1.Screening of initial processing methods for Ligusticum sinense slice based on differential metabolites
Yu HE ; Yanjing DONG ; Qian QIN ; Danyang WU ; Conglong XU ; Shouwen ZHANG
China Pharmacy 2025;36(11):1317-1322
OBJECTIVE To screen the primary processing methods of Ligusticum sinense slice based on differential metabolites, and provide theoretical basis for the scientific processing of L. sinense. METHODS Using 13 groups of L. sinense slice processed by fresh-cutting or traditional methods as samples, UHPLC-QE-MS was employed for metabolite identification. Multivariate statistical analysis was applied to screen differential metabolites among the 13 sample groups, analyzing the effects of washing, soaking, drying methods, and drying cycles on both the relative expressions of differential metabolites and the contents of carboxylic acids and their derivatives in the samples (to reflect the total amino acid content). RESULTS Principal component analysis and partial least squares-discriminant analysis both showed significant intergroup differences among the 13 sample groups. A total of 688 differential metabolites were screened from the 13 sample groups, with carboxylic acids and their derivatives showing the highest proportion. The relative expression levels of phosphatidylcholine significantly increased after washing treatment, while tryptophan expression significantly decreased after soaking treatment. Samples dried at 50-60 ℃ showed significantly increased expression of psoralen, whereas those dried at 40 ℃ showed significantly decreased expression of methyl -p- methoxycinnamate. Both washing and soaking treatments significantly reduced the total amino acid content in samples, while secondary drying significantly increased it. The three controlled-temperature drying methods maintained relatively stable total content of amino acids in samples. CONCLUSIONS The optimal processing protocol for L. sinense slice is as follows: fresh L. sinense slice should be freshly cut at the production site, undergo quick washing after soil removal, and be dried twice at 40 ℃ (before and after slicing).
2.Thrombocytopenia induced by rivaroxaban
Cunfei LIU ; Wenqi LIU ; Zhengrong LI ; Zongfa ZHU ; Yuxi WANG ; Shouwen ZHANG
Adverse Drug Reactions Journal 2025;27(2):120-122
A 66-year-old female patient with multiple chronic diseases was on long-term treatment with digoxin, spironolactone, metoprolol, atorvastatin, dapagliflozin, and entecavir, with no abnormality platelet count (PLT). Due to hypertrophic obstructive cardiomyopathy and atrial fibrillation, digoxin was discontinued, and rivaroxaban 15 mg once daily orally was added to prevent thrombosis. Concurrently, furosemide, sacubitril valsartan, meglumine adenosine cyclophosphate, and silibinin was given for cardiac load reducement, blood pressure control and heart failure improvement, myocardial nutrition, and liver function improvement, respectively. After the initiation of this regimen, the patient′s PLT gradually decreased and was 51×10 9/L on day 13. Drug-induced thrombocytopenia was considered, with rivaroxaban being the likely causative agent. Rivaroxaban was then switched to warfarin, methylprednisolone 40 mg was administered intravenously once, and the remaining medications were continued. The patient′s PLT gradually increased. On day 11 after discontinuing rivaroxaban, the PLT was 155×10 9/L. At a 2-week follow-up, PLT of the patient was 169×10 9/L.
3.Thrombocytopenia induced by rivaroxaban
Cunfei LIU ; Wenqi LIU ; Zhengrong LI ; Zongfa ZHU ; Yuxi WANG ; Shouwen ZHANG
Adverse Drug Reactions Journal 2025;27(2):120-122
A 66-year-old female patient with multiple chronic diseases was on long-term treatment with digoxin, spironolactone, metoprolol, atorvastatin, dapagliflozin, and entecavir, with no abnormality platelet count (PLT). Due to hypertrophic obstructive cardiomyopathy and atrial fibrillation, digoxin was discontinued, and rivaroxaban 15 mg once daily orally was added to prevent thrombosis. Concurrently, furosemide, sacubitril valsartan, meglumine adenosine cyclophosphate, and silibinin was given for cardiac load reducement, blood pressure control and heart failure improvement, myocardial nutrition, and liver function improvement, respectively. After the initiation of this regimen, the patient′s PLT gradually decreased and was 51×10 9/L on day 13. Drug-induced thrombocytopenia was considered, with rivaroxaban being the likely causative agent. Rivaroxaban was then switched to warfarin, methylprednisolone 40 mg was administered intravenously once, and the remaining medications were continued. The patient′s PLT gradually increased. On day 11 after discontinuing rivaroxaban, the PLT was 155×10 9/L. At a 2-week follow-up, PLT of the patient was 169×10 9/L.
4.Chinese-style Comprehensive and Full-Cycle Health Service System:Modernisation Connotations,Characteristics and Pathways
Shouwen ZHANG ; Yuesheng LIAO ; Xiaolu FENG
Chinese Health Economics 2024;43(9):1-5
The modernisation of Chinese-style all-round and full-cycle health service system is an important guarantee to meet the growing health needs of the residents,and it is also a necessary way to promote the construction of a healthy China and achieve universal health coverage.Through literature and logical analysis and other research methods,on the basis of analysing the connotation and characteristics of the modernisation of the Chinese-style comprehensive and full-cycle health service system,the following optimisation progression is proposed:(1)policy leadership-constructing a comprehensive policy system and building a solid health cornerstone;(2)science and technology empowerment-strengthening the application of scientific and technological innovation to drive the development of health;(3)service upgrading-improving the quality of the service process to optimize the health experience;(4)conceptual innovation-changing the traditional concept of health and improving health literacy.
5.Chinese-style Comprehensive and Full-Cycle Health Service System:Modernisation Connotations,Characteristics and Pathways
Shouwen ZHANG ; Yuesheng LIAO ; Xiaolu FENG
Chinese Health Economics 2024;43(9):1-5
The modernisation of Chinese-style all-round and full-cycle health service system is an important guarantee to meet the growing health needs of the residents,and it is also a necessary way to promote the construction of a healthy China and achieve universal health coverage.Through literature and logical analysis and other research methods,on the basis of analysing the connotation and characteristics of the modernisation of the Chinese-style comprehensive and full-cycle health service system,the following optimisation progression is proposed:(1)policy leadership-constructing a comprehensive policy system and building a solid health cornerstone;(2)science and technology empowerment-strengthening the application of scientific and technological innovation to drive the development of health;(3)service upgrading-improving the quality of the service process to optimize the health experience;(4)conceptual innovation-changing the traditional concept of health and improving health literacy.
6.Chinese-style Comprehensive and Full-Cycle Health Service System:Modernisation Connotations,Characteristics and Pathways
Shouwen ZHANG ; Yuesheng LIAO ; Xiaolu FENG
Chinese Health Economics 2024;43(9):1-5
The modernisation of Chinese-style all-round and full-cycle health service system is an important guarantee to meet the growing health needs of the residents,and it is also a necessary way to promote the construction of a healthy China and achieve universal health coverage.Through literature and logical analysis and other research methods,on the basis of analysing the connotation and characteristics of the modernisation of the Chinese-style comprehensive and full-cycle health service system,the following optimisation progression is proposed:(1)policy leadership-constructing a comprehensive policy system and building a solid health cornerstone;(2)science and technology empowerment-strengthening the application of scientific and technological innovation to drive the development of health;(3)service upgrading-improving the quality of the service process to optimize the health experience;(4)conceptual innovation-changing the traditional concept of health and improving health literacy.
7.Chinese-style Comprehensive and Full-Cycle Health Service System:Modernisation Connotations,Characteristics and Pathways
Shouwen ZHANG ; Yuesheng LIAO ; Xiaolu FENG
Chinese Health Economics 2024;43(9):1-5
The modernisation of Chinese-style all-round and full-cycle health service system is an important guarantee to meet the growing health needs of the residents,and it is also a necessary way to promote the construction of a healthy China and achieve universal health coverage.Through literature and logical analysis and other research methods,on the basis of analysing the connotation and characteristics of the modernisation of the Chinese-style comprehensive and full-cycle health service system,the following optimisation progression is proposed:(1)policy leadership-constructing a comprehensive policy system and building a solid health cornerstone;(2)science and technology empowerment-strengthening the application of scientific and technological innovation to drive the development of health;(3)service upgrading-improving the quality of the service process to optimize the health experience;(4)conceptual innovation-changing the traditional concept of health and improving health literacy.
8.Chinese-style Comprehensive and Full-Cycle Health Service System:Modernisation Connotations,Characteristics and Pathways
Shouwen ZHANG ; Yuesheng LIAO ; Xiaolu FENG
Chinese Health Economics 2024;43(9):1-5
The modernisation of Chinese-style all-round and full-cycle health service system is an important guarantee to meet the growing health needs of the residents,and it is also a necessary way to promote the construction of a healthy China and achieve universal health coverage.Through literature and logical analysis and other research methods,on the basis of analysing the connotation and characteristics of the modernisation of the Chinese-style comprehensive and full-cycle health service system,the following optimisation progression is proposed:(1)policy leadership-constructing a comprehensive policy system and building a solid health cornerstone;(2)science and technology empowerment-strengthening the application of scientific and technological innovation to drive the development of health;(3)service upgrading-improving the quality of the service process to optimize the health experience;(4)conceptual innovation-changing the traditional concept of health and improving health literacy.
9.Chinese-style Comprehensive and Full-Cycle Health Service System:Modernisation Connotations,Characteristics and Pathways
Shouwen ZHANG ; Yuesheng LIAO ; Xiaolu FENG
Chinese Health Economics 2024;43(9):1-5
The modernisation of Chinese-style all-round and full-cycle health service system is an important guarantee to meet the growing health needs of the residents,and it is also a necessary way to promote the construction of a healthy China and achieve universal health coverage.Through literature and logical analysis and other research methods,on the basis of analysing the connotation and characteristics of the modernisation of the Chinese-style comprehensive and full-cycle health service system,the following optimisation progression is proposed:(1)policy leadership-constructing a comprehensive policy system and building a solid health cornerstone;(2)science and technology empowerment-strengthening the application of scientific and technological innovation to drive the development of health;(3)service upgrading-improving the quality of the service process to optimize the health experience;(4)conceptual innovation-changing the traditional concept of health and improving health literacy.
10.Chinese-style Comprehensive and Full-Cycle Health Service System:Modernisation Connotations,Characteristics and Pathways
Shouwen ZHANG ; Yuesheng LIAO ; Xiaolu FENG
Chinese Health Economics 2024;43(9):1-5
The modernisation of Chinese-style all-round and full-cycle health service system is an important guarantee to meet the growing health needs of the residents,and it is also a necessary way to promote the construction of a healthy China and achieve universal health coverage.Through literature and logical analysis and other research methods,on the basis of analysing the connotation and characteristics of the modernisation of the Chinese-style comprehensive and full-cycle health service system,the following optimisation progression is proposed:(1)policy leadership-constructing a comprehensive policy system and building a solid health cornerstone;(2)science and technology empowerment-strengthening the application of scientific and technological innovation to drive the development of health;(3)service upgrading-improving the quality of the service process to optimize the health experience;(4)conceptual innovation-changing the traditional concept of health and improving health literacy.

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