Study on the role and mechanism of osteogenesis induced by advanced platelet-rich fibrin and β-tricalcium phosphate complex / 口腔疾病防治

Objective @#To investigate the role and mechanism of bone formation caused by the ratio of advanced platelet-rich fibrin (A-PRF) and β-tricalcium phosphate (β-TCP) in rabbit femur defect model, which provides a new idea for clinical treatment of bone defect.@*Methods @#Twenty-four New Zealand white rabbits were divided into model group, 1∶1 complex group (A-PRF∶β-TCP=1∶1), 2∶1 complex group (A-PRF∶β- TCP=2∶1) and 4∶1 complex group (A-PRF∶β- TCP=4∶1）, with 6 rabbits in each group. Femoral defect models were constructed in each group. In the composite group, the bone defect was filled with composite material, while in the model group, no material was filled. After 8 weeks, the animals were euthanized and specimens were collected. Bone mineral density (BMD), bone volume fraction (BV/TV), trabecular thickness (Tb.Th), trabecular separation (Tb.SP) and trabecular number (Tb.N) in femoral defect tissue were measured by micro-CT and photographed. Hematoxylin - eosin staining was used to detect the pathological changes of new bone tissue. The morphological changes of the new bone tissue were observed by scanning electron microscopy. Determination of phospho-mitogen activated protein kinase p38 (p-p38MAPK), CCAAT/enhancer binding protein homologous protein (CHOP) and phospho-cysteine aspartic protease-3 (p-Caspase3) in newborn femur by ELISA. The mRNA expressions of osteoprotegerin (OPG), bone morphogenetic protein-2 (BMP-2), receptor activator of nuclear factor kappa-B ligand (RANKL) and p38MAPK were detected by real-time quantitative PCR. The expression of OPG, BMP-2, RANKL, p-p38MAPK and p-Caspase3 protein in the new bone tissue was observed by immunohistochemistry. @*Results @#In the model group, bone formation in the femoral defect area was slow and osteogenic quality was poor. Compared with the model group, the bone formation and neocapillaries of femoral defect area in the complex group was good, BMD, BV.TV, Tb.Th, Tb.N were increased, and Tb.Sp were decreased, the expressions of p-p38MAPK, CHOP and p-Caspase3 were decreased, and the mRNA and protein expressions of OPG and BMP-2 were increased. The mRNA expression of RANKL and p38MAPK was decreased. Apoptosis in new bone tissue of each group showed the lowest apoptosis rate in samples of the 2∶1 complex group (P<0.05); A-PRF: β-TCP=2∶1 ratio has the best osteogenic effect. @*Conclusion@#The complex composed of A-PRF and β-TCP can promote the expression of OPG, inhibit the expression of RANKL and phosphorylation of p38MAPK, reduce the apoptosis of new bone tissue cells, and promote osteogenic differentiation.

A study on the biological effects of electromagnetic pulse with different high⁃intensity on condylar cartilage in rats / 口腔疾病防治

Objective@#To explore the biological effects of electromagnetic pulse (EMP) with different high intensities on condylar cartilage in rats. @*Methods@#SD rats were randomly divided into a sham group (Sham) and an irradiation group (EMP1: 500 kV/m, 10 Hz; EMP2: 270 kV/m, 10 Hz). Then, they were sacrificed at 1 h, 3 h, 12 h, 24 h and 3 d after irradiation. The degree of cartilage degeneration was evaluated by HE, safranine O-fast green, type Ⅱ collagen immunohistochemistry and TUNEL staining. Immunohistochemistry and western blot were performed to detect the expression of the matrix degradation factors: matrix metalloproteinase-13 (MMP-13), a disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS-5) and the apoptosis key factor cleaved-cysteinyl aspartate specific proteinase (cleaved-Caspase3) in condylar cartilage. @*Results @#HE staining showed that, compared with the Sham group, a small amount of exfoliation was found on the fibrous surface layer of the cartilage after irradiation in the EMP1 and EMP2 groups. Compared with the Sham group, the percentage of safranine O-fast green-positive area decreased significantly at 12 h and 24 h (both P<0.01) in the EMP1 group and 12 h and 24 h in the EMP2 group (both P<0.05); the percentage of type Ⅱ collagen-positive area decreased significantly at 3 h and 12 h (P<0.05, P<0.001) in the EMP1 group. In addition, the number of TUNEL-positive apoptotic cells increased significantly at 1 h, 3 h, 12 h, and 24 h in the EMP1 group and 1 h, 3 h, and 12 h in the EMP2 group (P<0.05). Moreover, at different timepoints (except at 3 d) in the EMP1 group and EMP2 group, the percentage of MMP-13, ADAMTS-5- and cleaved Caspase3-positive chondrocytes and their protein levels in condylar cartilage increased significantly after irradiation (P<0.05). @* Conclusion@# EMP with a certain degree of high-intensity can induce early transient damage to condylar cartilage. This effect is dose-and time-dependent.

Strength training methods for skiers / Métodos de treinamento de força para esquiadores / Métodos de entrenamiento de fuerza para esquiadores

ABSTRACT Introduction: The ski jumping sequence can be divided into four steps: support, take-off, flight, and landing. Each stage has specific tasks and functions and is closely related, with the completion of each stage depending on the previous one. Objective: Explore the effectiveness of special strength training methods for ski sportsmen. Methods: Using the method of scientific literature review, expert interview, experience, and mathematical statistics to perform the special strength training for Chinese ski athletes, comparing the changes in the jump speed and take-off of the big jumps before and after 16 weeks of strength training with a specially developed protocol. Results: There were significant differences in take-off speed and air height before and after the experiment (P<0.05). The athletes in the experimental group significantly differed in takeoff speed before and after participation in the experiment (P=0.01). Conclusion: The experimental results fully evidence that by improving the rapid contraction strength of flexor and extensor muscles of the trunk and hip joints, modern abdominal center strength training methods are more effective than traditional methods. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMO Introdução: A sequência de saltos de esqui pode ser dividida em quatro etapas: apoio, decolagem, voo e pouso. Cada etapa tem tarefas e funções específicas e está intimamente relacionada, sendo a conclusão de cada etapa dependente da etapa anterior. Objetivo: Explorar a eficácia dos métodos especiais de treinamento de força para esportistas em esqui. Métodos: Usando o método de análise científica literária, entrevista com especialistas, experiência e estatísticas matemáticas para realizar o treinamento de força especial para atletas chineses de esqui, comparando as mudanças na velocidade de salto e decolagem dos grandes saltos antes e depois de 16 semanas de treinamento de força com um protocolo especialmente desenvolvido. Resultados: Houve diferenças significativas na velocidade de decolagem e na altura aérea antes e depois do experimento (P<0,05). Os atletas do grupo experimental tiveram uma diferença muito significativa na velocidade de decolagem antes e depois da participação no experimento (P=0,01). Conclusão: Os resultados experimentais evidenciaram plenamente que ao melhorar a força de contração rápida dos músculos flexores e extensores das articulações do tronco e quadril, os métodos modernos de treinamento de força do centro abdominal são mais eficazes do que os métodos tradicionais de treinamento. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción: La secuencia de salto de esquí puede dividirse en cuatro pasos: apoyo, despegue, vuelo y aterrizaje. Cada paso tiene tareas y funciones específicas y está estrechamente relacionado, siendo la conclusión de cada paso dependiente del anterior. Objetivo: Explorar la eficacia de los métodos especiales de entrenamiento de la fuerza para los deportistas de esquí. Métodos: Utilizando el método de revisión de la literatura científica, la entrevista a expertos, la experiencia y la estadística matemática para realizar el entrenamiento de fuerza especial para los atletas de esquí chinos, comparando los cambios en la velocidad de salto y el despegue de los grandes saltos antes y después de 16 semanas de entrenamiento de fuerza con un protocolo especialmente desarrollado. Resultados: Hubo diferencias significativas en la velocidad de despegue y la altura del aire antes y después del experimento (P<0,05). Los atletas del grupo experimental tuvieron una diferencia muy significativa en la velocidad de despegue antes y después de la participación en el experimento (P=0,01). Conclusión: Los resultados experimentales evidencian plenamente que, al mejorar la fuerza de contracción rápida de los músculos flexores y extensores de las articulaciones del tronco y la cadera, los métodos modernos de entrenamiento de la fuerza del núcleo abdominal son más eficaces que los métodos de entrenamiento tradicionales. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Measurement index system of specific physical training for tennis athletes / Sistema de índice de medição do treinamento físico específico para atletas de tênis / Sistema de índice de medición del entrenamiento físico específico para deportistas de tenis

ABSTRACT Introduction: Tennis is a competitive sport endowed with subtle movements, sophisticated and changeable techniques and tactics, and intense confrontation. It has high demands on the athlete's physical and psychological qualities. To win high-level professional tennis events, in addition to basic skills, comprehensive technical and tactical abilities, stable psychological quality, and flexible and innovative thinking, tennis players must also have exceptional physical fitness. Objective: Study the index system for evaluating the sport-specific skills of tennis athletes. Methods: 30 youth tennis training athletes were selected. Research methods such as literature, expert interview, questionnaire, and mathematical statistics were used to construct the fitness evaluation index of Chinese professional tennis players. Results: Professional tennis players' specific fitness assessment indexes include one first-level index, 14 second-level indexes, and 23 three-item indexes. Conclusion: Young athletes must strengthen their agile attack speed, explosive strength, core strength, and coordination. The individual indicators are weighted according to individual standards of physical training level. Thus, the five first-level indicators and specific fitness standards are established in this paper. The results of this research have guiding significance for the formulation and implementation of further tennis education and training plans. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMO Introdução: O tênis é um esporte de competitividade dotado de movimentos sutis, técnicas e táticas sofisticadas e passíveis de mudança, e intenso confronto. Possui altas exigências quanto às qualidades físicas e psicológicas do atleta. Para vencerem eventos de tênis profissionais de alto nível, além de habilidades básicas, habilidades técnicas e táticas abrangentes, qualidade psicológica estável e pensamento flexível e inovador, os tenistas também devem ter uma aptidão física excepcional. Objetivo: Estudar o sistema de índice de avaliação das habilidades esportivas específicas dos atletas de tênis. Métodos: Selecionou-se 30 atletas de treinamento juvenil de tênis. Métodos de pesquisa como a literatura, entrevista com especialistas, questionário e estatísticas matemáticas foram utilizados para construir o índice de avaliação da aptidão física particular dos jogadores profissionais de tênis chineses. Resultados: Os índices específicos de avaliação da aptidão física dos tenistas profissionais incluem um índice de primeiro nível, 14 índices de segundo nível e 23 índices de três itens. Conclusão: É preciso que os jovens atletas fortaleçam sua velocidade de ataque ágil, força explosiva, força central e coordenação. Os indicadores individuais são ponderados de acordo com os padrões individuais de nível de treinamento físico. Desta forma, os cinco indicadores de primeiro nível e os padrões específicos de aptidão física são estabelecidos neste documento. Os resultados dessa pesquisa têm significado orientador para a formulação e implementação de planos de ensino e treinamento de tênis posteriores. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción: El tenis es un deporte de competitividad dotado de movimientos sutiles, técnicas y tácticas sofisticadas y cambiantes, y un enfrentamiento intenso. Posee altas exigencias en cuanto a las cualidades físicas y psicológicas del atleta. Para ganar eventos de tenis profesional de alto nivel, además de las habilidades básicas, de las habilidades técnicas y tácticas completas, de la calidad psicológica estable y del pensamiento flexible e innovador, los tenistas también deben tener una forma física excepcional. Objetivo: Estudiar el sistema de índices para evaluar las habilidades deportivas específicas de los atletas de tenis. Métodos: Se seleccionaron 30 atletas juveniles de entrenamiento de tenis. Se utilizaron métodos de investigación como la literatura, la entrevista a expertos, el cuestionario y la estadística matemática para construir el índice de evaluación de la aptitud física particular de los tenistas profesionales chinos. Resultados: Los índices específicos de evaluación de la aptitud física de los tenistas profesionales incluyen un índice de primer nivel, 14 índices de segundo nivel y 23 índices de tres elementos. Conclusión: Es necesario que los jóvenes atletas refuercen su velocidad de ataque ágil, su fuerza explosiva, su fuerza central y su coordinación. Los indicadores individuales se ponderan en función de las normas individuales de nivel de entrenamiento físico. De este modo, en este documento se establecen los cinco indicadores de primer nivel y las normas específicas de aptitud. Los resultados de esta investigación tienen una importancia orientadora para la formulación y la aplicación de nuevos planes de educación y formación en materia de tenis. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Strength training method for tennis players / Método de treinamento de força para tenistas / Método de entrenamiento de fuerza para tenistas

ABSTRACT Introduction: Tennis is highly technical, and any error in its players' strength training can exponentially impact the competition. A timely review and analysis of tennis players' biomechanics will help to better understand the training system and reveal the basis for future scientific sports training strategies. Objective: Analyzes the effect of different strength training methods to design the best protocol considering tennis players' speed and success rate. Methods: The effect of training on 40 tennis players is discussed. The volunteers were divided into the experimental and control group. The experimental group performed strength training for 40 minutes daily, thrice a week. The control group continued with conventional training. The trial lasted eight weeks. The speed and success rate of the training were tested before and after the experiment. Results: The experimental group players significantly improved serve speed (P<0.05). The success rate of the experimental group was also significantly improved (P<0.05). Conclusion: The proposed strength training significantly improved the success rates of speed in tennis players. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMO Introdução: O tênis é um esporte altamente técnico e qualquer erro no treinamento de força de seus praticantes pode gerar impactos exponenciais na competição. Uma revisão e análise oportuna da biomecânica dos tenistas ajudará a entender melhor o sistema de treino e revelar as bases para a formulação de estratégias de treinamento esportivo científico no futuro. Objetivo: Analisa o efeito de diferentes métodos de treinamento de força para elaborar o melhor protocolo considerando a velocidade e a taxa de sucesso dos jogadores de tênis. Métodos: Discute-se o efeito do treinamento em 40 jogadores de tênis. Os voluntários foram divididos em grupo experimental e controle. O grupo experimental realizou um treinamento de força por 40 minutos diários, três vezes por semana. O grupo de controle continuou com o treino convencional. O ensaio durou oito semanas. A velocidade e a taxa de sucesso do treino foram testadas antes e depois do experimento. Resultados: Os jogadores do grupo experimental tiveram melhora significa na velocidade de saque (P<0,05). A taxa de sucesso do grupo experimental também foi significativamente aprimorada (P<0,05). Conclusão: O treinamento de força proposto conseguiu melhorar significativamente as taxas de sucesso a velocidade nos jogadores de tênis. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción: El tenis es un deporte altamente técnico y cualquier error en el entrenamiento de la fuerza de sus jugadores puede generar impactos exponenciales en la cancha. Una revisión y un análisis oportunos de la biomecánica de los tenistas ayudarán a comprender mejor el sistema de entrenamiento y revelarán la base para la formulación de estrategias científicas de entrenamiento deportivo en el futuro. Objetivo: Analizar el efecto de diferentes métodos de entrenamiento de fuerza para diseñar el mejor protocolo teniendo en cuenta la velocidad y el índice de éxito de los tenistas. Métodos: Se analiza el efecto del entrenamiento en 40 tenistas. Los voluntarios se dividieron en grupo experimental y grupo de control. El grupo experimental realizó un entrenamiento de fuerza durante 40 minutos diarios, tres veces por semana. El grupo de control continuó con el entrenamiento convencional. La prueba duró ocho semanas. La velocidad y la tasa de éxito del entrenamiento se comprobaron antes y después del experimento. Resultados: Los jugadores del grupo experimental tuvieron una mejora significativa en la velocidad de saque (P<0,05). La tasa de éxito del grupo experimental también mejoró significativamente (P<0,05). Conclusión: El entrenamiento de fuerza propuesto fue capaz de mejorar significativamente las tasas de éxito la velocidad en los jugadores de tenis. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Progress in the research of COVID-19 effects on Alzheimer's disease / 中国热带医学

@#Coronavirus disease 2019 (COVID-19) is a highly contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). More than one-third of patients with COVID-19 experience neurological symptoms, including confusion, headaches, and decreased/disordered taste. Alzheimer's disease (AD) is a slowly progressive neurodegenerative disease and the most common type of dementia. Alzheimer's disease patients are at high risk and susceptible to infection with COVID-19, which may cause severe illness and even death. There appears to be an interaction between AD and COVID-19, and on the one hand, patients with COVID-19 seem to be more likely to develop AD. AD patients, on the other hand, may be more susceptible to severe COVID-19. Therefore, understanding the common link between COVID-19 and AD may help to develop treatment strategies. Risk factors common to AD and COVID-19 are aging, ApoE ε4 allele, β-amyloid (Aβ) deposition, angiotensin-converting enzyme (ACE), neuroinflammation, oxidative stress. Here, this article focuses on the relationship between COVID-19 and AD, explores common risk factors and potential pathogenesis, and provides help for early prevention, treatment and recovery.

Identification of hub genes in airway epithelial cells of asthma patients by WGCNA and PPI network

Bronchial asthma is a common chronic disease of airway inflammation, high mucus secretion and airway hyper responsiveness. The pathogenetic mechanisms of asthma remain unclear. In this study, we aimed at identifying genes playing an import role in disease-related pathways in airway epithelial cells of asthma patients. Microarray data GSE41861 of asthma airway epithelial cells was used to screen differentially expressed genes (DEGs) through GEO2R analysis. The weighted gene co-expression network analysis (WGCNA) was performed to identify gene co-expression network modules in bronchial asthma. The DAVID database was then used to perform functional and pathway enrichment analysis of these DEGs. In addition, we have conducted protein-protein interaction (PPI) network of DEGs by STRING, and eventually found key genes and significant modules. A total of 315 DEGs (111 up-regulated and 204 down-regulated) were identified between severe asthma and healthy individual, which were mainly involved in pathways of cilium assembly, cilium morphogenesis, axon guidance, positive regulation of fat cell differentiation, and positive regulation of cell substrate adhesion. A total of 60 genes in the black module and green module were considered to be correlated with the severity of asthma. Combining PPI network, several key genes were identified, such as BP2RY14, PTGS1, SLC18A2, SIGLEC6, RGS13, CPA3, and HPGDS. Our findings revealed several genes that may be involved in the process of development of bronchial asthma and potentially be candidate targets for diagnosis or therapy of bronchial asthma.

Influence of small-group experiential learning of integrated traditional Chinese and Western medicine on the oral health knowledge, beliefs, and behaviors of elderly patients with diabetes

SUMMARY OBJECTIVE: This study aimed at the oral health problems of elderly patients with diabetes. A training course of integrated traditional Chinese and Western medicine was constructed, helping patients improve their oral health quality of life. METHODS: A randomized controlled prospective experimental study was conducted. A total of 190 elderly patients were divided randomly into an observation group and a control group with 95 cases in each. The control group received regular health education, while the observation group was based on the control group to implement the integrated experiential learning of traditional Chinese and Western medicine in small groups. The oral health knowledge, attitude, behavior, and blood glucose control status along with the oral health quality of life of the two groups were compared before the intervention and at 3-month postintervention. RESULTS: Three months after the intervention, the fasting blood glucose control and the 2-h postprandial blood glucose/glycosylated hemoglobin levels in the observation group were significantly better than in the control group, and the difference was statistically significant (p<0.05). The oral health quality of life in the observation group was significantly better than in the control group, and the difference was statistically significant (p<0.05). CONCLUSION: The small-group experiential learning model of integrated Chinese and Western medicine can promote the transformation of knowledge-beliefs-behaviors in elderly patients with diabetes, which is conducive to controlling blood sugar levels and improving the quality of oral health.

Identification of Escherichia coli β-glucuronidase inhibitors from Polygonum cuspidatum Siebold & Zucc

Abstract Gut bacterial β-glucuronidase (GUS) can reactivate xenobiotics that exert enterohepatic circulation- triggered gastrointestinal tract toxicity. GUS inhibitors can alleviate drug-induced enteropathy and improve treatment outcomes. We evaluated the inhibitory effect of Polygonum cuspidatum Siebold & Zucc. and its major constituents against Escherichia coli GUS (EcGUS), and characterized the inhibitory mechanism of each of the components. Trans-resveratrol 4'-O-β-D-glucopyranoside (HZ-1) and (-)-epicatechin gallate (HZ-2) isolated from P. cuspidatum were identified as the key components and potent inhibitors. These two components displayed strong to moderate inhibitory effects on EcGUS, with Ki values of 9.95 and 1.95 μM, respectively. Results from molecular docking indicated that HZ-1 and HZ-2 could interact with the key residues Asp163, Ser360, Ile 363, Glu413, Glu504, and Lys 568 of EcGUS via hydrogen bonding. Our findings demonstrate the inhibitory effect of P. cuspidatum and its two components on EcGUS, which supported the further evaluation and development of P. cuspidatum and its two active components as novel candidates for alleviating drug-induced damage in the mammalian gut.

Overexpression of serum extracellular vesicle microRNA-215-5p is associated with early tumor recurrence and poor prognosis of gastric cancer

OBJECTIVES: Extracellular vesicle microRNAs (EV-miRNAs) have been demonstrated to be reliable candidate biomarkers for clinical applications. However, the clinical application potential of serum EV-miR-215-5p for gastric cancer (GC) remains poorly understood. The goal of our study was to determine the efficacy of serum EV-miR-215-5p in predicting the prognosis of GC. METHODS: Blood samples were collected from 118 patients with GC, 60 patients with benign gastric disease and BGD and 70 healthy controls. The relative levels of serum EV-miR-215-5p were measured using quantitative real-time polymerase chain reaction (qRT-PCR). RESULTS: Compared to patients with BGD and normal controls, GC patients exhibited remarkably higher serum EV-miR-215-5p level, especially those with early tumor recurrence (ETR). Receiver operating characteristic (ROC) curve analysis showed that serum EV-miR-215-5p was able to distinguish GC patients from BGD patients or healthy controls and GC patients with ETR from those without ETR. In addition, increased serum EV-miR-215-5p levels were notably correlated with invasive depth, TNM stage, and lymph node metastasis. Moreover, serum EV-miR-215-5p levels were greatly decreased after surgical treatment, but increased at the time of ETR. Survival analysis showed that patients with higher serum EV-miR-215-5p had shorter survival. Furthermore, serum EV-miR-215-5p was an independent risk factor for GC. CONCLUSIONS: Serum EV-miR-215-5p might be a novel biomarker for predicting ETR and prognosis of GC.

Overexpression of serum extracellular vesicle microRNA-215-5p is associated with early tumor recurrence and poor prognosis of gastric cancer

OBJECTIVES: Extracellular vesicle microRNAs (EV-miRNAs) have been demonstrated to be reliable candidate biomarkers for clinical applications. However, the clinical application potential of serum EV-miR-215-5p for gastric cancer (GC) remains poorly understood. The goal of our study was to determine the efficacy of serum EV-miR-215-5p in predicting the prognosis of GC. METHODS: Blood samples were collected from 118 patients with GC, 60 patients with benign gastric disease and BGD and 70 healthy controls. The relative levels of serum EV-miR-215-5p were measured using quantitative real-time polymerase chain reaction (qRT-PCR). RESULTS: Compared to patients with BGD and normal controls, GC patients exhibited remarkably higher serum EV-miR-215-5p level, especially those with early tumor recurrence (ETR). Receiver operating characteristic (ROC) curve analysis showed that serum EV-miR-215-5p was able to distinguish GC patients from BGD patients or healthy controls and GC patients with ETR from those without ETR. In addition, increased serum EV-miR-215-5p levels were notably correlated with invasive depth, TNM stage, and lymph node metastasis. Moreover, serum EV-miR-215-5p levels were greatly decreased after surgical treatment, but increased at the time of ETR. Survival analysis showed that patients with higher serum EV-miR-215-5p had shorter survival. Furthermore, serum EV-miR-215-5p was an independent risk factor for GC. CONCLUSIONS: Serum EV-miR-215-5p might be a novel biomarker for predicting ETR and prognosis of GC.

Occupational stress, burnout, and coping styles among medical staff from a tertiary first-class hospital in Hubei Province / 预防医学

Objective @#To investigate the status of occupational stress, burnout, and coping styles, and to explore the moderating effects of coping styles on the relationship between occupational stress and burnout among medical staff from one tertiary first-class hospital in Hubei Province, in order to provide the basis for mental health promotion of medical staff. @*Methods@#From June to October in 2020, using stratified cluster sampling, doctors, nurses, and medical or pharmaceutical technicians on the ratio of 2∶2∶1 were selected from the tertiary first-class hospital. Chinese version of Burnout Questionnaire, Core Occupational Stress Scale (COSS) and Trait Coping Style Questionnaire were used to investigate the levels of burnout, occupational stress and coping styles. A linear stratified regression model was used to analyze the moderating effect of coping styles on the relationship between occupational stress and burnout. @*Results@#Among 735 questionnaires issued, 679 valid ones were collected, with the response rate of 92.38%. The age of the respondents was ( 34.29±8.20 ) years old. There were 165 ( 24.30% ) males and 514 ( 75.70% ) females, including 241 ( 35.49% ) doctors, 358 ( 52.72% ) nurses and 80 (11.78%) medical or pharmaceutical technicians. The burnout score was 2.29±1.11 , and the positive rate of burnout was 44.33%; the COSS score was 47.32±8.31; the positive and negative coping style scores were 30.64±6.06 and 26.81±6.26, respectively. The linear stratified regression analysis suggested that the interactions between social support ( β=0.590, P<0.05 ), organization and reward ( β=0.523, P<0.05 ), and positive coping style were positively associated with burnout, and the interaction between organization and reward (β=-0.666, P<0.05) and negative coping style was negatively associated with burnout. @*Conclusions@#About 44.33% of medical staff investigated have burnout. Coping styles have a moderating effect on the relationship between occupational stress and burnout. Positive coping style helps to perceive social support and organizational support, to alleviate the adverse effects of occupational stress, and to reduce the risk of burnout.

Cytokeratin 13 promotes the radio-sensitivity of nasopharyngeal carcinoma HNE1 cells by inhibiting the PI3K/AKT/mTOR pathway via PTEN / 中国肿瘤生物治疗杂志

@#[Abstract] Objective: To investigate the effect of cytokeratin 13 (CK13) on radio-sensitivity of human nasopharyngeal carcinoma HNE1 cell line and its mechanism. Methods: HNE1 cells were divided into control group, anti-CK13#a group (CK13 knockdown), anti-CK13#b group (CK13 knockdown), control+sirolimus group (100 nmol/L sirolimus treatment for 1 h), and anti-CK13#a + sirolimus group (100 nmol/L sirolimus treatment for 1 h). After irradiation treatment (200 cGy/min irradiation for 5 min), cell proliferation in each group was measured by CCK-8 assay. Cell apoptosis rate in each group was determined by Flow cytometry. Expression of PI3K/AKT/mTOR signaling pathway related PTEN gene was detected by qPCR, and WB was used to detect the expressions of PI3K/AKT/mTOR signaling pathway related proteins. Results: In the case of radiotherapy, as compared with the control group, the proliferation of HNE1 cells after CK13 knockdown was significantly enhanced (P<0.01) while the apoptosis rate was significantly reduced (P<0.01), the contents of caspase-3 and γH2AX as well as the protein lever of PTEN in cells were significantly decreased, while the expressions of p-AKT and p-S6K were significantly increased (all P<0.01). Interestingly, additional treatment with sirolimus (PI3K/AKT/mTOR signaling pathway inhibitor) could rescue the accelerated cell proliferation and decreased cell apoptosis caused by CK13 knockdown (all P<0.05). Conclusion: CK13 knockdown can enhance the activity of PI3K/AKT/mTOR signaling pathway by down-regulating PTEN, and ultimately reduce the radio-sensitivity of nasopharyngeal carcinoma HNE1 cells.

Impact of post-thoracotomy analgesia with dexmedetomidine and morphine on immunocytes: a randomized clinical trial / Impacto da analgesia pós-toracotomia com dexmedetomidina e morfina em imunócitos: estudo randomizado

Abstract Objective This study aimed to investigate the impact of post-thoracotomy analgesia with dexmedetomidine and morphine on immunocytes. Methods A total of 118 patients with post-thoracotomy Patient-Controlled Intravenous Analgesia (PCIA) in our hospital from March 2016 to July 2018 were randomly selected and divided into the Composite (COM) Group (57 patients administered with dexmedetomidine [1.0 µg.kg-1 body weight] and morphine [0.48 mg.kg-1 body weight]) and the Morphine (MOR) group (61 patients administered with morphine [0.48 mg.kg-1]). The values of lymphocyte subsets (CD3+, CD4+, and CD8+) and Natural Killer cells in the peripheral blood of these two groups were detected by FACSCalibur flow cytometry at different time points (before anesthesia induction [T0], immediately after tracheal extubation [T1], 12 hours after surgery [T2], 24 hours after surgery [T3], 48 hours after surgery [T4], 72 hours after surgery [T5], and 7 days after surgery [T6]). The doses of morphine at T3 to T5 and the adverse reactions between the two groups were also recorded and compared. Results The CD3+ level and the CD4+/CD8+ ratio at T2 to T5 and the CD4+ level and NK cells at T3 to T5 were significantly higher in the COM Group than in the MOR Group (p< 0.05). The postoperative morphine dose and the incidence of postoperative itching, nausea, and vomiting were significantly lower in the COM Group than in the MOR Group (p< 0.05). Conclusions Dexmedetomidine combined with morphine for post-thoracotomy PCIA can improve the function of immunocytes, reduce morphine consumption, and reduce the adverse reactions during analgesia induction.

Resumo Objetivo Estudar o impacto em linfócitos causado pelo uso da dexmedetomidina associada à morfina para analgesia pós-toracotomia. Método Um total de 118 pacientes utilizando Analgesia Intravenosa Controlada pelo Paciente (AICP) pós-toracotomia em nosso hospital, de março de 2016 a julho de 2018, foram selecionados aleatoriamente e divididos em dois grupos: o Grupo Combinado [COM, 57 pacientes que receberam dexmedetomidina (1,0 µg.kg-1 de peso corpóreo) associada à morfina (0,48 mg.kg-1 de peso corpóreo)] e o Grupo Morfina [MOR, 61 pacientes, que receberam somente morfina (0,48 mg.kg-)]. Os valores dos subconjuntos de linfócitos (CD3+, CD4+ e CD8+) e das células NK no sangue periférico desses dois grupos foram medidos por citometria de fluxo FACSCalibur em diferentes momentos do estudo [antes da indução anestésica (T0), imediatamente após extubação traqueal (T1), 12 horas após a cirurgia (T2), 24 horas após a cirurgia (T3), 48 horas após a cirurgia (T4), 72 horas após a cirurgia (T5) e 7 dias após a cirurgia (T6)]. As doses de morfina do momento T3 ao T5 e as reações adversas entre os dois grupos também foram registradas e comparadas. Resultados O nível de CD3+ e a razão CD4+/CD8+ de T2 a T5, e o nível de CD4+ e as células NK de T3 a T5 do Grupo COM foram significantemente maiores (p< 0,05) quando comparados ao Grupo MOR. A dose de morfina no pós-operatório e a incidência de prurido, náusea e vômito no pós-operatório foram significantemente menores no grupo MOR (p< 0,05). Conclusões Dexmedetomidina combinada com morfina para AICP no período pós-toracotomia pode melhorar a função dos linfócitos, reduzir o consumo de morfina e diminuir reações adversas durante a analgesia.

miRNA-325-3p reduces the radio-sensitivity of nasopharyngeal carcinoma CNE1 cells by down-regulating the expression of cytokeratin 13 / 中国肿瘤生物治疗杂志

@#[Abstract] Objective： ：To investigate the effect of miRNA-325-3p and its target gene cytokeratin 13 (CK13) on the radio-sensitivity of nasopharyngeal carcinoma cell line CNE1. Methods： ：The potential target gene of miRNA-325-3p was predicted by three databases: miRBase, Targetscan and microcosm, and verified by Double luciferase activity assay. QPCR was used to detect the expression levels of miRNA-325-3p and its target gene in nasopharyngeal carcinoma cell line CNE1 under different radiation doses; To verify the changes in radio-sensitivity of nasopharyngeal carcinoma cells, colony formation assay, Flow cytometery and MTT were used to observe the clone formation, apoptosis and cell viability of CNE1 cells after overexpression of miRNA-325-3p and knockdown of CK13 under different radiation doses, respectively. Results： ：CK13 was confirmed as a potential target gene of miRNA-325-3p. After radiotherapy, the expression level of miRNA-325-3p in CNE1 cell was significantly increased, while the expression level of CK13 was decreased (all P<0.05); up-regulation of miRNA-325-3p expression and silence of CK13 gene increased cell survival rate (upregulation of miRNA325-3p: [60.14±3.55]% vs [19.23±3.42]%, t=14.37, P<0.01; silence of CK13: [76.15±5.13]% vs [28.53±3.68]%, t=13.06, P<0.01) and colony formation rate, and decreased apoptosis rate (upregulation of miRNA-325-3p: [27.95±2.67]% vs [51.68±3.47]%, t=9.39, P<0.01; silence of CK13: [20.31±2.62]% vs [38.14±3.83]%, t=6.66, P<0.01). Conclusion： ：miRNA-325-3p can reduce the sensitivity of nasopharyngeal carcinoma cell line CNE1 to radiotherapy by down-regulating the target gene CK13.

Usefulness of large-section cytokeratin 20 in the detection of intestinal wall infiltration and mesangial metastasis in patients with middle and lower rectal cancer

Objective: The objective of the study was to evaluate the usefulness of large-section cytokeratin 20 (CK20) staining technique in the detection of infiltration on the distal wall and mesangial metastasis in patients with middle and lower rectal cancer. Materials and Methods: A total of 62 patients with rectal cancer in the middle and lower segment were studied on large slices stained with CK20. Logistic regression was used to analyze the clinicopathologic factors related to distal low and middle rectal cancer metastasis to the mesorectum and rectal wall. Results: Two types of distal metastasis of the tumor were observed in the rectal wall in 18% (11/62) of the patients: submucosal invasion and muscularis propria invasion. The extent of distal metastasis to the rectal wall was around 0.5–1.0 cm. Four types of distal metastasis occurred in the mesorectum: lymph node invasion, blood and lymphatic vessel invasion, perineural invasion, and isolated neoplastic microfoci. Distal metastasis to the mesorectum was observed in 24% (15/62) of the patients. The extent of metastasis to the mesorectum was around 0.5–4.0 cm. Another three patients with microcapillary invasion in the distal mesorectum were observed by immunohistochemistry, as it was difficult to determine the spread by conventional hematoxylin and eosin staining. Conclusion: The large-section CK20 staining technique is useful for the detection of infiltration on the distal wall and mesangial metastasis in patients with middle and lower rectal cancer

Acute effects of major air pollutants on hospital visits for upper respiratory tract infection in children in Xining District / 中国学校卫生

Objective@#To evaluate the acute effects of air pollutants (PM2.5,SO2 and NO2) on hospital visits for upper respiratory tract infection in children,and provide the reference for goverment to make effective interventional measures and to instruct prevention and protection of children’s health.@*Methods@#Daily meteorological data, air pollutants levels and hospital visits for upper respiratory tract infection in children between 2016 and 2018 were collected for analysis. The generalized linear model (GLM) based on Quasi-Poisson regression was used for estimating the acute effects of each pollutant on hospital visits for upper respiratory tract infection in children. The confounding factors of seasonal trend, long-term trends, meteorological factors, week effect were controlled in the model. The lag pattern of lag days (lag0-lag5) and moving average effect (lag01-lag05) was conducted. The excessive risk (ER) of hospital visits for upper respiratory tract infection in children with 95% confidence interval (95%CI) was calculated with an increase of 10 μg/m3 of PM2.5，SO2 and NO2 respectively.@*Results@#Seasonality was showed in the daily pollutants and hospital visits for upper respiratory tract infection in children from 2016 and 2018 in Xining. The average of annual PM2.5，SO2 and NO2 concentration were (47±28)(15+9)(35±17) μg/m3 respectively. The average number of hospital visits for upper respiratory tract infection in children was seventytwo persons. With an increase of 10 μg/m3 of PM2.5,SO2 and NO2 hospital visits for upper respiratory tract infection in children increased by 0.78% (95%C=0.39%-1.17%), 4.19% (95%CI=3.05%-5.34%) and 1.93% (95%CI=1.15%-2.71%) respectively. The three kinds of air pollutants all had certain lag effect.@*Conclusion@#The main air pollutants PM2.5，SO2 and NO2, have acute effects on hospital visits for upper respiratory tract infection in children in Xining district,thus,the work of preventing and controlling air pollution need to be furthur strengthened.

Evaluation of root-knot nematode disease control and plant growth promotion potential of biofertilizer Ning shield on Trichosanthes kirilowii in the field

Abstract Biofertilizer Ning shield was composed of different strains of plant growth promotion bacteria. In this study, the plant growth promotion and root-knot nematode disease control potential on Trichosanthes kirilowii in the field were evaluated. The application of Ning shield significantly reduced the diseases severity caused by Meloidogyne incognita, the biocontrol efficacy could reached up to 51.08%. Ning shield could also promote the growth of T. kirilowii in the field by increasing seedling emergence, height and the root weight. The results showed that the Ning shield could enhance the production yield up to 36.26%. Ning shield could also promote the plant growth by increasing the contents of available nitrogen, phosphorus, potassium and organic matter, and increasing the contents of leaf chlorophyll and carotenoid pigment. Moreover, Ning shield could efficiently enhance the medicinal compositions of Trichosanthes, referring to the polysaccharides and trichosanthin. Therefore, Ning shield is a promising biofertilizer, which can offer beneficial effects to T. kirilowii growers, including the plant growth promotion, the biological control of root-knot disease and enhancement of the yield and the medicinal quality.

TNF-α inhibits SCF, ghrelin, and substance P expressions through the NF-κB pathway activation in interstitial cells of Cajal

Ulcerative colitis is a chronic inflammatory disease of the colon where intestinal motility is disturbed. Interstitial cells of Cajal (ICC) are required to maintain normal intestinal motility. In the present study, we assessed the effect of tumor necrosis factor-alpha (TNF-α) on viability and apoptosis of ICC, as well as on the expression of stem cell factor (SCF), ghrelin, and substance P. ICC were derived from the small intestines of Swiss albino mice. Cell viability and apoptosis were measured using CCK-8 assay and flow cytometry, respectively. ELISA was used to measure the concentrations of IL-1β, IL-6, ghrelin, substance P, and endothelin-1. Quantitative RT-PCR was used to measure the expression of SCF. Western blotting was used to measure the expression of apoptosis-related proteins, interleukins, SCF, and NF-κB signaling pathway proteins. TNF-α induced inflammatory injury in ICC by decreasing cell viability and increasing apoptosis and levels of IL-1β and IL-6. TNF-α decreased the levels of SCF, ghrelin, and substance P, but had no effect on endothelin-1. TNF-α down-regulated expressions of SCF, ghrelin, and substance P by activating the NF-κB pathway in ICC. In conclusion, TNF-α down-regulated the expressions of SCF, ghrelin, and substance P via the activation of the NF-κB pathway in ICC.

Orf virus ORF047 gene eukaryotic expression and cell localization / 中国人兽共患病学报

The object of study was to clone the gene of ORFV ORF047 and study the eukaryotic expression and cell localization,making the theoretical basis for the subsequest screening of protein that interact with ORF047.ORF047 gene was amplificated by the specifical primer from the DNA of ORFV using PCR,the length was 735 bp,compared with L1 published in NC-005336.1,the homologies of the nucleotide acid sequence and amino acid sequence were 98.8％ and 98.8％.In order to defined the expression and location of the ORF047 gene in cell,the recombinant plasmid pEGFP-ORF047 was constructed and transfected into 293T cell,after 36 h,the green fluorescence could be observed under fluorescence microscope,and 54 kD protein was detected by western bloting.The plasmid of pHcRed1-Nuc,pHcRed1-Mito and pHcRed1-ER with the recombinant plasmid of pEGFP-ORF047 was cotransfected to veroE6 cell respectively,that fusion protein of ORF047 was mainly located in the cytoplasm,a small amount in the mitochondriabyconfocal microscopy analysis.