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Zheng WJ, Qi X, Yao HY, Liu JJ, Yu SC. [Analysis on the current situation and influencing factors of residents' satisfaction with the built environment of China's Hygienic City Initiative]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:1820-1826. [PMID: 38008572 DOI: 10.3760/cma.j.cn112150-20221113-01104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 11/28/2023]
Abstract
Objective: To understand the current situation and the main influencing factors of residents' satisfaction with the built environment of China's Hygienic City Initiative. Methods: From the list of China's hygienic cities (excluding county-level cities), 61 cities were randomly selected in equal proportion and the eligible respondents were randomly selected by using the "Questionnaire Star" network platform to carry out the online questionnaire survey. A self-made satisfaction evaluation scale was used to investigate the satisfaction of the included respondents with the urban built environment and search for relevant data on the city level. The two-level multi-factor mixed effect model was constructed to analyze the influencing factors of residents' satisfaction with the built environment of China's Hygienic City Initiative. Results: The age range of 2 465 respondents was mainly between 18 and 40 years old (79.9%), with males being the main group (45.8%). The total score of residents' satisfaction with the built environment of China's hygienic cities was (69.14±13.24) points. Based on four standardized dimensions of sense of gain, the result showed that the satisfaction of urban governance had the highest score (65.08 points), followed by urban environmental sanitation (63.68 points), urban lifestyle (59.97 points) and urban basic function (59.02 points). The analysis results of the two-level multi-factor mixed effect model showed that compared with residents with an annual average concentration of inhalable fine particles in the environment>48 micrograms/cubic meter, residents with an average concentration between 38 and 48 micrograms/cubic meter [β (95%CI): 1.65 (0.08, 3.21)] and≤37 micrograms/cubic meter or less [β (95%CI): 1.98 (0.53, 3.43)] had higher satisfaction. Compared with residents whose proportion of the secondary industry to GDP was≤40.9%, residents in cities with a larger proportion had a lower satisfaction level [residents with a proportion of 40.9%-48.03%, β (95%CI):-2.21 (-3.93, -0.49); residents with a proportion greater than 48.03%, β (95%CI):-2.58 (-4.58, -0.59)]. Compared with residents with a junior high school or lower education level, residents with a higher education level had a lower satisfaction level [β (95%CI):-2.37 (-4.57, -0.17)]. Residents of universities and above [β (95%CI):-3.82 (-6.05, -1.60)], regularly participate in physical exercise [β (95%CI): 5.78 (4.71, 6.84)] and self-rated good health status [β (95%CI): 6.39 (5.33, 7.45)] had a higher satisfaction level. Conclusion: The satisfaction of residents with the built environment of China's hygienic cities is still acceptable. Satisfaction is related to individual characteristics such as residents' cultural level, type of residence, frequent participation in physical exercise, and self-rated good health status, as well as urban-level factors such as green coverage rate in built-up areas, annual average concentration of inhalable fine particles, and the proportion of GDP in the secondary industry.
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Affiliation(s)
- W J Zheng
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - X Qi
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - H Y Yao
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J J Liu
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - S C Yu
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
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Wu BL, Hu Y, Luo XJ, Lei XL, Gan YQ, Zhu ZG, Yao HY, Zhang Y. Multiple organ dysfunction after mitral valve replacement in a patient with systemic lupus erythematosus complicated by Libman-Sacks endocarditis: a case report and literature review. J Int Med Res 2023; 51:3000605231198731. [PMID: 37702581 PMCID: PMC10501069 DOI: 10.1177/03000605231198731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 08/16/2023] [Indexed: 09/14/2023] Open
Abstract
This case report describes a 47-year-old woman with systemic lupus erythematosus (SLE) complicated by Libman-Sacks endocarditis (LSE) who developed multiple organ dysfunction after mitral valve replacement surgery. The patient presented with a 5-day history of cough, sputum, and fever. Transthoracic echocardiography showed significant vegetations on the mitral valve. Biopsy was performed, and the pathological diagnosis was SLE complicated by LSE. After the mitral valve replacement surgery, the patient developed clinical manifestations of hepatic and renal dysfunction, cardiopulmonary failure, oliguria, and shock. The clinical symptoms significantly improved after administration of mechanical ventilation, continuous renal replacement therapy, plasma exchange, anti-inflammatory and anti-infection treatments, immunomodulatory and immunosuppressive therapies, and low-molecular-weight heparin anticoagulation. Multiple organ dysfunction after mitral valve replacement in patients with SLE complicated by LSE has rarely been reported. This report discusses the clinical manifestations, pathogenesis, and treatment of this severe complication. We hope the sharing of our experience in this case will provide a clinical basis for the treatment of severe multiple organ dysfunction after mitral valve replacement in patients with SLE complicated by LSE.
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Affiliation(s)
- Bo Lan Wu
- Department of Gastroenterology, The Affiliated Nanhua Hospital, Hengyang, Hunan, China
- The Affiliated Nanhua Hospital, Hengyang Medical College, University of South China, Hengyang, Hunan, China
| | - Yang Hu
- Department of Gastroenterology, The Affiliated Nanhua Hospital, Hengyang, Hunan, China
- The Affiliated Nanhua Hospital, Hengyang Medical College, University of South China, Hengyang, Hunan, China
| | - Xiang Jun Luo
- Department of Rheumatology and Immunology, The Affiliated Nanhua Hospital, Hengyang, Hunan, China
| | - Xiang Li Lei
- Department of Rheumatology and Immunology, The Affiliated Nanhua Hospital, Hengyang, Hunan, China
| | - Yan Qing Gan
- Department of Intensive Care Unit, The Affiliated Nanhua Hospital, Hengyang, Hunan, China
| | - Zi Gui Zhu
- Department of Intensive Care Unit, The Affiliated Nanhua Hospital, Hengyang, Hunan, China
| | - Hong Yi Yao
- Department of Intensive Care Unit, The Affiliated Nanhua Hospital, Hengyang, Hunan, China
| | - Yi Zhang
- Department of Cardiothoracic Surgery, The Affiliated Nanhua Hospital, Hengyang, Hunan, China
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Luan GJ, Chen M, Liu Y, Liu SN, Zhang WY, Xu Q, Yao HY. [Comparison of epidemic characteristics and clinical manifestation of chickenpox between adults and children in Shandong Province from 2019 to 2021]. Zhonghua Liu Xing Bing Xue Za Zhi 2023; 44:587-591. [PMID: 37147830 DOI: 10.3760/cma.j.cn112338-20220906-00766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Objective: To analyze the differences between adults and children in the epidemic characteristics and clinical manifestations of chickenpox and provide a reference for the prevention strategy adjustment of chickenpox. Methods: The incidence data of chickenpox surveillance in Shandong Province from January 2019 to December 2021 were collected. Descriptive epidemiological methods were used to analyze the distribution of cases, and the chi-square test was used to compare the differences in epidemiological characteristics and clinical manifestations of varicella cases between adults and children. Results: A total of 66 182 cases of chickenpox were reported from 2019 to 2021, including 24 085 cases of adults chickenpox, the male to female sex ratio was 1∶1 (12 032∶12 053), basically the same for men and women, and 42 097 cases of children chickenpox, with a gender ratio of 1.4∶1, the male to female ratio was 1.4∶1 (24 699∶17 398). Fever in chickenpox cases was mainly low and moderate, but the proportion of moderate fever with temperature between 38.1 and 39.0 ℃ in children cases (35.0%,14 744/42 097) was significantly higher than that in adults (32.0%,7 696/24 085). The number of herpes in chickenpox cases was mainly less than 50, but the proportion of severe cases with 100-200 herpes in children was higher than that in adults. The incidence rate of complications was 1.4% (333/24 085) in adults chickenpox, the incidence rate of complications was 1.7% (731/42 097) in children chickenpox. The incidence of encephalitis and pneumonia in children was higher than in adults, and the difference was statistically significant (P<0.05). The proportion of chickenpox cases was mainly outpatient, but the hospitalization rate of children cases was 14.4% (6 049/42 097), higher than that of adults, which was 10.7% (2 585/24 085). Conclusions: There were differences between adult chickenpox and child chickenpox in terms of epidemic and clinical manifestations; the symptoms of child chickenpox were more serious than adult chickenpox. However, the adult chickenpox population is generally susceptible and lacks immune strategy protection, which calls for more attention.
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Affiliation(s)
- G J Luan
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China Institute for Immunization Management, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China
| | - M Chen
- Institute for Immunization Management, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China
| | - Y Liu
- Institute for Immunization Management, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China
| | - S N Liu
- Institute for Immunization Management, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China
| | - W Y Zhang
- Institute for Immunization Management, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China
| | - Q Xu
- Institute for Immunization Management, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China
| | - H Y Yao
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
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Zheng WJ, Yao HY, Yu SC, Liu JJ, Hu YH, Wang JJ. [Residents' sense of acquisition and influencing factors in China's Sanitary City Initiative]. Zhonghua Liu Xing Bing Xue Za Zhi 2023; 44:457-462. [PMID: 36942342 DOI: 10.3760/cma.j.cn112338-20220826-00739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
Objective: To analyze the residents' sense of acquisition (recognition, perceptibility and satisfaction) and influencing factors in China's Sanitary City Initiative. Methods: A cross-sectional survey was conducted from December 2020 to February 2021. The data about the residents' sense of acquisition were collected by using questionnaire from 2 465 residents who were aged ≥18 years and had lived in local communities for at least one year in 31, 14 and 16 cities with national sanitary city title in eastern, central and western China the influencing factors of residents' sense of acquisition in China's Sanitary City Initiative were analyzed by using multivariate multilevel model. Results: The total score of residents' sense of acquisition in China's Sanitary City Initiative was 231.15±32.45. After converting the scores according to the 100-score standardized method, the results showed that the recognition score, perception score and the satisfaction score were 85.02, 59.08 and 61.42, respectively. The results of influencing factors analysis showed that education level, gender, marital status, age, prevalence of physical exercise and self-assessment of health status were correlated with the scores of residents' recognition (β:1.24-2.54,all P<0.05); the concentration of inhalable fine particles , the green coverage of built-up area, the level of GDP per capita and the type of residential community, prevalence of physical exercise and self-assessment of health status were correlated with the score of residents' perception (β:1.76-8.86,all P<0.05); the concentration of inhalable fine particles , the green coverage of built-up area, the level of GDP per capita and the type of residential community, education level, prevalence of physical exercise and self-assessment of health status were correlated with the score of residents' satisfaction (β:1.34-6.26,all P<0.05). Conclusions: The total score of residents' sense of acquisition in China's Sanitary City Initiative was relatively high, indicating that the policy has been widely recognized. The detailed management of policy implementation should be strengthened in the future, and more attention needs to be paid to actual needs of the residents to further improve the residents' sense of acquisition in China's Sanitary City Initiative.
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Affiliation(s)
- W J Zheng
- Office of Epidemiology /Technical Guidance Office for Patriotic Health Work, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - H Y Yao
- Office of Epidemiology /Technical Guidance Office for Patriotic Health Work, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - S C Yu
- Office of Epidemiology /Technical Guidance Office for Patriotic Health Work, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J J Liu
- Office of Epidemiology /Technical Guidance Office for Patriotic Health Work, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - Y H Hu
- Office of Epidemiology /Technical Guidance Office for Patriotic Health Work, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J J Wang
- National Fitness and Scientific Exercise Research Center, China Institute of Sport Science, Beijing 100061, China
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Zhao Q, Liu J, Ye XF, Sun YJ, Qiu JP, Zhu YP, Zhu PX, Yao HY. [Surgical strategies and long-term outcomes of total arterial coronary artery bypass grafting: a series of 208 patients]. Zhonghua Wai Ke Za Zhi 2020; 58:356-362. [PMID: 32393002 DOI: 10.3760/cma.j.cn112139-20200131-00054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To examine the short and long-term clinical outcomes of total arterial coronary artery bypass grafting. Methods: Clinic data of 208 patients with left main and multiple vessel coronary artery disease and undertaken total arterial coronary artery bypass grafting from February 2009 to December 2019 in Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine were analyzed retrospectively. There were 188 males and 20 females with an age of (54.7±10.7) years (range: 32 to 79 years). The harvest of arterial conduits and grafting strategies were depended upon the individual patient characteristics and surgeon's experience. Left internal thoracic artery (LITA) was applied in 207 cases, right internal thoracic artery (RITA) in 38 cases (bilateral internal thoracic artery (BITA) in 37 cases), and radial artery (RA) in 187 cases (188 grafts). The graft number per case was 2.6±0.7 (range: 2 to 4). Surgical procedures was completed with off-pump technique in 98.1% patients (204/208). Subgroup analysis was carried out between subgroup BITA (n=37) and subgroup SITA (single ITA+RA) (n=171). The t test, χ(2) test or Fisher exact test were used to compare the clinic characteristics between the two subgroups. The Kaplan-Meier curve was used to estimate the rate of late mortality, major adverse cardiac cerebrovascular event (MACCE), and target vessel revascularization (TVR). A Cox proportional hazards model was used to identify the independent prognosis factors of late mortality. Results: The overall mortality within 30 days postoperatively was 1.4%(3/208). The incidences of perioperative MACCE, re-operation for bleeding and deep sternal wound infection (DSWI) were 1.9%(4/208), 0.5%(1/208) and 1.4%(3/208), respectively. Perioperative myocardial infarction and TVR were not observed. There was no significant difference of 30-day mortality, MACCE, bleeding and DSWI between subgroup BITA and SITA+RA (all P>0.05). In a follow-up period of (5.4±2.8)years (range: 0.2 to 10.9 years), the incidence of all-cause mortality at 1-, 5- and 10-year was 2.3%, 3.4% and 6.9%, respectively. The incidence of MACCE was 3.9%,11.2% and 28.5%, respectively. The rate of TVR was 0.4%, 3.7% and 11.9%, respectively. Age>65 was an independent prognosis factor of late mortality (HR=1.125, 95% CI:1.050 to 1.205, P<0.01). Conclusions: Total arterial coronary bypass grafting is safe and achievable with proper patient selection and surgical strategies. It significantly decreases the risks of late mortality and repeated revascularization.
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Affiliation(s)
- Q Zhao
- Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - J Liu
- Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - X F Ye
- Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Y J Sun
- Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - J P Qiu
- Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Y P Zhu
- Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - P X Zhu
- Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - H Y Yao
- Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
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Zheng WJ, Yao HY, Liu JJ, Lyu XZ, Jiang C. [Interpretation for the group standard of Health check-up guide for rural residents]. Zhonghua Yu Fang Yi Xue Za Zhi 2020; 54:18-20. [PMID: 31914564 DOI: 10.3760/cma.j.issn.0253-9624.2020.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
With the acceleration of the population aging in China, the health problems and the demands of health services such as health check-up for rural residents should attract the attention of the whole society. The group standard entitled Health check-up guide for rural residents (T/CHAA 005-2019), was written by experienced researchers from Chinese Center for Disease Control and Prevention and other professional institutes coordinated by Chinese Health Association. The standard aims to establish a service model that takes health information collection as a means, health risk assessment, health risk intervention and information services as the core, improving the health of rural residents as the target.
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Affiliation(s)
- W J Zheng
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - H Y Yao
- Office for Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J J Liu
- Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - X Z Lyu
- Publishing House, Chinese Preventive Medicine Association, Beijing 100052, China
| | - C Jiang
- Health for All by All Fund, Beijing Red Cross Foundation, Beijing 100055, China
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Wang QQ, Yu SC, Qi X, Hu YH, Zheng WJ, Shi JX, Yao HY. [Overview of logistic regression model analysis and application]. Zhonghua Yu Fang Yi Xue Za Zhi 2019; 53:955-960. [PMID: 31474082 DOI: 10.3760/cma.j.issn.0253-9624.2019.09.018] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Logistic regression is a kind of multiple regression method to analyze the relationship between a binary outcome or categorical outcome and multiple influencing factors, including multiple logistic regression, conditional logistic regression, polytomous logistic regression, ordinal logistic regression and adjacent categorical logistic regression. This paper illustrates the basic principle, independent variable selection and assignment, applied condition, model evaluation and diagnosis for multiple logistic regression model. Moreover, the principle and application for polytomous logistic regression and ordinal logistic regression models were also introduced. By providing SAS codes and detailed explanations of the result for an example of obesity, readers could be able to better understand logistic regression model, and apply this method correctly to their research and daily work, so as to improve their capacity of the data analysis.
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Affiliation(s)
- Q Q Wang
- Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
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Fan HW, Han Y, Liu W, Li XW, Li LZ, Yao HY, Wang Y, Su ZQ, Ye WX, Huang J, Lu WZ, Li GW, Li HL, Wang SY, Wu H, Lu QF, Zhu GF, Liu SM, Chen G, Zhang WH, Li TS. [A randomized controlled study of peramivir, oseltamivir and placebo in patients with mild influenza]. Zhonghua Nei Ke Za Zhi 2019; 58:560-565. [PMID: 31365976 DOI: 10.3760/cma.j.issn.0578-1426.2019.08.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objectives: To evaluate the effectiveness and safety of peramivir trihydrate in patients with influenza. Methods: This was a randomized, double-blind, double-dummy, placebo and positive control, multicenter clinical trial, comparing peramivir trihydrate with oseltamivir and placebo. The inclusive criteria were 15-70 years old, onset within 48 h, positive rapid influenza antigen test, and febrile (>38℃) accompanied with at least two associated symptoms. The severe cases complicated with chronic pulmonary and cardiac diseases, malignancies, organ transplantation, hemodialysis, uncontrolled diabetes, immunocompromised status, pregnancy and coexistence of bacterium infections were excluded. All patients were randomized 2∶2∶1 to receive peramivir, oseltamivir and placebo respectively. The primary endpoint was the disease duration, the secondary endpoints included time to normal axillary temperature and normal living activities, viral response, and adverse effects. Results: Following informed consent, 133 patients were included in this study. Four patients were exclude due to missing medical records, not fitting inclusion or exclusion criteria and poor compliance. A total of 129 patients were finally analyzed, including 49 cases, 54 cases and 26 cases in peramivir group, oseltamivir group and placebo group. The median disease duration were 96 (76, 120) hours, 105 (90,124) hours, and 124 (104, 172) hours in three groups respectively (P>0.05) . The time to normal axillary temperature, normal living activities and viral response were not significantly different in three groups (P>0.05) . Conclusion: The value of antiviral therapy in patients with mild influenza needs to be further determined.
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Affiliation(s)
- H W Fan
- Department of Infectious Disease, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - Y Han
- Department of Infectious Disease, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - W Liu
- Department of Respiratory, Liuzhou Worker's Hospital, Liuzhou 545005, China
| | - X W Li
- Department of Infectious Disease, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
| | - L Z Li
- Pude Pharmaceutical Company Limited, Datong 037000, China
| | - H Y Yao
- Pude Pharmaceutical Company Limited, Datong 037000, China
| | - Y Wang
- Pude Pharmaceutical Company Limited, Datong 037000, China
| | - Z Q Su
- Pude Pharmaceutical Company Limited, Datong 037000, China
| | - W X Ye
- Department of Respiratory, Guizhou Provincial People's Hospital, Guiyang 550002, China
| | - J Huang
- Department of Respiratory, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China
| | - W Z Lu
- Department of Respiratory, PLA 303 Hospital, Nanning 530021, China
| | - G W Li
- Department of Emergency, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
| | - H L Li
- Department of Respiratory, Shanghai Yangpu District Central Hospital, Shanghai 200090, China
| | - S Y Wang
- Department of Infectious Disease, 900 Hospital of the Joint Logistics Team, PLA, Fuzhou 350025, China
| | - H Wu
- Department of Infectious Disease, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
| | - Q F Lu
- Department of Respiratory, Puai Hospital, Wuhan 430032, China
| | - G F Zhu
- Department of Infectious Disease, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
| | - S M Liu
- Department of Respiratory, First Affiliated Hospital of Ji'nan University, Guangzhou 510632, China
| | - G Chen
- Department of Respiratory, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
| | - W H Zhang
- Department of Infectious Disease, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - T S Li
- Department of Infectious Disease, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
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Yu SC, Qi X, Hu YH, Zheng WJ, Wang QQ, Yao HY. [Overview of multivariate regression model analysis and application]. Zhonghua Yu Fang Yi Xue Za Zhi 2019; 53:334-336. [PMID: 30841679 DOI: 10.3760/cma.j.issn.0253-9624.2019.03.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Analyses of the multivariate regression model are ued very widely in the medical research. Analytical methods of the mutivariate regression model including multiple linear regression, logistic regression, Poisson regression and Cox proportional hazard model were introduced in this article. The contents of the article covered the application conditions of regression models, analytical procedures, strategies of selecting independent variables, extended discussions of regression models and application notes. It is expected that authors could understand the principle of the mutivariate regression model, accurately use these analytical methods in their research, improve the efficiency of data utilization, and enhance the level of statistical analyses.
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Affiliation(s)
- S C Yu
- Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
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Li YQ, Zhang MH, Wang QQ, Liu JJ, Yao HY. [The caregiver burden and related factors on quality of life among caregivers for patients with lung cancer]. Zhonghua Zhong Liu Za Zhi 2018; 40:467-473. [PMID: 29936775 DOI: 10.3760/cma.j.issn.0253-3766.2018.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Objective: To explore the influence of caregiver burden on quality of life among caregivers for patients with lung cancer in Beijing. Methods: From August to October in 2017, 336 caregivers for patients with primary lung cancer from a large tertiary hospital were recruited to this survey by convenient sampling method. The Caregiver Reaction Assessment (CRA) and the WHO Quality of Life-BREF (WHOQOL-BREF) Instruments were used to evaluate the caregiver burden and quality of life. The demographic characteristics were evaluated using Pearson chi-square or Fisher's exact tests. In addition, using the 4 dimensions of quality of life scale as the dependent variables while the 5 dimensions of caregiver burden and demographic variables as the explanatory variables, we conducted the multiple linear stepwise regression analysis (the defaults were 0.15 for FORWARD and BACKWARD). Results: The scores of family caregivers' esteem, impact on schedule, impact on finances, impact on health and lack of family support were 4.30±0.47、3.55±0.74、3.10±0.91、2.60±0.78、2.32±0.73, respectively. Regression results showed that demographic factors, including marriage, occupation and relationship with patients and impact on health, caregivers' esteem and impact on finances dimensions of caregiver burden were the factors which influenced the quality of life of caregivers. Conclusions: The caregiver burden in patients with lung cancer is mainly focused on impact on schedule and finances. Impact on health, finances and caregivers' esteem (seven items were reverse-scored) are significantly negatively correlated with quality of life of caregivers.
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Affiliation(s)
- Y Q Li
- Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - M H Zhang
- Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - Q Q Wang
- Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J J Liu
- Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - H Y Yao
- Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
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Li P, Shang Y, Liu YJ, Chang XL, Yao HY, Liang AM, Qi KM. [Effect of docosahexenoic acid supplementation on infant's growth and body mass index during maternal pregnancy]. Zhonghua Liu Xing Bing Xue Za Zhi 2018; 39:449-454. [PMID: 29699035 DOI: 10.3760/cma.j.issn.0254-6450.2018.04.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the effects of docosahexenoic acid (DHA) supplementation on infant's growth and BMI during pregnancy. Methods: A total of 1 516 healthy pregnant women delivered their babies in two maternal and child health care hospitals in Beijing and were chosen as the subjects in this cohort study from May to October 2015. Self-developed questionnaires were used to gather general information of the subjects, including age, height, weight, weight gain during pregnancy, delivery mode, DHA supplementation etc., before giving birth. Information on body length, weight, head circumference and BMI at birth and 6 months postnatal, of the infants were recorded. Breast milk was collected to test the fatty acid profiles by using the gas chromatography (GC) method at one to three months postnatally. Results: The overall rate of DHA supplementation was 47.76% among the pregnant women, in which introduction of DHA from the early and second stage of the pregnancy accounted for 49.31% and 39.64% respectively. When DHA supplementation began from the early pregnant stage, the DHA concentration showed an increase in the milk (P<0.05), whereas the supplementation began from the second and third stages did not affect the milk DHA concentration (P>0.05). Higher height and lower BMI were seen in the infants at birth and 6 months in the supplementation group when comparing to the non-supplementary group (P<0.05), with the greatest effects noticed in the earliest supplementation group. Specifically, the head circumference appeared larger from the early pregnant stage in the DHA supplementary group, than that in the non-supplement group (P=0.001). The increment of head circumference was larger than that in the other groups when the infants were 6-month old (P<0.01). Results from the partial regression analysis showed that during pregnancy, there were positive correlations between DHA supplementation and height (r=0.324, r=0.216), head circumference (r=0.221, r=0.302) as well as the increment of head circumference (r=0.276) at birth and 6 months (P<0.05). Whereas, a negative correlation was shown between DHA and the infants' BMI (r=-0.310, r=-0.371) (P<0.05) when supplementation was given during maternal pregnancy. Conclusions: When DHA supplementation program was carried out during maternal pregnancy, it could increase the height and head circumference and inhibit the rapid increase of BMI in the infants BMI. Our findings seemed helpful in promoting brain development and preventing the childhood obesity.
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Affiliation(s)
- P Li
- Clinical Nutrition Laboratory, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - Y Shang
- Chaoyang District Maternal and Child Health Care and Family Planning Service Center, Child Healthcare Department, Beijing 100000, China
| | - Y J Liu
- Shunyi District Maternal and Child Health Care Hospital of Beijing, Child Health Care Department, Beijing 101300, China
| | - X L Chang
- Clinical Nutrition Laboratory, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - H Y Yao
- Clinical Nutrition Laboratory, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - A M Liang
- Health Care Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - K M Qi
- Clinical Nutrition Laboratory, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
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Xu M, Yu WL, Xing ZL, Yao HY, Sun JF, Yu CY. [An investigation of reproductive health and related influencing factors in female staff in six industries in seven provinces in China]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2018; 34:924-927. [PMID: 28241682 DOI: 10.3760/cma.j.issn.1001-9391.2016.12.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the reproductive health status in female staff, and to develop labor protection strategies for female staff. Methods: From May to November, 2015, cluster sampling was performed in the industries of medicine and health, petrochemical engineering, metallurgy, railway, mechanical manufacturing, and electronics in seven provinces (municipalities directly under the Central Government and autonomous regions) . A questionnaire surveywas performed for female staff, and the investigation covered general information, occupational history andexposure to occupational hazards, and reproductive health and childbearing history. Results: A total of 14 614 usable questionnaires were collected, resulting in a response rate of 96.00%. The meanage of all female staff was 36 years. Of all female staff, 80.06% were married and 40.84% were exposed to hazardous factors; 28.14% had abnormal menstruation, and the female staff in theelectronics and railway industries had higher rates of abnormal menstruation (32.28% and 32.11%, respectively) . The overall rate of abnormal gynecological examination results was 18.29%, and the female staff in therailway industry had the highest rate (29.49%) . Of all female staff, 49.01% reported gynecological diseases in the past, among which hyperplasia of mammary glands accounted for 27.11% and inflammation in the reproductive system accounted for 36.31%. The medical staff had higher rates of abnormal menstruation (33.11%) and abnormal gynecological examination results (27.46%) compared with the staff engaged in other occupations. With normal sexual life and no contraceptive measures, the 1-, 2-, and 3-year infertility rates were 24.26%, 11.88%, and 8.88%, respectively. Conclusion: The female staff in the industries of medicine and health, railway, and electronics have serious reproductive health issues. Labor protection should be enhanced and working environment should be improved.
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Affiliation(s)
- M Xu
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China
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Abstract
Using the guidelines of health economic evaluation reporting is conducive to regulating the contents of this reporting, improving the quality of studies into health economics evaluation. This article summarized the history of the guidelines and specified the instrument used to study " Quality of Health Economic Studies (QHES)" and the checklist about Consolidated Health Economics Evaluation Reporting Standards (CHEERS)-the two specific evaluation contents in this guideline, the article also introduced its present application status of the guideline and its pros and cons. The checklist of CHEERS emphasized the evaluation of this report, while QHES instrument focused on quantitative evaluation on the quality of economic studies. Despite different emphasis, the two guides are actually mutually complemented.
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Affiliation(s)
- J Xiao
- Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
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Guo MJ, Liu JJ, Yao HY. [Functions of participatory ergonomics programs in reducing work-related musculoskeletal disorders]. Zhonghua Liu Xing Bing Xue Za Zhi 2016; 37:1159-1163. [PMID: 27539352 DOI: 10.3760/cma.j.issn.0254-6450.2016.08.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Work-related musculoskeletal disorders (MSDs) are most commonly seen in all the occupational non-fatal injuries and illnesses for workers, especially those who are involved in labor-intensive industries. Participatory ergonomics is frequently used to prevent musculoskeletal disorders. This paper gives an overview of a historical perspective on the use of participatory ergonomics approach in reducing the health effects of labor-intensive industries. Progress, barriers and facilitators on the organization, implementation and evaluation of participatory ergonomics programs are studied. Participatory ergonomics seems a successful method to develop, prioritize measures to prevent MSDs. Participatory ergonomics can help industries reduce musculoskeletal injuries and disorders, improve workplace condition and promote health conditions of the workers.
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Affiliation(s)
- M J Guo
- Office of Epidemiology, Beijing 102206, China
| | - J J Liu
- Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - H Y Yao
- Office of Epidemiology, Beijing 102206, China
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Yao HY, Jiang JY, Cheng YS, Chen ZY, Her TH, Chang TH. Modal analysis and efficient coupling of TE₀₁ mode in small-core THz Bragg fibers. Opt Express 2015; 23:27266-27281. [PMID: 26480387 DOI: 10.1364/oe.23.027266] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
We report a design of low-loss THz Bragg fibers with a core size on the order of wavelength that operates near the cutoff frequency of its TE01 mode. We also propose a broadband Y-type mode converter based on branched rectangular metallic waveguides to facilitate coupling between the TE01 mode of the Bragg fiber and the TEM mode in free space with 60% efficiency. Our fiber holds strong promise to facilitate beam-wave interaction in gyrotron for high-efficiency THz generation.
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Liu JJ, Yao HY, Zheng WJ, Xiang HY. Documented evidence of agricultural injury in China. Inj Prev 2012. [DOI: 10.1136/injuryprev-2012-040590m.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Chen JY, Yao HY, Chen W, Dong RC, Cai HX. PIXE Determination of Photosensitizer Tissue Distribution in Mice Bearing S180 Tumour Sensitized with GaCl-tetrasulphophthalocyanine. Int J Radiat Biol 2009; 61:773-6. [PMID: 1351526 DOI: 10.1080/09553009214551631] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- J Y Chen
- Physics Department, Nuclear Science Department, Fudan University, Shanghai, PR China
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Liu JJ, Yao HY, Liu EY. Analysis of factors affecting the epidemiology of tuberculosis in China. Int J Tuberc Lung Dis 2005; 9:450-4. [PMID: 15830752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023] Open
Abstract
SETTING The tuberculosis (TB) epidemic situation is both a public health problem and a socio-economic issue in China. OBJECTIVE To examine the effects of socio-economic development and of the TB control strategy on the TB epidemic in China. METHODS Based on the four National Epidemiological Surveys of TB and the indices of socio-economic development in China, correlation co-efficiency was used to analyse the relationship between changes in the TB epidemic situation, the socio-economic level and the Health V TB control Project. RESULTS The prevalence of smear-positive TB had significant medium correlation with the per capita net income of the rural population, the consumption level of the urban population, the per capita GDP, the population density, and the proportion of rural to total population, among which the correlation with the first four was negative and with the last was positive. The decline in prevalence in the project areas was much greater than in the non-project areas (44.4% vs. 12.3%), while their GDP increases were similar. CONCLUSION With socio-economic development, correlation between the socio-economic indices and the TB epidemic becomes more significant. The TB control project is vital to reduce the prevalence of TB in China.
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Affiliation(s)
- J J Liu
- Centers for Disease Control and Prevention, National Center for Tuberculosis Control and Prevention (NCTB), Beijing, China.
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Chen JG, Li WG, Shen ZC, Yao HY, Zhang BC, Zhu YR. Population-based cancer survival in Qidong, People's Republic of China. IARC Sci Publ 1999:27-35. [PMID: 10194625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- J G Chen
- Qidong Liver Cancer Institute, Jiangsu, People's Republic of China
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Liang KC, McGaugh JL, Yao HY. Involvement of amygdala pathways in the influence of post-training intra-amygdala norepinephrine and peripheral epinephrine on memory storage. Brain Res 1990; 508:225-33. [PMID: 2306613 DOI: 10.1016/0006-8993(90)90400-6] [Citation(s) in RCA: 149] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
These experiments examined the role of two major amygdala afferent-efferent pathways--the stria terminalis (ST) and the ventral amygdalofugal pathway (VAF)--in mediating the effects, on memory storage, of post-training intra-amygdala injections of norepinephrine (NE) and subcutaneous (s.c.) injections of epinephrine (E). Rats with either ST lesions or VAF transections and sham-operated rats were trained on a one-trial step-through inhibitory avoidance task and immediately after training received intra-amygdala injections of NE or a buffer solution. Other groups of VAF-transected animals received post-training s.c. injections of E or saline. ST lesions blocked the memory-enhancing effect of intra-amygdala injections of a low dose of NE (0.2 microgram) as well as the amnestic effect of a high dose of NE (5.0 microgram). In contrast, VAF transections did not block the memory-enhancing effect of NE (0.2 microgram). However, VAF transections attenuated the memory-enhancing effect of s.c. injections of E: the effective dose of E was shifted from 0.1 to 0.5 mg/kg. These findings, considered together with previous evidence that ST lesions block the memory-enhancing effect of peripheral E injections, suggest that the VAF is involved in mediating the central influence of peripheral E on amygdala functioning, while the ST is involved in mediating amygdala influences on memory storage elsewhere in the brain.
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Affiliation(s)
- K C Liang
- Department of Psychology, National Taiwan University, Taipei, R.O.C
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Yao HY, Zeng XZ, Lu CR, Wang XD, Che JM, Mu MY, Yang J, Wang ZX, Zhang HS, Yie YQ. [Particle induced X-ray emission for trace element analysis of hairs from patients with cancer]. Zhonghua Zhong Liu Za Zhi 1988; 10:92-4. [PMID: 3208661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
In this paper, trace element analysis of the hairs from the patients with nasopharyngeal carcinoma (NPC) and osteoma was made using particle induced X-ray emission (PIXE) technique in order to obtain some information on the correlation between trace element and these two tumors. The hair samples of 34 NPC patients were each collected before and three months after radiotherapy (60Co) (group 1). The hair specimens from 34 osteoma patients were collected preoperatively and postoperatively. For comparison, 65 hair samples were collected from 40 normal subjects (group 2) and 25 NPC patients, who had received radiotherapy (60Co) five years before without any recrudescence (group 3). The trace element analysis of all specimens was made by PIXE. The results show that there is a significant difference between groups 1 and 2 (P less than 0.01) but no difference is found between groups 2 and 3 for Mn, Cu, Zn, As etc. content in the hairs. Cu and Zn content in the hairs of the osteoma patients is much lower than that of the normal subjects (P less than 0.01) while for K, Ti and Mn content, the former is higher than the latter. The above experimental results are discussed in detail.
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Wang ZX, Ye YQ, Hu MZ, Ren CG, Yao HY. Changes in hair trace elements (zinc, copper and manganese) before and after severe fractures. Chin Med J (Engl) 1987; 100:925-7. [PMID: 2835210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
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Wang SY, Li RL, Liu WQ, Wang GQ, Liu P, Song JM, Pei YQ, Yao HY, Gao XM. [Structure-anticonvulsant activity relationships of some cinnamamides of substituted aromatic ring]. Yao Xue Xue Bao 1986; 21:542-5. [PMID: 3811946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Yao HY. [Comparison of the skeletal development of children and young people of Uighur and Han nationality in Wulumuqi]. Zhonghua Yu Fang Yi Xue Za Zhi 1985; 19:358-61. [PMID: 4092534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Pei YQ, Yao HY, Zhang ZL. [Central depressive action of propranolol (author's transl)]. Zhongguo Yao Li Xue Bao 1981; 2:8-13. [PMID: 6461207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Pei YQ, Yue W, Cui JR, Yao HY. [A study of the central pharmacological action of piperine and its derivatives]. Yao Xue Xue Bao 1980; 15:198-205. [PMID: 7457138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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27
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Yao SJ, Wolfson SK, Rent RK, Keller RW, Yao HY. Encapsulated cells for implantable energy source. ASAIO J 1979; 25:45-50. [PMID: 118570 DOI: 10.1097/00002480-197902500-00009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
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Pan PC, Lee T, Yao HY, Kao YS. [A novel synthesis of o-methoxy-p-[bis-(2-chloroethyl)-amino]-phenylalanine]. Yao Xue Xue Bao 1966; 13:432-437. [PMID: 5953022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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