Fuzzy Combination of TOPSIS and RSR for Comprehensively Assessing the Quality of National Essential Public Health Services

BackgroundThe national essential public health services have been implemented since 2009 as a key initiative of the new round of China's healthcare reform. With the development of this service program, the allotted special funds and service items are increasing. Due to large number of indicators involved and wide coverage, it is imperative to explore a method that can assess the services scientifically, objectively and comprehensively.ObjectiveTo explore an appropriate method for comprehensively assessing the quality of national essential public health services, providing a basis for improving relevant policies and the quality of such services.MethodsBy use of multistage and purposive sampling, 24 community (township) health centers were selected from southern, central and northern Z Province from February to April 2019, and qualities of national essential public health services delivered by them in 2018 were comprehensively assessed using the technique for order of preference by similarity to ideal solution (TOPSIS) , rank-sum ratio (RSR) method, and fuzzy combination of TOPSIS and RSR method, respectively. With reference to the 2018 National Basic Public Health Service Project, 12 evaluation indicators were selected.ResultsAccording to the TOPSIS-based assessment, the top three community (township) health centers ranked by Ci value were A (0.917 4) , C (0.875 9) and G (0.787 9) , and the bottom three were I (0.414 2) , W (0.413 7) and N (0.407 7) . In accordance with the RSR method-based assessment, the top three community (township) health centers ranked by RSR value were A (0.890 6) , G (0.765 6) , and C (0.711 8) , and the bottom three were V (0.381 9) , W (0.362 8) , and K (0.357 6) . According to the fuzzy set theory, the top three community (township) health centers ranked by W1Ci+W2RSR values were A, C and G, and the bottom three were I, K and W in accordance with the "majority rule", which was basically consistent with the evaluation results of TOPSIS and RSR.ConclusionThe assessment results by TOPSIS, RSR, and fuzzy combination of these two and associated factors in this study are consistent with those of other studies. Either use of TOPSIS- or RSR-based quality assessment had limitations, but fuzzy combination of the two overcame these limitations, so the combination approach is worthy of promotion as an appropriate method for assessing the quality of essential public health services

A STUDY ON FOUR ANTIOXIDATION EFFECTS OF LYCIUM BARBARUM POLYSACCHARIDES IN VITRO

The objective of the study was to investigate the in vitro antioxidation activity of lycium barbarum polysaccharides (LBP). Ultraviolet spectrophotometry was adopted to determine the capability of LBP to clear superoxide anions, hydroxyl radicals, DPPH free radicals and ABTS free radicals. The result showed that the law for LBP to clear superoxide anions, hydroxyl radicals and DPPH free radicals was that the clearance rate increased gradually with the increase of the concentration, and when the concentration reached a certain value, the clearance rate leveled off, while the IC50 for clearing ABTS free radicals was 47.158±6.231μg/ml. The study concluded that LBP is a good in vitro antioxidant

p53/p21 Pathway Involved in Mediating Cellular Senescence of Bone Marrow-Derived Mesenchymal Stem Cells from Systemic Lupus Erythematosus Patients

Our and other groups have found that bone marrow-derived mesenchymal stem cells (BM-MSCs) from systemic lupus erythematosus (SLE) patients exhibited senescent behavior and are involved in the pathogenesis of SLE. Numerous studies have shown that activation of the p53/p21 pathway inhibits the proliferation of BM-MSCs. The aim of this study was to determine whether p53/p21 pathway is involved in regulating the aging of BM-MSCs from SLE patients and the underlying mechanisms. We further confirmed that BM-MSCs from SLE patients showed characteristics of senescence. The expressions of p53 and p21 were significantly increased, whereas levels of Cyclin E, cyclin-dependent kinase-2, and phosphorylation of retinoblastoma protein were decreased in the BM-MSCs from SLE patients and knockdown of p21 expression reversed the senescent features of BM-MSCs from SLE patients. Our results demonstrated that p53/p21 pathway played an important role in the senescence process of BM-MSCs from SLE

Circular RNA circPVT1 Promotes Proliferation and Invasion Through Sponging miR-125b and Activating E2F2 Signaling in Non-Small Cell Lung Cancer

Background/Aims: Circular RNAs (circRNAs) are key regulators in the development and progression of human cancers, however its role in non-small cell lung cancer (NSCLC) tumorigenesis is not well understood. The aim of this study is to identify the expression level of circPVT1 in NSCLC and further investigated its functional relevance with NSCLC progression both in vitro and in vivo. Methods: Quantative real-time PCR was used for the measurement of circPVT1 in NSCLC specimens and cell lines. Fluorescence in situ hybridization analysis (FISH) assay was used for the identification of sublocation of circPVT1 in NSCLC cells. Bioinformatics analysis, luciferase reporter assay and RNA immunoprecipitation (RIP) were performed to verify the binding of c-Fos at circPVT1 promoter region, and the direct interaction between circPVT1 and miR-125b. Gain- or loss-function assays were performed to evaluate the effects of circPVT1 on cell proliferation and invasion. Western blot and immunohistochemistry assays were performed to detect the protein levels involved in E2F2 pathway. Results: We found that circPVT1 was upregulated in NSCLC specimens and cells. The transcription factor c-Fos binded to the promoter region of circPVT1, resulting in the overexpression of circPVT1 in NSCLC. Knockdown of circPVT1 suppressed NSCLC cell proliferation, migration and invasion, and increased apoptosis. In addition, circPVT1 mediated NSCLC progression via the regulation of E2F2 signaling pathway. More importantly, circPVT1 was predominantly abundant in the cytoplasm of NSCLC cells, and circPVT1 could serve as a competing endogenous RNA to regulate E2F2 expression and tumorigenesis in a miR-125b-dependent manner, which is further verified by using an in vivo xenograft model. Conclusion: circPVT1 promotes NSCLC cell growth and invasion, and may serve as a promising therapeutic target for NSCLC patients. Therefore, silence of circPVT1 could be a future direction to develop a novel treatment strategy

Antimicrobial Activity and Resistance: Influencing Factors

Rational use of antibiotic is the key approach to improve the antibiotic performance and tackling of the antimicrobial resistance. The efficacy of antimicrobials are influenced by many factors: (1) bacterial status (susceptibility and resistance, tolerance, persistence, biofilm) and inoculum size; (2) antimicrobial concentrations [mutant selection window (MSW) and sub-inhibitory concentration]; (3) host factors (serum effect and impact on gut micro-biota). Additional understandings regarding the linkage between antimicrobial usages, bacterial status and host response offers us new insights and encourage the struggle for the designing of antimicrobial treatment regimens that reaching better clinical outcome and minimizing the emergence of resistance at the same time

Effects of Diabetic Hyperglycemia on Central Ang-(1-7)-Mas-R-nNOS Pathways in Spontaneously Hypertensive Rats

Background/Aims: Hypertension is a major cause of stroke, and diabetes can increase incidence of this disease. We determined the role played by central angiotensin-(1-7) [Ang-(1-7)] pathway in modulating spontaneously hypertension with diabetic hyperglycemia. Methods: Western Blot analysis and ELISA were used to determine the protein expression of Ang-(1-7) and its signal pathway Mas-R-nNOS in the cerebral cortex and hippocampus of spontaneously hypertensive rats (SHR) and control animals. In a subset of animals, diabetic hyperglycemia was induced by systemic injection of streptozotocin (STZ). We analyzed a relationship between the levels of central Ang-(1-7) and plasma brain natriuretic peptide (BNP) indicating a risk of ischemic stroke. We further examined the effects of Ang-(1-7) on arterial blood pressure. Results: Our findings demonstrated for the first time that administration of STZ 1) attenuates the levels of Ang-(1-7) in the cerebral cortex and hippocampus, which are closely linked to plasma BNP; and 2) leads to downregulation of central Ang-(1-7)-Mas-R-nNOS pathways. Notably, STZ has greater effects in SHR. Additionally, inhibition of oxidative stress can largely improve downregulation of Ang-(1-7) in diabetic SHR. Moreover, central stimulation of Ang-(1-7) pathway or a blockade of oxidative stress improves systolic blood pressure in diabetic SHR. Conclusions: The Ang-(1-7) signaling pathway is engaged in the adaptive mechanisms associated with diabetic hypertension, suggesting that enhancing Ang-(1-7)-Mas-R-nNOS system is likely to be beneficial in preventing against cardiovascular and cerebrovascular dysfunction and vulnerability related to spontaneously hypertension, particularly to diabetic hypertension

Characterization of Atmospheric Fine Particles and Secondary Aerosol Estimated under the Different Photochemical Activities in Summertime Tianjin, China

In order to evaluate the pollution characterization of PM2.5 (particles with aerodynamic diameters less than or equal to 2.5 μm) and secondary aerosol formation under the different photochemical activity levels, CO was used as a tracer for primary aerosol, and hourly maximum of O3 (O3,max) was used as an index for photochemical activity. Results showed that under the different photochemical activity levels of L, M, LH and H, the mass concentration of PM2.5 were 29.8 ± 17.4, 32.9 ± 20.4, 39.4 ± 19.1 and 42.2 ± 18.9 μg/m3, respectively. The diurnal patterns of PM2.5 were similar under the photochemical activity and they increased along with the strengthening of photochemical activity. Especially, the ratios of estimated secondary aerosol to the observed PM2.5 were more than 58.6% at any hour under the photochemical activity levels of LH and H. The measured chemical composition included water soluble inorganic ions, organic carbon (OC), and element carbon (EC), which accounted for 73.5 ± 14.9%, 70.3 ± 24.9%, 72.0 ± 21.9%, and 65.8 ± 21.2% in PM2.5 under the photochemical activities of L, M, LH, and H, respectively. Furthermore, the sulfate (SO42−) and nitrate (NO3−) were nearly neutralized by ammonium (NH4+) with the regression slope of 0.71, 0.77, 0.77, and 0.75 between [NH4+] and 2[SO42−] + [NO3−]. The chemical composition of PM2.5 was mainly composed of SO42−, NO3−, NH4+ and secondary organic carbon (SOC), indicating that the formation of secondary aerosols significantly contributed to the increase in PM2.5. The formation mechanism of sulfate in PM2.5 was the gas-phase oxidation of SO2 to H2SO4. Photochemical production of nitric acid was intense during daytime, but particulate nitrate concentration was low in the afternoon due to high temperature

A Novel Drug Design Strategy: An Inspiration from Encaging Tumor by Metallofullerenol Gd@C82(OH)22

Cancer remains a major threat to human health worldwide. Cytotoxicity has imposed restrictions on the conventional cytotoxic drug-based chemotherapy. The rapidly-developing nanomedicine has shown great promise in revolutionizing chemotherapy with improved efficiency and reduced toxicity. Gd@C82(OH)22, a novel endohedral metallofullerenol, was first reported by our research group to suppress tumor growth and metastasis efficiently without obvious toxicity. Gd@C82(OH)22 imprisons tumors by facilitating the formation of surrounding fibrous layers which is different from chemotherapeutics that poison tumor cells. In this review, the authors first reported the antineoplastic activity of metallofullerenol Gd@C82(OH)22 followed by further discussions on its new anti-cancer molecular mechanism—tumor encaging. On this basis, the unparalleled advantages of nanomedicine in the future drug design are discussed. The unique interaction modes of Gd@C82(OH)22 with specific targeted biomolecules may shed light on a new avenue for drug design. Depending on the surface characteristics of target biomolecules, nanomedicine, just like a transformable and dynamic key, can self-assemble into suitable shapes to match several locks for the thermodynamic stability, suggesting the target-tailoring ability of nanomedicine