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简介：BackgoundEssentialhypertension(EH)isapolygenicinheritabledisease,generallyknownasacombinedresultofgeneticandenvironmentalelements.ItispossiblethatIR、AngiotensinⅡ(AngⅡ)andNOplayimportantrolesinthepathogenesisofEH.MethodsSixtynormalsubjectswithafamilyhistoryofEH,aged30to40yearsold,wererecruitedandrandomizedintotwogroups:30withoneparentand30withbothparentswithEH,and30subjectswithoutfamilyhistoryofEHascontrols.TheplasmalevelofNOwasdeterminedbyelectrophotometerwhiletheplasmaleveloffastinsulin(FINS)andAngⅡweredeterminedbyradioimmuno-assay,andinsulinresistanceindex(IRI)wascalculated.Results①TheplasmalevelsofFINS,AngⅡ,NOincreasedsignificantlyinstudygroupscomparedwiththoseinthecontrolgroup(P<0.01),whiletherewerenodifferencesinthelevelsofAngII,NObetweenthetwostudygroups(P>0.05).②TheplasmalevelofAngIIwerepositivelycorrelatedwiththatofNO(r=0.378,P<0.01).ConclusionsThehigherlevelsofIRandplasmaAngIIandNOexistbeforethedevelopmentofEHinnormaloffspringwithafamilyhistoryofEH,andmaybetheyareinitialagentsinthepathogenesisofEH.ItindicatesthatthepeoplewithIRandhighlevelsofplasmaAngⅡandNOwithafamilyhistoryofEHareathigherrisktodevelopEH.

简介：AbstractBackground:Vitamin D deficiency has been reported to be associated with diabetic microvascular complications, but previous studies have only focused on the relationship between vitamin D and specific complications. Therefore, we aimed to explore the relationship between vitamin D level and diabetic microvascular complications in general, including diabetic retinopathy (DR), diabetic nephropathy (DN), and diabetic peripheral neuropathy (DPN).Methods:This was a cross-sectional study of 815 patients with type 2 diabetes mellitus (T2DM). Clinical information and laboratory results were collected from the medical records. The relationship between vitamin D and the three diabetic microvascular complications was investigated.Results:The serum 25-hydroxyvitamin D (25 [OH] D) level of patients with DPN and/or DN was significantly lower than that of T2DM patients without any microvascular complications (P < 0.01). Univariate analysis showed that the 25 (OH) D level was related to DPN and DN, but not DR. After adjustment, the 25 (OH) D level was confirmed to be an independent protective factor for DPN (odds ratio [OR]: 0.968, P = 0.004]) and DN (OR: 0.962, P = 0.006). The prevalence of DPN and DN increased significantly as the serum 25 (OH) D levels decreased. Furthermore, patients with both DPN and DN had the lowest concentration of serum 25 (OH) D (P < 0.001), and the prevalence of macroalbuminuria increased more abruptly than that of microalbuminuria across the 25 (OH) D tertiles. Among the patients with vitamin D insufficiency, those with DPN presented more comorbid macroalbuminuria than those without DPN (15.32% vs. 4.91%; P = 0.001).Conclusions:Vitamin D deficiency is independently associated with higher risk of DPN and DN, but not DR, in T2DM patients. Further, it may be a potential predictor for both the occurrence and severity of DPN and DN.

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简介：ThisstudywasperformedtoassesswhetherthereisanassociationbetweenelevatedFastingBloodGlucose(FBG)andhearingimpairmentinBangladeshipopulation.Atotalof142subjects(72withelevatedFBG;70control)wereincludedinthestudy.Themeanauditorythresholdsofthecontrolsubjectsat1,4,8and12kHzfrequencieswere6.35±0.35,10.07±0.91,27.57±1.82,51.28±3.01dBSPL(decibelsoundpressurelevel),respectivelyandthatofthesubjectswithelevatedFBGwere8.33±0.66,14.37±1.14,38.96±2.23,and71.11±2.96dB,respectively.TheauditorythresholdsofthesubjectswithelevatedFBGweresignificantly(p<0.05)higherthanthecontrolsubjectsatalltheabovefrequencies,althoughhearingimpairmentwasmostevidentlyobservedatanextra-high(12kHz)frequency.Subjectswithalongdurationofdiabetes(>10years)showedsignificantly(p<0.05)higherlevelofauditorythresholdsat8and12kHz,butnotat1and4kHzfrequencies,comparedtosubjectswithshorterdurationofdiabetes(
10years).Inaddition,basedonthedataofoddsratio,moreacuteimpairmentofhearingattheextra-highfrequencywasobservedindiabeticsubjectsofbotholder(>40years)andyounger(
40years)agegroupscomparedtotherespectivecontrols.Thebinarylogisticregressionanalysisshoweda5.79-foldincreaseintheoddsofextra-highfrequencyhearingimpairmentindiabeticsubjectsafteradjustmentforage,genderandBMI.Thisstudyprovidesconclusiveevidencethatauditorythresholdatanextra-highfrequencycouldbeasensitivemarkerforhearingimpairmentindiabeticsubjects.

简介：AbstractBackground:Fourier transform infrared (FTIR) spectroscopy technique has not been used as a diagnostic tool for diabetes in clinical practice. This study was linked to structural changes in hemoglobin (Hb) in type 2 diabetes patients at higher levels of HbA1C using FTIR spectroscopy.Methods:Fifty-three diabetic patients from the Bahawal Victoria Hospital, Bahawalpur, Pakistan were categorized as group A (6% < HbA1C < 7%; n = 25) and group B (HbA1C ≥9%; n = 28). Another group (group N) of twenty blood samples was taken from healthy people from the Islamia University Bahawalpur, Pakistan. Data from all groups were collected from January 1, 2018 to March 31, 2019. The structure of Hb was studied by FTIR spectroscopy and impact of glucose on the fine structure of HbA1C was estimated.Results:Hb secondary structure erythrocyte parameters were altered by changing glucose concentrations. From FTIR spectra of all three groups it was found that Hb structure was slightly altered in group A, but significantly changed in group B (P < 0.05). There was an increase in β-sheet structure and a reduction in α-helix structure at elevated levels of HbA1C (group B) in type 2 diabetes.Conclusion:We suggest that higher level of glycation reflected by increased HbA1C might be a contributing factor to structural changes in Hb in type 2 diabetic patients. FTIR spectroscopy can be a novel technique to find pathogenesis in type 2 diabetes.

简介：煮并且谷物的营养质量是米饭质量的二个最重要的方面。为了在与不同的氮联合在圆锥花序在米饭圆锥花序，胶化一致性(GC)的分布，直链淀粉内容(交流)和谷物的粗蛋白内容(CPC)以内在不同位置在谷物之中煮和营养质量理解差别，铺平(0，120和240kg/ha)被使用二个米饭变化，Yangdao6(indica)和Wuyujing3Qaponica调查)。一般来说，在圆锥花序的基础部分的谷物在圆锥花序的上面或中间的部分比那些有更低的GC和更高的交流。有更早的开花的第二等的分支上的第一谷物展出了最高的GC，而有以后的开花的主要分支上的第二谷物显示出最高的交流。为Yangdao6，在主要分支上的谷物的CPC比在圆锥花序的上面或基础的部分在圆锥花序的中间的部分是更低的。为Wuyujing3，在在在圆锥花序的上面、中间、基础的部分之中的谷物的CPC没有重要差别。而交流从零氮应用被减少，在谷物的GC被增加(在上)到氮的低数量，申请(行)，和结果从行被颠倒到氮申请(胜利)的中等数量。CPC随氮申请的数量的增加被增加。

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简介：ThestrongadaptabilityofBroussonetiapapyrifera(L.)Vent.tolowphosphorus(P)conditionscanbeattributedtothelargeamountofroot-exudedorganicacidsandthehighef?ciencyofPextraction.However,microelementcontentsarein?uencedbylow-Pstress,andtheireffectsonthephotosyntheticcapabilityofB.papyriferaremainunknown.Inthisstudy,weinvestigatedtheeffectsoflow-Ptreatmentonnetphotosyntheticrate(P_N);chlorophylla?uorescence(ChlF)characteristics;andFe,Mn,Cu,andZncontentsofB.papyriferaandMorusalbaL.seedlings.ResultsshowthatB.papyriferaexhibitedbetterphotosyntheticcapabilityundermoderatePde?-ciency(0.125,0.063,and0.031mmol/LPtreatments),whereasthephotosyntheticcapabilityofM.albadecreasedundermoderateandseverePde?ciency(0.016and0mmol/LPtreatments).UndermoderatePde?ciency,thedecreaseinCuandZncontentsinB.papyriferawaslowerthanthatinM.alba.UnderseverePde?ciency,aconsiderabledecreaseofphotosyntheticcapabilityinB.papyriferaandM.albawasassociatedwithlowCuandZncontents.ThePNofthetwoMoraceaespeciesexhibitedabettercorrelationwithCuandZncontentsthanwithFeorMncontent.Pde?ciencycouldnotonlydecreasecyclicphotophorylationandphotosyntheticef?ciency,butcouldalsoaffectthestabilityofthylakoidmembranestructureandelectrontransportef?ciencybyin?uencingthecontentsofCuorZn,therebyaffectingphotosynthesis.

简介：活跃监视是在有低风险的前列腺癌症的人的一种可接受的治疗选择。在现在的学习，我们回顾地考察了为活跃监视适合标准，但是选择了激进的前列腺切除术的509个人的结果。然后，在upstaging的风险上改变前列腺特定的抗原(PSA)层次并且在这些病人升级的影响被估计。在三活跃监视criteria—下面完成了包括标准的病人的病理学的特征；那些公民加利福尼亚圣弗朗西斯科的大学癌症研究所和Urology—的欧洲协会；被检验。被认为的人的比例活跃监视的候选人但是随后upstaged或升级被决定。509个病人，186(36.5%；)，132(25.9%；)并且88(17.3%；)人们分别地完成了活跃监视标准。(格利森分数7-10)升级从32.8%；到38.6%；，当时upstaging(≥；pT3)从10.2%；到12.5%；，取决于三个活跃监视标准。在24个月的中部的后续以后，三个病人开发了生物化学的复发。当改变PSA层次的影响为每个协议在PSA的上下文为趋势分析用测试被检验时，upstaging的率在有PSA<的人是更低的；4 ；ngml−1。然而，没有在升级上改变PSA层次的影响。在结论，通常使用活跃监视协议带升级和upstaging的风险。更可靠、精确的标记被需要更好成层是活跃监视的适当候选人的人的风险。

简介：AbstractObjective:The objective of this study was to investigate the expression levels of microRNA-141-5p(miRNA-141-5p), MAPK1 and neutrophil elastase in patients with and without preeclampsia (PE), and the relationship between miRNA-141-5p and MAPK1 with respect to the secretion of elastase by neutrophils in patients with PE.Methods:Thirty patients with PE and 30 healthy pregnant (HP) women were recruited from The Second Hospital of Shanxi Medical University, Taiyuan, China, between February 2017 and July 2018. Neutrophils were isolated from 8 mL peripheral blood samples and cultured. We recorded neutrophil count and morphology during culture. Apoptosis was detected by flow cytometry in different groups at 0, 24, and 48 h. The expression levels of elastase were detected in neutrophils by enzyme-linked immunosorbent assay, whereas the expression levels of miRNA-141-5p in peripheral blood neutrophils were detected by real-time polymerase chain reaction. We used TargetScanHuman Release 7.2 to analyze the target genes of miRNA-141-5p. The expression of MAPK1 in peripheral blood neutrophils was detected by western blotting. Data were analyzed by SPSS version 21.0 software, and comparisons between groups were carried out with the Student t test.Results:There was no significant difference between the PE and HP groups (P > 0.050) with regard to age or body mass index. The weight of newborns in the PE group (2846.00 ± 600.00 g) was significantly lower than that in the HP group (3055.00 ± 230.68 g). The number of neutrophilic granulocytes(NGs) in blood samples from the PE group was significantly higher than that in the HP group (P = 0.003). There was no significant difference between the groups with regard to morphology. Apoptosis in the PE group was delayed when compared with the HP group at different time points. The P value of apoptosis in the PE and HP groups were respectively 0.790, < 0.001 and 0.030 at 0 h, 24 h and 48 h. The expression levels of miRNA-141-5p in the PE group were significantly lower than those in the HP group (P < 0.050). The expression levels of MAPK1 in neutrophils from the PE group were significantly higher than those in the HP group (P < 0.050) by western blot. The expression levels of elastase in neutrophils from the PE group were significantly higher than those in the HP group (P < 0.050). Furthermore, the number of NGs in peripheral blood from the PE group was higher than that of the HP group; however, the levels of apoptosis were lower. The expression levels of miRNA-141-5p in NGs decreased, the expression of MAPK1 increased, and the secretion of neutrophil elastase in the NG medium increased in the PE group than those in the HP group.Conclusion:Collectively, our analysis suggested that miRNA-141-5p may be involved in the pathogenesis of PE by regulating the MAPK1 signaling pathway to activate neutrophils and increase the secretion of elastase.

简介：客观试验性的证据建议胸的overexpression癌症特定的肿瘤suppressor蛋白质1(BRCA1)基因提高敏感到docetaxel和抵抗到cisplatin和ribonucleotidereductaseM1(RRM1)基因overexpression提高抵抗到gemcitabine。为了进一步检验BRCA1和RRM1mRNA的效果，在先进非小的房间肺癌症(NSCLC)在结果上铺平，我们执行了测试了那设定的治疗将授与的假设的这非使随机化的阶段II临床的审判在noncustomized上的改进结果治疗。

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简介：Objective:Meningiomasareneoplasmsthatarisefromthemeningesofthecentralnervoussystem(CNS).Theyconstituteabout25.6%ofCNStumorsdiagnosedinEgypt.Somemorphologicalvariantsofmeningiomasdisplayaggressivebehavior,leadingtobrain-invasivegrowthpattern.Althoughmeningiomasareusuallytreatedbycompletesurgicalexcision,theriskofpostoperativerecurrenceremains.Hence,additionalbiomarkersforpredictingaggressivebehaviormustbediscovered.Thisstudyaimstoexploretheclinicalandbiologicalrelevanceoftheproteinexpressionlevelsofβ-cateninandgalectine-3inmeningiomaandtounderstandthepathobiologyofthisneoplasm.Methods:Thisretrospectivestudywascarriedouton153casesofmeningiomabyusingtissuemicroarraysandimmunohistochemistryforβ-cateninandgalectine-3.Results:Highβ-cateninexpressionwassignificantlyassociatedwithtransitionalandmeningiotheliomatousmeningiomas,lowtumorgrade,lowrecurrencerate,andlowincidenceofbraininvasion.Meanwhile,highgalectin-3expressionwasassociatedwithbraininvasion,recurrence,hightumorgrade,andtumortype.Logisticregressionanalysisindicatedthatamongallvariablesincludedinthemodel,β-cateninandgalactin-3expressionlevelsweresignificantpredictorsoftumorrecurrence(P<0.001).Conclusions:Galectin-3andβ-cateninareinvolvedinmeningiomarecurrencebutnotinbraininvasion.Thesemoleculescouldbeimportantpotentialtherapeutictargetsandpredictorsformeningiomas.

简介：AsoilpotcultureexperimentwithfoursuppliedPlevels(i.e.P30,P50,P100,P200,representingsupplementalP30,50,100,200mg/kg,respectively)wasconductedtoinvestigateuptakeanduseabilitytoPandZninthericegenotypeswithdifferentP-efficiency,ofwhichricegenotypes508,99011,580,99112werelow-Ptolerantand99056,99012werelow-Psensitive.Low-Ptolerantrice580and99011absorbedmorePthantheothers,andricegenotype580hadstrongeruptakeabilityespeciallyatlow-PlevelsuchasP50andP30.508couldabsorbconsiderableP,andhadthelowestPpercentageofshoot,indicatingithadgoodperformanceinP-useefficiency.ThesethreericegenotypeshadlargerbiomassandlessresponsetochangedPlevelthanricegenotype99112,99056and99012.Ricegenotype99112showedLow-Ptolerancemainlybysacrificingbiomasstomaintainhighrelativegrainyield.TheleastamountofPabsorbedby99056showedithadthelowestPuptakeefficiency,andthehighestPpercentageinshootof99012meantithadthelowestPuseefficiency.Sotheytwoshowedlow-Psensitivity.ZncontentsinshootunderP200,P100andP50weresimilar,butP30increasedZncontentinshootsignificantly.TheZncontentsinshootof99112,99056and99012werehigherthanthoseof508,99011and580,especiallyattilleringstageandbootingstage.AsfortotalZncontentinshoot,Low-Ptolerantricegenotype580hadthelargestamountandfollowedby99011and508,low-Ptolerantricegenotype99012hadthesmallestamountatthethreesamplingstageandfollowedby99056.Furthermore,P/Zninshootof99012wasthehighest,andthatof99056wasthesmallestatthesamePlevel.

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简介：AbstractImportance:Pediatric palliative care (PPC) is an interdisciplinary collaboration that focuses on the prevention and relief of patient suffering. PPC has emerged as a critical field of medical expertise and practice. However, no information is available regarding the progress of PPC in the Chinese mainland.Objective:This study investigated the geographic distribution, team structure, and services of PPC teams in the Chinese mainland. It also investigated the level of understanding and implementation among pediatric oncologists regarding PPC.Methods:The PPC subspecialty group of the Pediatrics Society of the Chinese Medical Association included 45 PPC teams. The team structure and services were investigated using questionnaires mailed to the team leader of each PPC team. In addition, we sent questionnaires regarding the level of PPC understanding and implementation of PPC practices to 170 pediatric oncologists in 11 hospitals.Results:The geographical distribution of PPC teams is uneven in China. Most PPC teams are concentrated in the eastern provincial capital of China. Most PPC teams had limited staff and services. The level of PPC understanding was considerably limited across all demographics; most pediatric oncologists reported "some understanding" (n =71, 41.8%) or "poor understanding" (n = 50, 29.4%). Only 62.9% of pediatric oncologists had experience providing advice to family members regarding PPC matters.Interpretation:China is currently experiencing a critical shortage of PPC resources. Most pediatric oncologists had a limited understanding of PPC and reported limited practical implementation of PPC, which leads to underutilization of PPC resources.

简介：AbstractBackground:Our aim was to evaluate the sensitivity and specificity of the automated computer-based Alberta Stroke Program Early CT Score (e-ASPECTS) for acute stroke patients and compare the result with physicians at different levels.Methods:In our center, e-ASPECTS and 9 physicians at different levels retrospectively and blindly assessed baseline computed tomography (CT) images of 55 patients. Sensitivity, specificity, receiver-operating characteristic curves, Bland-Altman plots with mean score error, and Matthews correlation coefficients were calculated. Comparisons were made between the scores by physicians and e-ASPECTS with diffusion-weighted imaging (DWI) being the ground truth. Two methods for clustered data were used to estimate sensitivity and specificity in the region-based analysis.Results:In total, 1100 (55 patients × 20 regions per patient) ASPECTS regions were scored. In the region-based analysis, sensitivity of e-ASPECTS was better than junior doctors and residents (0.576 vs 0.165 and 0.111, p < 0.05) but inferior to senior doctors (0.576 vs 0.617). Specificity was lower than junior doctors and residents (0.883 vs 0.971 and 0.914) but higher than senior doctors (0.883 vs 0.809, p < 0.05). E-ASPECTS had the best Matthews correlation coefficient of 0.529, compared to senior doctors, junior doctors, and residents (0.463, 0.251, and 0.087, respectively).Conclusions:e-ASPECTS showed a similar performance to that of senior physicians in the assessment of brain CT of acute ischemic stroke patients with the Alberta Stroke Program Early CT score method.