AI's deep dive into complex pediatric inguinal hernia issues: a challenge to traditional guidelines?

OBJECTIVE: This study utilized ChatGPT, an artificial intelligence program based on large language models, to explore controversial issues in pediatric inguinal hernia surgery and compare its responses with the guidelines of the European Association of Pediatric Surgeons (EUPSA). METHODS: Six contentious issues raised by EUPSA were submitted to ChatGPT 4.0 for analysis, for which two independent responses were generated for each issue. These generated answers were subsequently compared with systematic reviews and guidelines. To ensure content accuracy and reliability, a content analysis was conducted, and expert evaluations were solicited for validation. Content analysis evaluated the consistency or discrepancy between ChatGPT 4.0's responses and the guidelines. An expert scoring method assess the quality, reliability, and applicability of responses. The TF-IDF model tested the stability and consistency of the two responses. RESULTS: The responses generated by ChatGPT 4.0 were mostly consistent with the guidelines. However, some differences and contradictions were noted. The average quality score was 3.33, reliability score was 2.75, and applicability score was 3.46 (out of 5). The average similarity between the two responses was 0.72 (out of 1), Content analysis and expert ratings yielded consistent conclusions, enhancing the credibility of our research. CONCLUSION: ChatGPT can provide valuable responses to clinical questions, but it has limitations and requires further improvement. It is recommended to combine ChatGPT with other reliable data sources to improve clinical practice and decision-making.

Coeliac disease in China, a field waiting for exploration

Background: no systematic studies on the prevalence ofcoeliac disease (CD) have been reported from China. In westernpopulations CD is more common in patients with insulin dependentdiabetes mellitus (IDDM) and in diarrhoea-predominant irritablebowel syndrome (D-IBS). We have screened patients withthese conditions presenting to the outpatient department of alarge hospital of “Traditional Chinese Medicine” (TCM) in Nanjing,Jiangsu province, P.R. China.Methods: we tested sera of 78 unrelated Han Chinese patients(5 IDDM and 73 D-IBS), using ELISA serological tests forIgG anti-gliadin antibodies (IgG-AGA) and IgA anti-tissue transglutaminaseantibodies (IgA-tTG).Results: six out of 78 patients (7.7%) were positive for IgGAGA(two men and four women) and two (2.6%) were positive forIgA-tTGs. One of the latter patients was negative for IgG-AGA.Besides, one patient had a dubious IgA-tTG antibody and a positiveIgG-AGA. None of the six patients agreed to undergo duodenalbiopsy. Two out of these six patients followed a gluten-freediet for one year. In one patient the diarrhoea ceased and hisbody weight increased. Another stopped losing weight.Conclusions: this study previously published as a letter inGUT (Wu J, Xia B, von Blomberg BME, Zhao C, Yang XW, CrusiusJBA, Peña AS. Coeliac disease: emerging in China? Gut2010; 59(3): 418-9) demonstrated that CD may exist in theJiangsu province of P.R. China. The present article draws attentionto the difficulties of following a standard protocol in Chinasuch as established in western countries and highlights importantfactors less well known in the west in relation to the developmentof CD in China. Wheat production became significant in Chinabetween 1600 and 1300 B.C. After the Han dynasty (500-200B.C.), wheat was one of the main cereals in China. One the majorwheat fields in China is located in the Jiangsu province where theresearch for this article was performed...(AU)

Coeliac disease in China, a field waiting for exploration.

BACKGROUND: no systematic studies on the prevalence of coeliac disease (CD) have been reported from China. In western populations CD is more common in patients with insulin dependent diabetes mellitus (IDDM) and in diarrhoea-predominant irritable bowel syndrome (D-IBS). We have screened patients with these conditions presenting to the outpatient department of a large hospital of "Traditional Chinese Medicine" (TCM) in Nanjing, Jiangsu province, P.R. China. METHODS: we tested sera of 78 unrelated Han Chinese patients (5 IDDM and 73 D-IBS), using ELISA serological tests for IgG anti-gliadin antibodies (IgG-AGA) and IgA anti-tissue transglutaminase antibodies (IgA-tTG). RESULTS: six out of 78 patients (7.7%) were positive for IgG-AGA (two men and four women) and two (2.6%) were positive for IgA-tTGs. One of the latter patients was negative for IgG-AGA. Besides, one patient had a dubious IgA-tTG antibody and a positive IgG-AGA. None of the six patients agreed to undergo duodenal biopsy. Two out of these six patients followed a gluten-free diet for one year. In one patient the diarrhoea ceased and his body weight increased. Another stopped losing weight. CONCLUSIONS: this study previously published as a letter in GUT (Wu J, Xia B, von Blomberg BME, Zhao C, Yang XW, Crusius JBA, Peña AS. Coeliac disease: emerging in China? Gut 2010; 59(3): 418-9) demonstrated that CD may exist in the Jiangsu province of P.R. China. The present article draws attention to the difficulties of following a standard protocol in China such as established in western countries and highlights important factors less well known in the west in relation to the development of CD in China. Wheat production became significant in China between 1600 and 1300 B.C. After the Han dynasty (500-200 B.C.), wheat was one of the main cereals in China. One the major wheat fields in China is located in the Jiangsu province where the research for this article was performed. A review of Chinese literature shows that the predominant HLA-DQ CD risk alleles and haplotypes are present in the Jiangsu province. Genetic background, food consumption, and the results of our study suggest that CD should actively be investigated in P.R. China.

Spatial distributions and potential risk analysis of total soil selenium in Guangdong Province, China.

A total of 260 soil profiles were examined to investigate the spatial distribution of total soil selenium (Se) in Guangdong province, China. In the investigated area, the soil Se concentrations follow an approximately lognormal distribution. The soil Se geometric mean concentration of 0.23 mg kg(-1) is higher than that of Chinese soils; however, Se concentration varies over the study area. The baseline concentration of 0.13 to 0.41 mg kg(-1) indicates that the soil Se concentration is mostly in the range of deficiency to medium level for surface soils in Guangdong province. In A-, B-, and C-horizon, soil Se spatial distribution is correlated with the nature of the parent material, with high Se concentration mainly located in limestone and sandshale areas and low Se concentration associated with purple shale and granite areas. The spatial distribution pattern of soil Se concentrations suggests that potential Se deficiency may be an issue for human health in this province. Moreover, due to soil degradation and erosion, calculated soil Se exported into surrounding waters could reach approximately 23,000 kg yr(-1) in the study area.

Annual dynamics and origins of the odorous compounds in the pilot experimental area of Lake Dianchi, China.

Lake Dianchi is the sixth largest freshwater lake in China. The pilot experimental area (6 km2) in Lake Dianchi is one of the most severely polluted areas in the lake with heavy cyanobacteria blooms. During June 2002 to May 2003, the algal composition and number, and odorous compounds were identified monthly and monitored in the area. Meanwhile, physicochemical parameters such as total phosphorus (TP), total nitrogen (TN), 5-day biochemical oxygen demand (BOD5), chemical oxygen demand (COD(Mn)), dissolved oxygen (DO), pH, transparency, temperature and chlorophyll a (chla) were determined. Four odorous compounds: 2-methylisoborneol (MIB), geosmin, beta-cyclocitral and beta-ionone were found in the lake water. Both the concentration of particulate beta-cyclocitral and that of beta-ionone correlated significantly with the annual variation of Chla, biomass of total phytoplankton, cyanobacteria and Microcystis. The concentration of particulate MIB correlated significantly with the biomass of Oscillatoria, while the concentration of particulate geosmin correlated significantly with the biomass of Anabaena. Off-flavour in the pilot area was found to be caused by a combination of beta-cyclocitral- and beta-ionone-producing Microcystis, MIB-producing Oscillatoria and geosmin-producing Anabaena. beta-ionone, MIB and geosmin contributed collectively to the odour intensity in the lake water.

Suppression of transforming growth factor-beta1 gene expression by Danggui buxue tang, a traditional Chinese herbal preparation, in retarding the progress of renal damage in streptozotocin-induced diabetic rats.

Danggui buxue tang (DBT), a preparation containing Angelica sinensis (danggui) and Astragalus membranaceus (huangqi) at a ratio of 1 : 5, is used widely in China for stimulating red blood cell production and enhancing cardiovascular function. The present study was undertaken to characterize the effects of this preparation on diabetic nephropathy using streptozotocin-diabetic rats as a model. Streptozotocin-dependent alterations in renal weight/body weight ratio, urinary albumin and beta (2)-microglobulin concentrations, urinary albumin excretion rate, and creatinine clearance were ameliorated after eight weeks of treatment with either DBT or the angiotensin-converting enzyme inhibitor, benazepril. DBT, but not benazepril, partially attenuated the increases in blood glucose, triglycerides and cholesterol in STZ-diabetic rats. Additionally, the increased expression of transforming growth factor-beta (1) mRNA in the renal cortex due to streptozotocin-induced diabetes was modestly attenuated by these treatments. However, eight weeks of treatment with DBT failed to modify the concentration of angiotensin II in plasma or kidney, indicating that the ability of the preparation to retard the progression of kidney disease was not attributable to inhibition of the renin-angiotensin system. We propose that DBT alleviates renal alterations in diabetes and slows the progression of diabetic nephropathy by suppressing transforming growth factor-beta (1) mRNA expression. The preparation may therefore be useful as an adjuvant therapy for controlling diabetes and its complications.

Molecular characterization and diversity of thermophilic iron-reducing enrichment cultures from deep subsurface environments.

AIMS: The objectives of this work were to explore the diversity in Fe (III)-reducing enrichment cultures from the deep subsurface and to identify strains involved in metal reduction. METHODS AND RESULTS: Analyses of 16S ribosomal RNA (rRNA) of enrichments, supplemented with hydrogen, acetate or pyruvate as an electron donor, identified three dominant operational taxonomic units (OTUs). All cultures exhibited considerable diversity (36-24 OTUs), even after being transferred at least nine times. Two OTUs were present in all three cultures, constituting about 65% of the total clones examined. CONCLUSION: Dominant OTUs appeared to be most closely related to Thermoanaerobacter ethanolicus or T. kivui. One OTU, which is potentially responsible for autotrophic Fe (III) reduction, was only about 95% similar to T. ethanolicus and may represent a new species. SIGNIFICANCE AND IMPACT OF THE STUDY: An unexpectedly high diversity was found in these enrichments and this diversity may be a feature that can be exploited.

[Influence of dietary habits and body weight on blood uric acid in the elderly].

Influence of dietary habits, body weight on blood uric acid was studied in 416 elderly people. The result showed that level of blood uric acid in the people who had habits of drinking alcohol, tea and taking hot foods was higher than that who never had those habits (P < 0.05 or 0.01). It also showed that level of blood uric acid was significantly increased in the over-weight or obesity people (P < 0.05). The hyperuricemia incidence in the over-weight or obesity people is 27.4 per cent, and it is 2 times and 3.4 times of the people with ideal weight and weak-weight, respectively. It is suggested that the patients with gout or hyperuricemia give up drinking alcohol, tea and taking hot foods for their health. Reducing body weight is one of the effective measures to prevent and treat gout or hyperuricemia in the elderly.

[Research on sterilization of pathogens by high electrostatic voltage method].

An experimental research has been carried out on the sterilization of four kinds of pathogens by high electrostatic method along with an inquiry into the influence of voltage waveform and the treated time on sterilization. It is concluded that pathogens can be killed efficiently by corona discharge field.