New di-spirocyclic labdane diterpenoids from the aerial parts of Leonurus japonicus / 中国天然药物

Phytochemical investigation on the ethanol extract of a well-known medicinal herb Leonurus japonicus, led to the separation of 18 labdane type diterpenoids (1-18). Through comprehensive spectroscopic analyses and quantum chemical calculations, these compounds were structurally characterized as six new interesting 5,5,5-di-spirocyclic ones (1-6), two new (7 and 8) and six known (13-18) interesting 6,5,5-di-spirocyclic ones, a new rare 14,15-dinor derivative (9), and three new ones incorporating a γ-lactone unit (10-12). An in vitro neuroprotective assay in RSC96 cells revealed that compounds 7 and 12 exhibited neuroprotective activity in a concentration-dependent way, comparable to the reference drug N-acetylcysteine.

HIV/STD prevalence and related behaviors among male STD clinic attendees in Xi'an and Xianyang cities, Shaanxi province / 中华流行病学杂志

Objective To compare the prevalence of HIV/STD and related health care seeking behaviors among male STD clinic attendees between Xi'an and Xianyang cities.Methods During June and July 2016,206 male STD clinic attendees were studied in Xi'an city,with another 221 male STD clinic attendees in Xianyang city.Cross-sectional questionnaire survey was used to collect attendees' behavioral information.Blood samples were collected via HIV/HCV/Syphilis testing.Results The prevalence rate of HIV infection was 2.4％ (5/206) in Xi'an and 0.9％ (2/221) in Xianyang,with no statistical significant difference between the two cities.The prevalence rate of syphilis was 4.9％ (10/206) in Xi'an,which was significantly lower than 13.6％ (30/221) in Xianyang.The proportion of respondents,diagnosed with other sexually transmitted diseases,in Xi'an was higher than that of Xianyang.The proportions of commercial heterosexual sex and sex with temporary sexual partners in the past 3 months were 18.0％ (37/206) and 15.5％ (32/206) in Xi'an,lower than 46.6％ (103/221) and 15.8％ (35/221) in Xianyang (x2 =39.70,P ＜0.01;x2 =-0.01,P=0.93).The proportions of condom use with commercial sex workers or temporary sexual partners in the past 3 months among Xi'an were 37.8％ (14/37) and 6.3％ (2/32),lower than 93.1％ (95/102)and 57.1％ (20/35) in Xianyang (x2=49.06,P＜0.01;x2=19.63,P＜0.01).Conclusion Differences were noticed between Xi'an and Xianyang city in terms of STD and HIV prevalences,behaviors related to commercial sex and use of condoms among the male STD clinic attendees that calling for targeted actions in control of high risk behaviors in both HIV/AIDS and STDs transmission.

HIV/STD prevalence and related behaviors among male STD clinic attendees in Xi'an and Xianyang cities, Shaanxi province / 中华流行病学杂志

Objective To compare the prevalence of HIV/STD and related health care seeking behaviors among male STD clinic attendees between Xi'an and Xianyang cities.Methods During June and July 2016,206 male STD clinic attendees were studied in Xi'an city,with another 221 male STD clinic attendees in Xianyang city.Cross-sectional questionnaire survey was used to collect attendees' behavioral information.Blood samples were collected via HIV/HCV/Syphilis testing.Results The prevalence rate of HIV infection was 2.4％ (5/206) in Xi'an and 0.9％ (2/221) in Xianyang,with no statistical significant difference between the two cities.The prevalence rate of syphilis was 4.9％ (10/206) in Xi'an,which was significantly lower than 13.6％ (30/221) in Xianyang.The proportion of respondents,diagnosed with other sexually transmitted diseases,in Xi'an was higher than that of Xianyang.The proportions of commercial heterosexual sex and sex with temporary sexual partners in the past 3 months were 18.0％ (37/206) and 15.5％ (32/206) in Xi'an,lower than 46.6％ (103/221) and 15.8％ (35/221) in Xianyang (x2 =39.70,P ＜0.01;x2 =-0.01,P=0.93).The proportions of condom use with commercial sex workers or temporary sexual partners in the past 3 months among Xi'an were 37.8％ (14/37) and 6.3％ (2/32),lower than 93.1％ (95/102)and 57.1％ (20/35) in Xianyang (x2=49.06,P＜0.01;x2=19.63,P＜0.01).Conclusion Differences were noticed between Xi'an and Xianyang city in terms of STD and HIV prevalences,behaviors related to commercial sex and use of condoms among the male STD clinic attendees that calling for targeted actions in control of high risk behaviors in both HIV/AIDS and STDs transmission.

Analyzing the Benefit Equity in China’s Basic Health Insurance System / 中国卫生经济

Objective: To analyze the equity of benefit which residents with different income get from Urban Employee Medical Insurance ( UEMI) and New Rural Cooperative Medical System (NCMS). Methods: Data used in this study is based on the forth household health service survey in Shanxi province. The indirectly standardization method and concentration index were employed to analyze the horizontal inequity index of benefit rate and benefit degree. Results:The horizontal inequity index of benefit rate and benefit degree in UEMI are 0.0524 and 0.0025, and the horizontal inequity index of benefit rate and benefit degree in NCMS are 0.2312 and 0.3228. Conclusion: The urban residents get the equal benefit from UEM, and there were pro-rich horizontal inequities of benefit rate and benefit degree in NCMS.

Treatment and effective analysis on maxillary complex injury / 华西口腔医学杂志

<p><b>OBJECTIVE</b>To analyze the characteristics of cases of maxillary complex injury, to sum up experiences and lessons in the clinical first aid process, to evaluate different treatment effects of maxillary complex fracture and investigate the reasons for the failure of the treatment process.</p><p><b>METHODS</b>152 cases with maxillary complex injury were analyzed retrospectively.</p><p><b>RESULTS</b>2 cases (1.32%) died during emergency treatment. The cure rate was 62.67% (94/ 150) in the 150 survival cases. The cure rate of closed fractures were better than open ones and surgical treatments than non-surgical ways (P < 0.05); the cure rate of surgical treatment in stage I was higher than II (P < 0.01).</p><p><b>CONCLUSION</b>For patients with complex injuries of maxillary, first aid failure is mainly due to bleeding or asphyxiation. Therapeutic efficacy is influenced by treatment time, surgical approach, type of treatment and so on. The key to success of treatment is dependent on the early firm internal fixation and the functional protection and restoration of injured organs or tissues.</p>