PDCD4 deficiency improved 4-vinylcyclohexene dioxide-induced mouse premature ovarian insufficiency.

RESEARCH QUESTION: What role does programmed cell death 4 (PDCD4) play in premature ovarian insufficiency (POI)? DESIGN: A PDCD4 gene knockout (PDCD4-/-) mouse model was constructed, a POI mouse model was established similar to human POI with 4-vinylcyclohexene dioxide (VCD), a PDCD4-overexpressed adenovirus was designed and the regulatory role in POI in vitro and in vivo was investigated. RESULTS: PDCD4 expression was significantly increased in the ovarian granulosa cells of patients with POI (P ≤ 0.002 protein and mRNA) and mice with VCD-induced POI (P < 0.001 protein expression in both mouse ovaries and granulosa cells). In POI-induced mice model, PDCD4 knockouts significantly increased anti-Müllerian hormone, oestrodiol and numbers of developing follicles, and the PI3K-AKT-Bcl2/Bax signalling pathway is involved in it. CONCLUSION: The expression and regulation of PDCD4 significantly affects the POI pathology in a mouse model. This effect is closely related to the regulation of Bcl2/Bax and the activation of the PI3K-AKT signalling pathway.

Knowledge, attitude, and practice toward ultrasound screening for breast cancer among women.

Background: Several obstacles can hinder breast cancer screening. This study aimed to investigate the knowledge, attitude, and practice (KAP) toward ultrasound screening for breast cancer in women. Methods: This cross-sectional study recruited women who visited the breast specialist clinic of Zhongshan City People's Hospital (a tertiary hospital) between August 2022 and April 2023 through convenience sampling. KAP scores ≥70% were considered adequate. Results: This study enrolled 501 participants. The mean knowledge, attitude, and practice levels were 8.56 ± 1.81/12 (possible range 0-12, 71.33%), 29.80 ± 2.71 (possible range 8-40, 74.50%), and 32.04 ± 3.09 (possible range 8-40, 80.10%). Senior high school education (vs. junior high school and below, coefficient = 1.531, 95%CI: 1.013-2.312, p = 0.044), bachelor's education and above (vs. junior high school and below, coefficient = 5.315, 95%CI: 3.546-7.966, p < 0.001), housewife or unemployed (vs. employed, coefficient = 0.671, 95%CI: 0.466-0.966, p = 0.032), and a history of breast ultrasound (vs. no, coefficient = 1.466, 95%CI: 1.121-1.917, p = 0.005) were independently and positively associated with knowledge. Knowledge (coefficient = 1.303, 95%CI: 1.100-1.544, p = 0.002) and monthly income >10,000 (vs. <5,000, coefficient = 4.364, 95%CI: 1.738-10.956, p = 0.002) were independently and positively associated with attitude. Only attitude (coefficient = 1.212, 95%CI: 1.096-1.340, p < 0.001) was independently and positively associated with the practice. A structural equation modeling (SEM) analysis was used to estimate causality among KAP dimensions, showing that knowledge directly influenced attitude (ß = -1.090, p = 0.015), knowledge did not directly influence practice (ß = -0.117, p = 0.681) but had an indirect influence (ß = 0.826, p = 0.028), and attitude directly influenced practice (ß = -0.757, p = 0.016). Conclusion: Women in Zhongshan City had good knowledge, favorable attitudes, and active practice toward breast ultrasound screening for breast cancer. Women's characteristics associated with a poorer KAP were identified, allowing for more targeted interventions.

Adding sweet potato vines improve the quality of rice straw silage.

Rice straw and sweet potato vines are the main by-products of agricultural crops, and their disposal creates problems for the environment in the south of China. In order to establish an easy method for making rice straw silage successfully, experiments were conduct to evaluate fermentation quality and nutritive value of rice straw silages ensiled with or without sweet potato vine. Paddy rice straw (PR) and upland rice straw (UP) were ensiled alone or with sweet potato vines (SP) by a ratio of 1:1 (fresh matter basis), over 3 years. Compared with rice straw silages ensiled alone, the mixed-material silages (PR + SP, UR + SP) showed higher fermentation quality with lower propionic acid content and NH3 -N ratio of total N, and higher (P < 0.05) concentrations of lactic acid and acetic acid, resulting in decrease (P < 0.05) of dry matter loss and higher (P < 0.05) in vitro ruminal dry matter digestion. When the fermentation quality, chemical composition and in vitro rumen fermentation characteristics were considered, ensiling would be an effective way of utilization of rice straw and sweet potato vines in the regions where rice and sweet potato are harvested at same season, and the sweet potato vines have the potential to improve rice straw fermentation quality with low water soluble carbohydrate content in south of China.