Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross­sectional study.

BACKGROUND: Hospital operation assistant (HOA) plays an important role in promoting the operation effectiveness and efficiency of hospital. China, as a resource-poor country, urgently needs to train HOA talent. The purpose of this study is to construct and validate a competency model for HOA, which can be used as a tool to select and train HOAs. METHODS: Basic competency items were first constructed through literature review combined with the job analysis of HOA. Then, a questionnaire survey conducted on more than 300 hospital operation management-related staff was used to assess the importance of competency items. Exploratory factor analysis, structural equation model and second-order confirmatory factor analysis were used to construct and validate the competency model of HOA. RESULTS: A total of 23 items were identified as critical to HOA capability, which were further divided into three factors: professional skills, professional knowledge and personality traits. The structural equation model showed that the standardized path coefficients of the three factors were 0.86, 0.82 and 0.98. The competency model passed strict fitting effect tests in several aspects, including root-mean-square error of approximation (RMSEA) = 0.077 (< 0.080), standardized root mean square residual (SRMR) = 0.062 (< 0.080), comparative fit index (CFI) = 0.927 (> 0.900) and Tucker-Lewis index (TLI) = 0.918 (> 0.900), which showed that the fitting validity of the model was ideal. The composite reliability (CR), average variance extracted (AVE) and correlation coefficients of all factors were within the standard range, which showed that the construction validity and discrimination validity of the model were ideal. CONCLUSION: Our study indicates that the competency model of HOA is an instrument with appropriate fit validity, construct validity and discriminant validity, which can provide criteria for selecting and training HOAs.

Magnesium sulfate reduces vascular endothelial cell apoptosis in rats with preeclampsia via the miR-218-5p/HMGB1 pathway.

OBJECTIVE: This study aims to investigate the mechanism by which magnesium sulfate regulates the miR-218-5p/HMGB-pathway-mediated apoptosis of vascular endothelial cells (VECs) in rats with preeclampsia (PE). METHODS: Twenty pregnant rats were randomly divided into four groups: normal, PE, MgSO4, and high-mobility group protein B1 (HMGB1)-agomir groups. On the 14th day of each rat's pregnancy, endotoxin was used to establish a PE model in the PE, MgSO4, and HMGB1-agomir groups. Then, the MgSO4 and HMGB1-agomir groups were treated with magnesium sulfate. Finally, HMGB1 overexpression was performed only in the HMGB1-agomir group. The rats' urinary protein content and systolic blood pressure at 24 h were detected on the 11th, 13th, 15th, 17th, and 19th day of pregnancy. RESULTS: Compared with the PE group, 24-h urinary protein content, blood pressure, VEC apoptosis rate, apoptosis marker levels, and HMGB1 expression decreased while miR-218-5p levels increased in the MgSO4 group. The dual-luciferase assay revealed that HMGB1 can be targeted and regulated by miR-218-5p. Compared with the MgSO4 group, 24-h urinary protein content, blood pressure, VEC apoptosis rate, apoptosis marker levels, and HMGB1 expression increased while miR-218-5p levels decreased in the HMGB1-agomir group. CONCLUSION: MgSO4 reduces VEC apoptosis in PE rats via the miR-218-5p/HMGB1 pathway and thus plays a role in treating PE.

Effects of early preventive dental visits and its associations with dental caries experience: a cross-sectional study.

OBJECTIVES: Limited information is known about preventive dental visits (PDVs) before seven years of age among children in China. This study aimed to examine the early PDV rate, identify the impact of PDV on dental caries and untreated dental caries, and explore the factors related to PDV among Chinese sampled children under seven years old. METHODS: A cross-sectional survey was conducted in five selected primary health care facilities in Chengdu, China, from May to August 2021. Parent-child dyads during regular systematic medical management were recruited to participate. Children's dental caries were identified through dental examinations and documented as decayed, missing and filled teeth index (dmft) by trained primary care physicians. Dental-related information was collected through a questionnaire. Zero-inflated negative binomial (ZINB) regression was used to test the effect of early PDV on the dmft value, and logistic regression was used to analyse impact factors on the early PDV. RESULTS: A total of 2028 out of 2377 parent-child dyads were qualified for analysis. Half of the children (50.4%) were male, with a mean age of 4.8 years. Among all the children, 12.1% had their first dental visit for preventive purposes, 34.4% had their first dental visit for symptomatic purposes, and more than half had never visited a dentist. The results showed that a lower dmft value (adjusted OR: 0.69, 95% CI: 0.48-0.84), a higher rate of caries-free (aOR: 6.5, 95% CI: 3.93-10.58), and a lower rate of untreated dental caries (aOR: 0.40, 95% CI: 0.21-0.76) were associated with early PDV utilization. Children who had a higher rate of PDV were positively associated with living in a family with better parental behaviours (aOR: 2.30, 95% CI: 1.71-3.08), better parental oral health perception (aOR: 1.23, 95% CI: 1.06-1.32), fathers who had no untreated caries (aOR: 0.68, 95% CI: 0.47-0.97), families with higher socioeconomic status (aOR: 1.09, 95% CI: 1.04-1.16), and dental health advice received from well-child care physicians (aOR: 1.47, 95% CI: 1.08-2.00). CONCLUSIONS: Early PDV was associated with a lower rate of dental caries prevalence and untreated dental caries among sampled children younger than seven in Western China. Underutilization and social inequities existed in PDV utilization. Public health strategies should be developed to increase preventive dental visits and eliminate social disparities that prevent dental care utilization.

[Effects of Social Interaction on Self-Rated Health of Older Adults: The Mediating Effect of Psychological Capital].

Objective: To analyze the effect of social interaction on the self-rated health of older adults and the mediating effect played by psychological capital in the process. Methods: The ordered probit regression model was used to analyze the impact of factors concerning social interaction on the self-rated health of the older adults, and the Bootstrap method was used to analyze the mediating effect of psychological capital. Results: After controlling for variables of individual characteristics, active social interaction ( ß=0.094, P<0.01), social contact with relatives ( ß=0.075, P<0.1), and social contact with friends ( ß=0.049, P<0.01) have significant positive effects on the self-rated health of older adults, while social contact with neighbors ( ß=-0.019, P>0.1) did no display significant effect. Psychological capital plays a partial mediating effect on the influence of active social interaction, social contact with relatives, and social contact with friends on the self-rated health of older adults, with the mediating effect of psychological impact accounting for 15.84%, 19.40% and 11.23%, respectively, of the influence. Conclusion: Social interaction promotes the self-rated health of older adults, and psychological capital plays a partial mediating effect in the process. Encouraging older adults to participate in social interaction and giving positive informational feedbacks can help increase the psychological capital of the elderly, thereby improving their health.

Circular RNA circ_0000043 promotes endometrial carcinoma progression by regulating miR-1271-5p/CTNND1 axis.

BACKGROUND: Circular RNAs (circRNAs) are involved in a variety of biological processes, including tumorigenesis. However, the exact role and molecular mechanisms of circ_0000043 in endometrial carcinoma (EC) remain largely unknown. METHODS: Quantitative real-time polymerase chain reaction (qRT-PCR) was carried out to determine the expression levels of circ_0000043, microRNA-1271-5p (miR-1271-5p) and catenin delta 1 (CTNND1). 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay and flow cytometry were used to measure cell proliferation, cell apoptosis and cell cycle distribution, respectively. Cell migration and invasion were assessed by transwell assay. Western blot assay was performed to examine the protein expression of matrix metalloproteinase 2 (MMP2), MMP9 and CTNND1. The interaction between miR-1271-5p and circ_0000043 or CTNND1 was predicted by starBase and confirmed by dual-luciferase reporter assay. The mice xenograft model was established to investigate the role of circ_0000043 in vivo. RESULTS: Circ_0000043 and CTNND1 were highly expressed and miR-1271-5p was lowly expressed in EC tissues and cells. Knockdown of circ_0000043 inhibited the progression of EC by inhibiting cell proliferation, migration, invasion and tumor growth (in vivo) and promoting apoptosis. MiR-1271-5p was a direct target of circ_0000043 and its inhibition reversed the inhibitory effect of circ_0000043 knockdown on the progression of EC cells. In addition, CTNND1 was a downstream target of miR-1271-5p, and miR-1271-5p overexpression inhibited EC cell proliferation, migration and invasion and induced apoptosis by targeting CTNND1. Moreover, circ_0000043 positively regulated CTNND1 expression by sponging miR-1271-5p. CONCLUSION: Circ_0000043 knockdown inhibited the progression of EC by regulating miR-1271-5p/CTNND1 axis, which might provide a promising circRNA-targeted therapy for EC.

Correlation Between Hyperhomocysteinemia and Outcomes of Patients With Acute Myocardial Infarction.

Overwhelming clinical and epidemiological studies have identified elevated plasma total homocysteine (Hcy) as new important risk factor for atherosclerotic vascular disease. But the relationship between outcome and hyperhomocysteinemia in patients with acute myocardial infarction (AMI) has been rarely reported. This study aimed to evaluate the association between hyperhomocysteinemia and short-term outcomes of patients with AMI. Eight hundred five patients were divided into high Hcy level group (group H: N = 457) and low Hcy level group (group L: N = 348) according to the plasma Hcy levels of 15 mmol/L. The comparisons were made between 2 groups in the following aspects: sex, hypertension, diabetes, hyperlipidemia, the time for symptom from onset to percutaneous coronary intervention, homoccyteine, creatine phosphokinase isoenzyme (creatine kinase myocardial band), and the incidence of 30-day adverse events. The incidences of heart failure, cardiac rupture, death, and the total adverse cardiovascular events were statistically significantly higher in group H than in group L. But the incidence of postoperative angina pectoris and reinfarction was similar between groups. The results of logistic regression showed that the incidence of 30-day adverse events was closely related to the age and the level of Hcy. An elevated plasma total Hcy level in patients with AMI experienced pemutaneous coronary intervention may be related to the short-term outcomes. An elevated high plasma Hcy level also seems to be an independent predictor of 30-day cardiovascular events in patients with AMI.

Drug-Induced Acute Liver Injury Within 12 Hours After Fluvastatin Therapy.

Although statins are generally well-tolerated drugs, recent cases of drug-induced liver injury associated with their use have been reported. A 52-year-old Chinese man reported with liver damage, which appeared 12 hours after beginning treatment with fluvastatin. Patient presented with complaints of increasing nausea, anorexia, and upper abdominal pain. His laboratory values showed elevated creatine kinase and transaminases. Testing for autoantibodies was also negative. The liver biochemistries eventually normalized within 3 weeks of stopping the fluvastatin. Therefore, when prescribing statins, the possibility of hepatic damage should be taken into account.

Analysis on determinants of carbon emissions from plaza ground paving during the construction stage based on life cycle assessment.

The carbon emissions of paving projects are the focus of urban managers and researchers. By introducing the life cycle assessment (LCA) method and drawing up the study time and boundary, this study analyzed the carbon emissions activities of the plaza ground paving project and established a computational model of the cast-in-place architectural concrete (CAC) and natural stone pavement's life cycle during the construction stage by comprehensively utilizing the carbon emission coefficient method and the direct source consumption statistics method of the production line. Based on the model, this study employed the ground paving of a top-notch Theme Park Plaza in Beijing as a sample to calculate the carbon emissions of two different types of building materials at various phases of their life cycle and made a comparative evaluation. It is concluded that the carbon emissions (expressed in CO2) produced by the CAC ground in the sample area is 75.46 kg CO2/m2, while that of the natural stone pavement is 110.81 kg CO2/m2. Our results demonstrate significantly linear relationship between the overall emissions of carbon and the material carbon factor. This study adds to the body of knowledge by calculating the carbon emissions and determining the trend of carbon footprint for ground paving. Furthermore, the study's findings can be used to enhance construction management options and choose green materials. The findings can also be used to provide supporting theories for the development of regulations and carbon reduction policies based on constructing energy conservation and greenhouse gas reduction.

Dynamic Electrostatic Interfacial Engineering for Block Copolymer Microparticles with Reversible Structures.

Responsive nanoparticle surfactants (NPSs) can dynamically and reversibly modulate the interfacial interactions between incompatible components, which are essential in the interfacial catalysis, corrosion, and self-assembly of block copolymers (BCPs). However, NPSs with stimuli-responsive behavior often involve tedious chemical synthesis and surface modifications. Herein, we propose a strategy to in situ construct a kind of dynamic and reversible NPSs by the interfacial electrostatic interaction between the negatively charged nanoparticles (NPs) and the positively charged homopolymers. The NPSs assembled at the oil/water interface reduce the interfacial tension and direct the confined assembly of BCP. Meanwhile, the dynamic NPSs can be disassembled by increasing the pH value or introducing competitive electrostatic attractions, which can dynamically and reversibly change the interfacial properties as well as the alignment of polymer chains, enabling BCP microparticles with reversibly switchable lamellar and cylindrical structures. Furthermore, by the introduction of aggregation-induced emission luminogens as tails to the NPSs, the reversible transformation of BCP microparticles can be visualized by fluorescence emission, which is dependent on the nanostructures of microparticles. This work establishes a concept for dynamically manipulating interfacial interactions and reversibly switching BCP microparticles without time-consuming NPS synthesis, showing promising applications in the fabrication of smart materials with switchable structures and properties.

Identifying ecological corridors for the Chinese ecological conservation redline.

Due to the fragmentation of protected areas (PA), it is important to build ecological corridors in order to connect scattered PA and form protection networks for biodiversity conservation. We take the Chinese ecological conservation redline (ECR) as an example to study the construction of ecological corridors. China has defined ECR to improve the system of PA in key ecological functional zones, nature reserves, and areas of sensitive and fragile ecological environment. In this study, 187 core areas of ECR were identified using ArcGIS masking and dissolving technology to build corridors, covering 95% of the total ECR areas. Using the Linkage Mapper tool and the Pinchpoint Mapper, we identified 454 ecological corridors 68,794 km long. The results of the line density analysis showed that there are 9 key regional biological corridors connected to the ECR at the national scale, which must focus on protecting and strengthening ecological construction during the implementation of ecological conservation redline policy. Our study will provide references for developing a regional pattern of ecological security, territorial spatial planning, and will promote the implementation of biodiversity conservation policies.

Caries Risk Assessment and Dental Referral by Paediatric Primary Care Physicians in Sichuan Province, China: A Cross-Sectional Study.

Background: Limited information is known about dental implementation by pediatric primary care physicians (PCPs) at the primary care level in China. This study aimed to explore the current status of primary oral care implementation and related influencing factors. Methods: A cross-sectional survey was conducted among PCPs in Sichuan Province, China. Multivariable logistic regression was used to analyse factors associated with CRA and dental referral for high caries-risk children. Results: A total of 504 out of 524 questionnaires remained for analysis. In all, 93.8% of PCPs reported that they usually or sometimes performed dental screening for children, 31.3% performed CRA, and 49.0% referred high caries-risk children to dentists. More CRA activities were associated with PCPs who encountered a greater number of children with caries during systematic care (adjusted OR: 2.37, 95% CI:[1.08,5.18], had dental knowledge training by pediatric dentists (aOR: 2.26, 95% CI:[1.36, 3.75], and learned pediatric dental knowledge on their own (aOR: 2.87, 95% CI: [1.51, 5.45]). In addition to the above associators, a higher rate of dental referrals for high caries-risk children was associated with having a dental department in the same work institute (aOR: 1.72, 95% CI: [1.09, 2.70] and having more confidence in their dental knowledge (aOR: 1.29, 95% CI: [1.04, 1.61]). Conclusion: Paediatric PCPs commonly implement dental screening but perform fewer CRAs and dental referrals for high caries-risk children during systematic health management in western China. To increase CRA activities and dental referral by paediatric PCPs, health policymakers could encourage interdisciplinary cooperation between dental professionals and paediatric PCPs.

Impact of various vegetation configurations on traffic fine particle pollutants in a street canyon for different wind regimes.

Vegetation establishment in urban areas is a potential solution to combat elevated particulate matter (PM) pollution, create cleaner environment for residents and enhance the sustainability of cities. However, vegetation effect at the points of interest in street-canyon on traffic pollutant from multiple interconnected factors (e.g., plant species, vegetation configurations, aerodynamic effect, deposition effect and complex wind regimes) is still not well studied. Therefore, taking roadside vegetation and street canyon as research objects, we evaluated vegetation effect (VE) for vegetation configurations (VCs) with several tree species on the dispersion, deposition, and distribution of traffic generated PM pollutant under different wind regimes. Results showed that (1) the transportation and distribution of traffic PM pollutant were different from wind regimes; (2) total VEs varied from -88.3% to 25.5%, depending on different VCs and wind regimes; perpendicular wind had the best VEs, while oblique wind had the worst VEs among the three wind directions; VEs of cypress were better than pine and poplar; VEs of one side planting were better than two sides planting. (3) the optimal VCs were found by each wind direction; two sides planting by shrub was suitable for parallel and oblique winds; for the perpendicular wind, the optimal VC was that two sides planting by cypress-shrub and increased canopy volume in the street center; and (4) VE were significantly correlated (P < 0.05) with vegetation parameters at lower wind speed, however, no correlations were found at higher wind speed under parallel wind; leeward wall VEs were significantly correlated with aerodynamic parameter (P < 0.001) while windward wall VEs and pedestrian-level VEs with deposition parameter (P < 0.05) under perpendicular wind; VEs were significantly decreased (P < 0.001) with aerodynamic parameter under oblique wind. The study highlights the impact of urban vegetation on air environment and provides insights for vegetation establishment from the viewpoint of improving air quality.

Role of relaxin in diastasis of the pubic symphysis peripartum.

BACKGROUND: Separation of the pubic symphysis can occur during the peripartum period. Relaxin (RLX) is a hormone primarily secreted by the corpus luteum that can mediate hemodynamic changes during pregnancy as well as loosen the pelvic ligaments. However, it is unknown whether RLX is associated with peripartum pubic symphysis separation and if the association is affected by other factors. AIM: To study the association between RLX and peripartum pubic symphysis separation and evaluate other factors that might affect this association. METHODS: We performed a cross-sectional study of pregnant women between April 2019 and January 2020. Baseline demographic characteristics, including gestational age, weight, neonatal weight, delivery mode and duration of the first and second stages of labor, were recorded. The clinical symptoms were used as a screening index during pregnancy, and the patients with pubic symphysis and inguinal pain were examined by color Doppler ultrasonography to determine whether there was pubic symphysis separation. Serum RLX concentrations were evaluated 1 d after delivery using an enzyme-linked immunosorbent assay, and pubic symphysis separation was diagnosed based on postpartum X-ray examination. We used an independent-sample t test to analyze the association between serum RLX levels and peripartum pubic symphysis separation. Multivariate regression analysis was used to evaluate whether the association between RLX and peripartum pubic symphysis separation was confounded by other factors, and the association between RLX and the severity of pubic symphysis separation was also assessed. We used Pearson correlation analysis to determine the factors related to RLX levels as well as the correlation between the degree of pubic symphysis separation and activities of daily living (ADL) and pain. RESULTS: A total of 54 women were enrolled in the study, with 15 exhibiting (observational group) and 39 not exhibiting (control group) peripartum pubic symphysis separation. There were no statistically significant differences in terms of maternal age, gestational age, pre-pregnancy weight, weight gain during pregnancy, delivery modes, or duration of the first or second stages of labor between the 2 groups. We did, however, note a statistically significant difference in serum RLX concentrations and neonatal weight between the observational and control groups (122.3 ± 0.7 µg/mL vs 170.4 ± 42.3 µg/mL, P < 0.05; 3676.000 ± 521.725 g vs 3379.487 ± 402.420 g, P < 0.05, respectively). Multivariate regression analyses showed that serum RLX level [odds ratio (OR): 1.022) and neonatal weight (OR: 1.002) were associated with pubic symphysis separation peripartum. The degree of separation of the pubic symphysis was negatively correlated with ADL and positively correlated with pain. There was no statistically significant association between serum RLX levels and the severity of pubic symphysis separation after adjusting for confounding factors. CONCLUSION: Serum RLX levels and neonatal weight were associated with the occurrence, but not the severity, of peripartum pubic symphysis separation.

An evaluation model for aboveground biomass based on hyperspectral data from field and TM8 in Khorchin grassland, China.

Biomass is an important indicator for monitoring vegetation degradation and productivity. This study tests the applicability of Hyperspectral Remote-Sensing in situ measurements for high-precision estimation aboveground biomass (AGB) on regional scales of Khorchin grassland in Inner Mongolia, China. In order to improve prediction accuracy of AGB which is frequently used as an indicator of aboveground net primary productivity (ANPP), this paper combined ground measurement with remote sensing inversion to build the spectral model. The ground normalized difference vegetation index (SOC_NDVI) calculated from ground spectral of grassland vegetation which was measured by a portable visible/NIR hyperspectral spectrometer (SOC 710). Meanwhile, the remote normalized difference vegetation index (TM_NDVI) calculated from remote spectral of grassland vegetation which was measured by Thematic Mapper (TM) from Landsat 8 which launched by National Aeronautics and Space Administration (NASA). According to regression analysis for the relationship between AGB and SOC_NDVI, SOC_NDVI and TM_NDVI, the evaluation model for aboveground biomass was developed (AGB = 12.523×e3.370×(0.462×TM_NDVI+0.413), standard error = 24.74 g m-2, R2 = 0.636, p < 0.001). The model accuracy verification results show that the correlation between the measured value and the predicted value of biomass was better with low model standard error. The model could make up for the lack of timeliness and comprehensiveness of conventional ground biomass survey, and provide technical support for high-precision large-area productivity estimation and ecological degradation diagnosis of regional scale grassland.

Assessing the naturalness of a restored coal mine area on the Loess Plateau, China.

The Loess Plateau in China is an important area for mineral resources and therefore heavily exploited. As a measure to solve the conflict between conservation and development, ecological restoration has attracted more and more attention. More methods are needed to assess their effectiveness in achieving ecological and social goals. To adequately assess the effectiveness of natural restoration, the naturalness index (NI) has been developed to evaluate restoration effectiveness based on the Soil nutrient index (SNI), community composition index (CCI), and community succession index (CSI). By developing and applying of the NI to an open-pit mining area on Loess plateau, northwest China, the results show that: (i) In the study area, the cumulative dominance index of perennial grasses, the community function index, soil organic matter, and soil hydrolysable nitrogen greatly explained the community development. (ii) All the indicators values have changed with the increase of revolution time, the value of SNI increase obviously than the CCI and CSI comparing with the control plot, which indicated that the soil nutrient could be completely restored more easily. (iii) According to the Logistic Growth Model between NI and restoration time, it can be deduced that an ecosystem similar to the original ecosystem could be established after about 29 years of natural restoration.

lncRNA 430945 promotes the proliferation and migration of vascular smooth muscle cells via the ROR2/RhoA signaling pathway in atherosclerosis.

The proliferation and migration of vascular smooth muscle cells (VSMCs) are major cellular events in hypertension­induced vascular remodeling, which is closely involved in the progression of atherosclerosis (AS). Although long non­coding RNAs (lncRNAs) are gaining recognition as novel regulators of VSMCs, their functioning and role in AS remain to be elucidated. In the present study, the role of lncRNA ENST00000430945 (lncRNA 430945) in AS was investigated. VSMCs transfected with a small interfering RNA (siRNA; si­430945) and a negative control (si­NC) were used. Cell Counting Kit­8, wound­healing and Transwell migration arrays were performed to determine whether lncRNA 430945 influenced VSMC proliferation and migration. Furthermore, the study examined whether a correlation exists between lncRNA 430945 and the receptor tyrosine kinase­like orphan receptor 2 (ROR2) signaling pathway. It was found that the expression of lncRNA 430945 was high in human AS tissues, which in turn promoted angiotensin II (AngII)­induced VSMC proliferation. Reverse transcription­quantitative polymerase chain reaction (RT­qPCR) and western blot analyses showed that lncRNA 430945 mediated the AngII­induced upregulation of ROR2. In addition, the microarray and RT­qPCR results showed that the expression of lncRNA 430945 was increased considerably in AS tissues. The downregulation of lncRNA 430945 significantly suppressed AngII­induced VSMC proliferation and migration. In addition, ROR2 levels in VSMCs transfected with si­430945 were markedly lower than those cells transfected with si­NC. Additionally, western blotting showed that lncRNA 430945 activated the signaling pathways associated with ROR2 and Ras homolog gene family member A (RhoA). The upregulation of lncRNA 430945 in AS promoted the proliferation and migration of VSMCs via activation of the ROR2/RhoA signaling pathway. Therefore, targeting ROR2 or RhoA may be a promising technique in developing therapeutic strategies for treating AS.

The relationship between inflammatory factor expression and blood pressure and urinary protein in the placenta of gestational hypertension rats.

The association between inflammatory factor expression and blood pressure with urinary protein in the placenta of pregnant women with pregnancy-induced hypertension (PIH) was investigated to provide a new vision for the clinical prevention and treatment of PIH. Rats were used as animal models and were randomly divided into three groups (control, hypertension and treatment groups) on day 15 of pregnancy with 20 rats in each group. The 10% hypoxia-induced PIH group was induced with administration of an anti-hypertensive drug, and the treatment group was giventreprostinil for one week after the 10% hypoxia-induced PIH. On the 21st day, the experiment was terminated and the placenta was taken to measure the mRNA and protein expression levels of IL-6 and TNF-α, respectively. Pearson's correlation analysis demonstrated the correlation between IL-6 and TNF-α with blood pressure and urinary protein. The blood pressure and urinary protein concentrations in the hypertension group were significantly higher than that in the control group, and the expression levels of IL-6 and TNF-α in the hypertension group were significantly higher (P<0.05). The treatment group significantly reduced inflammatory cytokines and blood pressure and urinary protein levels (P<0.05). Pearson's correlation analysis showed that IL-6 and TNF-α were positively correlated with blood pressure and urinary protein concentration. The blood pressure and urinary protein concentration in PIH rats and the expression levels of IL-6 and TNF-α were significantly higher, and IL-6 and TNF-α were positively correlated with blood pressure and urine protein concentration.

[Spatio-temporal change of sand-fixing function and its driving forces in desertification control ecological function area of Hunshandake, China].

Soil erosion is an important ecological and environmental problem in Hunshandake Desert, and the sand-fixing function determines the degree of ecological security in the entire region. In order to clarify the situation of windbreak and sand fixation in Hunshandake area, and to guide the prevention and treatment of desertification on regional scale, based on the meteorological and remote sensing data, this paper quantitatively analyzed the temporal and spatial pattern of windbreak and sand fixation ability between 2000-2010 by the revised wind erosion equation (RWEQ) model, meanwhile, the driving forces for each county ( or banner) in the functional zone were analyzed with the method of principal component analysis. The results showed that there was a fluctuation of the sand fixing capacity in Hunshandake over time, generally rendering a decline trend. The coniferous forest and grassland had strong windbreak and sand fixation capacity in unit area among the various land categories. In terms of spatial distribution, the windbreak and sand fixation function in western and southeastern region was weak and needed to be strengthened with ecological restoration efforts. Through the study of the social driving forces of each administrative region in the function zone, there were 3 main social driving forces of soil erosion in the administrative functions: the intensity of input-output, the level of economic development and the level of agriculture-husbandry development.

Temporal variations in soil moisture for three typical vegetation types in inner Mongolia, northern China.

Drought and shortages of soil water are becoming extremely severe due to global climate change. A better understanding of the relationship between vegetation type and soil-moisture conditions is crucial for conserving soil water in forests and for maintaining a favorable hydrological balance in semiarid areas, such as the Saihanwula National Nature Reserve in Inner Mongolia, China. We investigated the temporal dynamics of soil moisture in this reserve to a depth of 40 cm under three types of vegetation during a period of rainwater recharge. Rainwater from most rainfalls recharged the soil water poorly below 40 cm, and the rainfall threshold for increasing the moisture content of surface soil for the three vegetations was in the order: artificial Larix spp. (AL) > Quercus mongolica (QM) > unused grassland (UG). QM had the highest mean soil moisture content (21.13%) during the monitoring period, followed by UG (16.52%) and AL (14.55%); and the lowest coefficient of variation (CV 9.6-12.5%), followed by UG (CV 10.9-18.7%) and AL (CV 13.9-21.0%). QM soil had a higher nutrient content and higher soil porosities, which were likely responsible for the higher ability of this cover to retain soil water. The relatively smaller QM trees were able to maintain soil moisture better in the study area.

Analysis of factors related to short-term prognosis in patients undergoing percutaneous coronary intervention for acute myocardial infarction.

The present study aimed to investigate the factors related to short-term prognosis in patients undergoing direct percutaneous coronary intervention (PCI) for acute ST-segment elevation myocardial infarction (STEMI). A total of 805 patients were included and divided into a control group and an adverse cardiovascular events group based on the prognosis, to compare risk factors and coronary angiographic characteristics in the two groups. In the adverse events group, the ages, admission blood glucose, uric acid (UA), homocysteine (HCY), creatine kinase (CK) and peak creatine kinase-MB (CKMB) isozyme levels were clearly higher compared with those in the control group, while the levels of total cholesterol (TC), triglycerides (TGs) and low-density lipoprotein (LDL) were lower compared with those in the control group. The incidence of hypertension in females in the adverse events group was markedly higher compared with that in the control group, while the diabetes rate was lower compared with that in the control group. Logistic regression analysis revealed that age, gender, hypertension, diabetes and admission blood glucose, HCY, TC and UA levels were independent risk factors of short-term prognosis in patients undergoing emergency PCI. The majority of the patients in the adverse events group were elderly females with hypertension, a large area of myocardial infarction and increased admission blood glucose, UA and HCY levels, as well as a low diabetes rate and decreased levels of acute-phase TC and LDL.