Improving the Lung Cancer Clinical Trial Development by Incorporating Competing Risk Factors.

INTRODUCTION: Distinct from other diseases, as cancer progresses, both the symptoms and treatments evolve, resulting in a complex, time-dependent relationship. Many competing risk factors influence the outcome of cancer. An improved method was used to evaluate the data from 6 non-small-cell lung cancer (NSCLC) clinical trials combined in our center since 2016 to deal with the bias caused by competing risk factors. Material and Methods. Data of 118 lung cancer patients were collected from 2016 to 2020. Fine and Gray's model for competing risk was used to evaluate survival of different treatment group compares with the classic survival analysis model. RESULTS: Immunotherapy had better progression-free survival than chemotherapy. (HR: 0.62, 95% CI: 0.41-0.95, p = 0.0260). However, there were no significant differences in patients who withdrew due to treatment-related adverse events from different groups. (Z = 0.0508, p = 0.8217). The PD-1/PD-L1 inhibitors in our study did not significantly improve overall survival compared with chemotherapy (HR:0.77, 95% CI:0.48-1.24, p = 0.2812), estimated 1-year overall survival rates were 55% and 46%, and 3-year overall survival rates were 17% and 10%, respectively. CONCLUSION: When the outcome caused by competing risk exists, the corresponding competing risk model method should be adopted to eliminate the bias caused by the classic survival analysis.

Risk assessment for coronary heart disease in urban residents of Handan City in 2017-2018 / 公共卫生与预防医学

Objectiv e To investigate the risk of coronary heart disease in urban residents of Handan City from 2017 to 2018, and to provide a scientific basis for the prevention and treatment of coronary heart disease. Methods A total of 1 546 residents in an urban area of Handan were selected as the research subjects. According to coronary artery stenosis, they were divided into the coronary heart disease group and the non-coronary heart disease group. The physical indexes and laboratory test results of the two groups were collected. Univariate and multivariate logistic regression models were used to analyze the risk factors of coronary heart disease. Results The correlation analysis of the results reveled that the increase of LDL-C level, smoking history, diabetes, hypertension and body mass index were significantly correlated with the incidence of coronary heart disease (P<0.05), which were the risk factors for the onset of coronary heart disease. Conclusion The incidence of coronary heart disease in urban residents of Handan from 2017 to 2018 was related to a variety of factors, among which the increase of LDL-C level, smoking history, diabetes, hypertension and body mass index were high risk factors for coronary heart disease. Quitting smoking, reducing the intake of high salt and sugar, and controlling the LDL-C level and body weight are important to reduce the incidence of coronary heart disease.

Correlation analysis of depression severity and neurocognitive function in patients with late-onset depression / 预防医学

Objective@#To explore the correlation between depression severity and neurocognitive function in patients with late-onset depression .@*Methods@#The patients with late-onset depression treated in Jinhua Second hospital from February 2015 to December 2017 were assigned into the mild,moderate and severe groups according to the severity of depression assessed by the Hamilton Depression Scale-17（HAMD-17）. At the same time,some healthy persons were selected as the control group. Wisconsin Card Sorting Test（WCST）,Verbal Fluency Test（VFT）and Stroop Test were carried out,and the scores of these tests were compared in the four groups. The correlations of WCST, VFT, Stroop Test and HAMD-17 scores were analyzed .@*Results@# There were 32,28,35 and 35 subjects involved in the mild,moderate,severe and control group,respectively. The subjects of the mild group,moderate group and severe group had more total errors,perseverative responses and perseverative errors than the control group,and less percent conceptual level responses than the control group （all P<0.05）. The total errors,perseverative responses,perseverative errors and percent perseverative errors increased and the percent conceptual level responses decreased gradually with the severity of depression（all P<0.05）. The correct numbers of Stroop-consistent group and VFT in the severe group were less than those in the control,mild and moderate group（all P<0.05）,which was significantly different between the mild,moderate and control group （P>0.05）. The HAMD-17 scores were negatively correlated with the correct numbers of Stroop congruent group（r=-0.448,P<0.001）and VFT（r=-0.401,P<0.001）,and were positively correlated with perseverative responses in the WCST（r=0.784,P<0.001） .@*Conclusion@#The neurocognitive impairment in patients with late-onset depression aggravated with the severity of depression.

Polymorphism of angiotensin-converting enzyme gene I/D of broad jumpers / 重庆医学

Objective To explore the characteristic of ACE gene I/D polymorphism in Han broad jumpers .Methods Distribu‐tion of ACE gene I/D polymorphism for broad jumpers was analyzed by PCR ,DNA sequencing ,Hardy‐Weinberg and SPSS ,and the results were compared with that of normal people .Results There were II ,DD and ID in gene ACE 16 ,and the Hard‐Weinberg re‐sults showed that the subjects were group representative .The ACE DD genotype and D allele in broad jumpers was statistically higher than normal controls (P<0 .05) .Conclusion The results suggest that ACE DD genotype and D allele are associated with training sensitivity of broad jumpers and could be the molecular marker for athletes choosing genetically .

Effect of miR-342-3p on chemotherapy sensitivity in triple-negative breast cancer / 中南大学学报(医学版)

OBJECTIVE@#To study the effect of miR-342-3p on the chemotherapy sensitivity in triple-negative breast cancer (TNBC).@*METHODS@#Tissue samples were collected from January 2011 to August 2013 samples in Jiangsu Cancer Hospital from a total of 32 triple-negative breast cancer patients with preoperative chemotherapy, with 5 cases of complete response (CR) and 27 cases of partial response (PR). We detected miR-342-3p expression of TNBC with RT-PCR. We transfected has-miR-342-3p mimic and inhibitor into breast cancer cell lines MDA-MB-231 by lipofection transfection and set up negative control mim-NC and inhi-NC. Group of mimic, mim-NC, inhibitor and inhi-NC were cultivated with 2 μmol /L paclitaxel, cisplatin or 4 μmol/L doxorubicin for 48 h. The cell growth rates were measured by CCK8 reagent kit, and the cell apoptosis rate by flow cytometry.@*RESULTS@#The expressions of miRNA-342-3p in TNBC tissue of CR were higher than those of PR. The cell growth rates of mimic were lower and cell apoptosis rates were higher than those of min- NC after cultivating with paclitaxel or cisplatin for 48 h, with significant difference (P0.05).@*CONCLUSION@#TNBC with high expression of miR-342-3p are more sensitive to chemotherapy. miRNA-342-3p may regulate the sensitivity of breast cancer cell line MDA-MB-231 to chemotherapy drugs paclitaxel and cisplatin, but can not affect the chemotherapy sensitivity of doxorubicin.

Epidemiological investigation on respiratory diseases in 1 300 children, in Jinan, Shandong / 中华流行病学杂志

Objective To analyze the characteristics of respiratory diseases and to provide scientific basis for developing relevant control measures.Methods 1 300 children with respiratory diseases were treated in hospitals,from Jan.2013 to May 2014,in the city of Jinan.Characteristics of respiratory diseases were analyzed.Results The distribution of respiratory diseases in children appeared as:373 cases of pneumonia (28.7％),3 cases of pulmonary tuberculosis (0.2％),467 cases of acute bronchitis (35.9％),102 cases of asthma (7.8％),and 355 cases of upper respiratory tract infection (27.3％).The upper respiratory tract infection contained 168 cases of tonsillitis (12.9％),91 cases of pharyngitis (7.0％),52 cases of laryngitis (4.0％) and 44 cases of iaryngopharyngitis (3.4％).The age distribution of cases with children respiratory diseases appeared as:71 cases ＜ 1 years old (5.5％),385 cases as 1-2 years old (29.6％),534 cases as 3-6 years old (41.1％),258 cases as 7-12 years old (19.8％) and 52 cases as ＞13 years old (4.0％).The seasonal distribution of children respiratory diseases appeared as:364 cases in Spring (28.0％),163 cases in summer (12.5％),315 cases in autumn (24.2％) and 458 cases in winter (35.2％).Regional distribution of children respiratory diseases appeared as:516 cases in urban area (39.7％),225 cases in suburb (17.3％),376 cases in townships (28.9％) and 183 in villages (14.1％).725 strains were isolated and identified that containing 349 strains (48.1％) of Mycoplasma pneumoniae,136 strains (18.8％) of Haemophilus influenza,103 strains (14.2％) of Streptococcus pneumoniae,82 strains (11.3％) of Klebsiella pneumoniae,38 strains (5.2％) of Acinetobacter baumannii,35 strains(4.8％) of Enterobacter cloacae,22 strains (3.0％) of Streptococcus pyogenes,17 strains (2.3％) of Alcaligenes,16 strains (2.2％ of Candida albicans) and 9 strains (1.2％) of Flavobacterium indologenes.1 288 cases (99.1％) were cured.Conclusion The common respiratory diseases would include bronchiolitis,pneumonia and upper respiratory tract infections in children,mostly attacking 3-6 year-olds at preschool stage,with spring,winter,urban and township as the prevalent seasons and areas.

Influence of Hedysari Radix Concentrations Fluid on Learning and Memory and Monoamine Neurotransmitters in Senescence Accelerated Mice / 中国中医药信息杂志

Objective To explore the influence of Hedysari radix concentrations fluid (HRCF) on learning and memory and its effect on cerebral monoamine neurotransmitters in senescence accelerated mice. Methods The senescence accelerated mice were randomly divided into the senescence accelerated mouse/resistance 1 (SAMR1) control group, senescence accelerated mouse/prone-8 (SAMP8) model group, HRCF treatment group and aricept treatment group. After 3 months of intragastrical treatment, the learning and memory ability changes and content of norepinephrine, dopamine, 5-hydroxytryptamine and 5-hydroxyindoleacetic acid were detected respectively using Morris water maze and high performance liquid chromatography. Results In the model group, the hidden platform test indicated that the latency to find the hidden platform was remarkably prolonged, and the content of norepinephrine, dopamine, 5-hydroxytryptamine as well as 5-hydroxyindoleacetic acid were significantly reduced (P<0.01). Compared with the model group, the latency of hidden platform test was remarkably shortened (P<0.05) and the content of norepinephrine, dopamine, 5-hydroxytryptamine as well as 5-hydroxyindoleacetic acid were obviously increased in HRCF treatment group (P<0.01). Conclusion HRCF could improve learning and memory ability of SAMP8 and the influence may related to increasing the content of cerebral monoamine neurotransmitters.

Effects of Hedysari radix polysaccharide on the behavior and central neurotransmitters in SAMP8 / 国际中医中药杂志

Objective To investigate the improving effect of Hedysari radix polysaccharide on the behavior and its influence on cerebral central neurotransmitters in senescence accelerated mouse prone 8 (SAMP 8).Methods The senescence accelerated mice 8 were randomly divided into a model group,a Hedysari radix polysaccharide (HRP) group and a aricept group.SAMRl were served as the control group.After intragastrical treatment for 3 months,the behavior changes and the levels of norepinephrine (NE),dopamine (DA),5-hydroxytryptamine (5-HT) and 5-hydroxyindoleacetic acid (5-HIAA) were observed respectively by applying Morris water maze and high performance liquid chromatography (HPLC).Results In the SAMP8 model group,the hidden platform test showed that the latency to find the hidden platform was remarkably prolonged,the latency range from third day to fifth day was (55.31 ±9.62) s,(58.67± 10.89) s,(58.45± 10.53) s,respectively.The level ofNE、DA、5-HT and 5-HIAA was (4.97± 1.74) mmol/L,(1.63±0.57)mmol/L,(4.29±0.94)mmol/L,(2.91±0.85)mmol/L respectively,significantly reduced (P＜0.01).Compared with model group,the latency of hidden platform test was (44.73 ± 9.83) s,(40.53±8.37)s,(44.75±9.16)s respectively,which were remarkably shortened.The expression level ofNE,DA,5-HT and 5-HIAA in the HRP treatment group was (7.58± 1.62) mmol/L,(3.25 ±0.70) mmol/L,(7.04±0.95) mmol/L,(4.62±0.79) mmol/L respectively,which obviously increased (P＜ 0.05).Conclusion HRP could improve learning and memory ability of SAMP8 and the effect may related to up-regulate the expression level of cerebral Central neurotransmitters.

Study on cognitive ability and mental health status of the empty-nest elders in urban area of Beijing / 国际中医中药杂志

Objective To investigate the cognitive ability and mental health status of the empty-nest elderly people lived in urban area of Beijing.Methods We recruited subjects from 8 communities in Beijing.1067 people were investigated,including 839 empty-nest elderly subjects and 228 not empty-nest elderly subjects.We used demography questionnaire and mental health scale to assess the cognitive ability and mental health of these elders.Results The subjects in the empty-nest elderly having high education,well-condition marriage and being male were more than those in the other group (T or x2=10.769,2.009,159.523,P＜0.05).There was no significant difference in the global cognition between the two groups (F=5.541,P＞0.05).Among language ability,working memory,attention and executive function,the differences between these two groups were significant (F=7.203,4.436,8.806,P＜0.05).Compared with normal elderly subjects,empty-nest elderly subjects had higher scores in face scale and GDS scale (F=5.541,5.578,P＜0.05).Conclusion There are remarkable cognitive ability and mental health differences between empty-nest and not empty-nest elders.

Enhancing alkylating agent resistance through ERCC2 gene transfection in human glioma cell line / 中华医学杂志(英文版)

<p><b>OBJECTIVE</b>To confirm the enhancing effect of excision repair cross complementing rodent repair deficiency gene 2 (ERCC2) on alkylating agents resistance.</p><p><b>METHODS</b>The authors constructed a pcDNA3-ERCC2 plasmid. The pcDNA3-ERCC2 was transfected into a selected ERCC2 negative human glioma cell line, SKMG-4, using liposome-mediated transfection. After G418 selection, a stable transfected cell line was obtained and tested for cytotoxicity of several alkylating agents.</p><p><b>RESULTS</b>The stable transfectant was obtained and confirmed by RT-PCR as well as Western blot analysis to be strongly expressing ERCC2 at both mRNA and protein levels. The IC(90) ( micro mol/L) of two alkylating agents, cisplatin and melphalan, increased from 1.0 to 1.75 (75%) and 5.6 to 9.0 (61%), respectively, compared with control cell line.</p><p><b>CONCLUSION</b>The present data provided evidences and confirmed the authors' previous results that ERCC2 contributes, at least partially, to alkylating agent resistance in human glioma cell line.</p>

Investigation and Analysis on Environmental Pollution Due to a Small Antimony Smeltery in Southwest Guizhou Province / 环境与健康杂志

Objective To understand the impacts of a small antimony smeltery on surrounding environment. Methods The samples of raw materials,such as ore and coal,soil and plant around a small antimony smeltery in southwest Guizhou province were analyzed. Results The levels of arsenic,mercury,fluoride ,antimony and selenium in soil around the antimony smeltery significantly increased compared with the average background levels of related elements in nationwide range . The levels of arsenic, mercury,fluoride ,antimony and selenium in soil around the antimony smeltery were 1. 73～4.69,4. 75～237.5,2. 26～3.42,35.6～36. 2,54. 29～57.14 times as much as their related average levels in our country respectively. The levels of arsenic ,mercury ,fluoride and selenium in soil around the smeltery were 1.25～ 3. , 58,1.86～ 93.14,1.38～ 2.08,33. 04～ 34.78 times as much as their related average levels of Guizhou province respectively. The levels of arsenic, mercury, fluoride, antimony and selenium in corn leaves around the smeltery was 67,26.7,1046.4,2220,38. 8 times as much as their related average levels in non-polluted plants respectively. Conclusion The air pollutants,such as sulphur,arsenic,mercury,fluoride,antimony and selenium in industrial waste gas emitted from the antimony smeltery had resulted in heavy pollution to the environment, which was aggravated by the application of coal with high level of sulphur.

Studies on determination of ferulic acid by HPLC / 中成药

AIM: The purpose is to study the stability of ferulic acid and develop a method for determining the content of ferulic acid in angelica sinensis by HPLC. METHODS: The solvent of reference ferulic acid was HCOOH H 2O(5∶95), but the solvent of the sample was HCCOH CH 3OH(5∶95). The separation was performed on Shimpack CLC -ODS column with acetonitrile (containing 0.2% methanol) 0.1% triethylamine (containing 0.1% phosphate)(20∶80) as mobile phase. Ferulic acid was detected at 324nm with flowing rate as 1.0mL?min -1 . RESULTS: The calibration curve was linear ( r =0.9998) in the range of 0.704 17.6 ?g?mL -1 for ferulic acid. The average recovery was 99.33% and RSD 0.60%, respectively. CONCLUSION: The method is quick and convenient for determination of ferulic acid.

EFFECTS OF ?-CHLOROHYDRIN COMBINED WITH GLYCIDOL ON THE ULTRASTRUCTURE OF THE RAT EPIDIDYMIS / 解剖学报

Combined effects of ?-chlorohydrin and glycidol on the ultrastructure of theinitial segment and the tail region of the rat epididymis have been studied by ultra-thin sections under electronmicroscope.Individual effects of the both drugs on thesame tissues were also examined simultaneously.The major results are as follows.1.Numbers of swollen and degenerated mitochondria were observed in principalcells,clear cells,apical cells and basal cells of epididymal epithelium,as well as insmooth muscle cells of the ductus epididymidis and in endothelial cells of the capil-laries in epididymal interstitium during a period of 3～30 days after administrationof low dose of ?-chlorohydrin combined with glycidol(5 mg ?-chlorohydrin plus75mg glycidol/kg/day?2),which previously has been proved to be effective inmale rat antifertility.Additionally,Golgi vacuoles,pinocytotic vesicles,multivesicularbodies,stereocilia and smooth endoplasmic reticulum in the apical cytoplasm of someprincipal cells occasionally were found to decrease in number.No Morphologicalchanges of the nuclei were found in these affected cells.The number of morphologi-cally unchanged mitochondria appears to become more with extended time after drugswithdrawal.2.In the group treated with the large combined dose of the drugs(20 mg ?-chlorohydrin plus 100 mg glycidol/kg/day?2),apart from the changes mentionedabove,necrosis and exfoliation of some epididymal epithelial cells could be found.Some lesions of the sperm,such as the destruction of the cytoplasmic membrane,swelling of mitochondria and pyknosis of nucleus were present in a few specimenstaken from this group.3.Effects similiar to that of the combined use of the drugs were also found ingroups using ?-chlorohydrin or glycidol alone,but a less degree of lesions revealed.These observations suggested that the antifertile effects of ?-chlorohydrin andglycidol either used in combination or alone could result injury of mitochondria inepididymal epithelial cells,which should lead to the decrease of the function ofepididymis,hence to interfere with the maturation of the sperm in it.

EFFECTS OF ALPHA-CHLOROHYDRIN COMBINED WITH GLYCIDOL ON THE ULTRASTRUCTURE OF CAPUT EPIDIDYMIS, LIVER AND KIDNEY IN MALE RATS AFTER LONG-TREATMENT WITH LOW DOSAGE / 解剖学报

It was reported that a complete antifertility action of alpha-chlorohydrin in combination with glycidol in male rats after a daily oral dose of 5mg/kg and 75mg/kg respectively for two days. Simultaneously some ultrastructural changes including mitochondrial swelling, atrophy of Golgi complex, decreasing in pinocytotic vesicles and stereocilia were found in principal cells of epididymis within 3 days after medication.In this experiment the animals received 3, 6 and 9 courses of treatment respectively, each course included two days of administration with a daily dose mentioned above and eight days of cessation of medication.The specimens of initial segment of epididymis, liver and kidney were taken at the end of 3 rd, 6 th and 9th courses of treatment for electron microscopy.The principal cells of initial segment of epididymis revealed a normal feature at the end of 3 rd and 9 th course of treatment. But at the end of 6 th course of treatment, the atrophy of Golgi complex and the decrease in stereocilia and pinocytotic vesicles were found in some principal cells.Any ultrastructural changs of sperms in the initial segment were not found by electron microscope.There was also mitochondrial changes with striking increase in the density of the matrix and reduction of size in some liver cells at the end of 6 th course of treatment, but not at the end of 3 rd or 9 th course of treatment. The epithelial cells of nephron in all the specimens revealed a normal ultrastructural feature.The results suggest that the ultrastructural changes of the principal cells and the liver cells induced by the mixture of the drugs could be recovered at the end of treatments.