Association of serum high-density lipoprotein cholesterol with microalbuminuria in type 2 diabetes patients.

BACKGROUND: The association of serum high-density lipoprotein cholesterol (HDL-C) with microalbuminuria in type 2 diabetes mellitus (T2DM) remains controversial. Therefore, a cross-sectional study was conducted on patients with T2DM to investigate the relationship of HDL-C with microalbuminuria. METHODS: A total of 524 participants with T2DM were recruited in this cross-sectional study. The patients were divided into four groups according to serum HDL-C quartile. A nonparametric test was employed to assess the relationships across quartiles with clinical parameters and demographics. Multivariate logistic regression analysis was further performed. RESULTS: Of the 524 patients, 138 (26.3%) were found to have microalbuminuria by urinary albumin excretion rate determination. Serum HDL-C levels in microalbuminuria group were significantly lower than those in non-microalbuminuria group (1.04 (0.90-1.21) vs. 1.10 (0.94-1.31) mmol/L, P = 0.002). The nonparametric test for trend showed that the prevalence of microalbuminuria was significantly reduced for subjects of the fourth quartile of HDL-C compared to the first to third quartile (13.5% vs. 33.1%, 28.6%, 29.4%, P = 0.001). Multivariate logistic regression showed that subjects within the highest quartile of HDL-C had lower odds of microalbuminuria than those within the lowest quartile of HDL-C (OR = 0.17, 95% CI 0.15-0.52, P = 0.004). CONCLUSIONS: Higher levels of serum HDL-C were associated with decreased rates of microalbuminuria in T2DM patients.

A Trauma Doctor's Practice in Nineteenth-century China: The Medical Cases of Hu Tingguang.

This paper analyses the medical activities of Hu Tingguang, an early nineteenth-century Chinese healer who specialized in treating traumatic injuries. Hu aimed to improve the state of medical knowledge about injuries by writing a comprehensive treatise titled Compilation of Teachings on Traumatology, completed in 1815. This work notably included a set of medical cases describing the experiences of Hu and his father, which Hu used to teach readers how to employ and adapt different therapies: bone setting, petty surgery, and drugs. By examining how Hu dealt with different forms of damage to the body's material form, this paper shows how manual therapies could be a focus of medical creativity and innovation. It also contributes to a growing corpus of scholarship exploring the way that awareness of and concern with the structure of the body historically shaped Chinese medical thought and practice.

The Menstruating Womb: A Cross-Cultural Analysis of Body and Gender in Ho Chun's Precious Mirror of Eastern Medicine (1613).

This paper analyses body and gender in East Asian medicine through a case study of Ho Chun's Precious Mirror of Eastern Medicine (Tongui pogam , first ed. 1613). While Ho Chun's Chinese sources classified menstrual ailments as a disease of women, Ho created a new nosological model that defined menstrual ailments as maladies of the 'womb', an internal body part found in men and women alike. I read back and forth between the Precious Mirror and the Chinese sources that Ho Chun cites to analyse the textual and intellectual processes by which he constructed his androgynous, menstruating womb. My findings engage with scholarship on the history of East Asian medical exchanges as well as with scholarship on menstruation, sex, and gender in world medicine.

Between the Living and the Dead: Trauma Medicine and Forensic Medicine in the Mid-Qing.

This paper analyzes the influence of forensic medicine on therapeutic medicine through a case study of Qian Xiuchang and Hu Tingguang, two Chinese doctors who specialized in treating traumatic injuries. During the early nineteenth century, both men compiled medical treatises that sought to improve on a scholarly model of "rectifying bones" articulated in 1742 by the Imperially-Compiled Golden Mirror of the Medical Lineage. Both texts also incorporated information from forensic medicine, including official inquest diagrams and checklists promulgated by the Qing government. I show that they drew on these forensic materials to help address two interlinked medical issues: understanding the effects of injury on different parts of the body, and clarifying the location and form of the body's bones. Overall, I suggest that the exchange of ideas between the realm of therapeutic medicine and forensic medicine was an important epistemological strategy that doctors and officials alike employed to improve their knowledge of the material body.

Body, gender, and disease: the female breast in late imperial Chinese medicine.

This paper examines the diverse ways in which Chinese medical experts historically gendered breast disease as a female ailment. By comparing representations of the female breast from the "Imperially-Compiled Golden Mirror of Medical Learning (Yuzuan yizong jinjian, 1742)" to those from earlier and contemporary texts, this paper analyzes how breast disease was alternately categorized as an ailment of childbearing and as a disease rooted in pathological female emotion. Medical awareness of breast disease in men did somewhat challenge these connections between womanhood and disease. Nevertheless, medical illustrations of women helped to reinforce the idea that breast disease was a characteristically female problem.