Qualitative research on digital cognitive behavioral therapy for insomnia in patients with insomnia combined with depressive and/or anxious symptoms / 中华行为医学与脑科学杂志

Objective:To investigate the physical and mental experience, treatment compliance and use barriers of patients with insomnia in using digital cognitive behavioral therapy for insomnia (dCBT-I) in order to provide qualitative evidence for the development and application optimization of the dCBT-I technology paradigm.Methods:From July to November 2021, a semi-structured interview outline was used to conduct in-depth interviews with the dCBT-I users ( n=10) to record their original feelings about the use of dCBT-I. Interpretative phenomenology's text analysis was used to explore the participants' experience and cognition of dCBT-I. Results:Text analysis and key information calibration were carried out on the verbatim transcripts of semi-structured interview recordings, and three core themes were extracted, namely stickiness factor, use barrier and optimization direction, as well as eight sub-themes, namely professionalism, accessibility, benefit experience, difficulty in task execution, instruction generalization, difficulty in software operation, enrich treatment content and personalized guidance.Conclusion:The present study showed that participants were receptive to the dCBT-I intervention and would be benefited from it.However, dCBT-I still needs to be optimized and improved to reduce the operating difficulty and explore more appropriate timing of manual intervention.

Research progress of yeast microcapsules as oral drug delivery carrier / 中国药房

As a natural drug delivery carrier with rough and porous surface and hollow core， yeast microcapsules have good safety， high targeting and high stability， and have excellent application prospects in oral drug delivery systems. Yeast cells can be treated and washed with acid-base and organic solvents to obtain loose and porous yeast microcapsules. Yeast microcapsules can encapsulate drugs through electrostatic interactions， passive diffusion， hydrophobic interaction and other methods. The surface of yeast microcapsules is mainly composed of β-glucan， which can maintain stability in the gastrointestinal environment； it can be recognized by the surface-related receptors of immune cells， thus activating the immune response， and can be transported to the lesion site with the movement of lymphocytes after being ingested. Yeast microcapsules are safe and very suitable for delivering vaccines， anti-inflammatory drugs， and anti-tumor drugs. They can not only achieve oral delivery of the aforementioned drugs， but also enhance drug efficacy and improve drug targeting. In the future， more research on systemic transport mechanisms or the development of more efficient combination drug delivery systems can be carried out to fully exhibit the clinical value of yeast microcapsules.

Promising roles of non-exosomal and exosomal non-coding RNAs in the regulatory mechanism and as diagnostic biomarkers in myocardial infarction / 浙江大学学报（英文版）（B辑：生物医学和生物技术）

Non-exosomal non-coding RNAs (non-exo-ncRNAs) and exosomal ncRNAs (exo-ncRNAs) have been associated with the pathological development of myocardial infarction (MI). Accordingly, this analytical review provides an overview of current MI studies on the role of plasma non-exo/exo-ncRNAs. We summarize the features and crucial roles of ncRNAs and reveal their novel biological correlations via bioinformatics analysis. The following contributions are made: (1) we comprehensively describe the expression profile, competing endogenous RNA (ceRNA) network, and "pre-necrotic" biomarkers of non-exo/exo-ncRNAs for MI; (2) functional enrichment analysis indicates that the target genes of ncRNAs are enriched in the regulation of apoptotic signaling pathway and cellular response to chemical stress, etc.; (3) we propose an updated and comprehensive view on the mechanisms, pathophysiology, and biomarker roles of non-exo/exo-ncRNAs in MI, thereby providing a theoretical basis for the clinical management of MI.

Effect of auricular combined with rhubarb powder acupoint application on improving the quality of bowel preparation in colonoscopy patients / 国际中医中药杂志

Objective:To explore the effect of auricular point pressing pill combined with rhubarb acupoint application on intestinal preparation and prevention of adverse events in colonoscopy.Methods:A total of 220 patients who met the inclusion criteria from May 2019 to February 2020 were randomly divided into 4 groups, 55 in each group. The control group was only given compound polyethylene glycol electrolyte powder. The auricular plaster group was combined with auricular point pressing pill on the basis of the control group. The acupoint sticking group was combined with rhubarb acupoint application on the basis of the control group. The combination group was combined with auricular point pressing pill and rhubarb acupoint application on the basis of the control group. The quality of bowel preparation was evaluated by Boston Bowel Preparation Scale(BBPS), and the adverse events such as perianal discomfort, defecation discomfort, abdominal pain and abdominal distension were observed.Results:After treatment, there was significant difference in BBPS score among the four groups ( F=3.038, P=0.030). The BBPS score in the acupoint sticking group (7.45 ± 1.20 vs. 6.78 ± 1.32) and combination group (7.26 ± 1.11 vs. 6.78 ± 1.32) were significantly higher than those in the control group( P<0.05). After treatment, there were significant differences in abdominal pain and abdominal distension scores among the four groups ( F=2.947, 5.879, P=0.034, 0.001). The scores of perianal discomfort (0.07 ± 0.38 vs. 0.44 ± 1.07), defecation discomfort (0.40 ± 0.81 vs. 0.87 ± 1.32) and abdominal pain (0.93 ± 1.32 vs. 1.69 ± 1.61) in the combination group were significantly lower than those in the control group ( P<0.05), and the abdominal distension score (1.05 ± 1.00 vs. 1.64 ± 0.95) in the acupoint sticking was significantly lower than that of the control group ( P<0.05). Conclusion:Auricular combined with rhubarb powder acupoint application can improve the quality of bowel preparation and reduce intestinal adverse reactions. It can be used with polyethylene glycol electrolyte powder for the intestinal preparation process.

Association between carcinoembryonic antigen and metabolic syndrome in females / 中华内分泌代谢杂志

Objective:To explore the relationship between carcinoembryonic antigen (CEA) and metabolic syndrome (MetS) in females.Methods:The study involved 11337 women who visited the health check-up system in Health Management Center of a general hospital in Shandong province between January 2014 and December 2015. By grouping CEA by quartiles, logistic regression models were used to analyze the relationship between CEA and MetS and its components.Results:The prevalence of MetS was 16.4 %, and abnormal levels of CEA accounted for 7.1% of patients with MetS which exceeded the general physical examination population (3.2%). The level of CEA increased with the increase of the number of metabolic components. The multivariate logistic regression analysis showed that people with high levels of carcinoembryonic antigen were at higher risk for metabolic syndrome( χ2=18.374, P<0.01). Compared with the level of CEA in Q1, CEA levels in Q2, Q3, and Q4 were statistically related to MetS. The OR values were 1.25(95% CI 1.03-1.52), 1.25(95% CI 1.03-1.51) and 1.42(95% CI 1.17-1.72), respectively. Conclusion:For females, the study suggests that there is a relationship between CEA and MetS. The increased CEA level in patients with MetS should be carefully explained in clinical practice.

Self Rating Scale for Self Care Ability of puerperal women using Delphi method / 中国实用护理杂志

Objective To construct a Self Rating Scale for Self Care Ability of puerperal women, and to provide pertinent assessment tools for family, community and hospital to evaluate the self-care ability of puerperium women. Methods Guided by the theory of Orem self-care, the initial scale of Self Rating Scale for Self Care Ability of puerperal women was preliminarily constructed through literature review, qualitative interview, group discussion and Delphi (Delphy expert consultation). Delphi method was used to conduct 3 rounds of questionnaire consultation among 18 experts, and the reliability of the method was tested by expert's positive coefficient, authority coefficient and coordination coefficient. Results The questionnaire recovery rates of 3 rounds of consultation experts were 20/21, 18/20 and 18/18, respectively, coordination coefficient was 0.322, 0.347, 0.502, respectively, and the expert authority coefficient was 0.88. Based on the comprehensive analysis of the results of expert consultation, Self Rating Scale for Self Care Ability of puerperal women included the initial 3 dimensions of self-care attitude, self-care knowledge and self-care skills and 42 items. Conclusions Self Rating Scale for Self Care Ability of puerperal women has high reliability, which can be used as an assessment tool for self nursing ability of puerperal women.

Correlational Study on Traditional Chinese Medicine Syndrome Distribution Characteristics of HIV Infection in Xinjiang Region Based on Information Sharing System / 世界科学技术-中医药现代化

This paper was aimed to study traditional Chinese medicine (TCM) syndrome distribution characteristics of HIV infection in Xinjiang region based on the Clinical Medical Research Information Sharing System (CMRISS).CMRISS was used to establish a database (data were from 1151 hospital electronic medical records from May 2011 to March 2012).Oracle and ETL software were used in the data processing.Visualization analysis was used in the data mining.The results showed that syndrome distribution of HIV infection in Xinjiang region was concentrated in four categories with the blockade of dampness due to qi deficiency,deficiency of both qi and yin,yin deficiency of liver and kidney,and the stagnation of liver qi.The syndrome of blockade of dampness due to qi deficiency was relatively concentrated in the range of 20-30 years old,with the majority of female population.The proportion of sexually transmitted infection was more.The syndrome of deficiency of both qi and yin was relatively concentrated in the age range of 30-40 years old,with the majority of male population.The large proportion of infection was due to intravenous drug use.Among different TCM syndromes,Uyghur population occupied relatively large part.Stratified analysis on disease course due to the change of TCM syndrome according to 1 year,3 years and 5 years revealed the disease development rule from excess syndrome,deficiency combined with excess,to deficiency syndrome.It was concluded that the application of CMRISS was able to process a large amount of clinical data.The data mining results can be used to guide clinical practice.It provided a better platform for the scientific research of TCM clinical practice.

Study on Vitro Anti-HIV-1 Activity ofTaiqi PeiyuanGranules / 中国中医药信息杂志

ObjectiveTo evaluate the vitro anti-HIV-1 activity ofTaiqi Peiyuan Granules.MethodsMTT was used to detect cytotoxicity ofTaiqi Peiyuan Granules; cytopathy method was used to detect the inhibitory activity of Taiqi Peiyuan Granules on acute infection of HIV-1; HIV-1 p24 antigen ELISA detection was used to detect inhibitory activity ofTaiqi Peiyuan Granules for virus replication of HIV-1 acute infection cells, and count the medical therapeutic indexes.ResultsCC50ofTaiqi Peiyuan Granules in cytotoxicity test was 3.761±0.370 mg/mL; the EC50 of inhibition syncytial test was 0.454 5±0.204 6 mg/mL; the therapeutic index was between 5.84 and 12.97; p24 ofTaiqi Peiyuan Granules in inhibition experiments was 0.56±0.27 mg/mL, and the therapeutic index was between 5.30 and 8.74.ConclusionAnti-HIV-1 activity ofTaiqi Peiyuan Granules is relatively weak.

Identification of molecular targets in the response of triple negative breast cancer to chemotherapy / 国际生物医学工程杂志

Objective To explore the molecular targets and mechanisms that could influence the sensitivity of triple negative breast cancer (TNBC) to chemotherapy,to provide important references for the chemotherapy based on gene detection.Methods The gene expression dataset GSE43502 was downloaded from the Gene Expression Omnibus in National Center for Biotechnology Information (NCBI).Gene expression data preprocessing was conducted by R Programming.The differentially expressed genes in the TNBC patients that relapsed after chemotherapy compared with the non-relapsed ones were obtained.Besides,the Database for Annotation Visualization and Integrated analysis (DAVID) was used for functional analysis of those genes.The microRNA (miRNA) that might regulate the differentially expressed genes was obtained from the starBase database.Furthermore,Cytoscape was used for the construction of miRNA-gene regulation network.Results Three hundred and twelve differentially expressed genes were obtained.Some biological process related to cell membrane,metal ion homeostasis and pathways involved in immune and inflammatory were found to be enriched in those genes.Furthermore,171 miRNA that might regulate the differentially expressed genes were obtained and 553 miRNA-gene regulation pairs were formed.Conclusions hsa-miR-30d-5p,SIX4,etc.might influence the sensitivity of TNBC to chemotherapy through cell structure or immune system.

Clinical Efficacy of Integrative Medicine in Treatment of Nine HIV/AIDS-associated Non-infectious Skin Lesion Cases / 世界科学技术-中医药现代化

This study was aimed to observe the clinical efficacy of Highly Active Antiretroviral Therapy (HAART) combined withPing-Ai(PA) Mixture in the treatment of Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV/AIDS) patients with non-infectious skin lesions, in order to study the advantages of integrative medicine in AIDS prevention and treatment. A total of 9 cases, who met the inclusion criteria of AIDS-associated non-infectious skin lesion with the pattern ofqi-yin deficiency and internal obstruction of phlegm-stasis, were selected. The combination of HAART and number 1 and 4 prescription of PA Mixture were used in the treatment for 3 months. The observations were made on changes of clinical symptoms, body signs, Karovsky integral and CD4+ T cells of patients before and after treatment. Stata 12.0 was used in the statistical analysis. The results showed that after integrative therapy, the single integral of clinical symptoms and body signs, such as skin spot papula, subcutaneous nodules, skin itching, fatigue was obviously reduced compared to that of the pretreatment. The total score decreased than that of the pretreatment. The patients’ quality of life (QOL) significantly increased. The Karovsky integral increased compared with that of pretreatment. The CD4+ T cells values were higher than that of the pretreatment. It was concluded that the integrative therapy had a certain effect in the treatment of AIDS-associated non-infectious skin lesions, which can improve the clinical symptoms, body signs, obviously increase the patients’ QOL and immune function.

Issues of Advance Medical Directive / 中国医学伦理学

Advance medical directive is a statement made by a patient ,which indicates patient′s acceptable or unacceptable treatments , when he or she is not competent to make a medical decision .There are two types of ad-vance directive , which are living will and durable power of attorney for healthcare .The paper will briefly introduce advance directive′s history and analyse its controversies throughout the world .In China , most people don′t own an advance directive .When these patients are faced with medical emergency , their desires can not be known by their relatives, and not to mention let their relatives respect their desires .Cultural barrier and the lack of regulation and propaganda on advance directive are the main reasons cause the current situation of advance directive in china . Based on the analyses above , the paper offers a suggestion that it is necessary to widely promote advance directive in China .During the process of promoting advance directive , should pay attention to guide and respect traditional culture .

Clinical Observation on Effect of Pingai Mixture in the Treatment of 41 HIV/AIDS Patients / 世界科学技术-中医药现代化

This study was aimed to observe the clinical effect of Pingai Mixture intervention on HIV/AIDS patients in order to clarify the characteristics of Pingai Mixture for AIDS treatment. A total of 41 HIV/AIDS patients who met the inclusion criteria were selected. Pingai Mixture was applied in the treatment. Three months was one treatment course. The treatment was given for two courses. Clinical symptoms, physical signs and changes in CD4+ lymphocytes of HIV/AIDS patients before and after treatment were observed. The SPSS software was used for statistical analysis. The results showed that the posttreatment total score (primary, secondary symptoms and the main physical sign cred-its) was significantly reduced compared with pretreatment (P < 0.01). The posttreatment spontaneous perspiration, night sweats, hair loss and other symptoms of a separate score was significantly reduced compared with pretreatment (P< 0.05). There were no significant changes on other symptoms or physical sign indicators. There was no significant difference in the Karnovsky score after 6-month treatment compared with pretreatment. It was concluded that Pingai Mixture is effective in AIDS treatment. It can improve the clinical symptoms and the administration is safe.

Current Situation and Prospect of HIV/AIDS Research on Prevention and Treatment with Traditional Chinese Medicine / 世界科学技术-中医药现代化

This article was aimed to introduce the research status on HIV/AIDS TCM syndrome and Chinese medicine treatment in China . It also elaborates on the results of HIV/AIDS TCM syndrome and Chinese medicine treatment in X inj iang region . A summary of the existing problems in the research of HIV/AIDS with TCM preven-tion and treatment in China was given and suggestions were put forward .

Observation on Clinical Effect of Ping-Ai Granule I Treatment among 107 HIV/AIDS Infection Cases / 世界科学技术-中医药现代化

This study was aimed to observe the clinical effect of Ping-Ai GranulesⅠin the treatment of HIV/AIDS . A total of 107 AIDS cases were divided into Ping-Ai GranulesⅠgroup and Ping-Ai GranulesⅠunited with HAART group. The results showed that there was significant difference between Ping-Ai GranulesⅠgroup and Ping-Ai GranulesⅠunited with HAART group in aspects of symptoms, physical signs, Karnovsky Score and changes of CD4+ T lymphocyte . It was concluded that Ping-Ai GranulesⅠhad the function of improving patient's symptom and increasing patient's immunity and living quality .

Preliminary Summary of Operation Mode of Fighting Against AIDS in Xinjiang Region / 世界科学技术-中医药现代化

This study was aimed to summarize the medicine operation mode of fighting against AIDS in Xinjiang region in order to play its advantages and find its insufficiencies. The summarization had been made on aspects of resource integration , mode creation , highlighting research priorities and mechanism improvement . Advantages of various aspects had been pointed out and existing problems had been proposed. It was concluded that AIDS study by the National Clinical Research Base of Traditional Chinese Medicine in X inj iang still needs to share its re-source, innovate its network system construction model, operate its standard diagnosis and treatment, mechanism and system, and further strengthen its personnel training.

Effect of "one-to-one"full-course Doola accompanied delivery on the ontcome of puerperants / 中国基层医药

Objective To observe the effect of"one-to-one"full-course Doula accompanied delivery on the outcome of puerperants in obstetric departments.Methods Totally 2120 normal full-term puerperants were taken as the observation group.The puerperants in the observation group were accompanied one-to-one for the full course by a maternity nurse who offered services on physiology,psychology and emotion,social adaptative ability,etc.to the puerperants.Totally 2132 normal full-term puerperants were taken as the control group.Results In the observation group,the psychological state was relatively stable,the painful degree Was mild,the incidence rate of postpartum hemorrhage Was low,the rate of uterine-incision delivery Was low,the delivery course was short,the Apgar score of neonates was high,the apnoea is less(P＜0.05),and the satisfactory degree of the puerperants was high.Conclusion The service mode of"one-to-one"full-course Doula accompanied dehvery in obstetric departments is helpful for the health of both mothers and infants,and is good for improving the entire nursing quality and for improving the satisfactory degree.The"one-to-one"full-course Doula accompanied delivery is a good service mode.