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Sun PY, Xie YT, Qie RR, Huang H, Hu ZL, Wu MY, Yan Q, Zhu CR, Shi JF, Zou KY, Zhang YW. [Cost-effectiveness of pharmaceutical smoking cessation intervention in China primary cancer prevention]. Zhonghua Zhong Liu Za Zhi 2024; 46:66-75. [PMID: 38246782 DOI: 10.3760/cma.j.cn112152-20231024-00229] [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: 01/23/2024]
Abstract
Objectives: To evaluate the cost-effectiveness of typical pharmaceutical smoking cessation intervention strategies in China in the context of primary cancer prevention. Methods: Markov cohort simulation models were established to simulate the burden of 12 smoking caused cancer, including lung cancer, oral cancer, nasopharyngeal cancer, laryngeal cancer, esophageal cancer, gastric cancer, pancreatic cancer, liver cancer, kidney cancer, bladder cancer, cervical cancer, and acute myeloid leukemia. Taking incremental cost effectiveness ratio (ICER) as the main indicator, the model sets one year as the cycling period for 50 periods and simulates the cohort of 10 000 thirty-five-year-old current smokers with various smoking cessation strategies. To ensure the robustness of conclusion, univariate sensitivity analysis, probability sensitivity analysis, and age-group sensitivity analysis were conducted. Results: The results showed that varenicline intervention was the most cost-effective intervention. Compared to the next most effective option, incremental cost of each additional quality-adjusted life year is 11 140.28 yuan, which is below the threshold of willingness to pay (1 year GDP per capita). The value of ICER increased as the increasing age group of adopting intervention, but neither exceeded the threshold of willingness to pay. One-way sensitivity analysis showed that the value of discount rate, the hazard ratio and cost of intervention strategy had a greater impact on the result of ICER. Conclusion: In China, the use of varenicline to quit smoking is highly cost effective in the context of cancer primary prevention, especially for younger smokers.
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Affiliation(s)
- P Y Sun
- Department of Cancer Prevention and Control, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y T Xie
- Department of Cancer Prevention and Control, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - R R Qie
- Department of Cancer Prevention and Control, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Huang
- Department of Cancer Prevention and Control, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Z L Hu
- Department of Cancer Prevention and Control, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - M Y Wu
- Department of Cancer Prevention and Control, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Q Yan
- Department of Cancer Prevention and Control, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - C R Zhu
- Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, West China Fourth Hospital, Sichuan University, Chengdu 610044, China
| | - J F Shi
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - K Y Zou
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y W Zhang
- Department of Cancer Prevention and Control, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
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Ma KD, Zhu CR, An X, Ma XC. [Effects and questions of prone position in novel coronavirus infection]. Zhonghua Nei Ke Za Zhi 2023; 62:568-571. [PMID: 37096288 DOI: 10.3760/cma.j.cn112138-20220512-00363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
Affiliation(s)
- K D Ma
- Department of Critical Care Medicine, the First Affiliated Hospital of China Medical University, Shenyang 110001, China
| | - C R Zhu
- Department of Critical Care Medicine, the First Affiliated Hospital of China Medical University, Shenyang 110001, China
| | - X An
- Department of Critical Care Medicine, the First Affiliated Hospital of China Medical University, Shenyang 110001, China
| | - X C Ma
- Department of Critical Care Medicine, the First Affiliated Hospital of China Medical University, Shenyang 110001, China
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Zhu CR, Shi JH, Huang Z, Wei XM, Li HY, Lin LM, Du X, Liu Y, Ji CP, Wu SL. [Relationship between the ideal cardiovascular health behaviors and factors and newonset heart failure]. Zhonghua Xin Xue Guan Bing Za Zhi 2021; 49:905-911. [PMID: 34530599 DOI: 10.3760/cma.j.cn112148-20210715-00595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the relationship between the ideal cardiovascular health behaviors and factors and newonset heart failure. Methods: It was a prospective cohort study. People who attended the 2006-2007 physical examination of Kailuan Group Company and with complete data of cardiovascular behaviors and related factors were eligible for this study. A total of 95 167 participants who were free of valvular heart diseases, congenital heart diseases and a prior history of heart failure were included. Basic cardiovascular health score (CHS) of each participant was calculated. Participants were divided into 3 groups according to CHS. Group 1:CHS<8 (n=26 640), Group 2:8≤CHS<10 (n=35 230), Group3:CHS≥10 (n=33 297). The general clinical data and laboratory test results were collected. The outcome was defined as the first occurrence of heart failure at the end of followup(December 31, 2016). Cox regression model was used to determine the association between baseline CHS and the risk of newonset heart failure. Results: After a median followup of 10.3 years, the incidence of newonset heart failure in the group of CHS<8,8≤CHS<10,CHS≥10 were 2.7%(729/26 640), 1.8%(651/35 230) and 1.1%(360/33 297),respectively. After adjustment for age, sex, history of myocardial infarction, history of atrial fibrillation, income, alcohol consumption, education and the use of antihypertensive, cholesterol-lowering, glucose-lowering medications, compared with the group of CHS<8, the Cox regression model showed that HRs of the group of 8≤CHS<10 and CHS≥10 were 0.68 (95%CI 0.61-0.75), 0.49 (95%CI 0.43-0.55), respectively. Cox regression analysis after removing each single cardiovascular behavior or factor showed that the HR value range ability was as follows:systolic blood pressure(HR=0.78,95%CI 0.74-0.82), body mass index(HR=0.78,95%CI 0.74-0.82), fasting blood glucose (HR=0.77,95%CI 0.73-0.81), total cholesterol(HR=0.76,95%CI 0.72-0.80), physical exercise(HR=0.72,95%CI 0.69-0.76), smoking(HR=0.75,95%CI 0.71-0.79) and salt intake(HR=0.73,95%CI 0.69-0.77). Conclusion: CHS is negatively associated with the risk of newonset heart failure, and there is a dose-response relationship between the two indexes.
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Affiliation(s)
- C R Zhu
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - J H Shi
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - Z Huang
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - X M Wei
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - H Y Li
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - L M Lin
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - X Du
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - Y Liu
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - C P Ji
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
| | - S L Wu
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
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Liu D, Wang J, Xiao Q, Tian XC, Zhu CR, Jiang JX, Wang CM, Xu Q, Gu XW, Hu HM. [Ossifying fibromyxoid tumor: clinicolpathological futures of 3 cases]. Zhonghua Bing Li Xue Za Zhi 2020; 49:174-176. [PMID: 32074732 DOI: 10.3760/cma.j.issn.0529-5807.2020.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- D Liu
- Department of Pathology, Subei People's Hospital of Jiangsu Province, Yangzhou 225000, China
| | - J Wang
- Department of Pathology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
| | - Q Xiao
- Department of Pathology, Subei People's Hospital of Jiangsu Province, Yangzhou 225000, China
| | - X C Tian
- Department of Pathology, Subei People's Hospital of Jiangsu Province, Yangzhou 225000, China
| | - C R Zhu
- Department of Pathology, Subei People's Hospital of Jiangsu Province, Yangzhou 225000, China
| | - J X Jiang
- Department of Pathology, Subei People's Hospital of Jiangsu Province, Yangzhou 225000, China
| | - C M Wang
- Department of Pathology, Subei People's Hospital of Jiangsu Province, Yangzhou 225000, China
| | - Q Xu
- Department of Pathology, Subei People's Hospital of Jiangsu Province, Yangzhou 225000, China
| | - X W Gu
- Department of Pathology, Subei People's Hospital of Jiangsu Province, Yangzhou 225000, China
| | - H M Hu
- Department of Pathology, Xiangcheng People's Hospital of Jiangsu Province, Suzhou 215131, China
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Zhu CR, Du X, Liu Y, Zhao QH, Shi JH, Wu YT, Wei XM, Li HY, Lin LM, Wu SL, Huang Z. [Impact of change of ideal cardiovascular behavior and related factors on healthy vascular aging]. Zhonghua Xin Xue Guan Bing Za Zhi 2020; 48:66-71. [PMID: 32008298 DOI: 10.3760/cma.j.issn.0253-3758.2020.01.008] [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 investigate the impact of change of ideal cardiovascular behavior and related factors on healthy vascular aging(HVA). Methods: This study was a multi-center cross-sectional survey. Six thousand three hundred and sixteen participants who underwent at least 2 healthy examinations from 2006 to 2015 at 11 hospitals, including Kailuan Hospital and so on, and examined brachial-ankle pulse wave velocity (baPWV) during 2010 and 2016, with available information about cardiovascular behavior and factors were included. The cardiovascular health score (CHS) was calculated. Basic CHS was collected from the first examination. The second CHS derived from the healthy examination in the same year of baPWV examination. Change of cardiovascular health score (ΔCHS) was calculated. Participants were defined into 5 groups according to ΔCHS, namely ΔCHS≤-2 (n=2 166), ΔCHS=-1 (n=1 284), ΔCHS=0 (n=1 187), ΔCHS=1 (n=860), and ΔCHS≥2 (n=819). Participants' characteristics, value of baPWV and proportion of HVA were compared among different groups. Multiple logistic regression analysis was used to investigate the association between ΔCHS and HVA. The ΔCHS was recalculated and included in multiple logistic regression analysis model again after each component of the cardiovascular health metrics was removed separately in order to investigate effects of removal factors on HVA by observing changes in effect values. Results: The percentage of the participants with HVA in the group of ΔCHS≤-2, ΔCHS=-1, ΔCHS=0, ΔCHS=1 and ΔCHS≥2 were 23.3%(505/2 166), 27.8%(357/1 284), 28.7%(341/1 187),31.9%(274/860) and 33.9%(278/819), respectively. After adjustment for age, sex, income, education, alcohol consumption and the basic CHS, a significant positive association between ΔCHS and proportion of participants with HVA was observed (OR=1.50, 95%CI 1.44-1.56). Multiple regression analysis after removing each single cardiovascular behavior or factor showed that the OR value decreased as follow systolic blood pressure (OR=1.04, 95%CI 1.00-1.09), fasting blood glucose (OR=1.14, 95%CI 1.09-1.18), physical exercise (OR=1.16, 95%CI 1.11-1.21), salt intake (OR=1.17, 95%CI 1.12-1.22), body mass index (OR=1.18, 95%CI 1.13-1.23), smoking(OR=1.18, 95%CI 1.13-1.23) and total cholesterol (OR=1.20, 95%CI 1.16-1.24). Conclusion: The improvement of every ideal cardiovascular behavior and factor is associated with the increase of the proportion of HVA population.
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Affiliation(s)
- C R Zhu
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - X Du
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - Y Liu
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - Q H Zhao
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - J H Shi
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - Y T Wu
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - X M Wei
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - H Y Li
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - L M Lin
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - S L Wu
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
| | - Z Huang
- Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China
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Alhadhoud F, Zhu CR, Singh SS. Temporary Uterine Artery Occlusion at Laparoscopic Myomectomy – A Simple Technique to Reduce Blood Loss. J Minim Invasive Gynecol 2019. [DOI: 10.1016/j.jmig.2019.09.577] [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: 11/16/2022]
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Xiao Q, Liu D, Zhu CR, Wang CM, Xu Q, Gu XW, Wu HT. [Clinicopathological features of eosinophilic solid and cystic renal cell carcinoma]. Zhonghua Bing Li Xue Za Zhi 2019; 48:715-717. [PMID: 31495093 DOI: 10.3760/cma.j.issn.0529-5807.2019.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Q Xiao
- Department of Pathology, Northern Jiangsu People's Hospital, Yangzhou 225001, China
| | - D Liu
- Department of Pathology, Northern Jiangsu People's Hospital, Yangzhou 225001, China
| | - C R Zhu
- Department of Pathology, Northern Jiangsu People's Hospital, Yangzhou 225001, China
| | - C M Wang
- Department of Pathology, Northern Jiangsu People's Hospital, Yangzhou 225001, China
| | - Q Xu
- Department of Pathology, Northern Jiangsu People's Hospital, Yangzhou 225001, China
| | - X W Gu
- Department of Pathology, Northern Jiangsu People's Hospital, Yangzhou 225001, China
| | - H T Wu
- Department of Medical Imaging, Northern Jiangsu People's Hospital, Yangzhou 225001, China
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Zhu CR, Suen MW, Gilbert S, Singh SS. Laparoscopic Management of Diaphragmatic Endometriosis. Journal of Obstetrics and Gynaecology Canada 2019; 41:741. [DOI: 10.1016/j.jogc.2018.03.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Revised: 02/27/2018] [Indexed: 11/17/2022]
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Wang J, He QY, Li ME, Zhang L, Du XD, Zhu P, Shi YY, Zhu CR. [Study on unprotected anal intercourse behavior in HIV-positive men who have sex with men in the context of knowing their HIV infection status in Chengdu]. Zhonghua Liu Xing Bing Xue Za Zhi 2019; 39:954-958. [PMID: 30060311 DOI: 10.3760/cma.j.issn.0254-6450.2018.07.017] [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 identify related factors associated with unprotected anal intercourse (UAI) among HIV-positive men who have sex with men (MSM) in the context of knowing their HIV infection status. Methods: HIV positive MSM who known that they had been infected with HIV for more than 6 months and accepted follow up services were recruited by convenience sampling method in Chengdu 2015. Semi-structured questionnaire was used to collect their information, such as demographic characteristics, antiviral therapy and sexual behavior characteristics etc. Logistic regression model was used for univariate and multivariate analyses. Results: A total of 330 HIV- positive MSM were recruited, 201 eligible MSM were interviewed. The prevalence of UAI in recent six months was 18.41% (37/201). The results of multivariate logistic regression analysis revealed that the number of anal intercourse with male ≥3 in last month (OR=6.22, 95%CI: 1.88-20.56), low education level (OR=7.29, 95%CI: 1.36-39.16), married, divorced or widowed status (OR=4.65, 95%CI: 1.13-19.17), homosexual cohabitation (OR=3.32, 95%CI: 1.01-10.95) were the risk factors related with UAI among the HIV-positive MSM. Conclusion: Frequent homosexual anal intercourse, low education level, married, divorced or widowed status and homosexual cohabitation might be the risk factors related with UAI in HIV-positive MSM in Chengdu.
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Affiliation(s)
- J Wang
- Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China
| | - Q Y He
- Chengdu Municipal Center for Disease Control and Prevention, Chengdu 610041, China
| | - M E Li
- Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China
| | - L Zhang
- Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China
| | - X D Du
- Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China
| | - P Zhu
- Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China
| | - Y Y Shi
- Chengdu Municipal Center for Disease Control and Prevention, Chengdu 610041, China
| | - C R Zhu
- Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China
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Zhou WQ, Jiang YL, Tang HB, Gao HY, Zhuang YY, Xia F, Mao CP, Zhu CR. [Study on the changes of gonadotropin releasing hormone agonist in pinopodes]. Zhonghua Fu Chan Ke Za Zhi 2018; 52:539-544. [PMID: 28851171 DOI: 10.3760/cma.j.issn.0529-567x.2017.08.007] [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 study the changes of gonadotropin releasing hormone agonist (GnRH-a) in pinopodes during luteal phase and to explore the possible mechanism of GnRH-a in luteal phase support of assisted reproductive technology (ART). Methods: Totally 40 primary infertility women who were treated with ART due to male factors were enrolled, according to the order of the group they were randomly divided into experimental group and control group. On the 7th day after ovulation, the experimental group received a subcutaneous injection of 0.1 mg of GnRH-a, while the control group received a subcutaneous injection of placebo only (0.9% saline 2 ml), 3 days later they came to the clinic again. Serum estradiol and progesterone levels were measured before and after treatment in each group. Pinopodes were collected for electron microscopic examination. Levels of ER and PR were detected by western blot. Results: (1) There was no significant difference between the experimental group and the control group in the estrogen level before and after the treatment (all P>0.05). The level of progesterone in the experimental group after treatment [(66.8±14.9) nmol/L] was significantly higher than that before treatment(P<0.05); also significantly higher than the same period of the control group (P<0.05). (2) There was no significant difference in the expression of ER protein in the experimental group before and after treatment (P>0.05). The expression of PR in the experimental group after treatment was significantly lower than that before treatment (P<0.05); also lower than the same period of the control group (P<0.05). (3) Expression amount of pinopodes in the experimental group after treatment was significantly higher than that before treatment [65% (13/20) versus 25% (5/20), P<0.05], and the development trend was more mature [the percentage of maturation:75% (15/20) versus 35% (7/20), P<0.05]. Expression amount of pinopodes after treatment and the percentage of maturation in the experimental group were significantly higher than those in the same period of control group (P<0.05). Conclusion: GnRH-a in luteal phase support may play a role through the corpus luteum, which may promote the secretion of progesterone, downregulation of PR expression, promote the growth of pinopodes, and improve the endometrial receptivity.
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Affiliation(s)
- W Q Zhou
- Reproductive Medicine Center, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
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Zhu CR, Suen MWH, Gilbert S, Singh SS. Prise en charge laparoscopique de l'endométriose diaphragmatique. J Obstet Gynaecol Can 2018; 41:742. [PMID: 30253978 DOI: 10.1016/j.jogc.2018.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Cici R Zhu
- Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON
| | - Michael W H Suen
- Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON
| | - Sebastien Gilbert
- Department of Surgery, Division of Thoracic Surgery, University of Ottawa, Ottawa, ON; The Ottawa Hospital Research Institute, Ottawa, ON
| | - Sukhbir S Singh
- Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON; The Ottawa Hospital Research Institute, Ottawa, ON.
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Shi JH, Xing AJ, Wang YZ, Ji CP, Zhu CR, Wei XM, Wu SL. [Association between the cardiovascular health score and new-onset atrial fibrillation]. Zhonghua Xin Xue Guan Bing Za Zhi 2016; 44:714-20. [PMID: 27545132 DOI: 10.3760/cma.j.issn.0253-3758.2016.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To observe the association between the cardiovascular health score and new-onset atrial fibrillation. METHODS A total of 95 026 participants who participated the health examination between July 2006 and October 2007 at Kailuan group and without history of atrial fibrillation were selected as the observation cohort. The second, the third and the fourth health examination were performed between July 2008 to October 2009, July 2010 to October 2011, July 2012 to October 2013, respectively.A total of 85 028 participants were included in the final analysis after excluding participants who had new-onset valvular atrial fibrillation and participants lost to follow-up. The participants were divided into 4 subgroups by cardiovascular health score at baseline according to the definition of AHA and cardiovascular health scoring system, namely group of 0-6 points (n=11 103), 7-8 points (n=24 487), 9-10 points (n=32 556), and 11-14 points (n=16 882). The incidence of atrial fibrillation in each subgroup was observed, and the association between cardiovascular health score and risk of new-onset atrial fibrillation was analyzed using multiple Cox regression analysis. RESULTS A total of 254 participants developed atrial fibrillation during the median of (5.6±1.4) years follow-up. The total incidence of new-onset atrial fibrillation was 0.53/1 000 person-year. The incidence of atrial fibrillation was 0.69/1 000 person-year, 0.60/1 000 person-year, 0.56/1 000 person-year, and 0.30/1 000 person-year, respectively in 0-6 points, 7-8 points, 9-10 points, and 11-14 points subgroups, respectively(P<0.01). After adjustment of age, gender, education level, income, drink, history of myocardial infarction, history of stroke, serum uric acid and C reactive protein level, multiple Cox regression analysis showed that one health score point increase was related to 8% reduction of new onset atrial fibrillation(HR=0.92, 95%CI 0.86-0.99, P<0.05). Compared with the group of 0-6 points group, the risk of atrial fibrillation in the group of 11-14 points group was reduced by 49% (HR=0.51, 95%CI 0.31-0.83, P<0.01). CONCLUSION The risk of new-onset atrial fibrillation is reduced in proportion to increase of cardiovascular health score. Clinical Trail Registry: Chinese Clinical Trail Registry, ChiCTR-TNRC-11001489.
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Affiliation(s)
- J H Shi
- Department of Cardiology, Kailuan General Hospital, Tangshan 063000, China
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Shi JH, Ji CP, Xing AJ, Zhu CR, Du X, Lin LM, Wei XM, Wu SL. [Impact of combined systolic blood pressure and body mass index on the risk of new-onset atrial fibrillation]. Zhonghua Xin Xue Guan Bing Za Zhi 2016; 44:231-7. [PMID: 26988678 DOI: 10.3760/cma.j.issn.0253-3758.2016.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To observe the impact of combined systolic blood pressure and body mass index (BMI) on the risk of new-onset atrial fibrillation. METHODS The participants who participated the health examination between July 2006 and October 2007 at Kailuan medical group and had no history of atrial fibrillation were selected as the observation cohort.The second, the third and the fourth health examination were conducted between July 2008 and October 2009, July 2010 and October 2011, July 2012 and October 2013, respectively.The participants were stratified by 3 systolic blood pressure levels (≤120, 120-140, ≥140 mmHg (1 mmHg=0.133 kPa))×3 BMI levels (≤24, 24-28, ≥28 kg/m(2)) at baseline.The combined effect of systolic blood pressure and BMI on the risk of new-onset atrial fibrillation was analyzed by multiple Cox regression analysis. RESULTS A total of 99 206 participants were recruited and 88 715 participants were included in the final analysis after excluding participants who had new-onset valvular atrial fibrillation or lost to follow-up.A total of 265 participants developed atrial fibrillation during the 5.6 years follow-up.The incidence of atrial fibrillation increased with the BMI and systolic blood pressure, the incidence of new onset of atrial fibrillation was significantly higher in the group with systolic blood pressure≥140 mmHg and BMI≥28 kg/m(2) than the group with systolic blood pressure≤120 mmHg and BMI≤24 kg/m(2)(1.15/1 000 person-year vs. 0.25/1 000 person-year). Multiple Cox regression analysis showed that participants in the group with systolic blood pressure≥140 mmHg and BMI≥28 kg/m(2) carried 2.08 (95%CI 1.18-3.67) times higher risk for atrial fibrillation than the group with systolic blood pressure≤120 mmHg and BMI≤24 kg/m(2) after adjustment for age, gender and other confounders at baseline. CONCLUSION Participants with systolic blood pressure≥140 mmHg and BMI≥28 kg/m(2) are at high risk for new onset of atrial fibrillation.
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Affiliation(s)
- J H Shi
- Department of Cardiology, Kailuan General Hospital, North China University of Science and Technology, Tangshan 063000, China
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Wang G, Liu BL, Balocchi A, Renucci P, Zhu CR, Amand T, Fontaine C, Marie X. Gate control of the electron spin-diffusion length in semiconductor quantum wells. Nat Commun 2014; 4:2372. [PMID: 24052071 PMCID: PMC3791469 DOI: 10.1038/ncomms3372] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2013] [Accepted: 07/29/2013] [Indexed: 11/10/2022] Open
Abstract
The spin diffusion length is a key parameter to describe the transport properties of spin polarized electrons in solids. Electrical spin injection in semiconductor structures, a major issue in spintronics, critically depends on this spin diffusion length. Gate control of the spin diffusion length could be of great importance for the operation of devices based on the electric field manipulation and transport of electron spin. Here we demonstrate that the spin diffusion length in a GaAs quantum well can be electrically controlled. Through the measurement of the spin diffusion coefficient by spin grating spectroscopy and of the spin relaxation time by time-resolved optical orientation experiments, we show that the diffusion length can be increased by more than 200% with an applied gate voltage of 5 V. These experiments allow at the same time the direct simultaneous measurements of both the Rashba and Dresselhaus spin-orbit splittings.
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Affiliation(s)
- G Wang
- Beijing National Laboratory for Condensed Matter Physics, Institute of Physics, Chinese Academy of Sciences, P.O. Box 603, Beijing 100190, China
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15
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Lagarde D, Bouet L, Marie X, Zhu CR, Liu BL, Amand T, Tan PH, Urbaszek B. Carrier and polarization dynamics in monolayer MoS2. Phys Rev Lett 2014; 112:047401. [PMID: 24580489 DOI: 10.1103/physrevlett.112.047401] [Citation(s) in RCA: 139] [Impact Index Per Article: 13.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2013] [Indexed: 06/03/2023]
Abstract
In monolayer MoS2, optical transitions across the direct band gap are governed by chiral selection rules, allowing optical valley initialization. In time-resolved photoluminescence (PL) experiments, we find that both the polarization and emission dynamics do not change from 4 to 300 K within our time resolution. We measure a high polarization and show that under pulsed excitation the emission polarization significantly decreases with increasing laser power. We find a fast exciton emission decay time on the order of 4 ps. The absence of a clear PL polarization decay within our time resolution suggests that the initially injected polarization dominates the steady-state PL polarization. The observed decrease of the initial polarization with increasing pump photon energy hints at a possible ultrafast intervalley relaxation beyond the experimental ps time resolution. By compensating the temperature-induced change in band gap energy with the excitation laser energy, an emission polarization of 40% is recovered at 300 K, close to the maximum emission polarization for this sample at 4 K.
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Affiliation(s)
- D Lagarde
- Université de Toulouse, INSA-CNRS-UPS, LPCNO, 135 Avenue de Rangueil, 31077 Toulouse, France
| | - L Bouet
- Université de Toulouse, INSA-CNRS-UPS, LPCNO, 135 Avenue de Rangueil, 31077 Toulouse, France
| | - X Marie
- Université de Toulouse, INSA-CNRS-UPS, LPCNO, 135 Avenue de Rangueil, 31077 Toulouse, France
| | - C R Zhu
- Beijing National Laboratory for Condensed Matter Physics, Institute of Physics, Chinese Academy of Sciences, Beijing 100190, People's Republic of China
| | - B L Liu
- Beijing National Laboratory for Condensed Matter Physics, Institute of Physics, Chinese Academy of Sciences, Beijing 100190, People's Republic of China
| | - T Amand
- Université de Toulouse, INSA-CNRS-UPS, LPCNO, 135 Avenue de Rangueil, 31077 Toulouse, France
| | - P H Tan
- State Key Laboratory of Superlattices and Microstructures, Institute of Semiconductors, Chinese Academy of Sciences, Beijing 100083, People's Republic of China
| | - B Urbaszek
- Université de Toulouse, INSA-CNRS-UPS, LPCNO, 135 Avenue de Rangueil, 31077 Toulouse, France
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16
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Liu T, Zhu CR. [A brief history of psychosomatic medicine] (Chi). Zhonghua Yi Shi Za Zhi 2001; 19:61-4. [PMID: 11612482] [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: 02/21/2023]
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Zhu CR, Guan YF, Wu JQ. [Conical column end for wide bore packed capillary liquid chromatographic column]. Se Pu 2000; 18:383-6. [PMID: 12541695] [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: 02/28/2023] Open
Abstract
Wide bore (> or = 0.5 mm i.d.) packed capillary liquid chromatographic columns with conical end were designed and evaluated. It was found that the column efficiency was 30%-50% higher than that of the packed capillary columns with conventional end connection at optimal flow rate, and was twice as much as that at reduced flow rate of 10-15. The chromatographic peak symmetry and the van Deemter curve of the novel shape column were also improved substantially. Fast analysis of PAHs is demonstrated.
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Affiliation(s)
- C R Zhu
- Dalian Institute of Chemical Physics, Chinese Academy of Sciences, Dalian 116012, China
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18
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Zhu CR, Du MJ, Lei DN, Wan LQ. A study on the inhibition of aflatoxin B1 induced hepatocarcinogenesis by the Rhizopus delemar. Mater Med Pol 1989; 21:87-91. [PMID: 2518699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The effect of Rhizopus delemar on the carcinogenicity in rats of Aflatoxin B1 was studied. The Aflatoxin B1 was administered in free drinks to each male wistar rat at 126 micrograms per week such that a total dose of 3.40 mg was given over a period of 27 weeks. The culture abstract of Rhizopus delemar was added simultaneously to a group of these rats by mixing the Aflatoxin B1 solution. Animals were killed separately during 18th, 30th, 38th and 52nd week. Liver cell altered foci and neoplasms were qualified by using light microscopic and electromicroscopic morphology, by the morphometry and by the enzymic reactions. In the group of Aflatoxin B1 the incidence of hepatocellular carcinoma was 71%. In the group receiving Rhizopus delemar together with Aflatoxin B1, the hyperplastic foci and pathological enzymic foci were decreased at all times pointed and atd at termination, and in none of the rats had liver neoplasms appeared. The result of this experiment showed that the Rhizopus delemar has intensive capacity in inhibiting the toxic damage and carcinogenicity of the liver by the Aflatoxin B1, because it is not only able to postpone the appearance of altered foci and to control their development but also to accelerate their withdraw in advance. The Rhizopus delemar can be used as a feasible and efficacious means to control the intoxication of Aflatoxin B1.
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Zhu CR. [Inhibition of aflatoxin B1-induced hepatocarcinogenesis by Rhizopus delemar]. Zhonghua Yi Xue Za Zhi 1988; 68:688-90, 48. [PMID: 3150299] [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: 01/04/2023]
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20
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Wang YZ, Zhu CR, Ying MX. Radiology of Kaschin-Beck's disease and its correlation with pathology. Chin Med J (Engl) 1987; 100:679-84. [PMID: 3129252] [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: 01/04/2023] Open
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Zhao DY, Shi D, Zhu CR. [Anterior decompression and bone graft for the treatment of cervical injuries with spinal cord injury]. Zhonghua Wai Ke Za Zhi 1986; 24:342-3, 382. [PMID: 3545713] [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: 01/06/2023]
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