The Perceived Stress Scale-10 (PSS-10) is reliable and has construct validity in Chinese patients with systemic lupus erythematosus.

Systemic lupus erythematosus is a chronic, progressive, autoimmune disease that causes significant stress on patients. There is no specific instrument for assessing stress in Chinese systemic lupus erythematosus patients. The objective of this study was to test the reliability and validity of the 10-item Perceived Stress Scale in Chinese systemic lupus erythematosus patients. Validity evaluation included structural and construct validity (convergent and discriminant validity). Structural validity was assessed by exploratory factor analysis. Convergent validity was assessed by correlating the total score of the 10-item Perceived Stress Scale with the Patient Health Questionnaire-9, Self-Efficacy for Managing Chronic Disease 6-Item Scale, the Simplified Coping Style Questionnaire, and the Systemic Lupus Erythematosus Disease Activity Index. Discriminant validity was determined by the statistically significant differences in perceived stress scores among patients with different education levels and disease activity. Reliability was assessed by internal consistency and test-retest reliability. The test-retest reliability was measured at 1-week intervals. Exploratory factor analysis extracted two dimensions that explained 66.45% of the variation. Moderate-to-strong correlations were also found between the 10-item Perceived Stress Scale and the Patient Health Questionnaire-9, Self-Efficacy for Managing Chronic Disease 6-Item Scale, the Simplified Coping Style Questionnaire, and Systemic Lupus Erythematosus Disease Activity Index. Excellent test-retest reliability (intraclass correlation coefficient = 0.954) and internal consistency (Cronbach's alpha = 0.810) were demonstrated. In conclusion, the 10-item Perceived Stress Scale can be used to measure stress among Chinese systemic lupus erythematosus patients and serve as a basis for further research.

First Report of Race Composition and Distribution of Sunflower Broomrape, Orobanche cumana, in China.

Sunflower broomrape (Orobanche cumana Wallr.) is a holoparasitic plant that penetrates the vascular system of sunflower roots, absorbs plant nutrients and water, and thus causes stunting, reduced growth, and severe yield losses (3). To date, seven races of sunflower broomrape (O. cumana) have been identified by using international standard race differential hosts in Bulgaria, Serbia, Romania, Turkey, and Russia (4). However, the race types present in China are unknown. To identify the race composition of sunflower broomrape in China, race differential hosts of sunflower broomrape were received from Dr. Dragan Skoric (Serbian Academy of Sciences and Arts, Novi Sad, Serbia): Line AD66 has no resistant genes; Kruglik-41 contains resistant gene Or1; B-RO-02A has Or2; Record has Or3; LC1002B has Or4; LC1003B has Or5; LC-1093 has Or6, and Race-G-2 has Or7 (1). Eighteen sunflower broomrape samples were collected in August of 2011, 2012, and 2013 from different provinces/locations in China, including Xinjiang (Xinyuan, Shihezi, Tekesi, Beitun, Urumqi, and Yining), Inner Mongolia (Linhe, Xixiaozhao, Wuqianqi, Tuzuoqi, Keyouqianqi, and Aohanqi), Shanxi (Hunyuan, Shilou, Mizhi, and Dingbian), Jilin (Tongyu), and Hebei (Xuanhua). The differential hosts were each inoculated with the seeds of each broomrape isolate that was recovered, as described by Pancenko with minor modification (2). Briefly, two parts of field soil and one part of vermiculite were mixed together and used as potting mix. The mix was inoculated with broomrape seeds at 10 mg of seeds per 100 g of potting mix. The inoculated mix was placed in a 7-cm (diameter) × 11-cm (height) plastic pot to fill two-thirds of the pot volume. Three sunflower seeds were placed on the surface of the mix at an even distance from each other and covered with additional mix. The pots were kept in a greenhouse under a 16-h photoperiod at 10,000 lux of illumination intensity, temperature of 20-25°C, and 40% relative humidity. Forty days after incubation, sunflower seedlings were taken out from the pot and the roots washed with tap water. The number of tubercles was recorded on the root of each differential host. Race types were determined based on the reaction (tubercule formation on roots) of all the standard differential hosts to the test isolate. The results showed that races A, D, E, and G of O. cumana were present among the isolates. Race G was found in Wuqianqi, Xixiaozhao, and Linhe in the western part of Inner Mongolia. Race E was found only in Shihezi of Xinjiang. Race D was found in Aohanqi and Keyouqianqi (eastern part of Inner Mongolia); Xinyuan, Tekesi, Beitun, and Urumqi (northern part of Xinjiang); and Tongyu (northern part of Jilin). Race A was found in Mizhi, Shilou, and Hunyuan of Shanxi province and Xuanhua in Hebei province. Additionally, race A was also found in Tuzuoqi, the middle region of Inner Mongolia. Thus, races A, D, E, and G were the main race types of O. cumana in China. Race D was the predominant race type and had the widest distribution. Race G was the highest level race type in this study but was mainly limited to the western part of Inner Mongolia. This is the first report of race composition and distribution of sunflower broomrape (O. cumana) in China. References: (1) Y. Kaya et al. Helia 40:211, 2004. (2) A. N. Pancenko, Zbirnik VNIIMK. Page 107, 1973. (3) C. Parker. Page 17 in: Proc. 3rd Int. Workshop on Orobanche and Related Striga Research, 1994. (4) P. Shindrova et al. Helia 35:87, 2012.

Structure-based modelling, scoring, screening, and in vitro kinase assay of anesthetic pkc inhibitors against a natural medicine library.

Protein kinase C (PKC) is an intracellular effector of the inositol phosphate-mediated signal transduction pathway. Evidence is emerging that certain general anaesthetics can influence the activity of PKC by interacting with the regulatory domain of the enzyme, and targeting PKC kinase domain is considered as a strategy to modulate the anaesthetic effects. Here, an integrated method was used to perform virtual screening against a large library of natural compounds for the discovery of new and potent PKC modulators. A number of hits were identified and their inhibitory activity against PKC kinase domain was measured by using a standard kinase assay protocol. Three and five compounds were determined to have high and moderate activities with IC50 values at nanomolar and micromolar levels, respectively. These compounds can be considered as promising lead molecular entities to develop efficacious anaesthetic modulators. Structural examination revealed a variety of nonbonded interactions such as hydrogen bonds, cation-π contacts, and hydrophobic forces across the complex interface of PKC with the identified compounds. This study helps to establish an integrative approach to rational kinase inhibitor discovery by efficiently exploiting various existing natural products.

Neonatal hearing screening: evaluation of tone-burst and click-evoked otoacoustic emission test criteria.

OBJECTIVE: Click-evoked otoacoustic emissions (CEOAEs) are widely used in universal neonatal hearing screening programs. A common finding in many such programs is a relatively high false-positive rate. This is often due to infant physiological noise adversely affecting the emission recording, leading to a "refer" screening outcome. In an attempt to reduce false-positive screening outcomes related to the effects of noise on otoacoustic emission response detection, tone-burst-evoked otoacoustic emissions (TBOAEs) were included in a neonatal hearing screening program because TBOAEs may elicit a greater signal-to-noise ratio than CEOAEs. The research project compared the pass/refer rate for a CEOAE-based test using established pass/refer criteria with the pass/refer rate for screening criteria that were based on TBOAE results alone or on combined CEOAE and TEOAE results. DESIGN: Neonates were recruited at the Hong Kong Adventist Hospital, and both CEOAEs and TBOAEs were performed. Six passing criteria were used in this study, based on CEOAEs only; CEOAEs plus 1 kHz TBOAEs; CEOAEs plus 2 kHz TBOAEs; CEOAEs plus 3 kHz TBOAEs; CEOAEs plus 1, 2, and 3 kHz TBOAEs; and TBOAEs only. RESULTS: Data from 298 neonates (546 ears) were obtained. Criteria set 1, using CEOAEs only, demonstrated a pass rate of 79.1%, and 114 ears were referred. Criteria set 2, using CEOAEs together with TBOAEs recorded at 1 kHz, passed 39 more ears than Protocol 1, and the pass rate was 86.3%. Hence, the overall referral rate for total number of screened ears decreased by 7.2 percentage points. Criteria set 3, using CEOAEs together with TBOAEs recorded at 2 kHz, and Criteria set 4, using CEOAEs in conjunction with TBOAEs recorded at 3 kHz, gave pass rates similar to Criteria set 1. Criteria set 5, using TBOAE information at frequencies where CEOAEs were not rated as "pass," raised the pass rate from 79.1 to 87.6%, reducing the overall referral rate by 8.5 percentage points. Criteria set 6, in which neonates were screened with TBOAEs recorded at 1, 2, and 3 kHz, gave a pass rate of 78.4%, similar to results for the CEOAE-only procedure. CONCLUSIONS: Both Criteria sets 2 and 5, which combined CEOAE and TBOAE recordings, gave significantly higher pass rates than Criteria sets 1, 3, 4, and 6. The results suggest that the introduction of combined CEOAE and TBOAE protocols may assist in the reduction of refer outcomes, and hence the false-positive rates, of neonatal hearing screening programs.