Promoting hepatic growth factor in the treatment of heavy type hepatitis and severe chronic hepatitis: a multicenter clinical study

BACKGROUND: The mortality rate of heavy type hepatitisis high. No special treatment is available except generaltreatment. This multicenter clinical study was designed toobserve the safety and efficacy of promoting hepatic growthfactor (PHGF) in the treatment of heavy type hepatitis andsevere chronic hepatitis.METHODS: 347 patients with heavy type hepatitis and 324with severe chronic hepatitis were subjected to administra-tion of 120 μg of PHGF per day for 4 weeks on the basis ofgeneral treatment. Those who were being effectively treat-ed would last additional 2 to 4 weeks. Blood routine, urineroutine, blood urea nitrogen (BUN), blood creatinine(Cr), blood ammonia, alpha fetoprotein (AFP), electro-lyte, alanine transaminase (ALT), aspartate transaminase(AST), serum total bilirubin (TBIL), serum direct biliru-bin (DBIL), prothrombin time activity (PTA), total pro-tein (TP) and albumin (ALB) were detected in the pa-tients before treatment, 2 weeks after treatment, and at theend of the treatment. Any side-effect would be recorded.RESULTS: In the patients with severe chronic hepatitis, thetotal effective rate of the treatment was 88. 9% The levelsof ALT, AST and TBIL decreased significantly (P<0.001),whereas those of PTA and ALB increased significantly (P <0.001), and the level of AFP increased slightly. In patientswith heavy type hepatitis, the total effective rate of thistreatment was 78.4%, and patients at different stage showeddifferent results. The total effective rates of patients withearly, medium and terminal stage heavy type hepatitis were89.9%, 84.8% and 27.5%, respectively. No severe side-effect was shown.CONCLUSION: PHGF is effective and safe in the treat-ment of patients with heavy type hepatitis and severe chro-nic hepatitis. But it should be administered early in patientswith heavy type hepatitis so as to get better curative effects.

Interaction between the Wilms tumour factor-1 element in the promoter of Amh and a downstream enhancer is required for a strong expression of the gene in pre-pubertal sertoli cells

Amh (anti-Müllerian hormone) is a single copy gene which is expressed strongly in Sertoli cells in the foetal testis and participates in the onset of sexual differentiation. Its promoter driving the expression of a reporter gene (d2EGFP) has been used to analyse the role of certain defined putative elements and a downstream enhancer element in gene expression. These experiments were carried out in vitro using a line of pre-pubertal mouse Sertoli cells, transienly transfected with circular DNA constructs with variously mutated promoter elements. A downstream enhancer element, situated immediately 3’ of the polyadenylation (PA) signal for Amh, has been inserted in an equivalent position in the d2EGFP construct. When the Amh promoter is unmodified, the downstream enhancer (DE) is positively associated with a large increase in EGFP expression. This is at least partly the consequence of an increased rate of expression by individual cells. Experiments using variously truncated Amh promoters indicate that an upstream region (-214 to -336) may play a minor role in facilitating enhancement. However mutation of the Wilms tumour factor-1 element, situated between the tata box and the start of translation, results in an almost complete suppression of enhancement.

Cdx2 expression and its promoter methylation during metaplasia-dysplasia-carcinoma sequence in Barrett's esophagus

AIM:To examine how the expression of caudal type homebox transcription factor 2(Cdx2) is regulated in the development of malignancy in Barrett's esophagus.METHODS:Cdx2,mucin(MUC) series(MUC2,MUC5AC and MUC6),p53 and E-cadherin expression in Barrett's esophagus and adenocarcinoma specimens were examined by immunostaining.Isolated clusters of cells from(1) MUC2 and Cdx2-positive intestinal metaplastic mucosa;(2) MUC5AC and MUC6-positive,and MUC2 and Cdx2-negative high-grade dysplasia(HD),or intramucosal adenocarcinoma(IMC);and(3) MUC5AC,MUC6 and Cdx2-positive poorly-differentiated invasive adenocarcinoma(PDA) were analyzed by methylationspecific polymerase chain reaction using sets of primers for detecting methylation status of the Cdx2 gene.RESULTS:Most of the non-neoplastic Barrett's esophageal mucosa showing intestinal-type metaplasia with or without low-grade dysplasia was positive for E-cadherin,MUC series and Cdx2,but negative for p53.A portion of the low-grade to HD was positive for E-cadherin,MUC5AC,MUC6 and p53,but negative for MUC2 and Cdx2.The definite IMC area was strongly positive for MUC5AC,MUC6 and p53,but negative for MUC2 and Cdx2.Methylation of the Cdx2 promoter was not observed in intestinal metaplasia,while hypermethylation of part of its promoter was observed in hot dipped and IMC.Hypermethylation of a large fraction of the Cdx2 promoter was observed in PDA.CONCLUSION:Cdx2 expression is restored irrespective of the methylation status of its promoter.Apparent positive immunohistochemical results can be a molecular mark for gene silencing memory.

Identification and functional characterization of the MdHB-1 gene promoter sequence from Malus×domestica

Homeobox 1 in Malusxdomestica （MdHB-1） is a transcription factor that belongs to homeodomain-leucine zipper I （HD-Zip I） protein subfamily. According to previous reports, MdHB-1 could regulate ethylene synthesis by binding with the MdAC01 promoter, but other functions of MdHB-1 are still unknown. To reveal more clues concerning the characters of the MdHB-1 gene promoter and the functions of MdHB-1, the promoter region of MdHB-1 was cloned from the Royal Gala apple genome and recombined with the 13-glucuronidase （GUS） gene in this study. This research was conducted in Nicotiana tabacum and supported by Agrobacterium-mediated transient transformation and bioinformatics analysis. Deletion analysis of the MdHB-1 promoter showed that the GUS gene could be activated by serially deleted promoters, and the activity promoted by 680 nucleotides （nt） was the lowest. The region, which is 266 nt upstream of the initiation code （ATG）, was effective for GUS expression. Meanwhile, the activity of the MdHB-1 promoter （-1 057 nt）, which was stronger than MdHB-1 promoter （-1 057 to -266 nt） and lack the 5＂-untranslated region （5＂-UTR）, showed that 5＂-UTR may have a positive effect on gene transcription. After the sequence analysis, the cis-acting elements that respond to hormones and environmental stresses were identified in the promoter region. The MdHB-1 promoter （1 057 nt） activity in Nicotiana tabacum was positively induced by ethrel and darkness, and it was suppressed by gibberellic acid （GA）, whereas abscisic acid （ABA）, salicylic acid （SA）, wounding, and Pseudomonas syringae pv. tomato （DC3000） treatments revealed a slight auxo-action. These results reveal that the MdHB-1 promoter receive internal or external signals, and MdHB-1 may refer to many biological activities in apple, such as its stress response, development, and ripening.

Main Components of Polyphenols of Trillium tschonoskii Maxim. and Changes under Different Se Concentrations

[Objectives] To analyze main components of polyphenols of Trillium tschonoskii Maxim. and study changes under different Se concentrations. [Methods] In this experiment,the Trillium tschonoskii Maxim. was used and spectrophotometry was applied to measure the total phenols in stems,leaves and rhizomes of Trillium tschonoskii Maxim. [Results]Total phenols in stems and leaves and rhizomes of Trillium tschonoskii Maxim. were 3. 026% and 0. 513% respectively,the content of total phenols in stems and leaves was 5. 9 times of that in rhizomes; total phenol extracting solution was analyzed through UV-Vis scanning,HPLC detection,and LC-MS; 3 main polyphenol compounds were obtained: chlorogenic acid,caffeic acid and rutin,in which chlorogenic acid and caffeic acid were firstly discovered in Trillium tschonoskii Maxim. and rutin was firstly discovered in stems and leaves of Trillium tschonoskii Maxim. HPLC method was used to measure the content of chlorogenic acid,caffeic acid,and rutin in stems and leaves of Trillium tschonoskii Maxim. under different Se concentrations. [Conclusions]The content of chlorogenic acid in stems and leaves of Trillium tschonoskii Maxim. increases with the increase of Se concentration,showing Se promotes Se accumulation and the maximum content of chlorogenic acid is 2. 58%; the content of caffeic acid in stems and leaves of Trillium tschonoskii Maxim. increases slightly with the Se concentration,showing the promotion of Se to accumulation of caffeic acid is not significant;the content of rutin in stems and leaves of Trillium tschonoskii Maxim. firstly increases then declines with the increase in Se concentration,at25 mg/kg Se concentration,rutin reached the maximum value,showing the promotion of Se to rutin accumulation is not significant.

Facilitating and hindering factors of community nurses'emergency and critical care treatment abilities:A qualitative study

BACKGROUND This study adopts a descriptive phenomenological approach to investigate the facilitators and barriers of community nurses'abilities in managing critical and emergency conditions.With the transition of healthcare systems to the community,the evolution of nursing practices,and the attention from policies and practices,community nurses play a crucial role in the management of critical and emergency conditions.However,there is still a lack of comprehensive understanding regarding the factors that promote or hinder their capabilities in this area.AIM To understand the facilitators and barriers of community nurses in managing critical and emergency conditions,exploring the fundamental reasons and driving forces influencing their treatment capabilities.METHODS This study utilized the destination sampling method between May 2023 and July 2023.It employed a descriptive phenomenological approach within qualitative research methodologies.Through objective sampling,17 community nurses from 7 communities in Changning District,Shanghai,were selected as the study subjects.Semi-structured interviews were conducted to gather data,which were subsequently organized and analyzed using Colaizzi's seven-step analysis method,leading to the extraction of final themes.RESULTS The barrier factors identified from the interviews encompassed three topics:resource allocation,professional factors,and personal literacy.The facilitators comprised three themes:professionalism,management attention,and training and continuing education.We identified that the root causes of the barriers included the lack of practical treatment experience among community nurses,insufficient awareness of self-directed learning,and limited knowledge and technical proficiency.The professional quality of community nurses and management attention serve as motivation for them to enhance their treatment abilities.CONCLUSION To enhance the capability of community nurses in treating acute and critical patients,it is recommended to bolster training specifically tailored to acute and critical care,raise awareness of first aid practices,and elevate knowledge and skill levels.

Comparative Revenue, Obstacle Factors and Promoting Strategy of Sprinkling Irrigation in Wheat Field: A Case Study from Yanzhou, Shandong Province in China

This paper takes 30 hm2 wheat sprinkling irrigation land of Yunguo Family Farm in Yanzhou, Shandong Province, China as a sample, and draws a conclusion by comparing it with other households (including individual and large households). The conclusions are as follows: wheat sprinkling irrigation has a remarkable water-saving effect and comparative revenue. Water saving efficiency can reach 61.54% and a comprehensive income-increase rate can reach 38.67%. The main factors of increasing income and incentives of saving irrigation by sprinkling irrigation ranks as the following: saving land consolidation and water monitoring labors (accounts for 62.50%), saving land area of wheat bed to increase production and income (accounts for 23.44%), saving water bills (accounts for 14.06%). The incentive effect of water saving is not obvious mainly because the water price is low. The main obstacles to the promotion of sprinkling irrigation by individual household are the uneconomical scale and the barriers of coordination of proxy irrigation. Other large household’s (family farm) obstacles are mainly the instability of land tenure and mixed management. Suggestions on promoting sprinkling irrigation in wheat field: Accelerate land circulation and promote agricultural scale management to create basic scale conditions for spreading sprinkling irrigation;stabilizing farmland management rights as stabilizing farmland contractual rights, thus giving long-term business interests to all kinds of large household owners;guide the development of “scale + specialization” modern family farms;appropriate water saving subsidies should be given according to the positive externality of household water saving;confirm agricultural water rights to household and allow compensated transfer of “surplus water rights”.

NAC Transcription Factor ORE1 and Senescence- Induced BIFUNCTIONAL NUCLEASE1 （BFN1） Constitute a Regulatory Cascade in Arabidopsis

Senescence is a highly regulated process that involves the action of a large number of transcription factors. The NAC transcription factor ORE1 （ANAC092） has recently been shown to play a critical role in positively controlling senescence in Arabidopsis thaliana; however, no direct target gene through which it exerts its molecular function has been identified previously. Here, we report that BIFUNCTIONAL NUCLEASE1 （BFN1）, a well-known senescence-enhanced gene, is directly regulated by ORE1. We detected elevated expression of BFN1 already 2 h after induction of ORE1 in estradiol-inducible ORE1 overexpression lines and 6 h after transfection of Arabidopsis mesophyll cell protoplasts with a 35S：ORE1 construct, ORE1 and BFN1 expression patterns largely overlap, as shown by promoter-reporter gene （GUS） fusions, while BFN1 expression in senescent leaves and the abscission zones of maturing flower organs was virtually absent in ore1 mutant background. In vitro binding site assays revealed a bipartite ORE1 binding site, similar to that of ORS1, a paralog of ORE1. A bipartite ORE1 binding site was identified in the BFN1 promoter; mutating the cis-element within the context of the full-length BFN1 promoter drastically reduced OREl-mediated transactivation capacity in tran- siently transfected Arabidopsis mesophyll cell protoplasts. Furthermore, chromatin immunoprecipitation （CHIP） demon- strates in vivo binding of ORE1 to the BFN1 promoter. We also demonstrate binding of ORE1 in vivo to the promoters of two other senescence-associated genes, namely SAG29/SWEET15 and SINA1, supporting the central role of ORE1 during senescence.

Downregulation of orosomucoid 2 acts as a prognostic factor associated with cancer-promoting pathways in liver cancer

BACKGROUND Liver cancer has a high mortality and morbidity rate throughout the world.In clinical practice,the prognosis of liver cancer patients is poor,and the complex reasons contribute to treatment failures,including fibrosis,hepatitis viral infection,drug resistance and metastasis.Thus,screening novel prognostic biomarkers is of great importance for guiding liver cancer therapy.Orosomucoid genes(ORMs)encode acute phase plasma proteins,including orosomucoid 1(ORM1)and ORM2.Previous studies showed their upregulation upon inflammation,but the specific function of ORMs has not yet been determined,especially in the development of liver cancer.AIM To determine the expression of ORMs and their potential function in liver cancer.METHODS Analysis of the expression of ORMs in different human tissues was performed on data from the HPA RNA-seq normal tissues project.The expression ratio of ORMs was determined using the HCCDB database,including the ratio between liver cancer and other cancers,normal liver and other normal tissues,liver cancer and adjacent normal liver tissues.Analysis of ORM expression in different cancer types was performed using The Cancer Genome Atlas and TIMER database.The expression of ORMs in liver tumor tissues and adjacent normal tissues were further confirmed using Gene Expression Omnibus data,including GSE36376 and GSE14520.The 10-year overall survival(OS),progression-free survival(PFS)and relapse-free survival(RFS)rates between high and low ORM expression groups in liver cancer patients were determined using the Kaplan-Meier plotter tool.Gene Set Enrichment Analysis(GSEA)was employed to explore the ORM2-associated signaling network.Correlations between ORM2 expression and tumor purity or the infiltration level of macrophages in liver tumor tissues were determined using the TIMER database.The correlation between ORM2 gene levels,tumor-associated macrophage(TAM)markers(including CD68 and TGFβ1)and T cell immunosuppression(including CTLA4 and PD-1)in liver tumor tissues and liver GTEx was determined using the GEPIA database.RESULTS ORM1 and ORM2 were highly expressed in normal liver and liver tumor tissues.ORM1 and ORM2 expression was significantly decreased in liver tumor tissues compared with adjacent normal tissues,and similar results were also noted in cholangiocarcinoma,esophageal carcinoma,and lung squamous cell carcinoma.Further analysis of the Gene Expression Omnibus Database also confirmed the downregulation of ORM1 and ORM2 in liver tumors.Survival analysis showed that the high ORM2 group had better survival rates in OS,PFS and RFS.ORM1 only represented better performance in PFS,but not in OS or RFS.GSEA analysis of ORM2 from The Cancer Genome Atlas liver cancer data identified that ORM2 positively associated with the G2/M checkpoint,E2F target signaling,as well as Wnt/β-catenin and Hedgehog signaling.Moreover,apoptosis,IFN-αresponses,IFN-γresponses and humoral immune responses were upregulated in the ORM2 high group.ORM2 expression was negatively correlated with the macrophage infiltration level,CD68,TGFβ1,CTLA4 and PD-1 levels.CONCLUSION The results showed that ORM1 and ORM2 were highly expressed specifically in liver tissues,whereas ORM1 and ORM2 were downregulated in liver tumor tissues.ORM2 is a better prognostic factor for liver cancer.Furthermore,ORM2 is closely associated with cancer-promoting pathways.

Reduction of tumorigenicity of SMMC-7721 hepatoma cells by vascular endothelial growth factor antisense gene therapy

AIM: To test the hypothesis to block VEGF expression of SMMC-7721 hepatoma cells may inhibit tumor growth using the rat hepatoma model. METHODS: Amplify the 200 VEGF cDNA fragment and insert it into human U6 gene cassette in the reverse orientation transcribing small antisense RNA which could specifically interact with VEGF165, and VEGF121 mRNA. Construct the retroviral vector containing this antisense VEGF U6 cassette and package the replication-deficient recombinant retrovirus. SMMC-7721 cells were transduced with these virus and positive clones were selected with G418. PCR and Southern blot analysis were performed to determine if U6 cassette integrated into the genomic DNA of positive clone. Transfected tumor cells were evaluated for RNA expression by ribonuclease protection assays. The VEGF protein in the supernatant of parental tumor cells and genetically modified tumor cells was determined with ELISA. In vitro and in vivo growth properties of antisense VEGF cell clone in nude mice were analyzed. RESULTS: Restriction enzyme digestion and PCR sequencing verified that the antisense VEGF RNA retroviral vector was successfully constructed.After G418 selection, resistant SMMC-7721 cell clone was picked up. PCR and Southern blot analysis suggested that U6 cassette was integrated into the cell genomic DNA. Stable SMMC-7721 cell clone transduced with U6 antisense RNA cassette could express 200 bp small antisense VEGF RNA and secrete reduced levels of VEGF in culture condition. Production of VEGF by antisense transgene-expressing cells was 65+/-10 ng/L per 10(6) cells, 42045 ng/L per 10(6) cells in sense group and 485+/-30 ng/L per 10(6) cells in the negative control group, (P【 0.05). The antisense-VEGF cell clone appeared phenotypically indistinguishable from SMMC-7721 cells and SMMC-7721 cells transfected sense VEGF. The growth rate of the antisense-VEGF cell clone was the same as the control cells. When S.C. was implanted into nude mice, growth of antisense-VEGF cell lines was greatly inhibited compared with control cells. CONCLUSION: Expression of antisense VEGF RNA in SMMC-7721 cells could decrease the tumorigenicity, and antisense-VEGF gene therapy may be an adjuvant treatment for hepatoma.

Use of mobile-stroke risk scale and lifestyle guidance promote healthy lifestyles and decrease stroke risk factors

Objective:The purpose of this study was to determine the effectiveness of Mobile-Stroke Risk Scale and Life Style Guidance(M-SRSguide)in promoting a healthy lifestyle and reducing stroke risk factors in atrisk persons.Methods:This research was an clinical trial with a pre-test and post-test control group design.The accessible population is persons at risk of stroke in the community(West and East Kalimantan Province,Indonesia).Thirty-two participants in the intervention group and 32 participants in the control group participated in this study.The sampling method was systematic random sampling.We allocate the sample into the intervention and control groups using a randomized block design.The intervention group used the M-SRSguide.The control group used manual book for a self-assessment of stroke risk.The measurement of a healthy lifestyle and the stroke risk factors was performed before and six months after the intervention.Results:There are no significant differences in healthy lifestyle and stroke risk factors between the two groups after the intervention(P>0.05).Analysis of healthy lifestyle behavior assessment items in the intervention group showed an increase in healthy diets,activity patterns,and stress control after the use of the M-SRSguide(P<0.01).Conclusion:The use of M-SRSguide is effective in promoting a healthy lifestyle.

Identification of the development stage-specific factors in mouse fetal liver binding to the human β-globin gene promoter

In order to elucidate the molecular mechanisms of globin gene expression during embryonic development, the nuclear extracts from mouse hematopoietic tissue at different stages of development have been prepared. By using DNase I footprinting and gel mobility shift assays, the binding of protein factors in these extracts to the human βglobin promoter was analyzed. The differences in the binding patterns of protein factors during development were observed. An erythroid-specific and stage-specific nuclear protein in the nuclear extract from d 18 mouse fetal liver was identified, which can bind to the sequence (from -66bp to -90bp) of human β-globin promoter. We therefore speculate that the function of this cis-acting element may be similar to stage selector element (SSE) in chieken βA- promoter.

Spatiotemporal variations,influencing factors,and configurational promotion paths of energy efficiency in China’s cities

The promotion of energy efficiency(EE)helps address energy constraints and promote environmental sustainability.This study comprehensively explores the spatiotemporal variations,influencing factors,and configuration promotion paths of EE in 284 Chinese cities during 2003‒2019 using the global super-efficiency minimum distance to strong efficient frontier(G-S-MinDS),exploratory spatial data analysis(ESDA),multiscale geographically weighted regression(MGWR),and fuzzy set qualitative comparative analysis(fsQCA)methods.The findings are:①China’s cities have an annual average EE of 0.658 with a growth rate of 0.53%,showing considerable promotion potential.②Industrial structure optimization,population agglomeration,economic development,and increased green coverage contribute positively,while government intervention and openness hinder China’s urban EE.③Four configurational promotion paths for enhancing China’s urban EE are identified,where among those paths population density is a core condition,while government intervention is not.This study provides valuable insights into substantially improving urban EE,emphasizing the need for targeted policies to address energy and environmental crises in China.

A Research Report on the Prescription Rights of Chinese Nurses

Objective: To explore the feasibility of the nurse’ s prescription right in China, to develop the requirements for the qualification of the ap-plicant for the prescription right of nurse, and to determine the content of certain prescriptions in the specific circumstances. Methods: Literature review on the relevant articles/material with the contents of the nurse’ s right of prescription home and a-broad. Semi-structured depth interview method was used to interview 18 experts on whether the nurses can participate in the graded nursing decision and whether nurses with certain ability can make the decision. Using the self-made questionnaire“Nur-ses involved in graded nursing decision-recognition questionnaire”, 553 nurses completed questionnaires on willingness to nurse decision-making grading. Using the analytic hierarchy process, the 23 experts’ judgment on the main body of the graded nurs-ing was rated. Using semi-structured depth interview method, 17 experts were interviewed on the graded nursing quality assess-ment and training outline. The form of expert personal judgment and the“grading nursing qualification experts predict question-naire”were used as a preliminary designing tool, 32 experts were asked to predict the graded nursing quality. The relatively im-portant factors that might promote implementation of right of Chinese nurse prescribing weights setting were obtained by analytic hierarchy process. Using Delphi method, 2 rounds of consultation to 291 experts/times were performed, and determined its con-tent on the fields of graded nursing decision, nurses’ job description, decision making nurse in graded nursing work process and related management system, decision-making main body of clinical nursing, nurse authority of prescription application qualifi-cation, clinical nurses, diabetes specialist nurses, tumor specialist nurses, nurses in emergency department, community nurses in certain circumstances writing prescription, and nursing undergraduate added with nurse authority of prescription related courses. Results: The physician is not considered to be the best decision-making main body of clinical nursing work and graded nurs-ing, nurses can participate in the work of decision-making. The qualification of hierarchical decision-making nurse and nurse prescribing applicants have been determined. The hierarchical nursing decision-making nurses’ position description and training outline have been compiled. Experts suggest that clinical nurses with certain qualifications should be given the rights of some prescription form ( independent prescription, prescription, prescription protocol extension) to prescribe specific drugs in high fe-ver, hypoglycemia, hypertension, anaphylactic shock and other 11 specific circumstances. The nurses of the diabetes should be given the right of prescribing sulfonylureas, biguanides, glucosidase inhibitor, and protamine zinc insulin, and the right to write the prescription and consultation for part of medical equipment, health education, and four routine tests, which contains blood sugar monitoring, urine glucose monitoring, glycosylated hemoglobin assay, and oral glucose tolerance test. Tumor specialist nurses should be given the right to write the prescription of 7 specific circumstances including blood routine tests, electrocardio-gram, blood biochemistry and other 9 laboratory tests, constipation, phlebitis, and cancer pain, and the right of 5 tumor emer-gency prescription including chemotherapy drug allergy, hemorrhagic shock, acute upper gastrointestinal bleeding. Nurses in e-mergency department with certain qualification should be given the right to prescribe specific drugs in 15 circumstances which include cardiac arrest, ventricular fibrillation, and acute cardiogenic chest pain. Community nurses with certain qualification should be given the right to write the prescriptions on 14 contents including disinfection and cleaning, sterile infusion type, and wound care products. Experts suggest that nursing undergraduate education in China should be added with 2 courses which are prescription rights related laws and regulations and nursing intervention, and that pharmacology course should be supplemented with related course in order to adapt to the implementation of nurse prescribing rights. Conclusions: China’ s nurses with certain qualification or after special training have the ability to accept and should be given the right of prescriptions in certain circumstance within the scope of their work.

基于SE-DEA的软件外包承接城市效率评价

对软件外包承接城市的运作效率的研究,有助于提高我国整体软件外包实力。本文将因子分析和超效率数据包络分析(SE-DEA)的方法相结合,对传统的数据包络分析(DEA)模型加以改进,引入了SE-DEA(C2R)和SE-DEA(BC2)模型,改进了传统DEA模型对有效决策单元无法进一步比较的缺陷,对我国14个软件外包承接城市的运作效率进行评价。将投入产出指标通过因子分析的方法得出相应的因子得分,再将投入因子和产出因子作为SE-DEA分析的变量进行相对效率的计算。结果表明南京、天津、成都、济南和杭州在承接软件外包方面的效率偏低,并对提高承接城市的承接效率给出了几点建议。

肠癌患者手术治疗前后血清VEGF和SE-CAD水平检测的临床意义

为了探讨肠癌患者手术治疗前后血清VEGF、SE-CAD水平的变化及意义,本文应用ELISA法对41例肠癌患者手术治疗前后血清VEGF和SE-CAD水平进行测定,并与35名健康人(对照组)作比较。结果表明肠癌患者手术治疗前血清VEGF、SE-CAD水平均非常显著地高于对照组(P<0.01),手术治疗后半年,复发组血清VEGF、SE-CAD水平又明显高于未复发组(P<0.01)。肠癌患者手术治疗前后血清VEGF、SE-CAD水平变化与患者的病情和预后密切相关,具有一定的临床价值。

基于SE-DEA的高校官方微博运营绩效评估与分析

为探究各高校官方微博的发展状况,本文从内容成本、结构成本、时间成本和影响力四个视角构建了高校官方微博的多投入、多产出评价指标体系,并运用SE-DEA方法对34所985高校官方微博样本进行运营效率评估,研究结果表明只有北京大学、华南理工大学、复旦大学、厦门大学、武汉大学、中山大学、清华大学等7所高校官方微博DEA有效,其余27所高校均非DEA有效并普遍存在内容成本冗余、结构成本优势不突出等问题。因此,高校官方微博应努力打造以内容成本促使社交结构发展、以结构成本带动信息质量提高的良性循环体系。

肺癌患者手术前后血清TGF-α、TGF-β1和SE-Cad检测的临床意义

目的:探讨了肺癌患者手术治疗前后血清TGF-α、TGF-β1和SE-Cad水平的变化及意义。方法:应用放射免疫分析和酶联法对32例肺癌患者进行了手术治疗前后血清TGF-α、TGF-β1和SE-Cad检测,并与35名正常健康人作比较。结果:肺癌患者在手术前血清TGF-α、TGF-β1和SE-Cad水平非常显著地高于正常人组(P<0.01),经手术治疗6个月后则与正常人组比较无显著性差异(P>0.05)。结论:检测肺癌患者手术治疗前后血清TGF-α、TGF-β1和SE-Cad水平的变化对观察病情和预后判定具有重要的临床价值。

大鼠Caspase8基因启动子荧光素酶报告质粒的构建及其与IRF-1结合位点的鉴定

目的:构建大鼠Caspase 8基因启动子(全长和截短)荧光素酶报告质粒,并观察在人胚肾细胞(HEK293)中,过表达干扰素调节因子-1(interferon regulatory factor-1,IRF-1)对Caspase 8基因启动活性的影响。同时,筛选其可能的IRF-1结合位点。方法:采用PCR技术,扩增出大鼠Caspase 8基因启动子序列(-1136～+101 nt),将Caspase 8基因启动子插入到荧光素酶报告基因载体pGL3-basic中。将Caspase 8基因启动子全长荧光素酶报告质粒(pGL3-Caspase 8-FL)和大鼠野生型IRF-1表达质粒(pcDNA3.1-IRF-1)共转染HEK293细胞,检测其荧光素酶活性,确定IRF-1对Caspase 8基因的启动作用。另用生物信息学软件预测Caspase 8基因启动子上IRF-1潜在的结合位点,并构建Caspase 8基因启动子截短的荧光素酶报告质粒(即pGL3-Caspase8-1～4)。将上述Caspase 8基因启动子全长和各截短的荧光素酶报告质粒和IRF-1过表达质粒共转染HEK293细胞,再行荧光素酶活性测定,筛选IRF-1的结合位点。结果:菌液PCR及核酸测序证实,上述荧光素酶报告质粒均构建成功。将pGL3-Caspase8-FL和pcDNA3.1-IRF-1共转染HEK293细胞发现,Caspase 8基因启动子活性显著增加。而将pGL3-Caspase 8-FL、pGL3-Caspase 8-1～4和pcDNA3.1-IRF-1共转染HEK293细胞后证实,pGL3-Caspase 8-4的启动活性显著低于pGL3-Caspase 8-2和pGL3-Caspase 8-3。提示IRF-1可能结合在Caspase 8基因启动子的-336～-136 nt区域。结论:本实验成功构建了大鼠Caspase 8基因启动子全长及截短荧光素酶报告质粒,并初步筛查出IRF-1在Caspase 8基因启动子上的结合区域。

急性髓系白血病患者治疗前后血清VEGF和SE-CAD检测的临床意义

目的探讨了急性髓系白血病患者治疗前后血清VEGF和SE-CAD水平的变化。方法应用酶联双抗体夹心法(ELISA)对35例急性髓系白血病患者进行了血清VEGF(血管内皮生长因子)和SE-CAD(可溶性上皮型钙黏蛋白)水平测定,并与30名正常人作比较。结果急性髓系白血病患者在治疗前均非常显著地高于正常人组(P<0.01),经6个月治疗后复发者血清VEGF和SE-CAD水平持续异常,未复发者血清VEGF和SE-CAD水平恢复正常。结论血清VEGF和SE-CAD水平的变化与急性髓系白血病患者的病情和预后密切相关,有一定的临床实用价值。