简介：

简介：AbstractBackground:Healthcare workers (HCWs) were the priority group for influenza vaccination, in China during the 2020/2021 and 2021/2022 influenza seasons. However, vaccination rates in HCWs have always been low. This study investigated influenza vaccination status among Chinese HCWs and analyzed the factors driving vaccination.Methods:We provided electronic questionnaires to HCWs from January 27, 2022 to February 21, 2022, using the WeChat platform "Breath Circles". HCWs who received the link could also forward it to their colleagues. Binary logistic regression models were used to analyze vaccination-associated factors among HCWs.Results:Among the 1697 HCWs surveyed, vaccination coverage was 43.7% (741/1697) during the 2020/2021 influenza season, and 35.4% (600/1697) during the 2021/2022 influenza season, as of February 21, 2022. Additionally, 22.7% (385/1697) and 22.1% (358/1697) of HCWs reported that their workplaces implemented a free vaccination policy for all employees during the 2020/2021 and 2021/2022 influenza seasons. HCWs who were required to be vaccinated according to hospital regulations, and whose hospitals implemented the free influenza vaccine policy were more likely to be vaccinated (2020/2021 and 2021/2022; P < 0.05). In addition, the economic level of the HCWs' province (2021/2022, P < 0.05) and the HCWs’ knowledge about vaccination and willingness to get vaccinated, such as active learning about vaccines (2020/2021, P < 0.05), supportive attitude toward vaccination for all HCWs (2020/2021 and 2021/2022; P < 0.05), also had an impact on vaccine coverage.Conclusions:A free influenza vaccination policy and workplace required vaccination are effective in improving influenza vaccination coverage among HCWs. Influenza vaccination coverage of Chinese HCWs remained low and showed a downward trend after the COVID-19 outbreak. Further effective measures, such as advocacy campaigns, free vaccine policies, and on-site vaccination could be implemented to improve influenza vaccination coverage.

简介：

简介：AbstractThe field of drug-induced sleep endoscopy (DISE) has grown considerably over the last 10~15 years, to now include its use in pediatric patients. In this review article, we outline our approach to the use of this technology in Children with Airway Obstruction, most specifically in the management of children with airway obstruction and known or suspected adenotonsillar enlargement.

简介：AbstractBackground:Despite free diagnosis and treatment for tuberculosis (TB), the costs during treatment impose a significant financial burden on patients and their households. The study sought to identify the determinants for cata-strophic costs among patients with drug-sensitive TB (DSTB) and their households in Kenya.Methods:The data was collected during the 2017 Kenya national patient cost survey from a nationally representative sample (n= 1071). Treatment related costs and productivity losses were estimated. Total costs exceeding 20% of household income were defined as catastrophic and used as the outcome. Multivariable Poisson regression analysis was performed to measure the association between selected individual, household and disease characteristics and occurrence of catastrophic costs. A deterministic sensitivity analysis was carried using different thresholds and the significant predictors were explored.Results:The proportion of catastrophic costs among DSTB patients was 27% (n = 294). Patients with catastrophic costs had higher median productivity losses, 39 h [interquartile range (IQR): 20-104], and total median costs of USD 567 (IQR: 299-1144). The incidence of catastrophic costs had a dose response with household expenditure. The poorest quintile was 6.2 times [95% confidence intervals (CI): 4.0-9.7] more likely to incur catastrophic costs compared to the richest. The prevalence of catastrophic costs decreased with increasing household expenditure quintiles (proportion of catastrophic costs: 59.7%, 32.9%, 23.6%, 15.9%, and 9.5%) from the lowest quintile (Q1) to the highest quintile (Q5). Other determinants included hospitalization: prevalence ratio (PR)= 2.8 (95% CI: 1.8-4.5) and delayed treatment: PR = 1.5 (95% CI: 1.3-1.7). Protective factors included receiving care at a public health facility: PR = 0.8 (95% CI: 0.6-1.0), and a higher body mass index (BMI): PR= 0.97 (95% CI: 0.96-0.98). Pre TB expenditure, hospitalization and BMI were significant predictors in all sensitivity analysis scenarios.Conclusions:There are significant inequities in the occurrence of catastrophic costs. Social protection interventions in addition to existing medical and public health interventions are important to implement for patients most at risk of incurring catastrophic costs.

简介：AbstractMost of the medical and nonmedical research labs, all around the world, are racing against time to produce an effective vaccine or an antiviral medicine for coronavirus disease 2019 (COVID-19). Conventional medicines and novel nano-materials including chemical and herbal-based compounds are all into positive trials toward coronaviruses and other pandemic infections. Among them, natural immune boosters have attracted physicians because of their longevity and reliability for fewer side effects. This is a review article with a detailed picture of an unexplored antiviral source with maximum potency in curing viral infections. Cyanobacteriae have been known for centuries and are rich in secondary metabolites of proteins, biopeptides, and polysaccharides for prominent antiviral action against chest infections. But detailed exploratory research is required to purify, scale-up, and commercialize the pharmacologically active agents from these drug reserves.

简介：Inrecentyears,therearemanycrimesrelateddrugfraudoccuringinChinaandmanyexpertsthinkthatthemaincauseisthatChinaFoodandDrugAdministration(CFDA)adoptsannouncedinspection(AI).Inordertocircumventthisdifficulty,CFDAhasexploitedunannouncedinspection(UI)since2014.Inthispaper,theauthorsstudytheproblemofwhichoneperformsbetter,AIorUI.Specifically,theauthorsconsiderasupervisor,whichdecidestheinspectionapproach,inspectionstrengthandpunishmenttoforcethefirmtoputself-inspectionefforttomeettherequirementsofGoodManufacturingPractice,andafirm,whichproducesadruganddecidesitsself-inspectioneffort.Theauthorsusegametheorytomodelthisproblem,characterizetheequilibriumpoliciesunderAI,andcomparetheeffectsofthetwoapproachesonpreventingdrugfraudundercompleteandincompleteinformation.Theresultsshowthatunderthecompleteinformation,UIperformsbetterifthefirm'stechnicallevelandtheinspectioncostarelowandAIperformsbetterotherwise.Whenthesupervisordoesn'tknowthefirm'stechnicallevel,ifthelowtechnicallevelishigh,AIperformsbetter.Otherwise,UIperformsbetteriftheinspectioncostislowandAIperformsbetteriftheinspectioncostishigh.

简介：无

简介：

简介：

简介：

简介：Thelymphaticsystemhasanimportantdefensiveroleinthehumanbody.Themetastasisofmosttumorsinitiallyspreadsthroughthesurroundinglymphatictissueandeventuallyformslymphaticmetastatictumors;thetumorcellsmayeventransfertootherorganstoformothertypesoftumors.Clinically,lymphaticmetastatictumorsdeveloprapidly.Giventhelimitationsofsurgicalresectionandtheloweffectivenessofradiotherapyandchemotherapy,thetreatmentoflymphaticmetastatictumorsremainsagreatchallenge.Lymphnodemetastasismayleadtothefurtherspreadoftumorsandmaybepredictiveoftheendpointevent.Underthesecircumstances,novelandeffectivelymphatictargeteddrugdeliverysystemshavebeenexploredtoimprovethespecificityofanticancerdrugstotumorcellsinlymphnodes.Inthisreview,wesummarizetheprinciplesoflymphatictargeteddrugdeliveryanddiscussrecentadvancesinthedevelopmentoflymphatictargetedcarriers.

简介：Objective:Toclonemultidrugresistance(MDR)relatedgenesinlungadenocarcinomacelllines.Methods:ThedifferentiallyexpressedcDNAfragmentsbetweenA549andA549DDPcellswereanalyzedbymRNAdifferentialdisplayPCR(DDRT-PCR).ThefragmentsthusobtainedwerefurtheranalyzedbyDNAsequencingandNorthernblotting.Results:ThreedifferentiallyexpressedcDNAfragmentswereobtainedandconfirmedbyNorthernblot.Sequenceanalysisrevealedthattwoofthemwerenovelandonewas100%identicalwithICEgene.Conclusion:AnalyzingdifferentiallyexpressedfragmentbetweenA549andA549DDPcellsmaybehelpfulforfindingnewMDRrelatedgenes.ThedrugresistanceofA549DDPcellsmayberelatedtotheinhibitionordown-regulationofICEgene.

简介：Thereareseveralchallengestoinnereardrugdeliveryandimagingduetotheexistenceoftightbiologicalbarrierstothetargetstructureandthedensebonesurroundingit.Advancesinimagingandnanomedicinemayprovideknowledgeforovercomingtheexistinglimitationstoboththediagnosisandtreatmentofinnereardiseases.Noveltechniqueshaveimprovedtheefficacyofdrugdeliveryandtargetingtotheinnerear,aswellasthequalityandaccuracyofimagingthisstructure.Inthisreview,wewilldescribethepathwaysandbiologicalbarriersoftheinnerearregardingdrugdelivery,thebeneficialapplicationsandlimitationsoftheimagingtechniquesavailableforinnerearresearch,thebehaviorofengineerednanomaterialsininnerearapplications,andfutureperspectivesfornanomedicine-basedinnerearimaging.

简介：Platinum-basedanticanceragentsarewidelyusedasfirst-linedrugsincancerchemotherapyforvarioussolidtumors.However,greatsideeffectsandoccurrenceofresistanceremainasthemajordrawbacksforalmostalltheplatinumdrugsdeveloped.Toconquertheseproblems,newstrategiesshouldbeadoptedforplatinumdrugbasedchemotherapy.Modernnanotechnologyhasbeenwidelyemployedinthedeliveryofvarioustherapeuticsanddiagnostic.Itprovidesthepossibilityoftargeteddeliveryofacertainanticancerdrugtothetumorsite,whichcouldminimizetoxicityandoptimizethedrugefficacy.Here,inthisreview,wefocusedontherecentprogressinpolymerbaseddrugdeliverysystemsforplatinum-basedcombinationtherapy.

简介：Mitoxantrone,aclinicallyusefulantitumourantibioticforleukaemiaandbreastcancer,hasreceivedmoreattentions.Inthispaper,theinteractionbetweenmitoxantroneandcalfthymusDNAisinvestigatedbyRamanandfluorescencespectroscopies,andthebindingsiteofmitoxantronetocalfthymusDNAisexplored.TheresultsshowedthatmitoxantroneinteractswithcalfthymusDNAbasesbytheintercalationofanthracyclineintothebasepairplaneofadenine(A)andthymine(T),anditresultsinthedisruptionofthehydrogenbondsbetweencalfthymusDNAbases,andthusthecalfthymusDNAdouble-strandcanbedisruptedintotheB-formDNAdouble-strandsegments.

简介：TanshinoneIIAisapharmacologicallyactivecompoundisolatedfromDanshen(Salviamiltiorrhiza),atraditionalChineseherbalmedicineforthemanagementofcardiacdiseasesandotherdisorders.Butitsunderlyingmolecularmechanismsofactionarestillunclear.ThepresentinvestigationutilizedadataminingapproachbasedonnetworkpharmacologytouncoverthepotentialproteintargetsofTanshinoneIIA.Networkpharmacology,anintegratedmultidisciplinarystudy,incorporatessystemsbiology,networkanalysis,connectivity,redundancy,andpleiotropy,providingpowerfulnewtoolsandinsightsintoelucidatingthefinedetailsofdrug-targetinteractions.Inthepresentstudy,twoseparatedrug-targetnetworksforTanshinoneIIAwereconstructedusingtheAgilentLiteratureSearch(ALS)andSTITCH(searchtoolforinteractionsofchemicals)methods.AnalysisoftheALS-constructednetworkrevealedatargetnetworkwithascale-freetopologyandfivetopnodes(proteintargets)correspondingtoFos,Jun,Src,phosphatidylinositol-4,5-bisphosphate3-kinase,catalyticsubunitalpha(PIK3CA),andmitogen-activatedproteinkinasekinase1(MAP2K1),whereasanalysisoftheSTITCH-constructednetworkrevealedthreetopnodescorrespondingtocytochromeP4503A4(CYP3A4),cytochromeP450A1(CYP1A1),andnuclearfactorkappaB1(NFκB1).Thediscrepancieswereprobablyduetothedifferencesinthedivergentcomputerminingtoolsanddatabasesemployedbythetwomethods.However,itisconceivablethatalleightproteinsmediateimportantbiologicalfunctionsofTanshinoneIIA,contributingtoitsoveralldrug-targetnetwork.Inconclusion,thecurrentresultsmayassistindevelopingacomprehensiveunderstandingofthemolecularmechanismsandsignalingpathwaysofinasimple,compact,andvisualmanner.

简介：无

简介：Angiogenesis是一个很复杂的生理的过程，它包含依赖于在生长因素(激发器和禁止者)之间的homeostatic平衡的多重小径。这个紧控制的过程被angiogenic因素刺激，它在肿瘤以内是在场的并且包围联系肿瘤的stromal房间。angiogenesis上的肿瘤繁殖，侵略和转移的依赖为对待恶意使新血容器形成的禁止者成为吸引人的药。Angiogenesis能被几不同机制破坏：由禁止endothelial房间，由打断发信号的小径或由禁止angiogenesis的另外的使活跃之物。这策略在稳固的肿瘤的几种类型显示出治疗学的利益，导致食物药品管理局(食物及药品管理局)在肾，非小的房间肺，结肠和大脑的治疗的anti-angiogenic代理人的赞同癌症。尽管没有angiogenesis禁止者与变形前列腺癌症为病人被同意了，指向新血容器形成的治疗仍然是前列腺癌症研究的一个新兴、有希望的区域。

简介：