1.Establishment and validation of a fluorescence PCR with internal positive control for Mycoplasma detection
Yu LIU ; Yunyi WU ; Xiaoxiao WANG ; Shaohua LIU ; Shanru LIU ; Lei CHEN ; Long TIAN ; Zhongyang ZHANG
Chinese Journal of Microbiology and Immunology 2024;44(9):792-800
Objective:To establish and validate a fluorescence PCR with internal positive control for rapid Mycoplasma detection. Methods:A fluorescence PCR with internal positive control for Mycoplasma detection was developed and verified for its specificity, limit of detection, and robustness. A sample of fever with thrombocytopenia syndrome (SFTSV) virus strains was tested with this method, and the result was compared with those of culture method and indicator cell culture method. Results:The established fluorescence PCR had good specificity and could amplify 11 kinds of plasmids containing Mycoplasma 16S rRNA gene with high efficiency. There was no cross reaction with the genomic DNAs of Clostridium sporogenes, Clostridium acetobutylicum, Lactobacillus acidophilus, Streptococcus pneumoniae, Bacillus subtilis, Staphylococcus aureus, Salmonella enteritidis, Escherichia coli, Pseudomonas aeruginosa, Aspergillus niger, Candida albicans, Vero cells, RD cells, and SF9 cells. The amplification efficiency of the internal positive control was basically consistent with that of the target gene of Mycoplasma, suggesting that the internal positive control could be used to detect the presence of PCR inhibitors. The sensitivity of the established method was high, and the detection limit was 10 colony-forming unit (CFU)/ml for Mycoplasma fermentans, 5 CFU/ml for Mycoplasma arginine, 5 CFU/ml for Mycoplasma gallisepticum, 5 CFU/ml for Mycoplasma hyorhinis, 5 CFU/ml for Acholeplasma laidlawii, 5 CFU/ml for Mycoplasma orale, 5 CFU/ml for Mycoplasma pneumoniae, 5 CFU/ml for Mycoplasma synoviae, and 1 CFU/ml for Spiroplasma citri by 7500 Fast real-time PCR system. At the detection limit of each species, there was no significant difference in the positive detection rate using different thermal cycler types. The established fluorescence PCR, culture method, and indicator cell culture were performed to detect Mycoplasma in the sample of SFTSV virus strains, and the results all showed Mycoplasma contamination. Conclusions:The established fluorescence PCR has high specificity, sensitivity, and robustness, and can be used as an alternative method for rapid detection of Mycoplasma.
2.Promoting Reform of Talent Evaluation Based on China Clinical Cases Library of Traditional Chinese Medicine
Kaige ZHANG ; Yong ZHU ; Jisheng WANG ; Liangzhen YOU ; Weijun HUANG ; Jie YANG ; Candong LI ; Genping LEI ; Chuan ZHENG ; Shuzhen GUO ; Longtao LIU ; Zhining TIAN ; Xinping QIU ; Wenli SU ; Zuo LI ; Wei YAN ; Hongcai SHANG ; Xiaoxiao ZHANG
Chinese Journal of Experimental Traditional Medical Formulae 2024;30(17):220-226
Talents are the main force for the development of traditional Chinese medicine(TCM), and the construction of TCM talents and the reformation of talent evaluation system are essential to promote the inheritance and innovation of TCM. At present, we are still exploring and developing in the fields of the formulation, implementation and evaluation indicators of TCM talent evaluation system. However, there are shortcomings and difficulties. For instance, insufficient stratification in the evaluation, excessive emphasis on the quantity of achievements, neglecting the quality of the achievements and the actual contribution, imperfect assessment indicators, and the weak characteristics of TCM. Therefore, national ministries and commissions have jointly issued a document requesting to break the four only and set a new standard, in order to promote the construction of a scientific and technological talent evaluation system oriented by innovation value, ability and contribution. For the evaluation of TCM clinical talents, China Association for Science and Technology commissioned China Association of Chinese Medicine to build the China Clinical Cases Library of TCM(CCCL-TCM), which aims at collecting the most authoritative and representative TCM clinical cases and exploring the advantages of applying clinical cases as masterpiece of achievement in TCM clinical talents evaluation. CCCL-TCM can promote the construction of a talent evaluation system that is more in line with the development characteristics of TCM industry, and to carry out relevant pilot in TCM colleges and institutions across the country in order to promote the reformation of TCM talent evaluation system.
3.Influencing Factors and Predictive Modeling of the Selection of Infectious Disease Patients'First Choosing Institution
Xiaoxiao GU ; Xin TIAN ; Jiate WEI ; Youqing XIN
Chinese Hospital Management 2024;44(9):32-36
Objective To establish a predictive model for digestive and respiratory infectious disease patients'selection of first-entry healthcare institutions and analyze the influencing factors,providing a reference for regional healthcare institution development.Methods The cluster sampling was used to select 1524 target patients.The data was randomly split 8∶2 into training and testing sets.The binary logistic regression method was employed to establish a predictive model for the selection of infectious disease patients'first choosing institution and analyze the influencing factors.The model's predictive performance was evaluated using the AUC of the testing set.Results It analyzed 1 524 infectious disease cases;417 chose community clinics first.Influences on their initial choice included education,insurance type,occupation,relative distance,and having a family doctor.The AUC of the test set was 0.851.Conclusion The predictive model of the selection of infectious disease patients'first choosing institution established in this study can be used to predict patient flow and help allocate medical resources reasonably.Increasing the rate of primary care for patients with infectious diseases in the region.
4.Influencing Factors and Predictive Modeling of the Selection of Infectious Disease Patients'First Choosing Institution
Xiaoxiao GU ; Xin TIAN ; Jiate WEI ; Youqing XIN
Chinese Hospital Management 2024;44(9):32-36
Objective To establish a predictive model for digestive and respiratory infectious disease patients'selection of first-entry healthcare institutions and analyze the influencing factors,providing a reference for regional healthcare institution development.Methods The cluster sampling was used to select 1524 target patients.The data was randomly split 8∶2 into training and testing sets.The binary logistic regression method was employed to establish a predictive model for the selection of infectious disease patients'first choosing institution and analyze the influencing factors.The model's predictive performance was evaluated using the AUC of the testing set.Results It analyzed 1 524 infectious disease cases;417 chose community clinics first.Influences on their initial choice included education,insurance type,occupation,relative distance,and having a family doctor.The AUC of the test set was 0.851.Conclusion The predictive model of the selection of infectious disease patients'first choosing institution established in this study can be used to predict patient flow and help allocate medical resources reasonably.Increasing the rate of primary care for patients with infectious diseases in the region.
5.Influencing Factors and Predictive Modeling of the Selection of Infectious Disease Patients'First Choosing Institution
Xiaoxiao GU ; Xin TIAN ; Jiate WEI ; Youqing XIN
Chinese Hospital Management 2024;44(9):32-36
Objective To establish a predictive model for digestive and respiratory infectious disease patients'selection of first-entry healthcare institutions and analyze the influencing factors,providing a reference for regional healthcare institution development.Methods The cluster sampling was used to select 1524 target patients.The data was randomly split 8∶2 into training and testing sets.The binary logistic regression method was employed to establish a predictive model for the selection of infectious disease patients'first choosing institution and analyze the influencing factors.The model's predictive performance was evaluated using the AUC of the testing set.Results It analyzed 1 524 infectious disease cases;417 chose community clinics first.Influences on their initial choice included education,insurance type,occupation,relative distance,and having a family doctor.The AUC of the test set was 0.851.Conclusion The predictive model of the selection of infectious disease patients'first choosing institution established in this study can be used to predict patient flow and help allocate medical resources reasonably.Increasing the rate of primary care for patients with infectious diseases in the region.
6.Influencing Factors and Predictive Modeling of the Selection of Infectious Disease Patients'First Choosing Institution
Xiaoxiao GU ; Xin TIAN ; Jiate WEI ; Youqing XIN
Chinese Hospital Management 2024;44(9):32-36
Objective To establish a predictive model for digestive and respiratory infectious disease patients'selection of first-entry healthcare institutions and analyze the influencing factors,providing a reference for regional healthcare institution development.Methods The cluster sampling was used to select 1524 target patients.The data was randomly split 8∶2 into training and testing sets.The binary logistic regression method was employed to establish a predictive model for the selection of infectious disease patients'first choosing institution and analyze the influencing factors.The model's predictive performance was evaluated using the AUC of the testing set.Results It analyzed 1 524 infectious disease cases;417 chose community clinics first.Influences on their initial choice included education,insurance type,occupation,relative distance,and having a family doctor.The AUC of the test set was 0.851.Conclusion The predictive model of the selection of infectious disease patients'first choosing institution established in this study can be used to predict patient flow and help allocate medical resources reasonably.Increasing the rate of primary care for patients with infectious diseases in the region.
7.Influencing Factors and Predictive Modeling of the Selection of Infectious Disease Patients'First Choosing Institution
Xiaoxiao GU ; Xin TIAN ; Jiate WEI ; Youqing XIN
Chinese Hospital Management 2024;44(9):32-36
Objective To establish a predictive model for digestive and respiratory infectious disease patients'selection of first-entry healthcare institutions and analyze the influencing factors,providing a reference for regional healthcare institution development.Methods The cluster sampling was used to select 1524 target patients.The data was randomly split 8∶2 into training and testing sets.The binary logistic regression method was employed to establish a predictive model for the selection of infectious disease patients'first choosing institution and analyze the influencing factors.The model's predictive performance was evaluated using the AUC of the testing set.Results It analyzed 1 524 infectious disease cases;417 chose community clinics first.Influences on their initial choice included education,insurance type,occupation,relative distance,and having a family doctor.The AUC of the test set was 0.851.Conclusion The predictive model of the selection of infectious disease patients'first choosing institution established in this study can be used to predict patient flow and help allocate medical resources reasonably.Increasing the rate of primary care for patients with infectious diseases in the region.
8.Influencing Factors and Predictive Modeling of the Selection of Infectious Disease Patients'First Choosing Institution
Xiaoxiao GU ; Xin TIAN ; Jiate WEI ; Youqing XIN
Chinese Hospital Management 2024;44(9):32-36
Objective To establish a predictive model for digestive and respiratory infectious disease patients'selection of first-entry healthcare institutions and analyze the influencing factors,providing a reference for regional healthcare institution development.Methods The cluster sampling was used to select 1524 target patients.The data was randomly split 8∶2 into training and testing sets.The binary logistic regression method was employed to establish a predictive model for the selection of infectious disease patients'first choosing institution and analyze the influencing factors.The model's predictive performance was evaluated using the AUC of the testing set.Results It analyzed 1 524 infectious disease cases;417 chose community clinics first.Influences on their initial choice included education,insurance type,occupation,relative distance,and having a family doctor.The AUC of the test set was 0.851.Conclusion The predictive model of the selection of infectious disease patients'first choosing institution established in this study can be used to predict patient flow and help allocate medical resources reasonably.Increasing the rate of primary care for patients with infectious diseases in the region.
9.Influencing Factors and Predictive Modeling of the Selection of Infectious Disease Patients'First Choosing Institution
Xiaoxiao GU ; Xin TIAN ; Jiate WEI ; Youqing XIN
Chinese Hospital Management 2024;44(9):32-36
Objective To establish a predictive model for digestive and respiratory infectious disease patients'selection of first-entry healthcare institutions and analyze the influencing factors,providing a reference for regional healthcare institution development.Methods The cluster sampling was used to select 1524 target patients.The data was randomly split 8∶2 into training and testing sets.The binary logistic regression method was employed to establish a predictive model for the selection of infectious disease patients'first choosing institution and analyze the influencing factors.The model's predictive performance was evaluated using the AUC of the testing set.Results It analyzed 1 524 infectious disease cases;417 chose community clinics first.Influences on their initial choice included education,insurance type,occupation,relative distance,and having a family doctor.The AUC of the test set was 0.851.Conclusion The predictive model of the selection of infectious disease patients'first choosing institution established in this study can be used to predict patient flow and help allocate medical resources reasonably.Increasing the rate of primary care for patients with infectious diseases in the region.
10.Influencing Factors and Predictive Modeling of the Selection of Infectious Disease Patients'First Choosing Institution
Xiaoxiao GU ; Xin TIAN ; Jiate WEI ; Youqing XIN
Chinese Hospital Management 2024;44(9):32-36
Objective To establish a predictive model for digestive and respiratory infectious disease patients'selection of first-entry healthcare institutions and analyze the influencing factors,providing a reference for regional healthcare institution development.Methods The cluster sampling was used to select 1524 target patients.The data was randomly split 8∶2 into training and testing sets.The binary logistic regression method was employed to establish a predictive model for the selection of infectious disease patients'first choosing institution and analyze the influencing factors.The model's predictive performance was evaluated using the AUC of the testing set.Results It analyzed 1 524 infectious disease cases;417 chose community clinics first.Influences on their initial choice included education,insurance type,occupation,relative distance,and having a family doctor.The AUC of the test set was 0.851.Conclusion The predictive model of the selection of infectious disease patients'first choosing institution established in this study can be used to predict patient flow and help allocate medical resources reasonably.Increasing the rate of primary care for patients with infectious diseases in the region.

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