Yu Gan Long Ameliorates Hepatic Fibrosis by Inhibiting PI3K/AKT,Ras/ERK and JAK1/STAT3 Signaling Pathways in CCl4-induced Liver Fibrosis Rats

Yu Gan Long(YGL)is a Chinese traditional herbal formula which has been reported to attenuate liver fibrosis for many years and we have explored its anti-fibrotic mechanism through blocking transforming growth factor(TGF-β)in the previous study.But the mechanisms associated with platelet-derived growth factor(PDGF)-BB remain obscure.In this study,we further investigated the mechanism of YGL reducing carbon tetrachloride(CCl4)-induced liver fibrosis in rats.Our results showed that YGL suppressed CCl4-induced upregulation of collagen IV(Col IV),type HI precollagen(PCHI),hyaluronuc acid(HA)and laminin(LN),which are implicated in liver fibrosis.Also,YGL reduced theα-smooth muscle actin(α-SMA)expression,which acts as the indicator of liver fibrosis.Furthermore,YGL decreased the serum levels of hepatic stellate cell(HSC)mitogen PDGF-BB and inflammation cytokines,including TNF-α,IL-1β,IL-6.Markers involved in liver fibrosis,such as Ras,p-Raf-1,p-ERK1/2,p-JNK,p-P38,p-PI3K,p-AKT,p-JAKl,p-STAT3 were downregulated significantly after treatment with YGL.Our results indicated that YGL ameliorated CCl4-induced liver fibrosis by reducing inflammation cytokines production,and suppressing Ras/ERK,PI3K/AKT,and JAK1/STAT3 signaling pathways,which provided further evidence towards elucidation of the anti-fibrotic mechanism of YGL.

点云数据在道岔关键节点几何检测应用

道岔服役状态检测工序复杂,传统方法需要结合轨检车、轨距尺、支距尺和降低值测量仪进行测量,设备类型繁杂,测量工序多,对天窗时间要求较高。为提高检测效率,本文提出了一种基于点云的单开道岔关键节点测量方法。该方法利用CAD图元信息及图卷积神经网络,实现对道岔结构三维点云数据的精确化、自动化识别、分割与提取,准确度为99.68%。同时,结合道岔结构几何先验信息,完成了对道岔结构轨距、导曲线支距、尖轨降低值等关键几何形位参数快速化精确提取。实例验证表明,本文提出的基于点云的道岔关键几何形位检测方法的测量结果与真实值误差为亚毫米级,满足实际工程检测要求,省去了多种检测设备,节约了大量天窗时间,具有较高的实用性,是未来道岔测量的发展趋势。

Clinical Observation of rhIL-2 Combined with Zhenqi Fuzheng and BaofuKang Suppository in the Treatment of Cervical Intraepithelial Neoplasia II with HPV Infection

Objective: To investigate the clinical effects of recombinant human interleukin-2 (rhIL-2) combined with Zhenqi Fuzheng and Baofukang on cervical intraepithelial neoplasia II (CINII) combined with human papilloma virus infection. Methods: There were 593 patients diagnosed with CINII with HPV infection, including 296 in the control group and 297 in the experimental group. The control group was given only Zhenqi Fuzheng oral and Baofukang suppository vaginal medicine. The experimental group was treated with rhIL-2 injection in addition to Zhenqi Fuzheng oral and Baofukang suppository vaginal medicine which is treated for 3 months. After 3 months, Thinprep cytologic test (TCT), human papilloma virus (HPV) quantitative examination and colposcopy biopsy were reviewed. Results: After 3 months of treatment, the negative conversion rate and total effective rate of HPV in the control group were 58.11% and 70.95% respectively, and the negative conversion rate and total effective rate of the experimental group were 79.46% and 90.57% respectively. There was significant difference between the two groups (p = 0.000). The curative rate of cervical lesions was significantly higher in the test group than in the control group, 89.56%, 68.91%, respectively. The statistical difference between the two groups is significant (p = 0.000). Conclusion: It has an essential clinical value that HPV infection patients and cervical intraepithelial neoplasia II associated with HPV infection patients are treated by rhIL-2 combined with Zhenqifuzheng and Baofukang, which is safe, effective, non-invasive, reusable advantages. However, the long-term efficacy and side effects need to be further studied.

Risk Prediction Model for Hypertensive Disorders of Pregnancy Based on Routine Laboratory Indicators and Risk Factors: A Retrospective Analysis

Background: Hypertensive disorder of pregnancy (HDP) is a group of diseases in which pregnancy and elevated blood pressure coexist. There is still a lack of reliable clinical tools to predict the incidence of HDP. The purpose of this study was to establish and validate a nomogram prediction model for assessing the risk of HDP in pregnant women based on laboratory indicators and HDP risk factors. Method: A total of 307 pregnant women who were hospitalized in the obstetrics and gynecology department of our hospital were included in this study, and were randomly divided into a training cohort and validation cohort at a ratio of 7:3. Univariate and multivariate logistic regression analyses were performed to identify independent risk factors for the development of HDP on laboratory indicators as well as risk factors for HDP in the training cohort of patients. The results of the multivariate regression model were visualized by forest plots. A nomogram was constructed based on the results of multivariate logistic regression to predict the risk of HDP in pregnant women. The validity of the risk prediction model was evaluated by the area under the receiver operating characteristic curve (AUC), the consistency index (C-index), the calibration curve and the decision curve analysis (DCA). Results: BMI ≥ 25 Kg/m2, total cholesterol in early pregnancy, uric acid and proteinuria in late pregnancy were independent risk factors for HDP. The AUC and C-index of the nomogram constructed by the above four factors were both 0.848. The calibration curve is closely fitted with the ideal diagonal, showing a good consistency between the nomogram prediction and the actual observation of HDP. The DCA has demonstrated the great clinical utility of nomogram. Internal verification proves the reliability of the predicted nomograms. Conclusion: The BTUP nomogram model based on laboratory indicators and risk factors proposed in this study showed good predictive value for the risk assessment of HDP. It is expected to provide evidence for clinical prediction of the risk of HDP in pregnant women.

Clinical Observation of Misoprostol before and after Painless Induced Abortion

Background: Though painless abortion is a safe, effective and excellent method of artificial abortion, intravenous anesthesia cannot effectively expand the cervix. Hard and tight cervix often affects the operation and easily inducesabortion complications. Misoprostol can induce uterine contraction and soften the cervix. Objective: To investigate the clinical effect of misoprostol on abortion before and after painless induced abortion. Methods: 600 case pregnant women were divided into three groups: A, B and C, 200 case in each group. All patients were anesthetized. In group A, misoprostol 0.2 ug was placed in the posterior fornix of vagina 2 hours before the operation of induced abortion;in group B, misoprostol 0.2 ug was not only placed in the posterior fornix of vagina 2 hours before the operation of induced abortion but also taken orally 2 hours and 6 hours after the operation;in group C, misoprostol was not used before and after the operation. The operation time, intraoperative bleeding volume, postoperative bleeding, the percentage of cervical relaxation and the rate of incomplete abortion among the three groups were compared. Results: Compared with group A and group B, the operation time of group C was longer and the amount of bleeding was more (P < 0.05), but there was no significant difference between group A and group B (P > 0.05). The duration of bleeding in group B was less than that in group A (P < 0.05). The percentage of cervical relaxation in group A and B was higher than that in group C (P < 0.05). The rate of incomplete abortion in group B < group A < group C (P < 0.05), and there was no residual uterine cavity in group B. Conclusion: The use of misoprostol before and after painless induced abortion can not only shorten the time of operation, reduce intraoperative and postoperative vaginal bleeding, but also has not incurred incomplete abortion(primary outcome).

Exploration of Teaching Development Strategies for Double-Qualified Teachers in University- Affiliated Hospitals Based on Role Conflict Theory

This study draws on the classic theories and research achievements of university teacher development,and from the perspective of role conflict in social psychology,proposes policy recommendations for the development of clinical teachers in medical colleges,including following different stages of teacher development and designing teaching development strategies at different levels;designing the content and form of teaching development activities to meet the temporal and spatial needs of clinical teachers;and building an academic community for clinical teachers to promote the creation of teaching development behaviors.

Effects of Aspirin on Pregnancy Outcome and Serum Endothelin-1 and Thrombomodulin Levels in Pregnancy Patients with Chronic Hypertension

Objective: To investigate the effect of aspirin on pregnancy outcome and serum levels of endothelin-1 (ET-1) and thrombomodulin (TM) in pregnancy patients with chronic hypertension. Methods: Selected patients with chronic hypertension (mild to moderate) during pregnancy, who were enrolled and delivered in the Beijing Tongren Hospital Department of Obstetrics and Gynecology between January 1, 2019 and December 30, 2020. The patients were randomly divided into control group (60) and experimental group (60). The control group was treated with labetalol and the test group was treated with labetalol and aspirin. The therapeutic effect and pregnancy outcome of the two groups were compared. The serum levels of ET-1 and TM were measured before treatment and one week after treatment. Results: Systolic blood pressure (SBP) decreased significantly one week after treatment in the two groups (P < 0.05). One week after treatment, the values of ET-1 and TM in the experimental group were significantly lower than those in the Control Group, the difference is statistically significant (P < 0.05). The incidence of Preeclampsia, intrauterine growth retardation, oligohydramnios, placental abruption, Cesarean section and preterm birth in the experimental group was significantly lower than that in the control group. There was significant difference between the two groups, especially Preeclampsia and Intrauterine Growth Retardation (P < 0.05). Conclusion: Besides routine treatment, aspirin can improve the outcome of pregnant women with chronic hypertension, which may be related to the regulation of ET-1 and TM by aspirin.

Research Progress of circRNAs during Epithelial- Mesenchymal Transition of Hepatocellular Carcinoma

Hepatocellular carcinoma is prone to invasion and metastasis.It often receives a low diagnosis rate in the early stage but has an extremely high mortality rate.Epithelial-mesenchymal transformation(EMT)is a key factor in promoting tumor cell invasion and metastasis.Circular RNA(circRNA)is involved in regulating EMT in hepatocarcinoma cells through multiple pathways,thereby affecting the occurrence and progression of hepatocellular carcinoma.This article mainly reviews the research progress of circRNA related to EMT core transcription factors,circRNA that promotes EMT in liver cancer,and circRNA that inhibits EMT in liver cancer.

Exploration and Practice of Innovative and Entrepreneurial Talent Training Model in Medical Colleges under the Background of“New Medicine”

Innovation and entrepreneurship education has become one of the important directions of higher education reform,but innovation and entrepreneurship education in medical colleges generally lags behind other discipline universities or comprehensive universities.Actively exploring the training mode of innovation and entrepreneurship talents is of great significance for cultivating innovative medical talents needed by the country and society.At present,innovation and entrepreneurship education in higher medical colleges is facing many challenges,the most important of which include the lack of concept in innovation and entrepreneurship education,medical students’weak awareness of innovation and entrepreneurship,and poor construction of innovation and entrepreneurship teaching staff.To address these challenges,we will introduce incentive measures for innovation and entrepreneurship education at the college level,and improve the guarantee and incentive mechanisms for innovation and entrepreneurship education;create an“Innovation and Entrepreneurship Education Platform”for teachers and students to exchange ideas on innovation and entrepreneurship;start building a high-quality team of innovation and entrepreneurship teachers,promote the continuous improvement of the quality of innovation and entrepreneurship education,and ensure the quality of medical talent training.

Theoretical Analysis and Practical Reflection on the Role Conflict of Double-Qualified Teachers in University-Affiliated Hospitals

Taking role conflict as the starting point,this article examines and reflects on the development of clinical teachers.In the process of the occurrence,development,and resolution of role conflicts among clinical teachers,there are many hidden issues related to the development of clinical teachers.The development of clinical teacher teaching and role conflict management contain similar educational philosophies and practical issues.This study draws on classic theories and research achievements in the development of university teachers and conducts theoretical analysis and practical reflection on the development of clinical teachers in medical colleges from the perspective of role conflict in social psychology.Policy recommendations are proposed,including strengthening the construction of teaching systems at the hospital organizational environment level,enhancing the role identity and teacher beliefs of clinical teachers,promoting their teaching development and academic learning,and ensuring their normal teaching investment;promoting leadership support at the level of interpersonal interaction and leveraging the role of colleague support in alleviating role conflicts;enhancing individual teacher beliefs,teacher role learning,and role skills.

Analysis of the Feedback on Teacher Training in an Affiliated Hospital in Shaanxi Province

Objective:This article aims to deeply analyze the feedback on teacher training in an affiliated hospital,so as to clarify the current needs and situation of teacher training and provide a scientific basis for further optimizing the teacher training system.Methods:The current situation and needs of teacher training in the affiliated hospital were collected by designing and distributing Tomato Form questionnaires on the DingTalk platform.The questionnaire adopted a percent-point system,all of which were indeterminate multiple-choice questions.Results:The average age of the clinical teachers participating in the survey was 40.44±7.85 years old,with an average teaching length of 4–10 years.The results showed that 60.20%of teachers think that the amount of teacher training in an affiliated hospital is sufficient;91.10%of teachers think that the factors affecting training conflict with working hours;97.96%of teachers believe that the training time has an impact on the training effect;81.63%of teachers prefer online training;51.53%of teachers tend to arrange training time on working days;33.16%of teachers tend to train once a month;17.78%of teachers prefer to receive training on clinical theoretical courses and practical teaching norms and skills content.Conclusion:Based on the above survey results,we propose to build a comprehensive management mechanism for teacher training,including improving the access,training,and assessment mechanism for clinical teachers,and adjusting and optimizing the training program according to actual needs.At the same time,an effective communication platform should be built to promote the deep integration of teaching and practice and enhance social recognition,so as to comprehensively improve the teaching quality and medical service of the hospital.

Homogenization Construction of Three-Level Teaching Bases for General Practice Medicine Under the Internet+Model

With the continuous expansion of medical student enrollment,the number of clinical teaching bases is gradually increasing.However,there are significant differences in clinical teaching management models and teaching levels among different bases.Most clinical teaching bases have incomplete teaching management systems,inadequate teaching management institutions,insufficient teaching personnel,and inadequate implementation of teaching rules and regulations.This article combines the construction practice of three-level clinical teaching base of the General Medicine College and the First Affiliated Hospital of Xi’an Medical University.We establish a standardized management system for the three-level clinical teaching base;implement a teaching supervision system and strengthen the monitoring of teaching quality;adopt multiple evaluations to test the effectiveness of clinical teaching implementation;explore the path of homogenization construction of teaching bases in terms of unified teacher training,promoting the development of teacher teaching abilities with equal quality and excellence,and providing a reference for improving the quality of medical talent training.

Corrigendum: Research Progress of circRNAs during Epithelial-Mesenchymal Transition of Hepatocellular Carcinoma

Correction The affiliation in the original publication(https://www.doi.org/10.26689/par.v8i2.6010)is incorrect.The original affiliation was:Yuqing Li1,Cuicui Ren1,Yu Cai2,Chang Tian2,Yuanyuan Jia2,Ge Wu1*1Xi’an Medical University,Xi’an 710000,China 2Faculty Development and Teaching Evaluation Office,The First Affiliated Hospital of Xi’an。

融合评分矩阵和评论文本的深度神经网络推荐模型

针对个性化推荐中用户评分矩阵数据集稀疏,用户和项目描述信息未充分利用的问题,提出融合评分矩阵和评论文本的深度神经网络推荐模型(deep neural network recommendation model,DeepRec)。首先将通过数据预处理得到的用户偏好特征和项目属性特征的文本集合分别输入到卷积神经网络进行训练,得到用户和项目的深层次非线性特征,同时将评分矩阵输入多层感知机得到用户偏好隐表示,并对两种模型提取的用户偏好隐表示进行融合;其次利用多层感知机建模用户和项目隐表示对用户进行个性化推荐;最后基于三组数据集以均方根误差为评估指标进行对比实验。结果表明DeepRec的预测误差更低,有效提高了推荐的精准度。

The Role of IL-2, IL-4, IL-10 and IFN-γ Cytokines Expression in the Microenvironment of Cervical Intraepithelial Neoplasia

Objective: To investigate the role of IL-2, IL-4, IL-10 and IFN-γ cytokines in the microenvironment of cervical intraepithelial neoplasia. Methods: 180 patients participating were enrolled in this trial, where 50 cases are in control group, 50 cases are in low-grade squamous intraepithelial lesion (LSIL) group, 50 cases are in high-grade squamous intraepithelial lesion (HSIL) group, and 30 cases have cervical carcinoma. ELISA methods are used to detect the expression of IL-2, IL-4, IL-10 and IFN-γ in the lavage fluid, and all data is analyzed using one-way analysis of variance. Results: The expression of IL-2 and IFN-γ in cervical lavage fluid gradually decreases with the aggravation of the lesion. The expression of IL-4 and IL-10 increases by the aggravation of pathological changes. There were statistically significant differences in IL-2 level among the four groups. IFN-γ levels are significantly different between the cervical cancer group and the other groups, also between HSIL and LSIL group, and between HSIL and the control group, but no statistically significant difference was observed in IFN-γ e between LSIL and the control group. The expressions of IL-4 and IL-10 between the cervical cancer group and the other groups were significantly different, and also between HSIL and the control group. But there was no statistically significant difference between LSIL and the control group, HSIL and LSIL. Conclusion: The cytokines of IL-2, IL-4, IL-10 and IFN-γ in the microenvironment of the cervix play an important role in the occurrence and development of cervical intraepithelial neoplasia. This study may provide the evidence for diagnosis and treatment of cervical intraepithelial neoplasia.

平台数量扩张的福利效应分析

数字经济领域的资本扩张,加快了平台数量扩容,由此产生的福利效应亟待评估。本文拓展了不完全竞争市场下的古诺模型,旨在探究平台数量扩张对社会福利的影响。理论分析结果表明:(1)在低固定成本的轻资产型行业中,平台数量扩张能提高社会福利;(2)在高固定成本的重资产型行业中,平台数量过度扩张会降低社会福利;(3)无论是轻资产型行业还是重资产型行业,平台数量扩张均会降低平台和行业利润。本文的研究结论有助于加深人们对平台经济发展规律的理解,为监管机构基于总福利最大化目标制定类型化的产业政策提供理论依据。

异规模出租车企业服务质量考评样本量确定方法

针对对不同规模出租车企业进行服务质量抽检的实际问题,将质量考评分为综合服务质量和劣质服务质量考核2种.综合服务质量考评以相同的精度、置信度,并考虑企业服务质量差异、多属性差异确定异规模企业的样本量.劣质服务质量考评以相同高概率拒收劣质服务为原则.以两种方案确定的样本量较大值确定最终样本量.文中以武汉市出租车企业服务质量考评为例进行实例研究并付诸实施.实践证明该方法能满足异规模企业公平考核要求.

锂负极失效的全固态薄膜锂电池的直接回收再利用

作为微电子器件的理想电源,全固态薄膜锂电池(TFB)已经被广泛地研究了几十年,并开始进入商业化应用。然而,目前关于失效TFB的回收与再利用的研究几乎没有,这将会阻碍TFB的可持续发展。本工作针对因金属锂负极失效而造成电池失效的TFB,提出了一种简单的基于最常见LiCoO_(2)(LCO)/LiPON/LiTFB(F-TFB)的直接回收再利用的方法。研究发现,F-TFB中的金属锂负极薄膜在循环过程会被部分氧化从而造成电池失效。我们提出利用无水乙醇溶液有效地溶解并去除F-TFB上失效的金属锂负极部分,从而快速地回收底层的LCO/LiPON薄膜。结构分析和表面分析结果表明,回收的LCO/LiPON薄膜中的LCO正极的晶体结构、LCO/LiPON的界面结构以及LiPON电解质的表面保持完好,使其再利用成为了可能。进一步地,我们在回收的LCO/LiPON薄膜上依次沉积了LiPON和Li薄膜,构建得到了电化学性能恢复的LCO/LiPON/LiTFB,并获得了与新制备的TFB相一致的比容量(0.223 m Ah·cm^(-2))、良好的倍率性能和循环寿命(500次循环后容量保持率为77.3%)。这种简单而有效的回收再利用方法有望延长固态电池的使用寿命,减少能源和资源消耗,促进固态电池的可持续发展。

高校传承体育非物质文化遗产的困境及路径研究——以黄山学院为例

黄山市体育非物质文化遗产作为徽州文化的重要组成部分,是古徽州劳动人民的智慧结晶。随着社会经济的发展,体育非物质文化遗产的传承问题逐渐凸显。黄山学院作为黄山市唯一一所本科院校,在传承体育非物质文化遗产方面仍然有一定的困境。文章运用文献资料法、专家访谈法对黄山学院参与黄山市体育非物质文化遗产保护的路径进行研究,旨在为高校参与体育非物质文化遗产的保护方面提供理论依据。

栀子苷单克隆抗体的制备与鉴定

目的:制备特异性的栀子苷(Geniposide,GEN)单克隆抗体。方法:采用高碘酸钠氧化法合成栀子苷免疫抗原,通过对BALB/c小鼠进行免疫;对血清进行检测阳性后,取上述免疫小鼠的脾细胞与小鼠骨髓瘤细胞SP2/0-Ag14按10∶1的比例融合;用间接竞争ELISA法和有限稀释法进行单克隆杂交瘤细胞的筛选;用阳性细胞株诱导制备腹水抗体;用辛酸硫酸铵法纯化抗体,并进行交叉反应检测。选择血清效价高且敏感性好的小鼠,采用杂交瘤细胞技术进行细胞融合,筛选分泌栀子苷单克隆抗体的杂交瘤细胞株;采用体内诱生腹水法制备栀子苷单克隆抗体,并通过正辛酸纯化的方法纯化腹水中抗体蛋白,采用SDS-PAGE法对抗体蛋白的纯化纯度进行检测。结果:获得了能分泌抗栀子苷单克隆抗体稳定的杂交瘤细胞株。SDS-PAGE结果说明经过纯化腹水中大量的杂蛋白能够被除去,获得的栀子单克隆抗体纯度较高,纯化后腹水中抗体效价与纯化前比均为60 000∶1左右。结论:成功获得了能分泌栀子苷单克隆抗体稳定的杂交瘤细胞株,特异性、灵敏度都比较高,为样品中的栀子苷快速微量检测及免疫亲和色谱柱的制备奠定了基础。