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Viral hepatitis is an important cause of liver cirrhosis and liver cancer， which has become a major public health problem in the world. Traditional Chinese medicine has unique advantages in treating viral hepatitis， which can inhibit virus replication and enhance immunity. It can effectively prevent liver fibrosis and canceration， improving liver function and symptoms significantly with definite clinical curative effects， a high level of safety， and seldom drug resistance. In addition， it reduces the side effects of western medicine， achieving the effect of synergy and attenuation while reducing the recurrence rate of patients after drug withdrawal. Attention has been paid to the research on the treatment of viral hepatitis with traditional Chinese medicine， and great progress has been made in experimental research and clinical practice. In this paper， the research progress of traditional Chinese medicine in the treatment of viral hepatitis at home and abroad in recent five years was systematically reviewed. Modern research has confirmed that traditional Chinese medicine can play a role in the treatment of viral hepatitis by directly or indirectly inhibiting the virus， anti-inflammatory， anti-fibrosis， anti-oxidation， regulating immunity， regulating autophagy， and other signal pathways. In clinics， traditional Chinese medicine compound or combined with western medicine is often adopted to ameliorate the clinical symptoms of patients such as fatigue and loss of appetite， improve the immune mechanism of the body， enhance the antiviral ability， shorten the treatment course of patients and improve their quality of life. The research provides a reference for pharmacological research， clinical research， and new drug development for viral hepatitis.
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Objective:To study the effect of iodine excess on antioxidant capacity and blood lipid in adult.Methods:A survey was conducted in areas with different iodine nutrition levels in Shandong and Shanxi provinces to collect fasting morning urine and venous blood samples of adults. Urinary iodine, serum levels of superoxide dismutase(SOD), malondialdehyde (MDA), total cholesterol (TCHO), triglyceride (TG), apolipoprotein A1 (apoA1) and apolipoprotein B (apoB), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) were determined. According to the median urinary iodine of the population in the investigated village, they were divided into appropriate iodine group (100-299 μg/L) and iodine excess group (≥300 μg/L) . Multiple linear regression was used to analyze the effects of iodine nutrition and other factors on oxidative stress indexes and blood lipids. Partial correlation analysis was used to analyze the relationship between iodine nutrition and oxidative stress indexes and blood lipids.Results:A total of 1 049 subjects were included, including 471 in the appropriate iodine group and 578 in the iodine excess group. The median (quartile) urinary iodine of the appropriate iodine group and the iodine excess group was 228.70 (157.02, 341.49) and 558.73 (298.06, 985.06) μg/L, respectively. The serum SOD level of the appropriate iodine group and the iodine excess group was 12.60 (10.83, 14.10) and 11.29 (9.18, 13.10) U/ml, respectively, and the difference between the groups was statistically significant ( U = 92 697.50, P < 0.001). There were statistically significant differences in serum TG, HDL-C and apoB levels between the appropriate iodine group and the iodine excess group ( U = 108 879.50, 96 613.50, 99 050.50, P < 0.05). The results of multiple linear regression showed that after excluding age, gender and body mass index (BMI), there was a negative correlation between iodine nutrition and serum SOD and HDL-C levels [standard regression coefficient ( β) = - 0.196, - 0.294, P < 0.001]. Partial correlation analysis showed that there was a negative correlation between iodine nutrition and serum SOD and HDL-C levels [correlation coefficient ( r) = - 0.16, - 0.09, P < 0.05]. Conclusion:Excessive iodine intake affects oxidative stress and lipid metabolism in human body.
الملخص
Objective:To systematically evaluate the relationship between growth and thyroid volume (Tvol).Methods:Chinese and English papers were searched in CNKI, Wanfang Data, VIP Database, PubMed, EMbase, Springerlink, Medline database, articles on the correlation between Tvol and growth in children published from the establishment of these databases to October 2021 were collected. Meta-analysis was conducted with R language 4.0. I2 and Q test were used for heterogeneity test. According to the heterogeneity test results, the fixed effect model or random effect model was selected, and sensitivity analysis was conducted. Egger's method was used to test publication bias. Results:A total of 17 papers were incorporated in this study, including 11 Chinese papers and 6 English papers. The correlation between body surface area (BSA) and Tvol was the strongest[estimated effect value ( COR) = 0.44, 95% confidence interval ( CI): 0.39 - 0.50], followed by weight ( COR = 0.39), height ( COR = 0.37) and age ( COR = 0.29). Sensitivity analysis showed that the estimated effects COR were all within 95% CI of the total effects after deleting any paper, which indicated that the results of Meta-analysis were reliable. Egger's method result showed P > 0.05, indicating that there was no obvious publication bias in this study. Conclusion:Age, height, weight and BSA all have effects on Tvol, among which BSA has the greatest effect.
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The controversy over the ultrasonic testing of thyroid volume (TVOL) in children exists in some aspects, mainly focusing on the measurement errors caused by different testing personnel, instruments and techniques. Moreover, with the development of children growth higher than before, the influence of physiological factors on TVOL and relevant correction methods should be paid attention. This paper reviews domestic and foreign literatures. Firstly, through describing the TVOL reference values of international recommended, foreign country and China, we clarify the differences between them, and analyze the current situation and characteristics of each. Secondly, by studying the ultrasonic testing methods and physiological factors which affect TVOL, this paper analyzes the importance of various factors, discusses the availability of several measurement methods and compares several TVOL correction methods. Some suggestions are put forward for further improving the reference value of TVOL of children in China.
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Objective To observe prolactin (PRL) and estradiol (E2) levels in lactating women in different iodine nutrition areas.Methods According to the recent national water-borne high iodine area survey and the monitoring results of iodine deficiency disorders,the following places were selected,including Nankang,Xinggang and Yingpan towns of Beihai City,Guangxi (water iodine ≤ 10 μg/L,low iodine areas),Yangcheng Township and Jiajiazhuang Township of Fenyang City,Shanxi (water iodine 50-100 μg/L,adaptive iodine areas),Pingyao County and Jicun Town of Fenyang City,Shanxi (water iodine ≥300 μg/L,high iodine areas),and urinary and blood samples were collected in lactating women (n =100,97,123) from the three regions.The urinary iodine concentration was tested by arsenic cerium catalytic spectrophotometry.Serum levels of PRL and E2 were determined by chemiluminescence immunoassay.Results The urinary iodine medians of lactating women were 51.42,283.62,842.31 μg/L,respectively,in the three regions,the difference between the regions was statistically significant (x2 =241.09,P ＜ 0.05);the iodine levels of lactating women in low iodine areas,adaptive iodine areas and high iodine areas were in the state of iodine deficiency (＜ 100 μg/L),sufficient or adequate (200-299 μg/L) and iodine excess status (≥ 300 μg/L),respectively.Serum PRL and E2 levels of lactating women in the three types of areas were 38.81,20.98,16.41 μg/L and 29.57,43.70,45.51 ng/L,respectively.The differences between the regions were statistically significant (x2 =41.54,24.03,P ＜ 0.05).Conclusion With the increase of iodine nutrition level,PRL in lactating women has presented a gradually decreasing trend,E2 is increased.
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Objective To understand the effects of different water iodine level on iodine nutrition and thyroid function in pregnant women,and provide a reference for prevention and treatment of iodine deficiency disorders in the future.Methods According to the background material of water iodine in provinces given non-iodized salt,the administrative villages with water iodine content ＜ 10,10-49,50-99,100-299 and ≥ 300 μg/L were selected as survey sites in Shandong,Shanxi,Hebei,Henan,Jiangsu and Anhui provinces.Urine,blood,drinking water and salt samples were collected from pregnant women at the site of investigation,and urinary iodine,serum iodine,thyroid function and antibody index,water iodine,and salt iodine were measured;thyroid volume was also examined.Results A total of 575 pregnant women were investigated.The medians urinary iodine of pregnant women with water iodine ＜ 10,10-49,50-99,100-299 and ≥300 μg/L groups were 175.55,180.90,139.70,330.15 and 817.70 μg/L,respectively,and the differences were statistically significant in different water iodine groups (H =152.593,P ＜ 0.01).The levels of serum iodine and free thyroxine (FT4) were significantly different among pregnant women in different water iodine groups (H =82.843,F =3.070,P ＜ 0.01 or ＜ 0.05).However,there was no significant difference in serum thyroid stimulating hormone (TSH) levels (H =1.774,P ＞ 0.05).And with the increase of water iodine levels,the abnormal rate of TSH showed the phenomenon of middle low and both ends high ("U" type,x2 =16.729,P ＜ 0.01).There were no significant differences in the positive rates of serum thyroid peroxidase antibody (TPOAb),thyroglobulin antibody (TgAb),any antibody and double antibodies in pregnant women among different water iodine groups (P ＞ 0.05).And there was a statistically significant difference in the detection rate of subclinical hypothyroidism (x2 =11.869,P ＜ 0.05).The rates of goiter in pregnant women among different water iodine groups were less than 5％.The difference in detection rates of thyroid nodules was statistically significant (x2 =13.591,P ＜ 0.05),and the rate was the highest in water iodine ≥300 μg/L group (21.33％,16/75).Conclusions In water iodine ≥300 μg/L group,urinary iodine level of pregnant women is in the level of iodine excess,and serum iodine level,FT4 level,thyroid nodules detection rate are higher.The abnormal rate of serum TSH and the detection rate of hypothyroidism show a "U" curve that increases at iodine deficiency and iodine excess.
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Deep brain stimulation (DBS) is the main treatment methods of Parkinson's disease (PD), and subthalamic nucleus (STN) is a commonly used surgical target. Accurate localization of electrodes in STN using imaging technology is an important factor for successful surgery. This paper summarizes the advantages and disadvantages of different MR imaging sequences in STN development as follows.
الملخص
Objective To assess iodine nutrition and thyroid function in children and pregnant women before and after iodized salt concentration decline,and investigate the appropriate concentration of iodized salt.Methods Cluster sampling was carried out,study areas in Shandong and Gansu provinces were selected according to the coverage rate of iodized salt which was more than 95％ and the levels of iodine and fluoride in drinking water which were less than or equal to 10 μg/L and 1 mg/L,respectively in 2012 and 2014.Before (2012) and after (2014) iodized salt concentration decline:children and pregnant women were selected;salt,drinking water and urinary samples were collected;the iodine content of salt,the iodine and fluoride content of drinking water,and urinary iodine were tested.B ultrasound was used to examine the thyroid volume and the total goiter rate (TGR) was calculated in children.The blood sample was collected to test thyrotropin (TSH) and thyroglobulin (Tg) in the 2 groups of subjects.Results Before iodized salt concentration decline,the children median urinary iodine (MUI) concentrations of Shandong and Gansu provinces were 291.4 and 321.9 μg/L,which at the over appropriate and overdose levels,respectively.MUI of Shandong and Gansu provinces were 220.5 and 274.7 μg/L in pregnant women,which were at adequate and over appropriate levels.After iodized salt concentration decline,MUI of Shandong and Gansu provinces were 199.8 and 178.2 μg/L in children,and were 178.6 and 159.2 μg/L in pregnant women,which were all at adequate levels.Children's TGR declined from 7.95％ (7/88) to 5.88％ (7/119) in Shandong Province,children's TGR rose to 5.77％ (6/104) from 2.06％ (2/97) in Gansu Province,there was no statistical differences (x2 =0.34,1.81,P ＞ 0.05).Before and after iodized salt concentration decline,there were no differences statistically in TSH levels of children and pregnant women in Shandong and Gansu provinces (Z =-1.08,-0.83,-1.30,-0.80,P ＞ 0.05).Mter iodized salt concentration decline,the Tg levels were significantly lower than that before intervention in children and pregnant women in Shandong Province (Z =-10.78,-7.04,P ＜0.01);the Tg level was increased than that before intervention in pregnant women group in Gansu Province (Z =-2.78,P ＜ 0.01).Conclusion After iodized salt concentration declined,iodine nutrition and thyroid function status of Shandong Province are reasonable,but the indicators of Gansu Province have a trend of iodine deficiency,monitoring needs to be strengthened,and iodized salt content needs to be adjusted in time.
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Objective To study the current prevention and control status of iodine deficiency disorders (IDD) and learn the current situation of iodized salt consumption at household level in non-high iodine areas in 2015,this surveillance was conducted.Methods In 2015,according to National Surveillance Program on Iodine Deficiency Disorders,the surveillance was conducted at county level in 31 provinces,municipalities,autonomous regions (provinces) and Xinjiang Production and Construction corps (Xinjiang Corps).In each county city,district,banner (county),5 townships were randomly selected according to their sub-area positions of east,west,south,north and center;4 villages were randomly sampled in each chosen township;15 households were randomly selected in each chosen village.Edible salt sample was collected from each household.The iodine level in salt was determined by direct titration;the salt samples from Sichuan and other enhanced salt samples were detected by arbitration.Results There were totally 2 840 counties that reported the surveillance data.In total,849 193 salt samples were examined,including 845 906 salts determined by direct titration and 3 287 samples determined only by semi-quantitative detection.Weighted by population,the national coverage rate of iodized salt was 98.37％.At provincial level,the coverage rate of iodized salt was higher than 95％ except Tianjin,Shanghai and Shandong.At county level,2 669 counties had a coverage rate of iodized salt higher than or equal to 95％,171 counties were lower than 95％,and 31 counties were less than 80％.The national consumption rate of qualified iodized salt was 94.57％ (except 11 counties in Tibet).At provincial level,the consumption rate of qualified iodized salt was higher than 90％ except Shanghai (66.84％),Tianjin (79.14％),Tibet (82.09％) and Qinghai (89.22％).At county level,totally 2 633 counties had a rate of qualified iodized salt higher than 90％,and 196 counties were lower than 90％.The mean of iodine content in iodized salt was (25.37 ± 4.57) mg/kg.At provincial level,the means of iodine content in iodized salt were in the range of 23.51-28.95 mg/kg and the variable coefficient (CV) was in the range of 12.17％-27.37％,the CV was higher than 15％ in 24 provinces and Xinjiang Corps.Conclusions The coverage rate of iodized salt and the qualified iodized salt at national level are in a good condition.However,the problem of non-iodized salt is still serious in some provinces.
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Objective:To monitor iodized salt consumption and evaluate iodine deficiency status in 2014 in China.Materials and Methods:In 2014,a nationwide cross-sectional survey was conducted in 31 provinces (in this study,provinces,autonomous regions and municipalities in Mainland China were named as provinces).Probability proportional to size sampling method was adopted to recruit children ages 8-10 and pregnant women.47,467 children's and 18,994 pregnant women's urine samples were collected and 47,706 children's thyroid volumes were examined.Iodine content in salt was determined with 46,900 edible salt samples from children's households;urinary iodine concentration (UIC) was tested from children and pregnant women's urine samples;thyroid volume of children was assessed by ultrasound.Results:The national coverage rate of iodized salt and consumption rate of qualified iodized salt were 96.3％ and 91.5％,respectively.Median iodine content in iodized salt was 25.2 mg/kg.In 22 of 31 provinces,the provincial coverage rates of iodized salt were over 95％.And consumption rates of qualified iodized salt were more than 90％ in 21 provinces.In this study,the national median urinary iodine concentration (MUIC) of children in China was 197.9 μg/L.At the provincial level,MUIC of children in 19 provinces was 100-199 μg/L,which in 12 provinces was 200-299 μg/L.The national MUIC of pregnant women in 2014 was 154.6 μg/L,slightly higher than the lower limit of the WHO criteria for adequate (150-249 μg/L).At the provincial level,MUIC of pregnant women in 18 provinces was 100-149 μg/L,which in 13 provinces was 150-249 μg/L.The national prevalence of goiter among children in 2014 was 2.6％,of which only Shandong province (5.6％) exceeded the national standard (5％).Conclusions:In China,iodine deficiency disorders (IDD) has been eliminated since 2005.And in 2014,the IDD-free status still remained.
الملخص
Objective To investigate the population nutritional status of iodine in areas at high risk of iodine deficiency disorders (IDD) in our country and provide scientific basis for development control strategy to IDD.Methods According to the national IDD surveillance protocol which was revised in 2012,township (town,street office) as a unit,seven provinces including Zhejiang,Fujian,Guangdong,Guangxi,Henan,Qinghai and Xinjiang,32 monitoring counties in high-risk areas were chosen into the survey by simple random sampling.New cretinism cases were searched,the thyroid volume was examined in children,the urinary iodine in children and pregnant woman,and the family salt iodine level was tested.Results The survey found no suspected cases and no confirmed endemic cretinism cases.The goiter rate was 1.8％ (141/7 968)and the median of urinary iodine was 163.0 μg/L in children in the 7 project provinces.In addition to the median urinary iodine of 305.1 μg/L in Henan children,the median urinary iodine in other provinces was in the 100-199 μ.g/L.The median of urinary iodine in pregnant women was 120.8 μg/L,in addition to the median urinary iodine of 234.9 μg/L in pregnant women in Henan,the median urinary iodine of pregnant women in other provinces was less than 150 μg/L.The coverage rate of iodized salt in the 7 project provinces was 80.3％ (1 577/1 963),the coverage rate of iodized salt was less than 80％ in Guangxi,Qinghai,Fujian and Zhejiang.The 176 villages in the 6 project provinces were surveyed iodized salt bought through network,except Qinghai.Sale of iodized salt from salt retail accounted for 96.3％ (737/765).Survey of the 7 provinces of 2 024 women,pregnant women found that purchased salt accounted for 87.3％(1 766/2 024).Purchased and replaced salts was accounted for 3.6％ (72/2 024) and 9.2％ (186/2 024),respectively.The survey did not found a children who had taken iodine oil,only 47.5％(487/1 026) of pregnant women in Xinjiang had taken iodine oil.Conclusions The iodine nutrition level is appropriate in children in the areas at high risk of IDD,but the iodine nutrition level in pregnant women is low.Some areas should improve the coverage rate of iodized salt and iodized salt concentration,take health education at the right moment,promote iodized salt for pregnant women,and prevent new cretinism cases.
الملخص
Objective To observe the high iodine induced thyroid goiter condition,iodine nutritional status and coverage rate of non-iodized salt in high water iodine areas.Methods The household non-iodized salt was monitored in counties (cities,regions) of high water iodine areas and high iodine diseased areas in Tianjin,Hebei,Shanxi,Jiangsu,Anhui,Shandong,Henan and Shaanxi provinces.Among the monitoring sites,where the water iodine were 150-300 μg/L or higher than 300 μg/L,50％ of the them were selected to investigate the water iodine,children urinary iodine and thyroid volume of children in high iodine counties.Results Household edible salt was monitored in 110 counties of 8 provinces,with a total of 25 597 salt samples.The number of non-iodized salt was 24 640,and the coverage rate of non-iodized salt was 96.3％.After being weighted based on the population of counties,the coverage rate of non-iodized salt was 96.9％.In all,73 survey areas include 183 663 people,64 monitoring sites (87.7％) where the water iodine level were higher or equal to 150 μg/L and the median of water iodine was 250.8 μg/L.Totally 5 991 children aged 6-12 were measured thyroid volume,the total goiter rate was 6.2％,the children thyroid goiter rate was higher than 5％ in Hebei,Shanxi,Henan,Tianjin and Shandong provinces.Totally 4 618 children were detected urinary iodine,the median urinary iodine concentration was 373.0 μg/L,and the children median urinary iodine concentration was exceeded 300 μg/L in Tianjin,Hebei,Shanxi,Jiangsu and Shandong provinces.The children urinary iodine concentration and goiter rate increased gradually with increasing of water iodine content.Conclusions The non-iodized salt coverage rate is high in high water iodine areas,most monitored areas have changed drinking water sources,but the median water iodine concentration is still higher than 150 μg/L.Children median urinary iodine concentration is higher than 300 μg/L,iodine is in a excessive status.The children total goiter rate is higher than 5％.Some countermeasures are proposed to search low iodine water,change water sources,do health education,and add other surveillance measures,such as thyroid function detection on target groups,and so on.
الملخص
Objective To investigate the population nutritional status of iodine in areas at high risk of iodine deficiency disorders (IDD) in our country and provide scientific basis for development control strategy to IDD.Methods According to the national IDD surveillance protocol which was revised in 2012,township (town,street office) as a unit,seven provinces including Zhejiang,Fujian,Guangdong,Guangxi,Henan,Qinghai and Xinjiang,32 monitoring counties in high-risk areas were chosen into the survey by simple random sampling.New cretinism cases were searched,the thyroid volume was examined in children,the urinary iodine in children and pregnant woman,and the family salt iodine level was tested.Results The survey found no suspected cases and no confirmed endemic cretinism cases.The goiter rate was 1.8％ (141/7 968)and the median of urinary iodine was 163.0 μg/L in children in the 7 project provinces.In addition to the median urinary iodine of 305.1 μg/L in Henan children,the median urinary iodine in other provinces was in the 100-199 μ.g/L.The median of urinary iodine in pregnant women was 120.8 μg/L,in addition to the median urinary iodine of 234.9 μg/L in pregnant women in Henan,the median urinary iodine of pregnant women in other provinces was less than 150 μg/L.The coverage rate of iodized salt in the 7 project provinces was 80.3％ (1 577/1 963),the coverage rate of iodized salt was less than 80％ in Guangxi,Qinghai,Fujian and Zhejiang.The 176 villages in the 6 project provinces were surveyed iodized salt bought through network,except Qinghai.Sale of iodized salt from salt retail accounted for 96.3％ (737/765).Survey of the 7 provinces of 2 024 women,pregnant women found that purchased salt accounted for 87.3％(1 766/2 024).Purchased and replaced salts was accounted for 3.6％ (72/2 024) and 9.2％ (186/2 024),respectively.The survey did not found a children who had taken iodine oil,only 47.5％(487/1 026) of pregnant women in Xinjiang had taken iodine oil.Conclusions The iodine nutrition level is appropriate in children in the areas at high risk of IDD,but the iodine nutrition level in pregnant women is low.Some areas should improve the coverage rate of iodized salt and iodized salt concentration,take health education at the right moment,promote iodized salt for pregnant women,and prevent new cretinism cases.
الملخص
Objective To observe the high iodine induced thyroid goiter condition,iodine nutritional status and coverage rate of non-iodized salt in high water iodine areas.Methods The household non-iodized salt was monitored in counties (cities,regions) of high water iodine areas and high iodine diseased areas in Tianjin,Hebei,Shanxi,Jiangsu,Anhui,Shandong,Henan and Shaanxi provinces.Among the monitoring sites,where the water iodine were 150-300 μg/L or higher than 300 μg/L,50％ of the them were selected to investigate the water iodine,children urinary iodine and thyroid volume of children in high iodine counties.Results Household edible salt was monitored in 110 counties of 8 provinces,with a total of 25 597 salt samples.The number of non-iodized salt was 24 640,and the coverage rate of non-iodized salt was 96.3％.After being weighted based on the population of counties,the coverage rate of non-iodized salt was 96.9％.In all,73 survey areas include 183 663 people,64 monitoring sites (87.7％) where the water iodine level were higher or equal to 150 μg/L and the median of water iodine was 250.8 μg/L.Totally 5 991 children aged 6-12 were measured thyroid volume,the total goiter rate was 6.2％,the children thyroid goiter rate was higher than 5％ in Hebei,Shanxi,Henan,Tianjin and Shandong provinces.Totally 4 618 children were detected urinary iodine,the median urinary iodine concentration was 373.0 μg/L,and the children median urinary iodine concentration was exceeded 300 μg/L in Tianjin,Hebei,Shanxi,Jiangsu and Shandong provinces.The children urinary iodine concentration and goiter rate increased gradually with increasing of water iodine content.Conclusions The non-iodized salt coverage rate is high in high water iodine areas,most monitored areas have changed drinking water sources,but the median water iodine concentration is still higher than 150 μg/L.Children median urinary iodine concentration is higher than 300 μg/L,iodine is in a excessive status.The children total goiter rate is higher than 5％.Some countermeasures are proposed to search low iodine water,change water sources,do health education,and add other surveillance measures,such as thyroid function detection on target groups,and so on.
الملخص
Objective To study the neurobehavioral manifestations of pilocarpine-induced temporal lobe epilepsy (TLE) rats in different kinds of learning and memory ability tests at chronic stage.Methods Thirty SD rats were randomized into TLE group (n=20) and control group (n=10).Intraperitoneal injection of lithium-pilocarpine (LIP) was performed in rats of the TLE group,and saline was given to the control group.Six weeks after modeling,rats were investigated in spatial,object,time and space combined episodic memory tests,and received 7.0 T MR imaging for structural images.Results Immediately after LIP treatment,13 rats in the TLE group exhibited status epilepticus.Six weeks later,11 of the 13 rats in the TLE group were observed spontaneous seizures.T2 images from MR imaging implied gray matter damage in the hippocampus in the TLE group and intact structure in the control group.The ranges of motion in the spatial memory,object memory and episodic memory in the control group were (90.56±19.9) m/min,(92.58±14.83) m/min and (94.20±30.99) m/min,respectively;those in the TLE group were (95.09±21.51) m/min,(117.10±44.38) m/min and (104.90±35.22) m/min;no significant differences were noted between the two groups (P＞0.05).In the control group,more exploration time on novel location in the spatial test,novel object in the object test,familiar location-familiar object and novel location-novel object in the episodic test were showed than that on the other objects,with significant difference (P＜0.05).In all the tests,there were no significant differences in the exploration times between/among the objects in the TLE group (P＞0.05).Conclusion All spatial,object and episodic memory are impaired in chronic LIP-TLE rats.
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Objectives To understand current situation in national prevention and control of iodine deficiency disorders (IDD),and to evaluate the progress in eliminating IDD in 31 provinces and Xinjiang Production and Construction Corps (Corps) in China.Methods In 2011,30 units were sampled in each of 31 provinces and Corps in China based on the sampling method of Probability Proportional to Size.After excluding townships of water iodine level higher than 150 μg/L,1 primary school was chosen in each unit,by the randomized sampling method,40 students in cach school were sampled for examining their thyroid volume,among them,12 students were tested for their urinary iodine level and for their household salt iodine level and per capital daily salt intake.Near the location of these primary schools,3 townships were chosen,5 pregnant women and 5 lactating women in each township were sampled to test their urinary iodine level.Besides,1 water sample was sampled according to the location in each village (east,west,south,north,and middle) in non-central water supplying villages,and 2 tap water samples in central water supplying villages.The ultrasound was used to detect goiter size according to the diagnostic criteria for endemic goiter; As3+-Ce4+ catalytic spectrophotometry using ammonium per sulfate digestion (WS/T 107-2006) was used to test the urinary iodine level; the testing method recommended by the National Iodine Deficiency Disorders Reference Lab was applied to test the water iodine level,the direct titration method among the generic methods of iodide testing for salt production industry (GB/T 13025.7-1999) was used to determine the salt iodine level; and the arbitration method was adopted for quantitative determination in case of well salt or special salts and the salt intake was estimated based on three-day weighed food record.Evaluation standards are as follows:urinary iodine level of children:deficient is the median of urinary iodine (MUI) less than 100 μg/L,adequate is MUI at 100-199 μg/L,more than adequate is MUI at 200-299 μg/L,and excessive is MUI equal to or greater than 300 μg/L;salt iodine:definition of qualified iodized salt is (35-± 15) mg/kg; non-iodized salt (GB 5461-2000) is iodine less than 5 mg/kg; definition of unqualified iodized salt is iodine between 5-＜ 20 mg/kg or higher than 50 mg/kg.The total population of the sixth national census was used for statistical data correction.Results Among 31 provinces and Corps,children's goiter rate was 2.4％,which was obviously lower than the IDD elimination standard at the national level (＜ 5％); the national iodized salt coverage rate was 98.0％ and the consumption rate of qualified iodized salt was 95.3％,both figures had achieved the national standard (the iodized salt coverage should be greater than 95％ and the consumption rate of qualified iodized salt greater than 90％).The median of salt iodine was at 30.2 mg/kg; the MUI of children,pregnant women and lactating women was 238.6,184.4 and 174.4 μg/L,respectively.Urinary iodine of children was higher than adequate level,of both pregnant women and lactating women were at adequate level.The surveillance results of water iodine in 25 provinces revealed that the median was at 5.6 μg/L; the salt intake surveillance results among students' households in 24 provinces and the Corps revealed that the daily intake was 10.1 g per person a day.Conclusions National IDD prevention and control strategy integrated with universal salt iodization as a key measure has achieved remarkable impacts.IDD has been eliminated at the national level.
الملخص
Objective To establish experimental autoimmune thyroiditis (EAT) rat model induced by bovine thyroglobulin (bTg) and to observe the effect of iodine on IP-10 in rat serum and IP-10 mRNA expression in rat thyroid tissue.Methods One hundred and thirty-five four-week old female Lewis rats were divided into normal control (NC,20 rats) group;TG group,25 rats;H Ⅰ group,20 rats;H Ⅰ + TG group,25 rats;H Ⅱ group,20 rats and H Ⅱ + TG group,25 rats according to a random number table.The water iodine concentration was 25.7 μg/L given to rats of HⅠ and H I + TG groups,and 423.3 μg/L of H Ⅱ and H Ⅱ + TG groups.Rats of NC and TG groups drank distilled water.Rats of TG,H Ⅰ + TG,H Ⅱ + TG groups were immunized with 0.1 ml bTg (8 g/L) in IFA.All rats were killed at the end of 15 weeks.Urinary iodine was determined by As3+-Ce4+ catalytic spectrophotometry (WS/T 107-2006).Pathological changes in thyroid tissue were observed by light microscope.Serum IP-10 was determined by enzyme-linked immunosorbent assay (ELISA),and IP-10 mRNA expression in thyroid was detected by real-time PCR.Results The differences of urinary iodine between groups were statistically significant (x2 =106.4,P ＜ 0.05).Compared with NC group (456.45 μg/L) urinary iodine in other groups increased significantly (TG,H Ⅰ,H Ⅰ + TG,HⅡ,HⅡ + TG:800.08,18 633.20,13 869.08,87 889.97,61 661.51 μg/L,all P ＜ 0.05).The pathological changes of rats in each group aggravated following increased iodine intake,NC group had normal thyroid structure;thyroid of TG group had a small amount of lymphocytes;thyroid of H Ⅰ group showed irregular follicular,part of the follicular was destroyed;a large number of lymphocytes infiltrated between follicular of H Ⅱ group;in H Ⅱ + TG group,the follicular was destroyed severely,diffuse inflammatory cell infiltration.The difference of serum IP-10 between groups no were statistically significant (F =1.462,P ＞ 0.05).The expression of IP-10 mRNA of H Ⅰ + TG (2.80 ± 1.73) rats thyroid was higher than that in NC (1.65 ± 1.62) and H Ⅰ (1.07 ± 1.00) groups,H Ⅱ (0.64 ± 0.64),H Ⅱ + TG (0.80 ± 0.49) were lower than H Ⅰ + TG group (all P ＜ 0.05).Conclusions Excessive iodine intake could have increased inflammatory cells in EAT rat and rats have showed more serious pathologic changes.These phenomena may be ralated with changed expression of IP-10 mRNA in EAT rat thyroid.
الملخص
Objective To observe the effect of high iodine on mRNA expression of thyroid hormone receptor (TSHR),protein kinase A (PKA) and sodium iodide symporter (NIS) in peripheral blood of patients with thyroid diseases during lacatation.Methods A total of 99 breast-feeding women were selected as observation objects in Shanxi Province's sufficient iodine and high iodine areas,and they were divided into case group and control group according to whether suffer from thyroid disease.In high iodine areas,there were 21 patients and 19 healthy controls.In sufficient iodine areas,there were 30 patients and 29 healthy controls.Peripheral blood of all the observation objects was collected,and mRNA expression of TSHR,PKA and NIS was detected by real-time quantitative PCR.Results The case group [median (M):0.099,0.994] and the control group (M:0.240,0.738) in the high iodine areas were respectively compared with the case group (M:3.087,1.127) and the control group (M:1.823,0.842) in the sufficient iodine areas.The TSHR mRNA expression was significantly decreased (Z =-5.034,-4.010,all P ＜ 0.01);the PKA mRNA expression had a downward trend,and the difference was not statistically significant (Z =2.895,-0.343,all P＞ 0.05).The NIS mRNA expression of the case group in high iodine areas (M:0.485) was obviously lower than that of the the case group in sufficient iodine regions (M:2.680,Z=-3.311,P ＜ 0.01).The control group in high iodine areas (M:0.470) was compared with the control group in sufficient iodine areas (M:0.835),and the difference was not statistically significant (Z =-1.882,P ＞ 0.05).The NIS and the TSHR mRNA were positively correlated [correlation coefficient (r) =0.741,P ＜ 0.01];the NIS and the PKA mRNA was also positively correlated (r =0.293,P ＜ 0.01);but the TSHR mRNA was not significantly correlated with the PKA mRNA (r =-0.081,P ＞ 0.05).Conclusion Lactating women may have protected themselves and their babies through TSH-TSHR-cAMP-PKA signaling pathway that regulating iodine levels.
الملخص
Objective The expression of hematopoietic stem cell and neural markers on placenta adherent cells and their association were investigated, the potential of neural differentiation of placenta adherent cells may demonstrate the relationship between placenta adherent cells and hematogenesis and neurogenesis. Methods Isolated adherent cells in human placenta tissue were stained immunocytochemically with Nestin, MAP_2, MBP, CD133, CD34 antibody to detect protein production and induced neural differentiation with β-mercaptoethanol and retinoic acid. Results Isolated placenta adherent cells confirmed to be heterogenous expressed CD133, Nestin, MAP_2 weakly and CD34 none. While induced cells showed neural like morphology, strong positive for Nestin, MAP_2 and weak positive for MBP and GFAP in immunocytochemical staining. Conclusion Human placenta adherent ceils can be induced into neural like cells in vitro with histological characteristics of mesenchymal stem cell(MSC) ,it provides a new source for clinical application of hMSCs.
الملخص
Objective The expression of hematopoietic stem cell and neural markers on placenta adherent cells and their association were investigated,the potential of neural differentiation of placenta adherent cells may demonstrate the relationship between placenta adherent cells and hematogenesis and neurogenesis.Methods Isolated adherent cells in human placenta tissue were stained immunocytochemically with Nestin,MAP2,MBP,CD133,CD34 antibody to detect protein production and induced neural differentiation with ?-mercaptoethanol and retinoic acid.ResultsIsolated placenta adherent cells confirmed to be heterogenous expressed CD133,Nestin,MAP2 weakly and CD34 none.While induced cells showed neural like morphology,strong positive for Nestin、MAP2 and weak positive for MBP and GFAP in immunocytochemical staining.Conclusion Human placenta adherent cells can be induced into neural like cells in vitro with histological characteristics of mesenchymal stem cell(MSC),it provides a new source for clinical application of hMSCs.