This study analyzed case and prescription data of children aged 12 to 18 years diagnosed with influenza A from the outpatient and emergency departments at the Women and Children’s Hospital of Ningbo University during...This study analyzed case and prescription data of children aged 12 to 18 years diagnosed with influenza A from the outpatient and emergency departments at the Women and Children’s Hospital of Ningbo University during the influenza epidemic period between February and April 2023.Patients were categorized into two groups based on their medication:the Baloxavir Marboxil group(196 cases)and the Oseltamivir group(126 cases).SPSS Statistics 24.0 software was utilized to compare variables between the two groups,including age,sex,weight,first visit department,number of visits,average prescription cost per patient,drug varieties used,hospitalization rate,and the combined medication usage,to evaluate the relative advantages and disadvantages of the two treatments.The results indicated that the number of visits in the Baloxavir Marboxil group was significantly lower than in the Oseltamivir group,whereas the average prescription cost per patient was higher(P<0.05).There were no significant differences between the two groups regarding age,sex,weight,first visit department,number of drug types used,hospitalization rate,or combined medication usage(P>0.05).When comparing the use of single-class combined drugs,only the quantity of antiviral drugs differed significantly(P<0.05).The Oseltamivir group required more adjuvant treatment with both Chinese and Western antiviral medications.The distribution of the number of combined drug types was concentrated around three and two types in both groups(Baloxavir Marboxil group:41.34%and 39.66%;Oseltamivir group:44.54%and 36.97%).This study highlighted that the new drug,Baloxavir Marboxil,offered certain therapeutic benefits over Oseltamivir in treating influenza among children aged 12 to 18 years,including advantages in single-dose administration,oral compliance,and specific treatment outcomes.The higher unit cost associated with Baloxavir Marboxil might be a factor for further consideration.These findings provided a new reference point for the clinical selection of anti-influenza medications.展开更多
This study retrospectively analyzed the medication prescriptions of children diagnosed with attention-deficit/hyperactivity disorder(ADHD) in Ningbo Psychiatric Hospital and Ningbo Women and Children’s Hospital from ...This study retrospectively analyzed the medication prescriptions of children diagnosed with attention-deficit/hyperactivity disorder(ADHD) in Ningbo Psychiatric Hospital and Ningbo Women and Children’s Hospital from March 2018 to September 2020 and compared the drug retention rate of methylphenidate hydrochloride and atomoxetine hydrochloride. The prescription automatic screening system was used to screen the prescriptions in children with ADHD. Kaplan-Meier regression analysis was used to compare prescription retention rates between the two regimens after adjusting for gender, age, body weight, and prescription cost. The mean age of the methylphenidate hydrochloride group was 8.75 ± 2.16 years, and the monthly prescription cost was 327.37 ± 146.64 RMB. The average age of the atomoxetine group was 8.33 ± 1.73 years, and the monthly prescription cost was 363.15 ± 154.90 ￥. There were some differences in the age of enrollment and the monthly prescription cost between the two regimens(all P < 0.01). Moreover, the retention rate of methylphenidate hydrochloride was higher compared with atomoxetine hydrochloride within 18 months. Kaplan-Meier regression analysis showed that this trend was significant(Tarone-ware, Chi-square value = 14.893, P < 0.001). Prescription costs might be a factor affecting drug retention. This study found that the retention rates were decreased month by month in children with ADHD, and after 5 months, the retention rates were 52.20% and 41.22%, respectively, far below the recommended levels of the guidelines.展开更多
The ongoing pandemic of coronavirus disease 2019(COVID-19)has been a great burden for the healthcare system in many countries because of its high transmissibility,severity,and fatality.Chest radiography and computed t...The ongoing pandemic of coronavirus disease 2019(COVID-19)has been a great burden for the healthcare system in many countries because of its high transmissibility,severity,and fatality.Chest radiography and computed tomography(CT)play a vital role in the diagnosis,detection of complications,and prognostication of COVID-19.Additionally,magnetic resonance imaging(MRI),especially multi-nuclei MRI,is another important imaging technique for disease diagnosis because of its good soft tissue contrast and the ability to conduct structural and functional imaging,which has also been used to evaluate COVID-19-related organ injuries in previous studies.Herein,we briefly reviewed the recent research on multi-nuclei MRI for evaluating injuries caused by COVID-19 and the clinical 1 H MRI techniques and their applications for assessing injuries in lungs,brain,and heart.Moreover,the emerging hyperpolarized 129Xe gas MRI and its applications in the evaluation of pulmonary structures and functional abnormalities caused by COVID-19 were also reviewed.展开更多
Glycogen plays essential roles in glucose metabolism.Imaging glycogen in the liver,the major glycogen reservoir in the body,may shed new light on many metabolic disorders.^(13)C magnetic resonance spectroscopy(MRS)has...Glycogen plays essential roles in glucose metabolism.Imaging glycogen in the liver,the major glycogen reservoir in the body,may shed new light on many metabolic disorders.^(13)C magnetic resonance spectroscopy(MRS)has become the mainstream method for monitoring glycogen in the body.However,the equipment of special hard-ware to standard clinical magnetic resonance imaging(MRI)scanners limits its clinical applications.Herein,we utilized endogenous glycogen as a T_(2)-based relaxation contrast agent for imaging glycogen metabolism in the liver in vivo.The in vitro results demonstrated that the transverse relaxation rate of glycogen strongly correlates with the concentration,pH,and field strength.Based on the Swift-Connick theory,we characterized the exchange property of glycogen and measured the exchange rate of glycogen as 31,847 Hz at 37°C.Besides,the viscosity and echo spacing showed no apparent effect on the transverse relaxation rate.This unique feature enables vi-sualization of glycogen signaling in vivo through T_(2)-weighted MRI.Two hours-post intraperitoneal injection of glucagon,a clinical drug to promote glycogenolysis and gluconeogenesis,the signal intensity of the mice’s liver increased by 1.8 times from the T_(2)-weighted imaging experiment due to the decomposition of glycogen.This study provides a convenient imaging strategy to non-invasively investigate glycogen metabolism in the liver,which may find clinical applications in metabolic diseases.展开更多
The volume-selected MRS of rat brain was performed on a 200 MHz broad horizontal-bore nuclear magnetic resonance imaging spectrometer. The localized proton spectroscopy of rat brain was acquired using the double spin-...The volume-selected MRS of rat brain was performed on a 200 MHz broad horizontal-bore nuclear magnetic resonance imaging spectrometer. The localized proton spectroscopy of rat brain was acquired using the double spin-echo pulse sequence (PRESS) to select the position and size of the volume. Water signal was suppressed by CHESS sequence which was composed of chemical shift selective rf pulses and dephasing gradients. The parameter TE was taken as 40 ms and 135 ms in the experiment. The localized MRS of the rat brain with the status of live and death was obtained in various TE values. Results showed that volume-selected proton MRS of the rat brain in vivo with longer TE consisted mainly of signals produced by N-acetylaspartate (NAA), creatine (Cre), choline (Cho) and the lactate spectral peak occurred in the MRS of the rat brain ex vivo. On the other hand, the MRS of the rat brain with shorter TE contained glutamine/glutamate and lipid signals besides those signals mentioned previously. Although the information abstracted from the MRS of the rat brain with shorter TE may be more than that with longer TE, the spectral resolution of the MRS with shorter TE was slightly worse. In addition, it might indicate that the absolute concentration of NAA was decreased in dead rat brain because the SNR of NAA peak in the MRS ex vivo got lower.展开更多
基金Ningbo Top Medical and Health Research Program(Grant No.2022020405)Wu Jieping Medical Foundation(Grant No.320.6750.2023-25-3).
文摘This study analyzed case and prescription data of children aged 12 to 18 years diagnosed with influenza A from the outpatient and emergency departments at the Women and Children’s Hospital of Ningbo University during the influenza epidemic period between February and April 2023.Patients were categorized into two groups based on their medication:the Baloxavir Marboxil group(196 cases)and the Oseltamivir group(126 cases).SPSS Statistics 24.0 software was utilized to compare variables between the two groups,including age,sex,weight,first visit department,number of visits,average prescription cost per patient,drug varieties used,hospitalization rate,and the combined medication usage,to evaluate the relative advantages and disadvantages of the two treatments.The results indicated that the number of visits in the Baloxavir Marboxil group was significantly lower than in the Oseltamivir group,whereas the average prescription cost per patient was higher(P<0.05).There were no significant differences between the two groups regarding age,sex,weight,first visit department,number of drug types used,hospitalization rate,or combined medication usage(P>0.05).When comparing the use of single-class combined drugs,only the quantity of antiviral drugs differed significantly(P<0.05).The Oseltamivir group required more adjuvant treatment with both Chinese and Western antiviral medications.The distribution of the number of combined drug types was concentrated around three and two types in both groups(Baloxavir Marboxil group:41.34%and 39.66%;Oseltamivir group:44.54%and 36.97%).This study highlighted that the new drug,Baloxavir Marboxil,offered certain therapeutic benefits over Oseltamivir in treating influenza among children aged 12 to 18 years,including advantages in single-dose administration,oral compliance,and specific treatment outcomes.The higher unit cost associated with Baloxavir Marboxil might be a factor for further consideration.These findings provided a new reference point for the clinical selection of anti-influenza medications.
基金Natural Science Foundation of Ningbo(Grant No.2018A610245)。
文摘This study retrospectively analyzed the medication prescriptions of children diagnosed with attention-deficit/hyperactivity disorder(ADHD) in Ningbo Psychiatric Hospital and Ningbo Women and Children’s Hospital from March 2018 to September 2020 and compared the drug retention rate of methylphenidate hydrochloride and atomoxetine hydrochloride. The prescription automatic screening system was used to screen the prescriptions in children with ADHD. Kaplan-Meier regression analysis was used to compare prescription retention rates between the two regimens after adjusting for gender, age, body weight, and prescription cost. The mean age of the methylphenidate hydrochloride group was 8.75 ± 2.16 years, and the monthly prescription cost was 327.37 ± 146.64 RMB. The average age of the atomoxetine group was 8.33 ± 1.73 years, and the monthly prescription cost was 363.15 ± 154.90 ￥. There were some differences in the age of enrollment and the monthly prescription cost between the two regimens(all P < 0.01). Moreover, the retention rate of methylphenidate hydrochloride was higher compared with atomoxetine hydrochloride within 18 months. Kaplan-Meier regression analysis showed that this trend was significant(Tarone-ware, Chi-square value = 14.893, P < 0.001). Prescription costs might be a factor affecting drug retention. This study found that the retention rates were decreased month by month in children with ADHD, and after 5 months, the retention rates were 52.20% and 41.22%, respectively, far below the recommended levels of the guidelines.
基金This work is supported by National key Research and Development Project of China(grant no.2018YFA0704000)National Natural Science Foundation of China(grant no.91859206,81625011,21921004)+3 种基金Scientific Instrument Developing Project of the Chinese Academy of Sciences(grant no.GJJSTD20200002,YJKYYQ20200067)Key Research Program of Frontier Sciences,CAS(grant no.ZDBS-LY-JSC004)Haidong Li acknowledges the support from Youth Innovation Promotion Association,CAS(grant no.2020330)Xin Zhou acknowledges the support from the Tencent Foundation through the XPLORER PRIZE.
文摘The ongoing pandemic of coronavirus disease 2019(COVID-19)has been a great burden for the healthcare system in many countries because of its high transmissibility,severity,and fatality.Chest radiography and computed tomography(CT)play a vital role in the diagnosis,detection of complications,and prognostication of COVID-19.Additionally,magnetic resonance imaging(MRI),especially multi-nuclei MRI,is another important imaging technique for disease diagnosis because of its good soft tissue contrast and the ability to conduct structural and functional imaging,which has also been used to evaluate COVID-19-related organ injuries in previous studies.Herein,we briefly reviewed the recent research on multi-nuclei MRI for evaluating injuries caused by COVID-19 and the clinical 1 H MRI techniques and their applications for assessing injuries in lungs,brain,and heart.Moreover,the emerging hyperpolarized 129Xe gas MRI and its applications in the evaluation of pulmonary structures and functional abnormalities caused by COVID-19 were also reviewed.
基金This work is supported by the National Key R&D Program of China(2018YFA0704000)the National Natural Science Foundation of China(91859206,U21A20392,82127802 and 21921004)+2 种基金the Key Research Program of Frontier Sciences,Chinese Academy of Sciences(ZDBS-LY-JSC004)the Scientific Instrument Developing Project of the Chi-nese Academy of Sciences(GJJSTD20200002)Xin Zhou acknowledges the support from the Tencent Foundation through the XPLORER PRIZE.
文摘Glycogen plays essential roles in glucose metabolism.Imaging glycogen in the liver,the major glycogen reservoir in the body,may shed new light on many metabolic disorders.^(13)C magnetic resonance spectroscopy(MRS)has become the mainstream method for monitoring glycogen in the body.However,the equipment of special hard-ware to standard clinical magnetic resonance imaging(MRI)scanners limits its clinical applications.Herein,we utilized endogenous glycogen as a T_(2)-based relaxation contrast agent for imaging glycogen metabolism in the liver in vivo.The in vitro results demonstrated that the transverse relaxation rate of glycogen strongly correlates with the concentration,pH,and field strength.Based on the Swift-Connick theory,we characterized the exchange property of glycogen and measured the exchange rate of glycogen as 31,847 Hz at 37°C.Besides,the viscosity and echo spacing showed no apparent effect on the transverse relaxation rate.This unique feature enables vi-sualization of glycogen signaling in vivo through T_(2)-weighted MRI.Two hours-post intraperitoneal injection of glucagon,a clinical drug to promote glycogenolysis and gluconeogenesis,the signal intensity of the mice’s liver increased by 1.8 times from the T_(2)-weighted imaging experiment due to the decomposition of glycogen.This study provides a convenient imaging strategy to non-invasively investigate glycogen metabolism in the liver,which may find clinical applications in metabolic diseases.
文摘The volume-selected MRS of rat brain was performed on a 200 MHz broad horizontal-bore nuclear magnetic resonance imaging spectrometer. The localized proton spectroscopy of rat brain was acquired using the double spin-echo pulse sequence (PRESS) to select the position and size of the volume. Water signal was suppressed by CHESS sequence which was composed of chemical shift selective rf pulses and dephasing gradients. The parameter TE was taken as 40 ms and 135 ms in the experiment. The localized MRS of the rat brain with the status of live and death was obtained in various TE values. Results showed that volume-selected proton MRS of the rat brain in vivo with longer TE consisted mainly of signals produced by N-acetylaspartate (NAA), creatine (Cre), choline (Cho) and the lactate spectral peak occurred in the MRS of the rat brain ex vivo. On the other hand, the MRS of the rat brain with shorter TE contained glutamine/glutamate and lipid signals besides those signals mentioned previously. Although the information abstracted from the MRS of the rat brain with shorter TE may be more than that with longer TE, the spectral resolution of the MRS with shorter TE was slightly worse. In addition, it might indicate that the absolute concentration of NAA was decreased in dead rat brain because the SNR of NAA peak in the MRS ex vivo got lower.
