Design and implementation of medical assets management system / 医疗卫生装备

Objective To develop a medical assets management system involving in early warning information platform,barcoding technology and whole-life management.Methods The system was developed based on requirement analysis as well as the technologies of Web,mobile communication,mobile application and etc.Real-time monitoring of the flows of assets and funds were realized by information flow so as to master dynamic information on medical assets.Results Real-time and dynamic management of hospital fixed and circulatory assets were executed with a department,a system and a set of reports,and the problems were solved resulting from over-centralized authority for purchase,warehousing,reporting and etc.Conclusion The system gains advantages in cost control,assets utilization efficiency and etc.

Value of liquid-based cytology of brushing specimens obtained via fiberoptic bronchoscopy for the diagnosis of lung cancer / 中华肿瘤杂志

<p><b>OBJECTIVE</b>To investigate the value of the liquid-based cytology (LBC) of brushing specimens obtained via fiberoptic bronchoscopy for clinical diagnosis of lung cancer.</p><p><b>METHODS</b>We retrospectively analyzed the LBC cases in our hospital from January 2011 to May 2012, and evaluate its role in the diagnosis of lung cancer.</p><p><b>RESULTS</b>The clinical data of a total of 4 380 cases were reviewed and 3 763 of them had histopathological or clinical follow-up results (including 3 306 lung cancer cases and 457 benign lesion cases). The sensitivity, specificity, and accuracy of LBC diagnosis for lung cancer were 72.4% (2 392/3 306), 99.3% (454/457) and 75.6% (2 846/3 763), respectively. Of the 1 992 lung cancer cases diagnosed by brushing LBC, 528 cases (26.5%) were failed to take forceps biopsy and 113 cases (5.7%) showed negative forceps biopsy results. The accurate rate of subtyping of LBC for non-small cell carcinoma and small cell carcinoma was 99.0% (1 487/1 502) (P < 0.001). Take the resection histopathology as gold standard, the accurate rates of subtyping squamous cell carcinoma, adenocarcinoma and small cell carcinoma by LBC were 95.6% (351/367), 95.6% (351/367) and 100% (367/367), respectively, (P < 0.001). The accurate rates of subtyping of squamous cell carcinoma, adenocarcinoma and small cell carcinoma by forceps biopsy were 97.0% (293/302), 97.4% (294/302) and 99.7% (301/302), respectively, (Kappa = 0.895, P < 0.001). There was no significant difference in subtyping respectively between forceps biopsy and brushing LBC (P > 0.05).</p><p><b>CONCLUSIONS</b>Fiberoptic bronchoscopic brushing liquid-based cytology can significantly improve the detection rate of lung cancer, and have a high specificity and accurate rate of subtyping. It is an effective tool for the diagnosis and subtyping of lung cancer.</p>

Use of natural plant exudates (Sanguis Draxonis) for sustained oral insulin delivery with dramatic reduction of glycemic effects in diabetic rats.

Sanguis Draxonis (SD), a kind of natural plant exudates, has been prescribed for handling diabetic disorders as a Chinese traditional herb. Surprisingly, SD was found to be a good material for oral insulin delivery. The Insulin-loaded Sanguis Draxonis nanocapsules (ISDN) were prepared by deposition technique. The average size and width of distribution of ISDN were 184+/-24 and 110+/-16 nm, respectively. The insulin encapsulation efficiency of ISDN reached up to 69.6+/-5.6%. In vitro the release profile of insulin from ISDN can be well modeled using an exponential function [Y=1-exp(-0.0275t)], showing that there was no initial burst release of insulin. The stability studies indicated that the majority of initial amount of insulin in ISDN was preserved not only after incubation of ISDN in three kinds of proteolytic enzyme solutions at 37 degrees C for 30 min, but also after its storage at 25 degrees C for 6 months. After a single oral administration of ISDN at the dose of 25, 50, and 75 IU/kg in STZ-induced diabetic rats, the blood glucose level was depressed to 60.5+/-2.7%, 52.6+/-2.3% and 47.3+/-3.1% of the initial value at time point 8 h, respectively, and these marked decreases lasted 2-4 days. When 125I-labeled ISDN was administered orally, the distribution sequence of isotope intensity of 125I radioactivity in rat organs was as follows: liver, kidney, heart, spleen and lung. In addition, 125I radioactivity disappeared progressively as a function of time, parallel to the biological effect. In conclusion, the results demonstrate that ISDN elicits a long-term hypoglycemic effect significantly after oral administration in STZ-induced diabetic rats and it can be considered as a stable and effective system for oral insulin delivery.