financial status of urban public hospitals in China and provide references for promoting the integration of business and finance as well as refined management in urban public hospitals.Methods:Based on the financial data of urban public hospitals in 31 provinces, autonomous regions, municipalities directly under the central government, and the Xinjiang Production and Construction Corps (excluding Hong Kong, Macao, and Taiwan) from the annual financial reports of public hospitals issued by the Department of Finance of the National Health Commission during 2019—2021, the DuPont analysis system was employed to dissect the financial status of urban public hospitals in China, with return on net assets as the core indicator. The profitability was measured by return on net assets, the operational capability was measured by the total asset turnover rate, and the debt-paying ability was measured by the short-term debt-paying ability indicator, current ratio, and the long-term debt-paying ability indicator, debt-to-asset ratio.Results:From 2019 to 2021, the number of urban public hospitals in China were 2 752, 2 797, and 2 815, respectively. The return on net assets was 8.83%, 9.29%, and 7.65%, respectively, with the changes mainly influenced by medical revevene surplus rate. The total asset turnover rate was 81.92%, 68.36%, and 73.54%, respectively, with the changes mainly affected by total assets and medical income. The current ratios were 1.23, 1.20, and 1.16, respectively, while the debt-to-asset ratios were 44.88%, 44.47%, and 43.86%, respectively, which remained at a relatively high level. The proportion of non-current assets was 53.50%, 55.26%, and 56.88%, respectively.Conclusions:From 2019 to 2021, the profitability and operational efficiency of urban public hospitals in China both declined, showing a current operational status of high asset intensity and high debt. It is recommended that national administrative departments increase financial input and optimize asset allocation. Urban public hospitals should enhance comprehensive budget management and improve the refinement level of operational management to achieve efficient and sustainable development.
5.Application of automatic slide-dropping instrument in bone marrow chromosomal karyotyping
Wei ZHANG ; Chenghua CUI ; Ji ZHOU ; Yanyi LYU ; Siping WANG ; Shenghua CHEN ; Huijun WANG ; Qi SUN ; Zhijian XIAO ; Chengwen LI
Chinese Journal of Medical Genetics 2024;41(7):803-806
Objective:To explore the application of an automatic slide-dropping instrument in bone marrow chromosomal karyotyping.Methods:The effects of manual and automatic dropping methods under different environmental humidity were retrospectively analyzed, and the repeatability of the automatic dropping method was analyzed.Results:No statistical difference was found between the results of automatic and manual dropping methods under the optimum ambient humidity and high humidity ( P>0.05). At low humidity, there was a statistical difference between the two methods ( P<0.05). With regard to the repeatability, the coefficient of variations of the automatic dropping method for the number of split phases, the rate of good dispersion and the rate of overlap were all lower than those of the manual dropping method. A statistical difference was also found in the number of split phases ( P<0.05) but not in the discrete excellent rate and overlapping rate between the two methods ( P>0.05). Conclusion:Better effect can be obtained by the automatic dropping instrument. It is suggested to gradually replace manual work with machine.
6.Tetrahedral DNA nanostructures synergize with MnO2 to enhance antitumor immunity via promoting STING activation and M1 polarization.
Siping LIANG ; Jiaying LI ; Zhengyu ZOU ; Miao MAO ; Siqi MING ; Fan LIN ; Ziyan ZHANG ; Can CAO ; Jinyu ZHOU ; Yuanqing ZHANG ; Jiaping LI ; Minhao WU
Acta Pharmaceutica Sinica B 2022;12(5):2494-2505
Stimulator of interferon genes (STING) is a cytosolic DNA sensor which is regarded as a potential target for antitumor immunotherapy. However, clinical trials of STING agonists display limited anti-tumor effects and dose-dependent side-effects like inflammatory damage and cell toxicity. Here, we showed that tetrahedral DNA nanostructures (TDNs) actively enter macrophages to promote STING activation and M1 polarization in a size-dependent manner, and synergized with Mn2+ to enhance the expressions of IFN-β and iNOS, as well as the co-stimulatory molecules for antigen presentation. Moreover, to reduce the cytotoxicity of Mn2+, we constructed a TDN-MnO2 complex and found that it displayed a much higher efficacy than TDN plus Mn2+ to initiate macrophage activation and anti-tumor response both in vitro and in vivo. Together, our studies explored a novel immune activation effect of TDN in cancer therapy and its synergistic therapeutic outcomes with MnO2. These findings provide new therapeutic opportunities for cancer therapy.
7.Retrospectively analysis the Guangdong’s experience on how to transport potential infected passengers by chartered aircraft during outbreaks of COVID-19
Jian WU ; Jinle LIN ; Fang WANG ; Xiaolong LIU ; Xiaowen CHEN ; Binbin HE ; Shengting XU ; Xuejiao BAI ; Jing ZHANG ; Siping ZHOU ; Ping JIANG
Chinese Journal of Emergency Medicine 2020;29(7):896-900
Objective:To summarize the experience of five hospitals in Guangdong Province on successfully transporting retained passengers by chartered flights during the outbreak of the COVID-19.Methods:We retrospectively evaluated the operation and management, cabin arrangement, isolation requirements, and personnel protection in the aspect of epidemic prevention and control.Results:In 11 charter missions, over one thousand "healthy" passengers with potential risk of infections were transported back to China. The medical delivery team and flight crew were kept free of infection, passengers maintained zero cluster infections and no unexpected adverse events during the air transport.Conclusions:Our results indicate how to carry passengers in a scientific and orderly way is crucial for avoiding the transmission risks of the epidemic of COVID-19 among working staffers and passengers during air transportation.
8.Establishment of a New Evaluation Method for Identification of Drug Resistance of Staphylococcus aureus Based on Rapid Identification System of Microorganisms
Tong-tong JIANG ; Gui-jie TIAN ; Xian-yu LI ; Yi WANG ; Yue-yi LI ; Ya-jun XING ; Ya-nan SUN ; Shu-hua MA ; Jin-he ZHOU ; Wei-feng YANG ; Zhong-mei HE
Chinese Journal of Experimental Traditional Medical Formulae 2020;26(10):128-135
Objective::To explore the feasibility of the rapid identification system(MALDI-Biotyper System) of microorganisms for rapid identification of
9.Effects of perianesthesia position nursing model based on enhanced recovery after surgery in patients undergoing thoracoscopic surgery
Juanli CHEN ; Yuqin HU ; Yan ZHOU ; Siping HU
Chinese Journal of Modern Nursing 2020;26(35):4977-4980
Objective:To explore the effects of perianesthesia position nursing model based on enhanced recovery after surgery (ERAS) in patients undergoing thoracoscopic surgery.Methods:Totally 100 patients undergoing thoracoscopic pulmonary surgery in Huzhou Central Hospital between July and December 2019 were selected by convenient sampling and divided into the control group and the experimental group according to the random number table, with 50 cases in each group. Patients in the experimental group received perianesthesia position nursing, while patients in the control group received conventional position nursing. The time of position placement, number of placement personnel, intubation time, comfort and pain were compared between the two groups.Results:There were statistically significant differences in the placement time and number of placement personnel between the two groups ( P<0.05) . The GCQ score of the experimental group was higher, while the VAS score was lower than that of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The perianesthesia position nursing model based on ERAS can shorten the time of posture placement, reduce the pain, and improve the comfort in patients undergoing thoracoscopic surgery.
10.Screening and Characterization of Effective Components of Immunopotentiating Activity in Senecionis cannabifolii Herba
Tingting ZHOU ; Difu ZHU ; Shengjun JI ; Chunchi WANG ; Dongxu JIA ; Yanru LI ; Yan TANG
China Pharmacy 2019;30(4):523-527
OBJECTIVE: To screen and characterize effective components of immunopotentiating activity in Senecionis cannabifolii Herba. METHODS: The polysaccharide components were obtained by water extraction and alcohol precipitation method to yield 50% alcohol precipitation sample (SCHE-1) and 80% alcohol precipitation sample (SCHE-2). The cells from mice mononuclear macrophage line RAW264.7 were divided into blank group (medium without serum), negative control group (medium with serum), lipopolysaccharide group (LPS, positive control drug, 1 μg/mL), SCHE-1 and SCHE-2 low-dose and high-dose groups (0.5, 1 mg/mL). The cell viability of RAW264.7 cells was detected by MTT assay. The levels of IL-1β, IL-6 and TNF-α in RAW264.7 were detected by ELISA. These were used to investigate the effects of SCHE-1 and SCHE-2 on the immunological enhancing activity of RAW264.7 cells. The molecular weight and distribution of SCHE-1 were determined by size exclusion chromatography; the monosaccharide composition of SCHE-1 was determined by HPLC pre-column derivatization. Methylation analysis of SCHE-1 was conducted by NaOH method. RESULTS: Compared with negative control group, the activity of RAW264.7 cells was enhanced significantly in SCHE-1 groups and LPS group, which also significantly increased the levels of IL-1β, IL-6 and TNF-α in cell culture fluids (P<0.01). SCHE-1 was an effective component with immunopotentiating activity. The neutral sugar content of SCHE-1 was 40.05%, the uronic acid was 35.62%, and the protein was 8.89%. SCHE-1 was a mixture, molecular weight of which was 62-6 119 Da; monosaccharide was mainly composed of galacturonic acid, arabinose (Ara) and galactose (Gal). The results of methylation analysis showed that the backbone was composed of 1→3, 1→4 and 1→6 linked Gal, and branches were on the O-6 position of the 1→3 linked Gal, and the non-reducing terminals were Ara. CONCLUSIONS: SCHE-1 may be the effective component of immuno potentiating activity, and main component of SCHE-1 is polysaccharide. SCHE-1 may regulate the immune function by activating macrophages to release IL-1β, IL-6 and TNF-α.

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