1.Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations
Xiaoxin WANG ; Mei ZHANG ; Shangjing LI
Chinese Health Economics 2024;43(9):48-52
Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.
2.Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations
Xiaoxin WANG ; Mei ZHANG ; Shangjing LI
Chinese Health Economics 2024;43(9):48-52
Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.
3.Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations
Xiaoxin WANG ; Mei ZHANG ; Shangjing LI
Chinese Health Economics 2024;43(9):48-52
Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.
4.Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations
Xiaoxin WANG ; Mei ZHANG ; Shangjing LI
Chinese Health Economics 2024;43(9):48-52
Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.
5.Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations
Xiaoxin WANG ; Mei ZHANG ; Shangjing LI
Chinese Health Economics 2024;43(9):48-52
Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.
6.Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations
Xiaoxin WANG ; Mei ZHANG ; Shangjing LI
Chinese Health Economics 2024;43(9):48-52
Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.
7.Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations
Xiaoxin WANG ; Mei ZHANG ; Shangjing LI
Chinese Health Economics 2024;43(9):48-52
Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.
8.Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations
Xiaoxin WANG ; Mei ZHANG ; Shangjing LI
Chinese Health Economics 2024;43(9):48-52
Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.
9.Influence of ticagrelor combined PCI on myocardial perfusion ,serum levels of PAF and PAC‐1 in AMI patients/
Shangjing WANG ; Wei LI ; Liang SUN
Chinese Journal of cardiovascular Rehabilitation Medicine 2019;28(1):56-60
Objective :To explore influence of ticagrelor combined percutaneous coronary intervention (PCI) on myo‐cardial perfusion ,serum levels of platelet activating factor (PAF) and activated platelet membrane glycoprotein Ⅱb/Ⅲa complex (PAC‐1) in patients with acute myocardial infarction (AMI ).Methods :A total of 120 AMI patients undergoing emergency PCI were selected , randomly and equally divided into clopidogrel combined aspirin group (control group) and ticagrelor combined aspirin group (T+ A group).Perfusion indexes ,cardiac function indexes and serum levels of PAF and PAC‐1 were measured and compared between two groups on 24h and six months after PCI ,and incidence of adverse events within six‐month was recorded .Results :After PCI ,there was no significant difference in TIMI grade 3 blood flow rate between two groups , P=0.488. Compared with control group on six months after PCI ,there were significant rise in cardiac index [ (2.61 ± 1.31) L·min-1 ·m-2 vs.(3. 12 ± 1.37) L ·min-1 ·m-2 ] ,stroke volume [ (60.99 ± 5.13) ml vs.(71. 24 ± 5. 94) ml] and left ventricular ejection fraction [ (45.31 ± 6. 73 )% vs.(72.64 ± 7.29 )%] , and significant reductions in left ventricular end‐systolic dimension [ (59.41 ± 4. 12) mm vs.(53.12 ± 3.45) mm] ,serum levels of PAF [ (10. 31 ± 1. 69) μg/L vs .(8.26 ± 1.38) μg/L] and PAC‐1 [ (37.57 ± 5.74)% vs.(32.14 ± 4.93)%] in T+A group , P<0. 05 or <0.01. During six‐month follow‐up ,no patient died in either group ,and incidence rate of adverse events in T+A group was significantly low‐er than that of control group (1. 67% vs.11.67%, P=0. 028 ).Conclusion :Ticagrelor combined PCI can signifi‐cantly improve cardiac function and reduce peripheral blood levels of PAF and PAC‐1 with good safety in AMI pa‐tients .It′s worth clinical extension and application .
10.Prokaryotic expression, purification and identification of recombinant human atrial natriuretic peptide.
Chenhui CHEN ; Ziye ZHAO ; Jin XU ; Xuesong CAO ; Shangjing GUO ; Jun LI ; Hao WANG ; Sheng HOU
Chinese Journal of Biotechnology 2016;32(9):1273-1285
In order to improve the expression of recombinant human atrial natriuretic peptide (ANP), a new plasmid (pET28a(+)/ANP₃) containing 3 tandem ANP genes with lysine codon as the interval linker, was constructed. Target gene was transformed into Escherichia coli BL21 (DE3) and induced by IPTG, about 60% of the total-cell-protein was the target protein, His₆-ANP₃. After denaturation and refolding, it was digested by Endoproteinase Lys-C and Carboxypeptidase B (CPB) and then purified by a series of purification processes, about 16 mg purified ANP monomer could be obtained from one liter bacteria broth of shaking culture. Ultimately, the purity of protein was above 90% determined by UPLC and Tricine SDS-PAGE, its molecular weight was 3 080 Da according to LC-MS identification and it was proved to be equivalent to the reference product by ELISA. The use of tandem gene expression can provide a new possible model for the expression of other peptide drugs.
Atrial Natriuretic Factor
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biosynthesis
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Electrophoresis, Polyacrylamide Gel
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Escherichia coli
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metabolism
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Gene Expression
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Humans
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Metalloendopeptidases
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Peptides
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Plasmids
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genetics
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Recombinant Fusion Proteins
;
biosynthesis

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