1.Design of medical positive pressure protective suit for long-voyage aeromedical evacuation
Yu-Juan SU ; Li-Qun WANG ; Ya-Di ZHANG ; Xiang-Yi YANG ; Zhen-Yao SONG
Chinese Medical Equipment Journal 2024;45(11):113-116
Objective To develop a medical positive pressure protective suit for long-voyage aeromedical evacuation to realize protective isolation and drinking water and energy supply for medical personnel during long-voyage aeromedical evacuation of respiratory infectious disease patients.Methods The medical positive pressure protective suit had a one-piece structure,with its main part made of hydroentangled non-woven fabric,head and forebreast parts made of amorphous polyethylene terephthalate anti-fog material and wearing-and taking-off parts sealed with zipper and autohesion,which was equipped with a portable positive pressure air supply device,an airborne centralized positive pressure air supply device and a monitoring and warning device.The portable positive pressure air supply device was fixed in the back of the suit at the waist,the airborne device was made by modifying the commercially available positive pressure air supply fan,and the monitoring and warning device monitored the air supply volume of the fan,the battery power and the pressure inside the suit.Results The suit behaved well in protection,clean fresh air supply without time limitation and facilitating hydration and energy replenishment of medical personnel by forming three activity spaces.Conclusion The suit developed can continuously provide a clean and comfortable microenvironment,meeting the requirements of medical personnel for protection and hydration and energy replenishment during long-voyage aeromedical evacuation.[Chinese Medical Equipment Journal,2024,45(11):113-116]
2.Prevalence and trends of anemia among pregnant women in eight provinces of China from 2016 to 2020.
Li Na YIN ; Wei ZHAO ; Huan Qing HU ; Ai Qun HUANG ; Si Di CHEN ; Bo SONG ; Qi YANG ; Jiang Li DI
Chinese Journal of Preventive Medicine 2023;57(5):736-740
This study analyzed the anemia status and change trend of 219 835 pregnant women in eight provinces from 2016 to 2020 in the Maternal and Newborn Health Monitoring Program(MNHMP). The results showed that from 2016 to 2020, the anemia rate of pregnant women in eight provinces was 41.27%, and the rates of mild, moderate and severe anemia were 28.56%, 12.59% and 0.12% respectively; the anemia rates in eastern, central and western regions were 41.87%, 36.09% and 44.63% respectively, and the anemia rates in urban and rural areas were 39.87% and 42.23%. From 2016 to 2020, the anemia rate of pregnant women decreased from 44.93% to 38.22%, with an average annual decline of 3.86% (95%CI:-5.84%, -1.85%). The anemia rate among pregnant women of the eastern region (AAPC=-6.16%, 95%CI:-9.79%, -2.38%) fell faster than that among pregnant women of the central region (AAPC=0.71%, 95%CI:-6.59%, 8.57%) and western region (AAPC=-1.53%, 95%CI:-5.19%, 2.28%). From 2016 to 2020, the moderate anemia rate in pregnant women decreased from 14.98% to 10.74%, with an average annual decline of 8.72% (95%CI:-12.90%, -4.34%), with a statistically significant difference (P<0.05); AAPC for mild and severe anemia in pregnant women was 1.56% (95%CI: 3.44%, 0.36%) and 18.86% (95%CI: 39.88%, 9.52%), respectively, without statistically significant difference (P>0.05).
Infant, Newborn
;
Female
;
Humans
;
Pregnancy
;
Pregnant Women
;
Prevalence
;
Anemia/epidemiology*
;
China/epidemiology*
;
Family
;
Rural Population
3.Association of C-reactive Protein with Cardiovascular Outcomes: A Mendelian Randomization Study in the Japanese Population.
Ming Yang CAO ; Di LIU ; Xiao Yu ZHANG ; Qiu Yue TIAN ; Qun ZHANG ; You Xin WANG
Biomedical and Environmental Sciences 2022;35(2):126-132
OBJECTIVE:
Traditional epidemiological studies have shown that C-reactive protein (CRP) is associated with the risk of cardiovascular diseases (CVDs). However, whether this association is causal remains unclear. Therefore, Mendelian randomization (MR) was used to explore the causal relationship of CRP with cardiovascular outcomes including ischemic stroke, atrial fibrillation, arrhythmia and congestive heart failure.
METHODS:
We performed two-sample MR by using summary-level data obtained from Japanese Encyclopedia of Genetic association by Riken (JENGER), and we selected four single-nucleotide polymorphisms associated with CRP level as instrumental variables. MR estimates were calculated with the inverse-variance weighted (IVW), penalized weighted median and weighted median. MR-Egger regression was used to explore pleiotropy.
RESULTS:
No significant causal association of genetically determined CRP level with ischemic stroke, atrial fibrillation or arrhythmia was found with all four MR methods (all Ps > 0.05). The IVW method indicated suggestive evidence of a causal association between CRP and congestive heart failure ( OR: 1.337, 95% CI: 1.005-1.780, P = 0.046), whereas the other three methods did not. No clear pleiotropy or heterogeneity were observed.
CONCLUSIONS
Suggestive evidence was found only in analysis of congestive heart failure; therefore, further studies are necessary. Furthermore, no causal association was found between CRP and the other three cardiovascular outcomes.
C-Reactive Protein/metabolism*
;
Cardiovascular Diseases/metabolism*
;
Genetic Predisposition to Disease
;
Genotype
;
Humans
;
Japan
;
Mendelian Randomization Analysis
;
Polymorphism, Single Nucleotide
;
Risk Factors
4.The prevalence of unhealthy lifestyle among occupational population aged 18‒59 in Shanghai in 2013
Dan-ni LIU ; Qun-di YANG ; Xiao-xia LIU ; Xiao-ying CHEN ; Yang ZHENG ; Yan SHI
Shanghai Journal of Preventive Medicine 2021;33(6):486-491
Objective:To understand the prevalence of unhealthy lifestyle among Shanghai occupational population aged 18-59 in 2013 and provide suggestion for intervention. Methods:Data retrieved from 2013 Shanghai Non-communicable Diseases and Risk Factors Surveillance were used to investigate the residents who were 18-59 years old and engaged in various occupations in Shanghai. Descriptive analysis and test were conducted by weight and complex sampling. Smoking, drinking, eating behavior and physical activities were compared among different gender,age,area and occupation groups. Results:A total of 10 287 participants were included in this analysis. The current smoking rate of 41.46% in males were significantly higher than 0.64% in females(
5.Consumption of sugar-sweetened carbonated beverage and juice/fruit-flavored drink among residents aged 15 years and above in 2013 in Shanghai
Xiao-ying CHEN ; Dan-ni LIU ; Qun-di YANG ; Xiao-xia LIU ; Yang ZHENG ; Yan SHI
Shanghai Journal of Preventive Medicine 2020;32(9):756-
Objective To determine the consumption of sugar-sweetened carbonated beverage and juice/fruit-flavored drink among residents aged 15 years and above in 2013 in Shanghai. Methods Data was extracted from the 2013 Shanghai Non-communicable Disease and Risk Factors Surveillance, in which multi-stage cluster sampling was performed.A total of 25 657 subjects aged ≥15 years across the city were selected for analysis. Results In the study, 34.42% (95%
6."Medium and Long-term Plan for the Prevention and Control of Chronic Non-communicable Diseases in Shanghai(2018-2030)" in the perspective of public health
Qun-di YANG ; Ping-ping BAO ; Yang ZHENG ; Min-na CHENG ; Ye RUAN ; Chun-fang WANG ; Yan SHI
Shanghai Journal of Preventive Medicine 2020;32(6):487-
The "Medium and Long-term Plan for the Prevention and Control of Chronic Non-communicable Diseases in Shanghai (2018-2030)" was officially released in August 2018.From the perspective of public health, this paper analyzes the background of the plan from the epidemic situation, response and challenges Shanghai City is facing, expounds the comprehensive prevention and control system of chronic diseases including four functional systems, and explains the key preventive and control measures on the different stages of chronic diseases, comparing the evaluation indicators with those of the national plan.This paper will help to better understand the new blueprint for the prevention and control of chronic diseases in Shanghai in the next ten years.
7.First batch of national demonstration areas for comprehensive prevention and control of chronic diseases in Shanghai:their healthy environment construction and effectiveness evaluation
Dan-ni LIU ; Qun-di YANG ; Yang ZHENG ; Xiao-xia LIU ; Xiao-ying CHEN ; Yan SHI
Shanghai Journal of Preventive Medicine 2020;32(6):492-
Objective To make assessment on construction effectiveness of the first batch of national chronic disease comprehensive control and prevention demonstration areas (NCD demonstration areas) in Shanghai, summarizing NCD experience and its characteristics, so as to provide reference for other regions. Methods Data were collected and analysed concerning construction of health support environment and regional characteristics of the six districts-Xuhui, Jing′an, Minhang, Jiading, Songjiang and Qingpu.Descriptive data from Shanghai Non-communicable Diseases and Risk Factors Surveillance in 2013 and 2017 was also analyzed for evaluation. Results It was noted that health support environment had been in continuous construction.The total number of health units increased by 1 502 as compared with pre-construction.The number of new type health units increased by 489 such as health theme parks, health trails and health huts.All six districts established self-help health test points covering all streets and towns.Residents′ living and behavior styles were improved, as there was a decrease in current smoking rate, oil intake and salt intake in the six NCD demonstration areas.In Xuhui, Minhang and Jiading three districts, the current smoking rate among residents over 18 years old remarkably declined.In five of the six districts, the average daily oil intake per family member was significantly reduced and so was the average daily salt intake per family member in the six districts.In addition, the six demonstration areas in Shanghai explored several models of NCD prevention and control in line with regional characteristics, which produced positive results. Conclusion The first batch of demonstration areas of Shanghai have achieved effective results in aspects of environmental support and health effects.The modes of NCD prevention and control in different districts present their regional characteristics, which provide significant reference for other regions of Shanghai in this regard.
8.UPLC/ESI-QTOF-MS-based metabolomics survey on the toxicity of triptolide and detoxication of licorice.
Zhuo WANG ; Jian-Qun LIU ; Jin-Di XU ; He ZHU ; Ming KONG ; Guo-Hua ZHANG ; Su-Min DUAN ; Xiu-Yang LI ; Guang-Fu LI ; Li-Fang LIU ; Song-Lin LI
Chinese Journal of Natural Medicines (English Ed.) 2017;15(6):474-480
Triptolide (TP) from Tripterygium wilfordii has been demonstrated to possess anti-inflammatory, immunosuppressive, and anticancer activities. TP is specially used for the treatment of awkward rheumatoid arthritis, but its clinical application is confined by intense side effects. It is reported that licorice can obviously reduce the toxicity of TP, but the detailed mechanisms involved have not been comprehensively investigated. The current study aimed to explore metabolomics characteristics of the toxic reaction induced by TP and the intervention effect of licorice water extraction (LWE) against such toxicity. Obtained urine samples from control, TP and TP + LWE treated rats were analyzed by UPLC/ESI-QTOF-MS. The metabolic profiles of the control and the TP group were well differentiated by the principal component analysis and orthogonal partial least squares-discriminant analysis. The toxicity of TP was demonstrated to be evolving along with the exposure time of TP. Eight potential biomarkers related to TP toxicity were successfully identified in urine samples. Furthermore, LWE treatment could attenuate the change in six of the eight identified biomarkers. Functional pathway analysis revealed that the alterations in these metabolites were associated with tryptophan, pantothenic acid, and porphyrin metabolism. Therefore, it was concluded that LWE demonstrated interventional effects on TP toxicity through regulation of tryptophan, pantothenic acid, and porphyrin metabolism pathways, which provided novel insights into the possible mechanisms of TP toxicity as well as the potential therapeutic effects of LWE against such toxicity.
Animals
;
Biomarkers
;
Chromatography, High Pressure Liquid
;
methods
;
Diterpenes
;
toxicity
;
Epoxy Compounds
;
toxicity
;
Glycyrrhiza
;
Male
;
Metabolomics
;
Phenanthrenes
;
toxicity
;
Plant Extracts
;
therapeutic use
;
Principal Component Analysis
;
Rats
;
Rats, Sprague-Dawley
;
Spectrometry, Mass, Electrospray Ionization
;
methods
9.Clinical diagnosis value of high frequency color Doppler ultrasound for upper limb nerve disease
Qing YANG ; Gui-Lan CONG ; Yu-Qun ZHANG ; Yan ZHANG ; Yue-Qin ZHA ; Jian-Di SUN
Chinese Journal of Clinical Medicine 2017;24(2):293-295
Objective:To explore the clinical value of high frequency color Doppler ultrasound in the diagnosis of upper limb nerve disease.Methods:The inspection of 32 patients with upper limb nerve disease was performed by high frequency color Doppler ultrasound.Through observing the upper limb nerve continuity, epineurium, nerve bundle, surrounding tissues, the nerve-associated mass and their relevance, the type and location of neurological diseases were confirmed, and the ultrasonographic features were analyzed and compared with those of the healthy side.Results:Fourteen cases showed single schwannoma, whose image characteristics were priority to elliptic low echo, clear boundary, the envelope.Six cases showed neurofibromatosis;among them, 5 cases with single neurofibroma showing low echo, internal uniform, fusiform shape, and the ends connected with the nerves;other 1 case with multiple and beaded neurofibroma.Three cases showed ulnar neuritis with local nerve thickening, echo reduction, hypoechoic cross-section, "screen mesh shape" structure disappearing, and abundant blood flow signals on CDFI.Nine cases showed traumatic nerve injury, whose local nerve was compressed and morphologically abnormal, with irregular abnormal echo around region.Conclusions:The different upper limb nerve diseases have different characteristic ultrasonography, and high frequency color Doppler ultrasound may provide the preferred image basis for clinical diagnosis and treatment.
10.Effects of different stocking density and diet on development of Bufo gargarizans tadpoles.
Jun-de LI ; Qun ZHAO ; Yan KANG ; Bo GAO ; Deng-Lin LI ; Yan YANG ; Lu-Qi HUANG
China Journal of Chinese Materia Medica 2016;41(6):1001-1007
The effects of four different stocking densities and five different diets on the growth of Bufo gargarizans tadpoles were studied to determine the optimum stocking density and diet. For stocking density experiment, the tadpoles were fed respectively at different density of 200, 500, 1 000 and 2 000 tadpoles per square meter. For diet experiment, the tadpoles were divided into five groups fed respectively with five different diets. The body weight, snout-vent length and tail length were measured every seven days, and mortality was recorded. The results showed that: the survival rates of tadpole before metamorphosis and after metamorphosis were from 68.7% to 96.3% and from 5.7% to 36.0%, respectively; the optimum stocking density is 1 000 tadpoles per square meter for the stocking density had no effect on the survival rate of tadpole before metamorphosis, and the tadpoles had the relative large body weight and survival numbers in 1000 tadpoles per square meter; the diet Ⅱ(37.9% crude protein and 5.7% crude fat), Ⅳ (25.1% crude protein and 4.0% crude fat), and Ⅴ (egg yolk) were all the optimum diets for the diet had no effect on the survival rate of tadpole before metamorphosis and the tadpoles fed with three kinds of diet above had relatively large body weight, and one of these three diets based on their availability and cost should be adopted during breeding period.

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