Structure-Assisted Design of Chitosanase Product Specificity for the Production of High-Degree Polymerization Chitooligosaccharides.

Chitosanases are valuable enzymatic tools in the food industry for converting chitosan into functional chitooligosaccharides (COSs). However, most of the chitosanases extensively characterized produced a low degree of polymerization (DP) COSs (DP = 1-3, LdpCOSs), indicating an imperative for enhancements in the product specificity for the high DP COS (DP >3, HdpCOSs) production. In this study, a chitosanase from Methanosarcina sp. 1.H.T.1A.1 (OUC-CsnA4) was cloned and expressed. Analysis of the enzyme-substrate interactions and the subsite architecture of the OUC-CsnA4 indicated that a Ser49 mutation could modify its interaction pattern with the substrate, potentially enhancing product specificity for producing HdpCOSs. Site-directed mutagenesis provided evidence that the S49I and S49P mutations in OUC-CsnA4 enabled the production of up to 24 and 26% of (GlcN)5 from chitosan, respectively─the wild-type enzyme was unable to produce detectable levels of (GlcN)5. These mutations also altered substrate binding preferences, favoring the binding of longer-chain COSs (DP >5) and enhancing (GlcN)5 production. Furthermore, molecular dynamics simulations and molecular docking studies underscored the significance of +2 subsite interactions in determining the (GlcN)4 and (GlcN)5 product specificity. These findings revealed that the positioning and interactions of the reducing end of the substrate within the catalytic cleft are crucial factors influencing the product specificity of chitosanase.

Neuromuscular conditions in post-stroke ankle-foot dysfunction reflected by surface electromyography.

BACKGROUND: Rating scales and linear indices of surface electromyography (sEMG) cannot quantify all neuromuscular conditions associated with ankle-foot dysfunction in hemiplegic patients. This study aimed to reveal potential neuromuscular conditions of ankle-foot dysfunction in hemiplegic patients by nonlinear network indices of sEMG. METHODS: Fourteen male patients with hemiplegia and 10 age- and sex-matched healthy male adults were recruited and tested in static standing position. The characteristics of the root mean square (RMS), median frequency (MF), and three nonlinear indices, the clustering coefficient (C), the average shortest path length (L), and the degree centrality (DC), of eight groups of muscles in bilateral calves were observed. RESULTS: Compared to those of the control group, the RMS of the medial gastrocnemius (MG), flexor digitorum longus (FDL), and extensor digitorum longus (EDL) on the affected side were significantly lower (P < 0.05), and the RMS of the tibial anterior (TA) and EDL on the unaffected side were significantly higher (P < 0.05). The MF of the EDL on the affected side was significantly higher than that on the control side (P < 0.05). The C of the unaffected side was significantly higher than that of the control group, whereas the L was lower (P < 0.05). Compared to those of the control group, the DC of the TA, EDL, and soleus (SOL) on the unaffected sides were higher (P < 0.05), and the DC of the MG on the affected sides was lower (P < 0.05). CONCLUSION: The change trends and clinical significance of these three network indices, including C, L, and DC, are not in line with those of the traditional linear indices, the RMS and the MF. The C and L may reflect the degree of synchronous activation of muscles during a certain motor task. The DC might be able to quantitatively assess the degree of muscle involvement and reflect the degree of involvement of a single muscle. Linear and nonlinear indices may reveal more neuromuscular conditions in hemiplegic ankle-foot dysfunction from different aspects. TRIAL REGISTRATION: ChiCTR2100055090.

Pd Nanoclusters-Sensitized MIL-125/TiO2 Nanochannel Arrays for Sensitive and Humidity-Resistant Formaldehyde Detection at Room Temperature.

Among the various hazardous substances, formaldehyde (HCHO), produced worldwide from wood furniture, dyeing auxiliaries, or as a preservative in consumer products, is harmful to human health. In this study, a sensitive room-temperature HCHO sensor, MTiNCs/Pd, has been developed by integrating Pd nanoclusters (PdNCs) into mesoporous MIL-125(Ti)-decorated TiO2 nanochannel arrays (TiNCs). Thanks to the enrichment effect of the mesoporous structure of MIL-125 and the large surface area offered by TiNCs, the resulting gas sensor accesses significantly enhanced HCHO adsorption capacity. The sufficient energetic active defects formed on PdNCs further allow an electron-extracting effect, thus effectively separating the photogenerated electrons and holes at the interface. The resulting HCHO sensor exhibits a short response/recovery time (37 s/12 s) and excellent sensitivity with a low limit of detection (4.51 ppb) under ultraviolet (UV) irradiation. More importantly, the cyclic redox reactions of Pdδ+ in PdNCs facilitated the regeneration of O2-(ads), thus ensuring a stable and excellent gas sensing performance even under a high-humidity environment. As a proof-of-principle of this design, a wearable gas sensing band is developed for the real-time and on-site detection of HCHO in cigarette smoke, with the potential as an independent device for environmental monitoring and other smart sensing systems.

Pretreatment with or without GnRH-agonist before frozen-thawed embryo transfer in patients with PCOS: a systematic review and meta-analysis.

PURPOSE: This study was aimed to systematically evaluate the efficacy of artificial cycle-prepared frozen-thawed embryo transfer (FET) with or without gonadotrophin-releasing hormone agonist (GnRH-a) pretreatment for women with polycystic ovary syndrome (PCOS). METHODS: The analysis was carried out by searching the PubMed, EMBASE, and CNKI databases with a combination of keywords before October 2021. The available studies of the effects of GnRH-a pretreatment or no pretreatment on FET in PCOS patients were considered. The risk ratios (RRs) or standardized mean differences (SMD) with 95% confidence intervals (CIs) were calculated with using subgroups and sensitivity analysis. The quality evaluation for this analysis was followed. RESULTS: Seventeen studies including 3646 women were analyzed. GnRH-a pretreatment was significantly associated with a higher implantation rate (RR = 1.12, 95%CI: 1.00-1.24) and clinical pregnancy rate (RR = 1.19, 95%CI: 1.08-1.32) than the placebo. Moreover, in the GnRH-a pretreatment group, significant differences were detected for increasing the endometrium thickness among PCOS patients (SMD = 0.56, 95%CI: 0.20-0.92). However, for RCTs subgroup, no differences were observed, even after sensitivity analyses. In addition, the miscarriage rates, ectopic pregnancy rates, multiple pregnancy rates, and live birth rates were similar in both two groups. CONCLUSIONS: Endometrial preparation using GnRH agonist pretreatment prior to FET seems to be the better choice for PCOS patients. However, well-designed RCTs are required for confirmation.

Acetate anions intercalated Fe/Mg-layered double hydroxides modified biochar for efficient adsorption of anionic and cationic heavy metal ions from polluted water.

The simultaneous removal of anionic and cationic heavy metals presents a challenge for adsorbents. In this study, acetate (Ac-) was utilized as the intercalating anion for layered double hydroxide (LDH) to prepare a novel biochar composite adsorbent (Ac-LB) designed for the adsorption of Pb(II), Cu(II), and As(V). By utilizing Ac- as the intercalating anion, the interlayer space of the LDH was enlarged from 0.803 nm to 0.869 nm, exposing more adsorption sites for the LDH and enhancing the affinity for heavy metals. The results of the adsorption experiments showed that the adsorption effect of Ac-LB on heavy metals was significantly improved compared to the original FeMg-LDH modified biochar composites (LB), and the maximum adsorption capacity of Pb(II), Cu(II), and As(V) were 402.70, 68.50, and 21.68 mg/g, respectively. Wastewater simulation tests further confirmed the promising application of Ac-LB for heavy metal adsorption. The analysis of the adsorption mechanism revealed that surface complexation, electrostatic adsorption, and chemical deposition were the main mechanisms of action between heavy metals (Pb(II) and Cu(II)) and Ac-LB. Additionally, Cu(II) ions underwent a homogeneous substitution reaction with Ac-LB. The adsorption process of As(V) by Ac-LB mainly relied on complexation and ion-exchange reactions. Lastly, the modification of the LDH structure by Ac- as an intercalating anion, thereby increasing the affinity for heavy metals, was further illustrated using density-functional theory (DFT) calculations.

Correlation of vitamin E level during pregnancy with maternal and neonatal health outcomes: a meta-analysis and systematic review.

OBJECTIVE: To investigate maternal vitamin E (tocopherol) levels during pregnancy and maternal and neonatal health (MNH) outcomes by using meta-analysis and systematic review of literature. METHODS: PubMed, Web of Science and Medline database were searched from database establishment to December 2022 to collect studies on the level of vitamin E (tocopherol) and pregnancy outcomes. Seven studies were finally included, after screening based on pre-specified eligibility and exclusion criteria. Included studies must have data on maternal vitamin E levels and maternal and infant pregnancy outcomes. Literature quality assessment was made using the Newcastle-Ottawa-Scale scoring standard, and meta-analysis was performed with the use of RevMan5.3. RESULTS: Seven studies (involving 6247 normal women and 658 adverse pregnancy outcomes women, 6905 total), all with a quality evaluation score ≥6 points, were included. The meta-analysis of the 7 studies revealed the presence of statistical heterogeneity in vitamin E data (P<0.1 and I2>50%), so a random-effects analysis was further carried out. Statistically lower serum vitamin E levels were determined in the adverse pregnancy outcome group compared with the normal group [SMD=4.44, 95% CI (2.44,6.43), P<0.001]. Descriptive analysis of the correlation of vitamin E levels with maternal and neonatal general information showed no statistical difference in vitamin E levels among mothers of different ages (<27 years, ≥27 years), P=0.214; however, women with BMI<18.5 kg/m2 showed a higher incidence of vitamin E deficiency than those with BMI ≥18.5 kg/m2 (χ2=15.173, P<0.05). Maternal vitamin E level with neonatal weight Z-Score >-2 was [1.793 (0.08, 4.514) mg/L], which was significantly lower than that of maternal vitamin E level with neonatal weight Z-Score ≤-2 [2.223 (0.899,6.958) mg/L], P=0.009. Maternal vitamin E levels with neonatal length Z-Score >-2 [1.746 (0.08, 4.514) mg/L] were significantly lower than those with neonatal length Z-Score ≤-2 [2.362 (1.380, 6.958) mg/L], P=0.006. CONCLUSION: Maternal vitamin E level is lower in those with adverse pregnancy outcomes than that in those with non-adverse pregnancy outcomes. Still, given the limited research on the correlation of vitamin E during pregnancy with maternal BMI and neonatal body length and weight, a large-scale and well-designed cohort study is needed for further analysis.

Key points of development of motor skills in childhood embodied in gait parameters.

OBJECTIVE: To observe changes of correlations of gait parameters of four sets of body in children aged 3-6. DESIGN: A cross-sectional observational study. SETTING: Dong Gang kindergarten in Suzhou, China. PARTICIPANTS: A total of 89 children between 3 and 6 years old. MAIN OUTCOME MEASURES: A total of 37 three-dimensional (3-D) gait parameters assessed with a wearable gait analysis system in 2-min walking test, for 3 times. RESULTS: There were significant differences in gait speed, stride length and sagittal range of motion (ROM) of trunk among children of 3-6 years old (P < 0.05). The left and right toe out angle, sagittal ROM of waist, coronal ROM of trunk and arm swing velocity of male were significantly greater than those of female children (P < 0.05). Most gait parameters were symmetrical (P < 0.01). Canonical correlations of Upper Limbs Set vs. Trunk and Waist Sets increased by ages (P < 0.05). Canonical correlation of Trunk Set vs. Waist Set decreased by ages. Canonical correlations of Lower Limbs Set to any other sets were not significant (P > 0.05). CONCLUSIONS: Values and symmetry of gait parameters cannot reflect the development of motor skill during ages of 3-6. Proper trunk movement coordinating with upper limbs and isolating from waist is the key point of development of motor skill in walking. It is built during preschool period and girls develop better. Before the preschool period, lower limbs' isolating movements from the other segments have already developed well. These key points of motor skills in walking should be considered when motor tasks for segment isolation and coordination are given to children with motor dysfunction.

Angiotensin Converting Enzyme (ACE) Gene I/D Polymorphism Is Significantly Associated with Insulin Resistance and Polycystic Ovary Syndrome: A Meta-Analysis.

INTRODUCTION: This study was performed to clarify the effects of angiotensin converting enzyme (ACE) I/D polymorphism on the risk of insulin resistance and polycystic ovary syndrome (PCOS). METHODS: Six genotype models and the mean difference (MD)/standardized mean difference (SMD) were applied to evaluate the effects of ACE I/D polymorphism on insulin resistance and PCOS risk. RESULTS: Thirteen studies with 3,212 PCOS patients and 2,314 controls were collected. In the pooled analysis and Caucasian subgroup, the ACE I/D polymorphism was significantly associated with PCOS risk, even after removing the non-Hardy-Weinberg equilibrium (HWE) studies. Moreover, the positive effect of ACE I/D polymorphism in PCOS was mainly presented in Caucasians (removing non-HWE, DD + DI vs. II: odds ratio [OR] = 2.15, p = 0.017; DD vs. DI + II: OR = 2.64, p = 0.007; DD vs. DI: OR = 2.48, p = 0.014; DD vs. II: OR = 3.31, p = 0.005; D vs. I: OR = 2.02, p = 0.005) compared to Asians. Interestingly, only in Asians was the ACE I/D polymorphism significantly correlated to insulin levels (DI vs. II: SMD = 0.19, 95% CI = (0.03, 0.35), p = 0.023) and HOMA-IR (DI vs. II: MD = 0.50, 95% CI = (0.05, 0.95), p = 0.031). CONCLUSIONS: The D allele of the ACE I/D polymorphism promotes PCOS development. Moreover, the ACE I/D polymorphism was also associated with insulin-resistant PCOS, especially among Asians.

Co-occurrence network of microbial communities affected by application of anaerobic fermentation residues during phytoremediation of ionic rare earth tailings area.

The long-term exploitation of ionic rare earth elements (REEs) in southern China has produced a large-scale of abandoned tailings area. While the application of anaerobic fermentation residues to cultivate economically valuable remediation plants (e.g. energy plant) has become a hotspot due to their merits in low-cost and sustainability in recent years, the succession and co-occurrence patterns of these microbial communities remain unclear. In this study, soil samples were collected from the sustainable restoration area, natural restoration area and tailings area. The composition and diversity of bacterial and fungal communities on five soil samples were evaluated using high-throughput sequencing technology. The results shown that the phytoremediation with anaerobic fermentation residues could significantly improve the physicochemical properties (especially for soil nutrients) and microbial diversity of soil within 3 years, while these parameters in natural restoration area were lower. The nonmetric multidimensional scaling (NMDS) ordinations revealed the shifts of microbial communities depending on soil physicochemical properties and plant species, and soil nutrients were the main factors affecting the microbial variation explained by the variation partition analysis (VPA). The soil nutrient accumulation obviously changed the proportion of oligotrophic and copiotrophic groups, among which the copiotrophic groups were significantly increased, such as Proteobacteria, Bacteroidetes, Gemmatimonadetes and Glomeromycota. The microbial co-occurrence network analysis indicated that application of anaerobic fermentation residues could significantly improve the topological properties and the stability of microbial network. The copiotrophic groups (e.g. Proteobacteria, Ascomycota) became the key to assemble stable network structure. Moreover, herbaceous plants could increase the proportion of fungi (e.g. Ascomycota) in microbial network, which improved the topological properties with bacteria synergistically. Therefore, the soil environment of REEs tailings area was effectively optimized by anaerobic fermentation residues and herbaceous plants, which furthered understanding of co-occurrence pattern and mutualistic relationships of microbial communities during sustainable restoration.

Quality of clinical practice guidelines relevant to rehabilitation of knee osteoarthritis: A systematic review.

OBJECTIVE: This systematic review summarized the rehabilitation recommendations for treating and managing knee osteoarthritis (OA) in practice guidelines and evaluated their applicability and quality using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. DATA SOURCES: PubMed, the Cochrane Library, EMBASE, CINAHL, PEDro, Guideline central, Guideline International Network and Agency for Healthcare Research and Quality (AHRQ) were used to search for relevant studies published between 1 January 2008 and 31 May 2022. METHODS: AGREE II was used to evaluate the included guidelines quality, SPSS 25.0 statistical software was used for data analysis, and the intra-group correlation coefficient value was calculated to verify the consistency between the raters. The two-way random effects model was used to calculate concordance scores, and each domain's total scores were calculated. Additionally, the median and interquartile range for domain and total scores were calculated. RESULTS: Twenty-four guidelines recommending knee OA rehabilitation were included. Inter-rater consistency evaluation ranged from 0.62 to 0.90. The domains where the guideline's overall and rehabilitation parts scored highest and lowest were scope and purpose (domain 1) and applicability (domain 5), respectively. The highly recommended rehabilitation opinions included aerobic exercise programs (21/24), weight control (16/24), self-education and management (16/24), gait/walking aids (7/24), and tai chi (6/24). However, the orthopedic insole and hot/cold therapy roles remain controversial. CONCLUSION: The clinical practice guidelines' overall quality for knee OA rehabilitation is good; however, the applicability is slightly poor. Therefore, we should improve the promoting factors and hindering factors, guideline application recommendations, tools, and resources when developing relevant guidelines.

CH/CH2 Group Clusters Doping Methane Hydrate Cages.

Methane hydrate is a crystalline compound with methane molecules as guest species trapped in host water cages. In this study, we detected methane hydrate with water cages doped by (Caromatic-H)5 clusters, (Caromatic-H)6 clusters, and (3Caliphatic-H2 + 2H2O) clusters using current spectroscopic techniques and differential scanning calorimetry (DSC). Methane molecules are trapped in the doped cages with type sI forming in nanoscale silica gel pores. The relative quantity ratio of host carbon to guest carbon in the doped hydrate sample reaches approximately 3.58. Methane hydrate doped by CH/CH2 group clusters greatly improves the ability of the hydrate unit cell to store methane and increases the stability of methane hydrate. Fast proton diffusion in the doped methane hydrate was confirmed. The results of this study will provide efficient and energy saving technical support for disruptive changes in hydrate storage and transportation of methane gas technology with a doped and dense solid phase.

Seasonal Distribution, Composition, and Inventory of Plastic Debris on the Yugang Park Beach in Zhanjiang Bay, South China Sea.

Plastic debris contamination in marine environments is a global problem that poses a considerable threat to the sustainability and health of coastal ecosystems. Marine beaches, as the key zones where terrestrial plastic debris reach coastal waters, are faced with the increasing pressures of human activities. In this study, we explored the distribution, composition, and inventory of plastic debris over seasonal and tidal zones at the Yugang Park Beach (YPB) in Zhanjiang Bay, South China Sea, to provide a baseline for plastic debris on a marine beach. The results showed mean abundance of plastic debris in summer (6.00 ± 2.10 items/m2) was significantly greater than that in winter (3.75 ± 2.12 items/m2). In addition, the composition of plastic debris ranged in size mainly from 1 to 5 mm and 0.5 to 2.5 cm in winter and summer, respectively. In terms of composition, white plastic debris was the most common (81.1%), and foam was the most abundant (64.4%). Moreover, there was a significant relationship between the abundance of plastic debris and sand grain size fraction (p < 0.05), implying the abundances of microplastic debris were more easily impacted by sand grain size (>2 mm). In total inventory, there were about 1.18 × 105 and 2.95 × 105 items of plastic debris on the YPB in winter and summer, respectively. The tidal variation and human activities are responsible for the plastic debris accumulation. This study provided a method to quantify the inventory of plastic debris on a beach and could be helpful to consider regional tidal variations and critical source areas for effective plastic debris clean-up.

A New Method for Postural Misalignment of a 6-Year-Old Girl With Cerebral Palsy: A Case Report.

OBJECTIVE: To demonstrate the effects of a newly designed postural alignment relearning system on postural control dysfunction in a typical patient with cerebral palsy (CP). DESIGN: Evaluation before and after 8 weeks of Constraint Standing Training 3-dimensional postural alignment relearning system. SETTING: Department of Rehabilitation Medicine. PARTICIPANT: A 6-year-old girl with CP and postural misalignment on Gross Motor Function Classification System level I. INTERVENTIONS: Constraint Standing Training for 8 weeks to correct postural misalignment. MAIN OUTCOME MEASURES: Parameters of lateral plain radiographs in static standing, posturography measurements in standing and walking, motor ability (Gross Motor Function Measure-88 [GMFM-88] scores, manual muscle testing [MMT] scores, muscle architecture), and gait kinematic parameters (40 3-dimensional parameters of arms, trunk, waist, and lower limbs). RESULTS: Knee hyperextension angle in static standing; peaks of knee flexion angle (KFA) when walking, hip flexion angle and ankle flexion angle in dynamic standing; and the KFA at initial contact in gait cycle all decreased significantly (P<.01). Scores of GMFM-88 sections D and E and MMT of 5 core stability muscles improved (P<.01). The velocities and range of motion of the arms, the 3-dimensinoal range of motion of the trunk and waist, and most of the parameters of the lower limbs showed statistically significant change (P<.01). Bilateral muscle thickness did not change significantly after the treatment (P=.738 left, P=.978 right), but the gluteus maximus morphology was changed: the muscle fibers became rounder, the interfiber space decreased, and the border lines of the muscle fibers got clearer. CONCLUSIONS: Postural alignment, motor ability, and gait may be homologous external manifestations of more fundamental core abilities, referring to correct standing posture cognition, muscle activation, and postural unconsciousness. Constraint Standing Training 3-dimensional postural alignment relearning system aimed to improve the static and dynamic standing control ability, may fix postural misalignment and improve motor ability and flexed-knee gait. Future work should use Constraint Standing Training with patients with different kinds of misalignment, choose sensitive indicators, observe the duration of each step, and reveal the mechanism causes postural misalignment.

Effects of oral contraceptive for different responder women before GnRH antagonists: a systematic review and meta-analysis.

This analysis aimed to compare the efficacy of oral contraceptive pill (OCP) pretreatment for gonadotropin-releasing hormone antagonist (GnRH-ant) protocol, especially for different responder women. The PubMed, EMBASE, and Chinese National Knowledge Infrastructure (CNKI) databases were searched for trials on with and without OCP pretreatment before stimulation with gonadotropins. The standardized mean differences (SMDs) or pooled risk ratios (RRs) with 95% confidence intervals (CIs) were used for statistical analysis. Fifteen studies with 5326 in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) cycles were summarized. The clinical pregnancy rate, moderate or severe ovarian hyper-stimulation syndrome (OHSS) rate, and miscarriage rate was not found to be significantly different between patients with and those without OCP pretreatment, even after sensitivity analyses. In addition, there were still no statistically significant differences for the subgroups analyses of hyper-responders, poor responders, and normal responders. No significant differences were detected in the duration of ovarian stimulation, gonadotropin dose consumed, endometrial thickness on day of oocyte collection, or number of oocytes. This meta-analysis did not find an unequivocally beneficial effect of OCP pretreatment for different responder women with using a GnRH-ant protocol. The clinician should weigh the advantages and disadvantages of OCP pretreatment and guide the treatment scheduling considering the patient's own situation.

Association between AKT2 gene polymorphism and polycystic ovary syndrome: a case-control study.

OBJECTIVE: This study was conducted to understand the association between the AKT2 (AKT serine/threonine kinase 2) gene polymorphism (rs2304186) and PCOS. METHODS: In total, 1287 participants were included. Six genotype models (Dominant model: TT + TG vs. GG; Recessive model: TT vs. TG + GG; Over-dominant model: TT + GG vs. TG; Co-dominant model: TT vs. TG; Co-dominant TT vs. GG; Allele analysis: T vs. G) were applied in the analysis. According to the races and obesity, subgroup analyses were also performed. RESULTS: No significant association between rs2304186 and PCOS was identified in the whole sample or the Han groups, even after multi-adjustments. Only in the Zhuang groups was it suggested that rs2304186 might promote the risk of PCOS to some extent (Unadjusted: Over-dominant TT + GG vs. TG, OR = 1.522, 95%CI = 1.076-2.152, p = .018; Age-adjusted: Over-dominant TT + GG vs. TG, OR = 1.543, 95%CI = 1.069-2.228, p = .021; Multi-adjusted: OR = 1.497, 95%CI = 1.024-2.188, p = .037). The risk effect was also detected in the non-obesity group (BMI <24.0 kg/m2) for the Co-dominant model (TT vs. TG: OR = 1.355, 95%CI = 1.001-1.835, p = .050). CONCLUSIONS: In summary, we first discovered that rs2304186 might significantly elevate the PCOS risk, especially in the Chinese Zhuang population and the non-obesity group. Further studies are needed to confirm these results.

A Psychological Nursing Intervention for Patients With Thyroid Cancer on Psychological Distress and Quality of Life: A Randomized Clinical Trial.

The present research aimed to investigate the impact of a psychological nursing intervention on psychological distress and quality of life of thyroid cancer patients. A total of 286 participants were randomly divided into two groups: a control group (n = 143) and an intervention group (n = 143). In addition to routine nursing care, patients in the intervention group were given additional psychological nursing interventions. A reduced edition of the Profile of Mood States was used to evaluate mood disturbance, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questionnaire (version 3.0) was applied to determine the quality of life of patients. The intervention group showed remarkably alleviated depression, anxiety, and mood disturbance when compared to the control group. In addition, global health status, functional status, and symptoms status were significantly improved in the intervention group. In conclusion, our findings suggest that a psychological nursing intervention could reduce psychological distress and enhance the life quality of thyroid cancer patients, which could have clinical value to the treatment of thyroid cancer.