1.Global burden of uterine cancer in 204 countries and territories and its predicted level in 15 years, from 1990to 2021
Xiong ZHU ; Siqi ZHANG ; Cui ZHANG ; Jia JIANG ; Can YANG ; Yisidan HUANG ; Yuting ZENG ; Xiaoqing LUO ; Libo LI ; Yuncong LIU ; Yanping CHEN ; Hanqun ZHANG ; Yong LI
Journal of Gynecologic Oncology 2025;36(6):e125-
Objective:
Uterine cancer (UC) is a major cause of cancer-related deaths among women. This study assesses the global burden of UC from 1990 to 2021.
Methods:
Data from the Global Burden of Disease 2021 study were used to analyze UC incidence, mortality, and disability-adjusted life years (DALYs) across 204 countries.Age-standardized rates were evaluated by age and Socio-Demographic Index (SDI), with trends forecasted to 2036 using Bayesian models.
Results:
In 2021, the global incidence of UC reached 473,614 cases (95% uncertainty interval [UI]=4,29916–5,13667), with an age-standardized incidence rate of 5.41 per 100,000 (95% UI=4.90–5.87), showing an upward trend since 1990, particularly in high-SDI regions. However, the mortality rate in high SDI regions exhibited a declining trend, with an estimated annual percentage change (EAPC) of −0.25 (95% confidence interval=−0.42 to −0.08). Although the number of deaths globally has increased, the age-standardized mortality rate has decreased compared to 1990 (EAPC: −0.85). The global age-standardized DALYs also show a downward trend, except in high SDI and low-middle SDI regions. The highest incidence was observed among individuals aged 70–74 in 2021. By 2036, new cases are projected to rise, though incidence, mortality, and DALYs are expected to decline.
Conclusion
Regional disparities in the global UC burden highlight the need for tailored strategies, especially in low-income countries, to reduce its impact.
2.The application of liquid biopsy techniques in cervical cancer diagnosis, prediction and therapeutic surveillance
Jia JIANG ; Libo LI ; Cui ZHANG ; Can YANG ; Yunmeng DAI ; Yanping CHEN ; Yisidan HUANG ; Lu XIE ; Yang XIANG ; Jia YUAN ; Yuting ZENG ; Qiao WANG ; Yuncong LIU ; Hanqun ZHANG ; Yong LI
Journal of Gynecologic Oncology 2025;36(6):e121-
Cervical cancer (CC) is a significant cause of cancer-related deaths in women and ranks as the fourth most common malignant tumor worldwide. Cervical histopathology is currently the primary diagnostic method for confirming the presence of CC. Tumor markers and imaging techniques play crucial roles in monitoring treatment effectiveness and prognostic follow-up. Unfortunately, these traditional examination methods are invasive and often lack sensitivity and accuracy. Therefore, there is a need for a less invasive and more sensitive test to facilitate early diagnosis, efficacy evaluation, and prognostic monitoring of CC. In recent years, liquid biopsy has been developed as a new detection method. It involves analyzing tumor components released into the peripheral circulation, such as cell-free RNA, circulating tumor DNA, circulating tumor cells, tumor-educated platelets, and exosomes. Liquid biopsy offers advantages such as being less invasive, highly reproducible, and capable of real-time monitoring. Moreover, liquid biopsy can play a crucial role in the early diagnosis of CC, guiding targeted therapy, assessing prognosis, and evaluating treatment effectiveness.This review focuses on the value of liquid biopsy application in CC, detection markers, and detection methods. It also explores how liquid biopsy can be used in the detection, prognosis, and monitoring the progression of CC. The advantages and limitations of liquid biopsy in CC are analyzed to promote its application and improve the diagnosis and treatment of the disease.
3.Evaluation of the intervention effect of conventional and peer AIDS voluntary counseling and testing services among young students
Chinese Journal of School Health 2023;44(10):1468-1472
Objective:
To explore the influence of two voluntary counseling and testing(VCT) services on young students acquired immune deficiency syndrome(AIDS) related knowledge and behaviour, so as to provide a new idea for further improvement and promotion of VCT services.
Methods:
From April 2017 to December 2018, the sample size,selected from 12 patrol and fixed monitoring sites in colleges in Guangzhou, was calculated by non inferiority trial, and the students who received services at the same period were 1∶1 matched. A total of 113 students received conventional VCT and 186 recerived peer VCT services. The Chi square test was used to analyse the difference of AIDS related knowledge and behavior before and after intervention, and a survey was conducted on satisfaction.
Results:
After young students received conventional VCT services, the overall awareness rate of AIDS basic knowledge increased from 80.53% to 93.75%, and the frequency of condom use every time during heterosexual sexual activity in the past year increased by 29.17 percentage points ( χ 2=4.49,4.10, P <0.05). After young students received peer VCT services, the awareness rate of the Four Frees and One Care Policy increased from 34.95% to 58.26%, the rates of homosexual anal sex and more than or equal to 2 sexual partners in the past half a year decreased by 14.84 and 29.43 percentage points, respectively( χ 2=15.69, 4.82, 10.97, P <0.05).
Conclusion
After young students receive two modes of VCT services respectively, the AIDS related knowledge and behavior have been improved, and the influence of the two VCT services has different advantages. The combination of conventional VCT and peer education might be a more effective way of AIDS intervention.
4.Quantitative analysis on the policy text for free training of rural order-oriented medical students of China
Xiaona LI ; Min GAO ; Jiaxian SHAO ; Yuncong YU ; Wenqiang YIN ; Zhongming CHEN
Chinese Journal of Hospital Administration 2023;39(8):558-563
Objective:To analysis the policy tools and targets of the policies of free training for order-oriented medical students in rural areas of China, for reference for further improving the free medical student training policy.Methods:The research team searched the official websites of the State Council, National Health Commission, Ministry of Education, and other ministries, as well as the Peking University Treasure Database, for national level policy documents related to free training of order-oriented medical students released from June 2010 to May 2023. Policy tool-policy target analysis framework was used to quantitative analysis the policy documents.Results:A total of 16 policy documents were included and 213 policy provisions were extracted. From the perspective of policy tools, the proportion of policy provisions using imperative policy tools was the highest, accounting for 63.38% (135 articles), followed by advisory policy tools(18.78%, 40 articles)and reward based policy tools(13.61%, 29 articles), while functional expansion tools(2.82%, 6 articles) and authoritative restructuring tools(1.41%, 3 articles) accounted for a relatively low proportion. The institutional education stage is the main policy target, with provisions accounting for 76.06% (162 articles), followed by the continuing education stage and the post graduation education stage, accounting for 17.84% (38 articles) and 7.51% (16 articles), respectively. It was uneven distribution of various policy tools and their sub tools within the same policy target.Conclusions:The distribution of policy tools for the free training policy of rural order oriented medical students in China needed to be further balanced. The policy targets were mainly concentrated in the education stage of universities.
5.Research status of neurovascular coupling by photolysis of cage-locking calcium
Yuncong LI ; Yongjin ZHANG ; Fei WANG
Chinese Journal of Neuromedicine 2022;21(9):945-950
Calcium ions play an important role in neurovascular coupling, an important neural microcircuit that regulates blood supply to meet the energy and oxygen requirements for neuronal activation. Sequestering intracellular calcium in a photochemically unstable compound (calcium cage) is called caged calcium. On the contrary, uncaging calcium technology is the opposite process against caged calcium and works by releasing free calcium from calcium cage in the presence of light with certain wavelength. Therefore, uncaging calcium is an effective tool by enabling the manipulation of calcium in time, space and concentration freely. Based on the uncaging calcium technology, this paper reviews the application of such technology in the studies of neurovascular coupling to provide more convenient tools and increase the feasibility of research in calcium ion related scientific problems in the neurovascular coupling field.
6.Research status of neurovascular coupling by photolysis of cage-locking calcium
Yuncong LI ; Yongjin ZHANG ; Fei WANG
Chinese Journal of Neuromedicine 2022;21(9):945-950
Calcium ions play an important role in neurovascular coupling, an important neural microcircuit that regulates blood supply to meet the energy and oxygen requirements for neuronal activation. Sequestering intracellular calcium in a photochemically unstable compound (calcium cage) is called caged calcium. On the contrary, uncaging calcium technology is the opposite process against caged calcium and works by releasing free calcium from calcium cage in the presence of light with certain wavelength. Therefore, uncaging calcium is an effective tool by enabling the manipulation of calcium in time, space and concentration freely. Based on the uncaging calcium technology, this paper reviews the application of such technology in the studies of neurovascular coupling to provide more convenient tools and increase the feasibility of research in calcium ion related scientific problems in the neurovascular coupling field.
7.Discovery of highly selective and orally available benzimidazole-based phosphodiesterase 10 inhibitors with improved solubility and pharmacokinetic properties for treatment of pulmonary arterial hypertension.
Yuncong YANG ; Sirui ZHANG ; Qian ZHOU ; Chen ZHANG ; Yuqi GAO ; Hao WANG ; Zhe LI ; Deyan WU ; Yinuo WU ; Yi-You HUANG ; Lei GUO ; Hai-Bin LUO
Acta Pharmaceutica Sinica B 2020;10(12):2339-2347
Optimization efforts were devoted to discover novel PDE10A inhibitors in order to improve solubility and pharmacokinetics properties for a long-term therapy against pulmonary arterial hypertension (PAH) starting from the previously synthesized inhibitor


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