1.Impact of excessive pregnancy weight gain on pregnancy outcomes and neonatal conditions in pre-pregnancy overweight and obese women
Xia CHEN ; Yunlan YUAN ; Yan ZHANG ; Ziwen MA ; Jianmin ZHANG
Shanghai Journal of Preventive Medicine 2024;36(3):255-261
ObjectiveTo explore the influence of excessive weight gain during pregnancy in pre-pregnancy overweight and obese women on pregnancy outcomes and neonatal conditions, and to provide scientific evidence for formulating weight management strategies before and during pregnancy and prevent adverse pregnancy outcomes. MethodsClinical data of 2 172 parturients collected from a community in Huangpu District from 2017 to 2021 were retrospectively analyzed, and they were divided into pre-pregnancy overweight and obesity group (n=530), normal pre-pregnancy weight group(n=937), and underweight pre-pregnancy group(n=705) according to maternal precursor body mass index (BMI). Based on their weight gain during pregnancy,the parturient were divided into moderate gestational weight gain (MGWG) group and excessive gestational weight gain (EGWG) group. Meanwhile, the pregnancy and neonatal outcomes such as postpartum hemorrhage, puerperal infection, placental abruption, premature rupture of membranes, mode of delivery, premature birth, stillbirth, fetal distress, admission to the intensive care unit (ICU), macrosomia, and Apgar score, were recorded. Then the differences in pregnancy and neonatal outcomes between groups were compared. The effects of pre-pregnancy BMI and gestational weight gain on pregnancy outcomes and neonatal conditions was retrospectively analyzed. ResultsThe pre-pregnancy overweight and obese group had higher proportions of placental abruption, premature rupture of membranes, cesarean section, premature birth, fetal distress, and macrosomia compared to the normal pre-pregnancy weight group and the underweight pre-pregnancy group, with Apgar scores lower than the normal pre-pregnancy weight group and the underweight pre-pregnancy group (all P<0.05). The EGWG group had higher proportions of postpartum hemorrhage, placental abruption, premature rupture of membranes, cesarean section, premature birth, fetal distress, admission to the ICU, and macrosomia than the MGWG group (all P<0.05). In the pre-pregnancy overweight and obese group, the EGWG group had higher proportions of placental abruption, premature rupture of membranes, premature birth, fetal distress, admission to the ICU, and macrosomia than the MGWG group, with lower Apgar scores than the MGWG group (all P<0.05). In the normal pre-pregnancy weight group, the EGWG group had higher proportions of placental abruption, premature rupture of membranes, premature birth, fetal distress, admission to the ICU, and macrosomia than the MGWG group (all P<0.05). In the pre-pregnancy overweight and obese group, the EGWG group had higher proportions of premature rupture of membranes, cesarean section, premature birth, fetal distress, and macrosomia than the EGWG group in the normal pre-pregnancy weight group(all P<0.05). Logistic regression analysis showed that EGWG in pre-pregnancy overweight and obese women was a risk factor for placental abruption (OR=2.971, 95%CI: 1.098‒8.042), premature rupture of membranes (OR=4.662, 95%CI: 2.798‒7.770), cesarean delivery (OR=1.375,95%CI: 1.260‒2.541), premature birth (OR=4.249, 95%CI: 2.384‒7.573), fetal distress (OR=3.238, 95%CI: 1.589‒6.598), admission to the ICU (OR=3.010, 95%CI: 1.265‒7.164), and macrosomia (OR=5.437, 95%CI: 3.392‒8.716) (all P<0.05). ConclusionExcessive gestational weight gain in pre-pregnancy overweight and obese women is a risk factors for placental abruption, premature rupture of membranes, cesarean section, premature birth, fetal distress, admission to the ICU, and macrosomia.
2.LAMP3 inhibited the proliferation,metastatic and PC-3-induced vasculogenesis of HUVEC by regulating VEGF/AKT signaling
Canwei CHEN ; Zhuangwen LIAO ; Ziwen FAN ; Shuai HUANG ; Yan HUANG ; Binwei CHEN
The Journal of Practical Medicine 2024;40(2):182-187
Objective To explore the impactof Lysosome-Associated Membrane Protein 3(LAMP3)on theproliferation,migration and angiogenesis of PC-3 cells.Methods LAMP3 expression in normal prostate epithelial cells and prostate cancer bone metastasis cells was detected using western blot and RT-PCR.Stable LAMP3-silenced PC-3 cells were constructed,and the effects of LAMP3 on proliferation,invasion,and migration of PC-3 cells were assessed using CCK8,scratch assay,and transwell assay,respectively.ELISA and angiogenesis assays were employed to examine the expression of VEGF and MMP9,as well as angiogenesis of HUVEC cells induced by PC-3 cells.Finally,WB and RT-PCR were used to detect the expression of VEGF,AKT/p-AKT.Results Our findings showed that the expression level of LAMP3 was significantly higherin prostate cellsthan in normal prostate epithelial cells,especially in PC-3 cells(P<0.05).We also found that silencing LAMP3 could inhibit the proliferation,migration and invasion of PC-3 cells,along with the expression of VEGF and MMP9 and the PC-3 cells-induced angiogenesis,and these results were statistically significant(P<0.05).Furthermore,LAMP3 downregulated the expression of VEGF and AKT/p-AKT in PC-3 cells.Conclusion LAMP3 can affect the proliferation,migrationand angiogenesis of PC-3 cells through the regulation of VEGF/AKT pathway.Thus,LAMP3 might be a potential thera-peutic target for prostate cancer bone metastasis.
3.Qualitative Research on the Influencing Factors of the Transformation of Scientific and Technological Achievements in Public Hospitals from the Perspective
Ziwen XU ; Jiajie ZHAO ; Sanyuan HAO ; Dong XU ; Ren CHEN
Chinese Hospital Management 2024;44(11):1-6
Objective To clarify the bottlenecks in the technology transfer work of public hospitals in China,and try to propose work optimization strategies and suggestions from the perspectives of different stakeholders.Methods The relevant literature about the transformation of scientific and technological achievements in public hospitals was searched on CNKI,and inductively summarize the relevant concepts and categories through the three stages of grounded theory coding.Results Through the three stages of coding,85 initial concepts,29 categories,and 5 main categories were sorted out,and a model attributing the influencing factors of the transformation of scientific and technological achievements in public hospitals was constructed,involving five major entities:public hospitals,medi-cal staff,enterprises,government,and universities.Conclusion The work of transforming scientific and technologi-cal achievements in public hospitals involves multiple stakeholders.It can start from the standardized management of public hospitals,the technological breakthroughs of medical staff,the active leadership of the government,the pro-active integration of enterprises,and the talent cultivation of universities to achieve innovation in talent cultivation mechanisms,industry evaluation mechanisms,profit distribution mechanisms,and intelligent management mecha-nisms.
4.Research on Cognition and Demand of Scientific and Technological Achievements Transformation of Medi-cal Staff in Public Hospitals
Ziwen XU ; Jiajie ZHAO ; Sanyuan HAO ; Dong XU ; Ren CHEN
Chinese Hospital Management 2024;44(11):7-11
Objective Understanding the cognitive attitude,influencing factors,and demand elements of medical staff in public hospitals towards the transformation of scientific and technological achievements,and proposing coun-termeasures and suggestions to improve the transformation rate of scientific and technological achievements in pub-lic hospitals.Methods Based on a questionnaire survey of the cognition and needs for the transformation of scientific and technological achievements among medical staff in public hospitals,it investigates medical personnel from 12 public hospitals in Anhui Province.Data processing is conducted using descriptive analysis and moderated mediation effect analysis methods.Results The cognitive attitude is positively correlated with influencing factors(r=0.125,P<0.01),the degree of cognition is positively correlated with demand elements(r=0.599,P<0.01),and influencing factors are positively correlated with demand elements(r=0.336,P<0.01).The impact factors of medical staff in the process of scientific and technological achievement transformation play a partial mediating role between cognitive attitude and demand elements,and the technical title of medical staff has a moderating effect.Conclusion There are bottlenecks in the transformation of scientific and technological achievements by medical staff in public hospitals,in-cluding a weak awareness of transformation,limited transformation capabilities,disconnection between scientific re-search achievements and the market,and an unobvious collaborative effect of"government,education,medical care,production,and research".Public hospitals should improve supporting measures in aspects such as talent cultivation,management systems,professional training,and information construction.
5.Evaluation of Scientific and Technological Achievements Transformation in University Affiliated Hospitals Based on Entropy Weight TOPSIS Method and Rank Sum Ratio Method
Jiajie ZHAO ; Sanyuan HAO ; Ziwen XU ; Dong XU ; Ren CHEN
Chinese Hospital Management 2024;44(11):18-24
Objective To evaluate the transformation of scientific and technological achievements in 12 affiliated hospitals of a medical university in Anhui Province,and to provide suggestions for the transformation of scientific and technological achievements in affiliated hospitals of colleges and universities.Methods According to the collected data,entropy weight method was used to assign weights to the index system,and TOPSIS method and rank sum ratio method were used for comprehensive evaluation.Results Among theevaluation indicators,the top 3 weights are the total amount of incoming accounts converted by self-implementation(4.801%),the total amount of incoming accounts earned by cooperating with others(4.801%),and the number of R&D institutions,transfer institutions,and conversion service platforms jointly built with affiliated universities(4.779%).In the fuzzy joint results,the top three hospitals were A,C and G,and the bottom three hospitals were K,H and E.There are obvious differences among hospitals,and there are differences between directly affiliated hospitals and non-directly affiliated hospitals.Conclusion The affiliated hospitals of colleges and universities should explore a development path of the transformation of scientific and technological achievements with their own characteristics and make the transformation from the actual situation.Transform the achievements into the discipline construction,deepen and expand the scientific research advantages;construct transformation consciousness raising system,and promote action with consciousness raising;colleges and universities lead the integration of medical industry to build a new ecology of medical production,study and research.
6.Qualitative Research on the Influencing Factors of the Transformation of Scientific and Technological Achievements in Public Hospitals from the Perspective
Ziwen XU ; Jiajie ZHAO ; Sanyuan HAO ; Dong XU ; Ren CHEN
Chinese Hospital Management 2024;44(11):1-6
Objective To clarify the bottlenecks in the technology transfer work of public hospitals in China,and try to propose work optimization strategies and suggestions from the perspectives of different stakeholders.Methods The relevant literature about the transformation of scientific and technological achievements in public hospitals was searched on CNKI,and inductively summarize the relevant concepts and categories through the three stages of grounded theory coding.Results Through the three stages of coding,85 initial concepts,29 categories,and 5 main categories were sorted out,and a model attributing the influencing factors of the transformation of scientific and technological achievements in public hospitals was constructed,involving five major entities:public hospitals,medi-cal staff,enterprises,government,and universities.Conclusion The work of transforming scientific and technologi-cal achievements in public hospitals involves multiple stakeholders.It can start from the standardized management of public hospitals,the technological breakthroughs of medical staff,the active leadership of the government,the pro-active integration of enterprises,and the talent cultivation of universities to achieve innovation in talent cultivation mechanisms,industry evaluation mechanisms,profit distribution mechanisms,and intelligent management mecha-nisms.
7.Research on Cognition and Demand of Scientific and Technological Achievements Transformation of Medi-cal Staff in Public Hospitals
Ziwen XU ; Jiajie ZHAO ; Sanyuan HAO ; Dong XU ; Ren CHEN
Chinese Hospital Management 2024;44(11):7-11
Objective Understanding the cognitive attitude,influencing factors,and demand elements of medical staff in public hospitals towards the transformation of scientific and technological achievements,and proposing coun-termeasures and suggestions to improve the transformation rate of scientific and technological achievements in pub-lic hospitals.Methods Based on a questionnaire survey of the cognition and needs for the transformation of scientific and technological achievements among medical staff in public hospitals,it investigates medical personnel from 12 public hospitals in Anhui Province.Data processing is conducted using descriptive analysis and moderated mediation effect analysis methods.Results The cognitive attitude is positively correlated with influencing factors(r=0.125,P<0.01),the degree of cognition is positively correlated with demand elements(r=0.599,P<0.01),and influencing factors are positively correlated with demand elements(r=0.336,P<0.01).The impact factors of medical staff in the process of scientific and technological achievement transformation play a partial mediating role between cognitive attitude and demand elements,and the technical title of medical staff has a moderating effect.Conclusion There are bottlenecks in the transformation of scientific and technological achievements by medical staff in public hospitals,in-cluding a weak awareness of transformation,limited transformation capabilities,disconnection between scientific re-search achievements and the market,and an unobvious collaborative effect of"government,education,medical care,production,and research".Public hospitals should improve supporting measures in aspects such as talent cultivation,management systems,professional training,and information construction.
8.Evaluation of Scientific and Technological Achievements Transformation in University Affiliated Hospitals Based on Entropy Weight TOPSIS Method and Rank Sum Ratio Method
Jiajie ZHAO ; Sanyuan HAO ; Ziwen XU ; Dong XU ; Ren CHEN
Chinese Hospital Management 2024;44(11):18-24
Objective To evaluate the transformation of scientific and technological achievements in 12 affiliated hospitals of a medical university in Anhui Province,and to provide suggestions for the transformation of scientific and technological achievements in affiliated hospitals of colleges and universities.Methods According to the collected data,entropy weight method was used to assign weights to the index system,and TOPSIS method and rank sum ratio method were used for comprehensive evaluation.Results Among theevaluation indicators,the top 3 weights are the total amount of incoming accounts converted by self-implementation(4.801%),the total amount of incoming accounts earned by cooperating with others(4.801%),and the number of R&D institutions,transfer institutions,and conversion service platforms jointly built with affiliated universities(4.779%).In the fuzzy joint results,the top three hospitals were A,C and G,and the bottom three hospitals were K,H and E.There are obvious differences among hospitals,and there are differences between directly affiliated hospitals and non-directly affiliated hospitals.Conclusion The affiliated hospitals of colleges and universities should explore a development path of the transformation of scientific and technological achievements with their own characteristics and make the transformation from the actual situation.Transform the achievements into the discipline construction,deepen and expand the scientific research advantages;construct transformation consciousness raising system,and promote action with consciousness raising;colleges and universities lead the integration of medical industry to build a new ecology of medical production,study and research.
9.The role and mechanism of urate in the development of interstitial fibrosis in chronic kidney disease
Ping YANG ; Deping XU ; Ziwen TONG ; Qiong CHEN ; Ruyue XU ; Haisheng ZHOU
Acta Universitatis Medicinalis Anhui 2024;59(7):1206-1212
Objective To investigate the role and mechanism of urate in chronic kidney disease complicated with renal interstitial fibrosis(CKD-RIF).Methods Mice were continuously fed with a diet containing 0.2%adenine for a duration of 9 weeks to establish mice models with CKD-RIF.By the end of the 9-week experimental periods,collected blood samples from the posterior orbital venous plexus of mice to measure renal functions and serum urate concentrations prior to euthanizing the mice.Hematoxylin-eosin(HE)staining and periodic acid-Schiff staining(PAS)were used to investigate the pathological alternations in kidney tissues.Masson's trichrome staining was used to observe the extent of renal fibrosis.Urate staining was used to detect urate deposition in renal tissues.Western blot and immunohistochemistry were used to detect the expression of target molecules.Scratch tests were used to ex-amine the migration abilities of cells treated with different concentrations of uric acid.Results The kidney function analysis showed that a significant increase in the levels of serum urea nitrogen(P=0.006 4),creatinine(P=0.008 0)and urate(P=0.000 7)in the CKD-RIF mice compared with the normal control group.The results of HE staining and PAS staining showed a significance of renal tubule injury and infiltration of inflammatory cells in the model group.Masson's trichrome staining showed that a marked increase in collagen deposition in the model group.The results of urate staining showed a significant presence of urate crystals in kidney tissue of the model group when compared to the control group.Animal tissue immunoblotting and immunohistochemistry analysis showed a significant increase in the expression levels of vimentin,α-SMA and TGF-β1 in the model group in comparison to the control group.Conversely,in the model group,E-cadherin levels exhibited a dramatic reduction compared to the control group.The findings from the scratching tests showed that uric acid significantly enhanced cell migration.Western blot analysis showed a dramatic increase in the expression levels of vimentin and α-SMA,while E-cadherin exhibited significant decrease in the cells subjected to uric acid treatment.Conclusion Urate stimulates the secre-tion of TGF-β1 by renal tubule epithelial cells and induces epithelial-mesenchymal transdifferentiation,thereby ex-acerbating renal interstitial fibrosis in CKD.
10.Qualitative Research on the Influencing Factors of the Transformation of Scientific and Technological Achievements in Public Hospitals from the Perspective
Ziwen XU ; Jiajie ZHAO ; Sanyuan HAO ; Dong XU ; Ren CHEN
Chinese Hospital Management 2024;44(11):1-6
Objective To clarify the bottlenecks in the technology transfer work of public hospitals in China,and try to propose work optimization strategies and suggestions from the perspectives of different stakeholders.Methods The relevant literature about the transformation of scientific and technological achievements in public hospitals was searched on CNKI,and inductively summarize the relevant concepts and categories through the three stages of grounded theory coding.Results Through the three stages of coding,85 initial concepts,29 categories,and 5 main categories were sorted out,and a model attributing the influencing factors of the transformation of scientific and technological achievements in public hospitals was constructed,involving five major entities:public hospitals,medi-cal staff,enterprises,government,and universities.Conclusion The work of transforming scientific and technologi-cal achievements in public hospitals involves multiple stakeholders.It can start from the standardized management of public hospitals,the technological breakthroughs of medical staff,the active leadership of the government,the pro-active integration of enterprises,and the talent cultivation of universities to achieve innovation in talent cultivation mechanisms,industry evaluation mechanisms,profit distribution mechanisms,and intelligent management mecha-nisms.


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