Relationship between UE and CEUS indexes and the expression of invasion genes and proliferation genes in differentiated thyroid cancer tissue / 中华内分泌外科杂志

Objective:To study the diagnostic value of ultrasonic elastography (UE) CEUS in differentiated thyroid cancer (DTC) and its correlation with invasive gene and proliferative gene expression in DTC tissue.Methods:100 DTC patients who were treated in the Ultrasound Department of Zhuji People’s Hospital of Zhejiang Province from Jan. 2019 to Jan. 2022 were retrospectively selected and included in the TC group, and 100 thyroid adenoma patients who were treated during the same period were included in the thyroid adenoma group. UE and CEUS tests were performed on all patients, and the expression levels of proliferative and invasive genes in tumor tissues were measured. Time to peak (TTP) , average time of contrast medium passage (MTT) and peak intensity (PI) were recorded. DTC patients were divided into groups according to the blue area ratio, elastic ratio of lesions, optimal ROC truncation value of TTP, MTT and PI, that is, elastic value > 1.66, blue area ratio > 51.21%, PI≤17.11dB, MTT≤36.39s, TTP≤18.90s were group A, and vice president was Group B. SPSS 19.0 was used for data analysis, and P < 0.05 was considered to be statistically significant. Results:The blue area ratio and elastic ratio of lesions in TC group were higher than those in thyroid adenoma group ( P < 0.05) , while TTP, MTT and PI in TC group were lower than those in thyroid adenoma group ( P < 0.05) . There were statistically significant differences in blue area ratio, elastic ratio of lesions, TTP, MTT and PI among TC groups with different clinical stages, capsule invasion and lymph node metastasis ( P<0.05) . ROC curve was drawn. The AUC of DTC combined with blue area ratio, elastic ratio of lesions, TTP, MTT and PI was the highest, the specificity of combined detection was 86.37%, and the detection sensitivity was 80.16%. Compared with thyroid adenoma group, Xklp2 target protein (TPX2) , chemokine receptor 4, CXCR4) and polymetalloproteinase-9 (ADAM9) gene expression levels were higher, but TDCD4 gene expression levels were lower ( P<0.05) . The expression levels of TPX2, CXCR4 and ADAM9 genes in group A were higher than those in group B ( P<0.05) , and the programmed death factor 4 (PDCD4) gene in group A was lower than that in group B ( P<0.05) . According to Pearson linear analysis, the blue area ratio and elastic ratio of lesions were positively correlated with the expression levels of TPX2, ADAM9 and CXCR4 genes in DTC tissues, and inversely correlated with the expression levels of PDCD4 genes in DTC tissues ( P<0.05) . The expression levels of TPX2, ADAM9 and CXCR4 genes in TTP, MTT and PI were inversely proportional to the expression levels of PDCD4 genes in DTC patients ( P<0.05) . Conclusion:The combination of blue area ratio, elastic ratio of lesions, TTP, MTT and PI has good diagnostic value for DTC, and the blue area ratio, elastic ratio of lesions, TTP, MTT and PI are correlated with the expression levels of invasive genes and proliferating genes in tumor tissues.

Application of time series model in prediction of nosocomial infection for cancer patients / 中华传染病杂志

Objective:To investigate the applicability of time series model in predicting incidence of nosocomial infection in a cancer center in Shanghai, and to provide the references for early warning and prevention.Methods:The nosocomial infection data of inpatients of a tertiary oncology hospital in Shanghai from 2013 to 2018 were collected. The autoregressive integrated moving average (ARIMA) model and the exponential smoothing model were established by SPSS 22.0 expert modeler. The fitting predictions were compared between these two time series models to select the optimal one. The nosocomial infection data from January 2019 to June 2019 were used to test the predictive effect of the model.Results:A total of 379 477 cancer inpatients were studied, 3 170 of which acquired nosocomial infection and the incidence was 0.84% from 2013 to 2018. Additive Holt-Winters method exponential smoothing model was the better model with R2of 0.82. Using this model, the predicted value fitted well with observed value from January 2019 to June 2019, and the mean relative percentage error was 15.22%. Conclusion:Additive Holt-Winters method exponential smoothing model could be used to fit and predict the tendency of nosocomial infection among cancer patients, which can provide reference for surveillance of nosocomial infection in oncology hospitals.

Research on knowledge status and relevant factors of breastfeeding among medical staff in China based on network platform / 中华预防医学杂志

From August 1st to 7th, 2017, the breastfeeding knowledge of medical staff were collected from 52 medical health institutions in 29 provinces through a network system. A total of 35 243 questionnaires were included in the study to analyze the current status of breastfeeding knowledge and related factors. The qualified rate of breastfeeding knowledge questionnaires for medical staff in this study was 75.3% (26 546/35 243). Compared with those in the eastern region and those who were mothers, the qualified rate of breastfeeding knowledge of medical staff in the central region or the western region and medical staff who were fathers or expectant parents was lower, with OR (95%CI) values about 0.71 (0.67-0.75), 0.66 (0.61-0.72), 0.63 (0.55-0.72) and 0.87 (0.80-0.95), respectively. Compared with those attaining high school education or below and those with children aged<1 month, the qualified rate of breastfeeding knowledge was higher in medical staff with bachelor′s degree, graduate degree or above, and with children aged 1-5, 6-23 and ≥24 months, with OR (95%CI) values about 1.92 (1.80-2.05), 2.16 (1.94-2.42), 2.28 (1.93-2.70), 2.41 (2.06-2.83) and 1.99 (1.72-2.32), respectively.

Distribution and Resistance of Bacterial Isolated from Blood of Malignant Tumour Patients / 医药导报

Objective To investigate the distribution and susceptibility of isolated organisms from blood of malignant tumour patients.Methods Isolates from blood culture in patients with cancer during January 2013 to December 2015 were analyzed.Results were analyzed according to the breakpoints of CLSI 2014.Results Total of 498 isolates from blood culture,gram-negative bacilli accounted for 58.0% and gram-positive cocci accounted for 42.0%.The most common pathogens were E.coli,Coagulase-negative Staphylococcus,Klebsiella spp, S.aureus and Enterococcus spp.Drug resistance of E.coli strains to piperacillin-tazobactam,amikacin and imipenem were low,and drug resistance of E.coli strains to ampicillin-sulbactam,gentamicin,ciprofloxacin,levofloxacin and compound sulfamethoxazole were high.The prevalence of ESBL-producing strains was 70.7% in E.coli and 22.8% in Klebsiella spp.The E.coli and Klebsiella spp.strains isolated from ICU showed higher resistance than the strains from surgery and medicine department.The E.faecium strains were highly susceptible to gentamicin (high level) and lower susceptible to most of the antibiotics tested.The E.faecalis strains were more susceptible than E.faecium to these agents.No vancomycin-resistant strains were found in Enterococcus spp.Conclusion Among gram-negative pathogen isolates from blood culture in cancer patients,E.coli and Klebsiella spp.are the most frequent.Staphylococcus and Enterococcus are the most frequently isolated species of gram-positive cocci.The percentage of Acinetobacter spp.strains is relatively higher in ICU.Surveillance of antimicrobial resistance can provide the basis for rational use of antibiotics.

Effect of frequency of transcatheter arterial chemoembolization on preventing tumor recurrence after radical resection for hepatocel-lular carcinoma / 中国肿瘤临床

Objective:To compare the effect of the frequency of transcatheter arterial chemoembolization (TACE) on preventing tumor recurrence after hepatectomy. Methods:A total of 45 post-operative patients who had received prophylactic TACE once or thrice were retrospectively examined between January 2008 and June 2009. Of the 45 patients, 23 underwent TACE once, and the others un-derwent it thrice. TACE was administered to all patients via the hepatic artery one to two months after operation and was repeated every two to four months with patients who underwent TACE three times. All cases were followed up for 36 to 40 months after surgery. The rates of cumulative recurrence between the two groups were compared. Results:In the group that underwent TACE once, the 1-, 2-and 3-year cumulative recurrence rates were 30.43%, 47.83%, and 47.83%, respectively. In the group that underwent TACE thrice, the 1-, 2-and 3-year cumulative recurrence rates were 4.55%, 27.27%, and 36.36%, respectively. Statistical analysis showed that the relapse rate within one year was lower in the group that underwent TACE thrice than in the group that underwent TACE only once (P=0.022). How-ever, no significant difference in the cumulative recurrence rate was found between the two groups in two and three years (P=0.086, 0.225). Conclusion:Hepatocellular carcinoma patients who undergo preventive TACE three times after hepatectomy exhibit reduced re-currence rates during the peak time of tumor recurrence and extended disease-free survival intervals.

THE ORIENTATIONAL PROJECTIONS OF SENSORY FIBRES OF AXILLARY NERVE TO THE SUBSTANTIA GELATINOSA OF THE SPINAL CORD IN RATS——AN ACID PHOSPHATASE TECHNIQUE STUDY / 解剖学报

The orientational projections of the sensory fibres of axillary nerve to the substantia gelationsa (SG) of the spinal cord in rats were studied in accordance with the principle of transgangionic degeneration by using acid phosphatase technique. It was found that the afferent fibers of the axillary nerve projected chiefly to SG from the upper part of C_6 to the lower part of C_8 longitudinally. In a few rats, projections extended to the lower part of C_5 and upper part of T_1. In comparison with the available studies, a tendency of backward localization was noted. As to their transverse projections, the afferent fibres of the axillary nerve were found outside of the midline of SG, and mainly located in the lateral half of SG, at the 1/3 of median and the 1/3 of interior region. In the segments of C_7C_8 of some rats, the medial. 1/2 of the lateral half of SG was projected. It was found that the projection column from up downward had a tendency of extension toward lateral portion.

THE ORIENTATIONAL PROJECTIONS OF SENSORY FIBRES OF MEDIAN NERVE TO THE SUBSTANTIA GELATINOSA OF THE SPINAL CORD IN RATS——AN ACID PHOSPHATASE TECHNIQUE / 解剖学报

The orientational projections of sensory fibres of median nerve to the Substantia Gelatinosa (SG) of the spinal cord in rats were studied in accordance with the principle of transganglion degeneration by using the acid phosphatase technique. It was found longitudinally that the afferent fibres of the median nerve projected chiefly to SG from the upper part of C_5 to middle part of T_1. In a few rats, projections extended to middle and lower part of C_4 and lower part of T_1. In comparison with the records in anatomy literature and data from researches with HRP technique, a tendency of pre-positioning was noted. The regional projections of the afferent fibres of median nerve were found within the centre line of SG, and mainly in the region of the medial 1/4-1/2 of the medial half. In the segments of C_7-T_1 of a few rats, the whole area of the medial half of SG was projected. In observing the projections of the afferent fibres of median nerve, it was found that they have a tendency of lateralward increase from cranial portion to caudal portion.

THE ORIENTATIONAL PROJECTIONS OF SENSORY FIBRES OF RADIAL NERVE AND ULNAR NERVE TO THE SUBSTANTIA GELATINOSA OF THE SPINAL CORD IN RATS——AN ACID PHOSPHATASE TECHNIQUE STUDY / 解剖学报

The orientational projections of sensory fibres of radial nerve and ulnar nerve to the substantia gelatinosa(SG) of the spinal cord in rats were studied in accordance with the principle of transganglion degeneration by using the acid phosphatase technique.It was found that the affeernt fibers of the radial nerve projected chiefly to SG, from the upper part of C_6 to the middle part of T_1 longitudinally; the ulnar nerves projected chiefly to SG from the middle part of C_6 to the middle part of T_1.In their transverse projections,the afferent fibres of the radial nerve were mainly found in the region of the whole area of the middle 1/3 of SG; and the afferent fibres of ulnar nerve were found within the centre line of SG, and mainly in the region of the lateral 1/2～3/4 at medial half. In summary, radial nerve projected to the lateral region and ulnar nerve to the medial region of SG.