Objective: To observe the clinical efficacy and safety of Yiqi Tongluo Decoction in the intervention of early traditional Chinese medicine (TCM) syndromes after ischemic cerebrovascular disease (ICVD) intervention. Methods: From October 2020 to July 2023, a randomized, double-blind, placebo-controlled study was conducted to include 60 patients with qi deficiency, blood stasis, and phlegm obstruction syndrome after ICVD interventional therapy. They were assigned to the Yiqi Tongluo Decoction treatment group (30 cases) and the TCM placebo routine treatment control group (30 cases) according to the randomized block design. Both groups received routine standardized treatment of Western medicine, including dual antiplatelet, lipid regulation, and control of risk factors for cerebrovascular disease. The treatment group was treated with Yiqi Tongluo Decoction based on the control group. The course of treatment was 60 days and follow-up was carried out 2 and 6 months after the operation. The improvement of qi deficiency syndrome, blood stasis syndrome, phlegm syndrome score and TCM syndrome score, modified Rankin score (mRS), Barthel index (BI) score, Fatty acid-binding protein 4 (FABP4) level, incidence of transient ischemic attack (TIA) and ischemic stroke (IS) and incidence of adverse reactions, Head and neck CT angiography (CTA) or digital subtraction angiography (DSA) examination were collected. The clinical efficacy of the patients 2 months after the operation was taken as the main outcome index to preliminarily evaluate the early and long-term efficacy of Yiqi Tongluo Decoction after the ICVD intervention. The early and long-term clinical efficacy and safety of Western medicine standardized treatment combined with TCM Yiqi Tongluo Decoction on patients with qi deficiency, blood stasis and phlegm obstruction syndrome after ICVD intervention were evaluated. The safety of Yiqi Tongluo Decoction in the treatment of patients after ICVD intervention with white blood cell (WBC), C-reactive protein (CRP), fibrinogen (FIB), plasminogen time (PT), recurrence of cerebral ischaemia and restenosis in patients at 2 and 6 months after treatment were evaluated. Results: Compared to the control group, the TCM syndrome scores for qi deficiency, blood stasis and phlegm syndrome in the treatment group reduced significantly, the clinical efficacy improved significantly, the mRS score and FABP4 were reduced, and the BI score was increased. Adverse events such as cerebral ischaemia were fewer in the treatment group than in the control group, but the difference was not statistically significant; levels of CRP, WBC and PT were reduced, and levels of FIB were reduced at 6 months post-treatment, all P<0.01, and images were intuitively compared. The treatment group was superior to the control group. Conclusion Yiqi Tongluo Decoction combined with Western medicine standard treatment can improve the early clinical efficacy of ICVD patients with qi deficiency, blood stasis and phlegm obstruction syndrome after interventional surgery, improve neurological impairment and daily living ability, reduce the state of qi deficiency syndrome, blood stasis syndrome and phlegm syndrome after interventional surgery, and improve the clinical efficacy of TCM. At the same time, it can reduce the level of FABP4, the target of atherosclerosis and restenosis after interventional surgery, reduce the level of inflammation after interventional surgery in patients with ICVD, regulate coagulation function, and reduce the incidence of long-term recurrence of cerebral ischemia after interventional surgery, with good safety.

Microbial communities such as those residing in the human gut are highly diverse and complex, and many with important implications for health and diseases. The effects and functions of these microbial communities are determined not only by their species compositions and diversities but also by the dynamic intra- and inter-cellular states at the transcriptional level. Powerful and scalable technologies capable of acquiring single-microbe-resolution RNA sequencing information in order to achieve a comprehensive understanding of complex microbial communities together with their hosts are therefore utterly needed. Here we report the development and utilization of a droplet-based smRNA-seq (single-microbe RNA sequencing) method capable of identifying large species varieties in human samples, which we name smRandom-seq2. Together with a triple-module computational pipeline designed for the bacteria and bacteriophage sequencing data by smRandom-seq2 in four human gut samples, we established a single-cell level bacterial transcriptional landscape of human gut microbiome, which included 29,742 single microbes and 329 unique species. Distinct adaptive response states among species in Prevotella and Roseburia genera and intrinsic adaptive strategy heterogeneity in Phascolarctobacterium succinatutens were uncovered. Additionally, we identified hundreds of novel host-phage transcriptional activity associations in the human gut microbiome. Our results indicated that smRandom-seq2 is a high-throughput and high-resolution smRNA-seq technique that is highly adaptable to complex microbial communities in real-world situations and promises new perspectives in the understanding of human microbiomes.
Humans ; Gastrointestinal Microbiome/genetics* ; Bacteriophages/physiology* ; High-Throughput Nucleotide Sequencing ; Sequence Analysis, RNA/methods* ; Bacteria/virology*

Objective The goal of this study was to carry out a trial of a novel disposable vacuum drainage bottle with speed drainage adjustment and a threaded catheter connector,as well as to further explore the effectiveness in drainage.Methods Twenty-seven patients who underwent continuous fluid drainage in the Coronary Care Unit(CCU)of our hospital between February and August 2023 were put on the trial.The patients were randomly assigned into a control group(12 cases,with 76 replacements of traditional vacuum drainage bottles over the catheterisation and an trial group(15 cases,with 83 replacements of the novelly modified disposable vacuum drainage bottle)by a simple random method.Patients in the control group had the drainage catheter connected to a traditional vacuum drainage bottle,while the patients in the trial group had drainage catheter connected to the novelly modified vacuum drainage bottle.The two groups were compared in terms of the number of bottle replacement,incidence of exudation/leakage/detachment,time for bottle replacement,cost of consumables for drainage,and satisfaction of patients and nurses.Results All patients completed the trial.The trial group exhibited a significantly lower incidence rate in exudation/leakage/detachment,shorter time for bottle replacement and lower cost of consumables for bottle replacement in comparison with those in the control group(all P＜0.05).Moreover,both patients and nurses in the trial group reported significantly higher satisfaction with the modified disposable bottle than the bottle used in the control group(both P＜0.001).Conclusions The novelly modified disposable vacuum drainage bottle overcomes the deficiencies of the traditional bottle,reduces the incidence of exudation/leakage/detachment over the drainage,cut down the cost of bottle replacement,and shorten the time for bottle replacement.The novel and modified disposable vacuum drainage bottle has received great appreciations from the patients and nursing staff.

Objective To study the influence of ANGPTL8 in lipopolysaccharide(LPS)-induced hepatic lipid deposition.Methods Male wild-type(WT)and ANGPTL8 knockout mice at 6-8 weeks were used to induce sepsis models by intrabitoneal injection of LPS(10 mg/kg).qPCR and immunofluorescence were used to detected the mRNA and protein expression of ANGPTL8 in liver tissue and HepG2 cells respectively;The contents of alanine aminotransferase(ALT),aspartate aminotransferase(AST)in serum and the triglyceride(TG)and malondialdehyde(MDA)in liver homogenate were detected by kits;the histopathological changes of liver tissue were analyzed through HE staining.Lipids accumulation in liver were detected by oil red O staining.The apoptosis of liver was determinated by TUNEL staining.RNA-seq was used to analyzing the differentially expressed genes in the liver tissue of WT and ANGPTL8 KO mice,and the qPCR and Western Blot were used to verify the differential expressed genes.Results The expression of ANGPTL8 in the liver was significantly upregulated at 48 hours after LPS stimulation.Compared with WT mice,the hepatic lipid deposition,steatosis,and apoptosis were significantly alleviated in liver of ANGPTL8 KO mice,the ALT and AST levels in serum and the TG and MDA content in liver homogenate of ANGPTL8 KO mice were also reduced significantly.The expression of caveolin-1(CAV1)in liver of ANGPTL8 KO mice was significantly higher than that of WT mice.Conclusions LPS promoted the expression and secretion of ANGPTL8 in liver tissue,and ANGPTL8 increased hepatic lipid deposition and peroxidation by inhibiting the expression of CAV1.

Focusing on the task requirements of high-quality development of public hospitals,based on literature research and comprehensive budget management practice of the sample hospital,it analyzes the current situation of comprehensive budget management of public hospitals,explores possible problems and solutions in the process of comprehensive budget management system construc-tion,and puts forward the general idea of comprehensive budget management system construction,specific steps and processes for implementation.In the process of the construction and innovation of the comprehensive budget management system,public hospitals in prefecture-level cities should adapt to local conditions,be goal-oriented,scientifically use various management tools,deeply deepen the concept of budget,promote the upgrading of information system,and finally form a four-part integrated system of bud-get,finance,cost and performance.

Focusing on the task requirements of high-quality development of public hospitals,based on literature research and comprehensive budget management practice of the sample hospital,it analyzes the current situation of comprehensive budget management of public hospitals,explores possible problems and solutions in the process of comprehensive budget management system construc-tion,and puts forward the general idea of comprehensive budget management system construction,specific steps and processes for implementation.In the process of the construction and innovation of the comprehensive budget management system,public hospitals in prefecture-level cities should adapt to local conditions,be goal-oriented,scientifically use various management tools,deeply deepen the concept of budget,promote the upgrading of information system,and finally form a four-part integrated system of bud-get,finance,cost and performance.

Focusing on the task requirements of high-quality development of public hospitals,based on literature research and comprehensive budget management practice of the sample hospital,it analyzes the current situation of comprehensive budget management of public hospitals,explores possible problems and solutions in the process of comprehensive budget management system construc-tion,and puts forward the general idea of comprehensive budget management system construction,specific steps and processes for implementation.In the process of the construction and innovation of the comprehensive budget management system,public hospitals in prefecture-level cities should adapt to local conditions,be goal-oriented,scientifically use various management tools,deeply deepen the concept of budget,promote the upgrading of information system,and finally form a four-part integrated system of bud-get,finance,cost and performance.

Focusing on the task requirements of high-quality development of public hospitals,based on literature research and comprehensive budget management practice of the sample hospital,it analyzes the current situation of comprehensive budget management of public hospitals,explores possible problems and solutions in the process of comprehensive budget management system construc-tion,and puts forward the general idea of comprehensive budget management system construction,specific steps and processes for implementation.In the process of the construction and innovation of the comprehensive budget management system,public hospitals in prefecture-level cities should adapt to local conditions,be goal-oriented,scientifically use various management tools,deeply deepen the concept of budget,promote the upgrading of information system,and finally form a four-part integrated system of bud-get,finance,cost and performance.

Focusing on the task requirements of high-quality development of public hospitals,based on literature research and comprehensive budget management practice of the sample hospital,it analyzes the current situation of comprehensive budget management of public hospitals,explores possible problems and solutions in the process of comprehensive budget management system construc-tion,and puts forward the general idea of comprehensive budget management system construction,specific steps and processes for implementation.In the process of the construction and innovation of the comprehensive budget management system,public hospitals in prefecture-level cities should adapt to local conditions,be goal-oriented,scientifically use various management tools,deeply deepen the concept of budget,promote the upgrading of information system,and finally form a four-part integrated system of bud-get,finance,cost and performance.

Focusing on the task requirements of high-quality development of public hospitals,based on literature research and comprehensive budget management practice of the sample hospital,it analyzes the current situation of comprehensive budget management of public hospitals,explores possible problems and solutions in the process of comprehensive budget management system construc-tion,and puts forward the general idea of comprehensive budget management system construction,specific steps and processes for implementation.In the process of the construction and innovation of the comprehensive budget management system,public hospitals in prefecture-level cities should adapt to local conditions,be goal-oriented,scientifically use various management tools,deeply deepen the concept of budget,promote the upgrading of information system,and finally form a four-part integrated system of bud-get,finance,cost and performance.