The implementation and evaluation of a modified full appointment mode for daytime chemotherapy safety / 复旦学报（医学版）

Objective To explore the operation effect of the improved full-appointment mode of ambulatory chemotherapy,so as to provide reference for further improving the treatment process.Methods The enhanced full-appointment mode had been implemented in Fudan University Shanghai Cancer Center outpatient information system,which seamlessly integrated daytime chemotherapy assessment with comprehensive information management,formulated precise rules for chemotherapy appointments,and ensured efficient integration of relevant data.A comparative analysis was conducted between the period after optimization(Jan to Sep 2022)and the corresponding period in the previous year(Jan to Sep 2021),considering factors such as patient waiting time,human involvement,patient safety during chemotherapy,as well as nurse and patient satisfaction.Results After optimization,the time spent by patients was reduced from 52.12(32.73-83.05)to 20.04(11.87-41.10)minutes,with statistically significant difference(z=-78.144,P＜0.001).Additionally,the time spent by patients before and after optimization was significantly different in the distribution of＜30 minutes,30-60 minutes,and＞60 minutes(χ2=5 958.455,P＜0.001).Previously,one nurse and 2-3 security personnel were required to schedule appointments in the daytime chemotherapy center,while after optimization,there was no longer a need for nurses to arrange appointment windows and the number of security personnel was reduced to one,thereby optimized human operations.It was observed that the number of cases involving chemotherapy infusion reactions decreased from 59 to 46 following optimization,and the number of patients requiring rescue observation reduced from four to one.Notably,no rescue events occurred during non-day shifts,thus enhanced patient safety during treatment hours outside regular working hours.Furthermore,there was a statistically significant improvement in both nurses'and patients'satisfaction levels before and after implementation of these optimizations(P＜0.05).Conclusion The modified full appointment mode reduced patient waiting time,optimized human resources utilization,enhanced patient safety during chemotherapy,and improved satisfaction levels among both nurses and patients.The implementation of the modified full appointment mode for daytime chemotherapy centers was beneficial to their overall operation.

Age at menarche and associated factors of female junior middle school students in Tianjin area / 中国学校卫生

Objective@#This study aims to investigate the menarcheal age of female junior middle school students in Tianjin and associated factors, providing suggestions for further development of adolescence education on physiological and mental health.@*Methods@#A total of 4 127 junior middle school girls in Tianjin area were selected by stratified random sampling method, and investigated by the method of physical examination and questionnaire survey, results were analyzed.@*Results@#There were 1 383 girls reported menarche. Mean age at menarche was(12.68±1.19) years old; One-way ANOVA showed that girls with higher family income, higher parental education had earlier menarcheal age(F=4.97, 9.52, 10.64, P<0.05). It showed that the tendency that obesity group and over-weight group was higher in the rate of menarche than that of normal group and marasmus group(F=4.20, P<0.05). However, different time on watching TV, computer or celephone and sleeping was found to be unrelated with age at menarche(P>0.05). Kruskal Wallis H test showed that girls whose mothers’ AAM was earlier had earlier menarcheal age(H=82.94, P<0.05). According to age, girls were divided into groups of 10-11, 11-12, 12-13 and 13-14 years old. Girls in each age group were divided into the menstruation menarche group and the non-menstruation menarche group. The results showed that the levels of height, weight, BMI, waist circumference, hip circumference, and the skin fold thickness in menstruation group were higher than those in non-menstruation group(t=2.18-10.93, P<0.05). After that, girls of each group were divided into four group：marasmus group, the normal group, the over-weight group and the obesity group according to BMI(χ2=34.66，13.37，11.09，12.60,P<0.05).@*Conclusion@#Female junior middle school students’ menarcheal age in Tianjin is related to family income, parents’education, mother’s age at menarche, obesity and physical exercise frequency.

Study on dynamic change of flavonoids in traditional SHE medicine-Shiliang Tea by quantitative analysis of multi-components by single-marker / 中草药

Objective: To establish an assay method of flavonoids (four components) in traditional SHE medicine-Shiliang Tea by quantitative analysis of multi-components by single-marker (QAMS), and to analyze the dynamic change of flavonoids at different harvest time and different collection places. Methods: With rutin as the internal reference substance, the relative correction factor (RCF) of kaempferol-3-O-rutinoside, quercetin, and kaempferol was calculated. Then the contents of four components were calculated, and the accuracy and feasibility of method was evaluated through external standard method. Results: The RCF of rutin to kaempferol-3-O-rutinoside, quercetin, and kaempferol were 1.158 with RSD 0.73%, 0.475 6 with RSD 1.55%, 0.431 9 with RSD 1.58%, respectively. There was no significant difference of assay results between QAMS method and external standard method. While the differences of content between different harvest months and two different species were significant. Conclusion: The QAMS method with rutin as internal reference substance can be used for quantitative analysis of four flavonoids in Shiliang Tea. It is suggested that the best harvest time of Shiliang Tea for flavonoids is in July and August.

Simultaneous determination of rutin, hesperidin, and arctiin in Fupo Ganmao Granules by HPLC / 中草药

Objective: To establish a high performance liquid chromatographic method for simultaneous determination of rutin, hesperidin, and arctiin in Fupo Ganmao Granules. Methods: HPLC was applied with the chromatographic condition as follows: The chromatographic column was Agilent Zorbax SB-C18 (250 mm × 4.6 mm, 5 μm) at 30°C; methanol-water as the mobile phase, gradient elution; flow rate was 0.8 mL/min and the detection wavelength was 280 nm. Results: Linear relationships were 5.204-130.1 μg/mL (r = 0.9990), 1.819-145.5 μg/mL (r = 1.0000), and 43.22-778.0 μg/mL (r = 0.9999), respectively. The average recoveries were 98.77% (RSD = 1.69%), 99.52% (RSD = 1.01%), and 100.84% (RSD = 1.59%). Conclusion: The results show that the method is simple, accurate, and repeatable, and it is suitable for the simultaneous determination of rutin, hesperidin, and arctiin in Fupo Ganmao Granules.

Clinical study of transcrestal maxillary sinus floor elevation with the disk-up sinus reamer / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To evaluate the clinical effect of the disk-up sinus reamer (DSR) applied to transcrestal maxillary sinus floor elevation with simultaneous placement of implants.</p><p><b>METHODS</b>Thirty-seven patients underwent transcrestal maxillary sinus floor elevation with fifty-one implants placed simultaneously using the DSR. The residual bone height (RBH) was 3 to 8 mm, (5.61 ± 1.61) mm on average. The safety of this technique and the pain index during the operation was evaluated. The final prostheses were restored in 3-6 months postoperatively. The follow-up period was 3 to 24 months. The stability and osseointegration of the implants were clinically evaluated, and the endo-sinus bone gain around the implants were measured.</p><p><b>RESULTS</b>The elevation height ranged from 2 to 8 mm, with an average of (4.75 ± 1.55) mm. There was no detectable sinus membrane perforation, no serious suffering or uncomfortable subjective sensation in any patients during operation with a pain index of (2.22 ± 0.98). During the follow-up period, no sinus complication was observed. Favorable osseointegration was obtained. There were no implants or prostheses which were loose or lost. The survival rate was 100%. The radiographic results demonstrated that the endo-sinus bone gain tended to reach stabilization after 6 months and the marginal bone loss was (1.20 ± 0.72) mm after 12 months.</p><p><b>CONCLUSIONS</b>Transcrestal maxillary sinus floor elevation with simultaneous implant placement by DSR is a safe, invasive and handy technique, with higher elevation height, fewer clinical complications and less pain. It shows satisfactory clinical results in short term and a long-term observation is still needed.</p>

Characterization of biophysical properties of insulin-producing cells labeled with SPIO-PLL in vitro / 介入放射学杂志

Objective To evaluate the biophysical properties of insulin-producing cells labeled and unlabeled with superparamagnctic iron oxide nanoparticals and poly-L-lysine(SPIO-PLL)in vitro,and then monitor cellular imaging with 1.5 T MR.Methods BMSCs were isolated from tibia and femur of 6～8 weeks normal Spragne-Dawley rats,purified on the basis of their ability to adhere to the matrix,and expanded through their self-renewal.Two-step strategy was adopted with BMSCs induced into insulin-producing cells, After that,the cells were incubated with SPIO-PLL.Prussian blue stain was employed for identifying intracellular irons.Radioimmunology assay was used to measure the insulin secretion by the labeled and unlabeled cells,and later on underwent MR imaging with T_1WI、T_2WI、T_2*WI sequences,Results lntracytoplasmic nanoparticales were stained with Prussian blue possessing insulin-producing cells labeled with SPIO-PLL.The amount of insulin secreted by the labeled and unlabeled ceils had no statistical significant difference.The signal intensity of labeled cells decreased significantly on T_2*WI,as well as the stronger proportional variations for signal intensity.Conclusion Insulin-producing cells can be labelled effectively with SPIO-PLL and be imaged by 1.5 T MRI.(J Intervent Radiol,2007,16:104-108)