1.Application of excellence-performance management model in macro-quality management for occupational medical examination institutions
Runan LIAN ; Junmei JIN ; Yan JIA ; Qifen GUO ; Hongda ZHANG ; Xin SUI ; Fang JI ; Xingfu PAN
China Occupational Medicine 2024;51(6):713-716
		                        		
		                        			
		                        			Objective To analyze the status of occupational hazards in key positions of the small and micro book and newspaper printing enterprises in Beijing City. Methods A total of 16 small and micro printing enterprises in Beijing City were selected as the research subjects using the judgment sampling method. The status of occupational hazard was assessed using on-site occupational health investigations. The volatile chemical components in organic solvents such as inks and cleaning agents used in the workplace, the level of chemical hazardous agents in the air, and noise intensity were detected and analyzed. Results A total of 1 105 workers from 16 small and micro printing enterprises were included. The occupational hazard exposure rate was 22.2% (245/1 105), with chemical hazardous agents and noise exposure rates of 13.5% and 22.2%, respectively. The rate of compliance with occupational health training among the head of the enterprise and the occupational health management personnel, the regular detection rate of occupational hazards in last year, and the rate for the occupational health examination in last year were both 100.0%. The rate for annual update of occupational hazard project reporting was 93.8% (15/16). The usage rates of gas mask and noise-proof earplug were 68.8% (11/16) and 50.0% (8/16), respectively. The effectiveness rates of anti-toxic and noise-reduction facilities were 87.5% (14/16) and 62.5% (10/16). The sign setting rates of chemical hazardous agents and noise warning were 93.8% (15/16). Acetone and isopropanol were found in ink and cleaning agents in 15 printing enterprises, while toluene, xylene, and ethylbenzene were found in three, two, and one enterprise, respectively. Benzene, 1,2-dichloroethane, n-hexane, and trichloroethylene were not found in all 16 enterprises. Both the exposure concentration of short term and exposure concentration of time weighted average of the above chemical hazards were lower than the lower limit of quantitation of the detection method in the workplace and work site air among the 16 printing enterprises, and none of concentration was exceeded the national standard. A total of 240 noise work sites were detected, and the national noise-exceeding rate was 11.2%(27/240). Conclusion Noise hazards are prominent in the small and micro printing enterprises in Beijing City, and attention should be paid to the prevention and protection of noise-exposure. The usage rate of personal protective equipment is not high, and the training and on-site supervision management of protective equipment wearing in workers should be strengthened. 
		                        		
		                        		
		                        		
		                        	
2.Modified Qianghuo Shengshitang Combined with Ozone Injection and Radiofrequency Thermocoagulation Target Puncture in Treatment of Cervical Spondylotic Radiculopathy with Wind-cold Blockage Type
Pan ZHANG ; Qinjian WANG ; Dongkang XU ; Xingfu JIANG ; Bobo LI
Chinese Journal of Experimental Traditional Medical Formulae 2023;29(1):91-96
		                        		
		                        			
		                        			ObjectiveTo observe the clinical efficacy of Qianghuo Shengshitang combined with ozone injection and radiofrequency thermocoagulation target puncture in the treatment of cervical spondylotic radiculopathy (wind-cold blockage type). MethodSixty-eight patients with cervical spondylotic radiculopathy who were treated in Henan Province Hospital of Traditional Chinese Medicine from August 2020 to May 2021 were included and grouped into a control group and a research group by random number table, with 34 patients in each group. The control group was administrated with placebo granules of Qianghuo Shengshitang, and treated with ozone injection and radiofrequency thermocoagulation target puncture at the same time. The research group was given modified Qianghuo Shengshitang combined with ozone injection and radiofrequency thermocoagulation target puncture. Before and after treatment, patients in two groups were tested for the levels of tumor necrosis factor-α (TNF-α), procalcitonin (PCT), interleukin-2 (IL-2), interleukin-1β (IL-1β), 6-ketoprostaglandin E1α (6-keto-PGE1α), plasma substance P (SP), β-endorphin (β-EP), lipid peroxide (LPO), malondialdehyde (MDA), and superoxide dismutase (SOD). The pain visual scale (VAS), cervical dysfunction index (NDI), and clinical evaluation scale for cervical spondylosis (CASCS) were given to patients to evaluate the clinical efficacy. ResultCompared with those before treatment, the levels of IL-1β, PCT, and TNF-α in two groups were decreased, and the level of IL-2 was increased (P<0.05). The improvement of IL-1β, PCT, TNF-α, and IL-2 was more obvious in the research group as compared with the control group (P<0.05). After treatment, the levels of SOD in two groups were increased, while the levels of LPO and MDA were decreased (P<0.05). After treatment, the improvement of SOD, LPO, and MDA was more obvious in the research group as compared with the control group (P<0.05). Compared with those before treatment, the levels of SP and 6-keto-PGE1α in two groups were decreased after treatment, and the level of β-EP was increased (P<0.05). The improvement of -keto-PGE1α and β-EP was more obvious in the research group as compared with the control group after treatment (P<0.05). Compared with those before treatment, the VAS and NDI scores of the research group were decreased, and the CASCS scores were increased (P<0.05). After treatment, the improvement of VAS, NDI, and CASCS of the research group was more obvious as compared with the control group (P<0.05). After treatment, the total effective rate of patients in the research group was higher than that in the control group (Z=2.018, P<0.05). ConclusionModified Qianghuo Shengshitang combined with ozone injection and radiofrequency thermocoagulation target puncture in the treatment of patients with cervical spondylotic radiculopathy (wind-cold blockage type) can inhibit inflammation, remove oxygen free radicals, improve the level of pain mediators, relieve pain, and improve cervical spine function and clinical efficacy. 
		                        		
		                        		
		                        		
		                        	
3.Metabolomics study of urine with Benzene, Toluene and Xylene combined exposure based on ultra performance liquid chromatography-quadrupole time-of-flight mass spectrometry
Xiaodong LIU ; He QIAO ; Chao WANG ; Xiangjuan MENG ; Xingfu PAN ; Dongsheng NIU ; Jue LI
Chinese Journal of Industrial Hygiene and Occupational Diseases 2021;39(4):248-252
		                        		
		                        			
		                        			Objective:To study the effects of combined occupational exposure of benzene, toluene, and xylene on human metabolism at an overall level, and to screen biomarkers related to the combined occupational exposure of benzene, toluene, and xylene, and to explore the mechanism of early health effects preliminarily caused by combined occupational exposure of benzene, toluene, and xylene by identification of biomarkers and retrieval of metabolic pathways.Methods:A shoe-making company was selected as the research site. Twenty subjects for the exposed group and the control group were selected separately, and urine of the subjects was collected. The metabolic profiles of the samples were collected by liquid chromatography time-of-flight mass spectrometry, and professional metabolomics and multivariate statistical analysis software were used to establish PCA and OPLS-DA analysis models to screen potential biomarkers and identify biomarkers. Finally, based on the dynamic changes and trends of potential biomarkers between groups, the mechanism of body damage caused by benzene, toluene, and xylene was initially explored.Results:Urine metabolomics analysis showed that the metabolic profile of urine samples of the benzene, toluene, and xylene combined exposure group was different from that of the control group. 27 potential biomarkers that were closely related to the combined exposure of benzene, toluene, and xylene were screened and identified. These potential biomarkers were enriched in 16 metabolic pathways, of which 3 pathways were significantly enriched ( P<0.05) , respectively, lysine metabolism, amino sugar metabolism, and nucleotide sugar metabolism. Conclusion:The metabonomics method can well reflect the changes in the metabolome of urine samples in the occupational population after the combined exposure of benzene, toluene, and xylene, which will help us better evaluate the risk of combined exposure of benzene, toluene, and xylene and prevent and control their health risks.
		                        		
		                        		
		                        		
		                        	
4.Membrane sampling for the determination of chlorothalonil in the air of workplaces-solvent analysis-Gas Chromatography
Xingfu PAN ; Yitong SUN ; Xiaodong LIU ; Huifang YAN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2021;39(4):293-296
		                        		
		                        			
		                        			Objective:To establish a method for the determination of chlorothalonil in air by filtration membrane sampling, solvent elution and gas chromatography.Methods:PTFE filter was used for sampling, eluted with dichloromethane, separated by DB-5 capillary column, and determined by FID.Results:The standard curve was used for quantitative detection, and the correlation of chlorothalonil in the range of 15 μg/ml-300 μg/ml, R2=0.9999. The detection limit of this method was 1.70 μg/ml and the lower quantitative limit was 5.70 μg/ml. The minimum detected concentration was 0.045 mg/m 3 (75L air sample was collected) . The recovery rate was 90.14%-91.81%. The precision of the same batch was 1.5%-1.8%, and that of different batches was 2.3%-3.8%. The sampling efficiency can reach above 95%; The samples can be stored for 14 days at room temperature. Conclusion:The results show that the method of filtration membrane sampling-solvent elude-gas chromatography is suitable for the determination of chlorothalonil in the air.
		                        		
		                        		
		                        		
		                        	
5.A non-targeted metabolomics study on urine of occupational exposure people with titanium dioxide nanoparticles
Xiaodong LIU ; Chao WANG ; Xiangjuan MENG ; Xingfu PAN ; Jue LI ; Dongsheng NIU ; Zhangjian CHEN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2021;39(5):328-332
		                        		
		                        			
		                        			Objective:To investigate the effects of titanium dioxide nanoparticles (TiO 2 NPs) on urine metabolites in occupationally exposure people based on metabolomics technology, and to explore the mechanism of early health effects of TiO 2 NPs on occupational exposure. Methods:In October 2019, the TiO 2 NPs occupational exposure population was selected as the research object, of which 64 people were in the exposure group who had been engaged in TiO 2 NPs exposure positions for more than 1 year; the control group was 62 people, who were logistics administrative staff of the same company. The urine of the research subjects before class was collected, using the ultra-high performance liquid chromatography time-of-flight mass spectrometer to collect the metabolism data of the urine, Progenesis QI software for data preprocessing and metabolite identification, SIMCA-P software for the principal component analysis of the data and potential biomarkers screening, MetaboAnalyst 4.0 software for metabolic pathway enrichment analysis. Results:The urine metabolism profile of workers in the exposure group was different from the control group, and 44 potential biomarkers were screened and identified. These potential biomarkers were significantly enriched in three pathways ( P<0.05) , namely D-arginine and D-ornithine metabolism pathway, nitrogen metabolism pathway and D-glutamine and D-glutamate metabolism pathways. Conclusion:The occupational exposure of TiO 2 NPs can affect the concentration of metabolites in people urine and metabolic pathways, which provides a direction for the study of occupational hazard mechanisms of TiO 2 NPs and the monitoring of health risks.
		                        		
		                        		
		                        		
		                        	
6.Metabolomics study of urine with Benzene, Toluene and Xylene combined exposure based on ultra performance liquid chromatography-quadrupole time-of-flight mass spectrometry
Xiaodong LIU ; He QIAO ; Chao WANG ; Xiangjuan MENG ; Xingfu PAN ; Dongsheng NIU ; Jue LI
Chinese Journal of Industrial Hygiene and Occupational Diseases 2021;39(4):248-252
		                        		
		                        			
		                        			Objective:To study the effects of combined occupational exposure of benzene, toluene, and xylene on human metabolism at an overall level, and to screen biomarkers related to the combined occupational exposure of benzene, toluene, and xylene, and to explore the mechanism of early health effects preliminarily caused by combined occupational exposure of benzene, toluene, and xylene by identification of biomarkers and retrieval of metabolic pathways.Methods:A shoe-making company was selected as the research site. Twenty subjects for the exposed group and the control group were selected separately, and urine of the subjects was collected. The metabolic profiles of the samples were collected by liquid chromatography time-of-flight mass spectrometry, and professional metabolomics and multivariate statistical analysis software were used to establish PCA and OPLS-DA analysis models to screen potential biomarkers and identify biomarkers. Finally, based on the dynamic changes and trends of potential biomarkers between groups, the mechanism of body damage caused by benzene, toluene, and xylene was initially explored.Results:Urine metabolomics analysis showed that the metabolic profile of urine samples of the benzene, toluene, and xylene combined exposure group was different from that of the control group. 27 potential biomarkers that were closely related to the combined exposure of benzene, toluene, and xylene were screened and identified. These potential biomarkers were enriched in 16 metabolic pathways, of which 3 pathways were significantly enriched ( P<0.05) , respectively, lysine metabolism, amino sugar metabolism, and nucleotide sugar metabolism. Conclusion:The metabonomics method can well reflect the changes in the metabolome of urine samples in the occupational population after the combined exposure of benzene, toluene, and xylene, which will help us better evaluate the risk of combined exposure of benzene, toluene, and xylene and prevent and control their health risks.
		                        		
		                        		
		                        		
		                        	
7.Membrane sampling for the determination of chlorothalonil in the air of workplaces-solvent analysis-Gas Chromatography
Xingfu PAN ; Yitong SUN ; Xiaodong LIU ; Huifang YAN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2021;39(4):293-296
		                        		
		                        			
		                        			Objective:To establish a method for the determination of chlorothalonil in air by filtration membrane sampling, solvent elution and gas chromatography.Methods:PTFE filter was used for sampling, eluted with dichloromethane, separated by DB-5 capillary column, and determined by FID.Results:The standard curve was used for quantitative detection, and the correlation of chlorothalonil in the range of 15 μg/ml-300 μg/ml, R2=0.9999. The detection limit of this method was 1.70 μg/ml and the lower quantitative limit was 5.70 μg/ml. The minimum detected concentration was 0.045 mg/m 3 (75L air sample was collected) . The recovery rate was 90.14%-91.81%. The precision of the same batch was 1.5%-1.8%, and that of different batches was 2.3%-3.8%. The sampling efficiency can reach above 95%; The samples can be stored for 14 days at room temperature. Conclusion:The results show that the method of filtration membrane sampling-solvent elude-gas chromatography is suitable for the determination of chlorothalonil in the air.
		                        		
		                        		
		                        		
		                        	
8.A non-targeted metabolomics study on urine of occupational exposure people with titanium dioxide nanoparticles
Xiaodong LIU ; Chao WANG ; Xiangjuan MENG ; Xingfu PAN ; Jue LI ; Dongsheng NIU ; Zhangjian CHEN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2021;39(5):328-332
		                        		
		                        			
		                        			Objective:To investigate the effects of titanium dioxide nanoparticles (TiO 2 NPs) on urine metabolites in occupationally exposure people based on metabolomics technology, and to explore the mechanism of early health effects of TiO 2 NPs on occupational exposure. Methods:In October 2019, the TiO 2 NPs occupational exposure population was selected as the research object, of which 64 people were in the exposure group who had been engaged in TiO 2 NPs exposure positions for more than 1 year; the control group was 62 people, who were logistics administrative staff of the same company. The urine of the research subjects before class was collected, using the ultra-high performance liquid chromatography time-of-flight mass spectrometer to collect the metabolism data of the urine, Progenesis QI software for data preprocessing and metabolite identification, SIMCA-P software for the principal component analysis of the data and potential biomarkers screening, MetaboAnalyst 4.0 software for metabolic pathway enrichment analysis. Results:The urine metabolism profile of workers in the exposure group was different from the control group, and 44 potential biomarkers were screened and identified. These potential biomarkers were significantly enriched in three pathways ( P<0.05) , namely D-arginine and D-ornithine metabolism pathway, nitrogen metabolism pathway and D-glutamine and D-glutamate metabolism pathways. Conclusion:The occupational exposure of TiO 2 NPs can affect the concentration of metabolites in people urine and metabolic pathways, which provides a direction for the study of occupational hazard mechanisms of TiO 2 NPs and the monitoring of health risks.
		                        		
		                        		
		                        		
		                        	
9.Study on rapid quality analysis method of Shengxuebao Mixture.
Jian-Yang PAN ; Zi-Mei ZHOU ; Hai-Bin QU ; Hong-Na LIU ; Sheng-Xiang LIU ; Yong-Jian SU ; Shan-Shan HU
China Journal of Chinese Materia Medica 2020;45(9):2115-2121
		                        		
		                        			
		                        			A rapid analysis method based on ultraviolet-visual(UV-Vis) spectroscopy, near infrared(NIR) spectroscopy and multivariable data analysis was established for quality evaluation of Shengxuebao Mixture. The contents of eight active ingredients of Shengxuebao Mixture including albiflorin, paeoniflorin, 2, 3, 5, 4'-tetra-hydroxy-stilbene-2-O-β-D-glucopyranoside, specnuezhenide,ecliptasaponin D, emodin, calycosin-7-glucoside and astragaloside Ⅳ were simultaneously detected by using this method. HPLC-UV-MS was used as a reference method for determining the contents of these ingredients. Partial least squares(PLS) analysis was implemented as a linear method for multivariate models calibrated between UV spectrum/NIR spectrum and contents of 8 ingredients. Finally, the performance of the model was evaluated by 24 batches of test samples. The results showed that both UV-Vis and NIR models gave a good calibration ability with an R~2 value above 0.9, and the prediction ability was also satisfactory, with an R~2 value higher than 0.83 for UV-Vis model and higher than 0.79 for NIR model. The overall results demonstrate that the established method is accurate, robust and fast, therefore, it can be used for rapid quality evaluation of Shengxuebao Mixture.
		                        		
		                        		
		                        		
		                        			Calibration
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		                        			Chromatography, High Pressure Liquid
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		                        			Drugs, Chinese Herbal
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		                        			Least-Squares Analysis
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		                        			Mass Spectrometry
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		                        			Spectroscopy, Near-Infrared
		                        			
		                        		
		                        	
10. Development of ethylene glycol Samples in silicone tubes and their application in inter-laboratory comparison
Yajuan PAN ; Jing ZHANG ; Xingfu PAN ; Huifang YAN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2019;37(9):714-717
		                        		
		                        			 Objective:
		                        			To development of ethylene glycol samples in silicone tubes, and the samples were applied to inter-laboratory comparison, through it to evaluate the detection capacity of occupational health testing laboratories.
		                        		
		                        			Methods:
		                        			Three content levels of ethylene glycol samples in silicone tubes were prepared, and the homogeneity and stability of samples were investigated, the results were statistically analyzed. A robust statistical four-point distance method was used to calculate the results submitted by each participant laboratory and the test capability of the laboratory was assessed by the z-score method.
		                        		
		                        			Results:
		                        			The statistic of the homogeneity of ethylene glycol samples in silicone tubes were less than the critical value (
		                        		
		                        	
            
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