Charlson合并症指数对2型糖尿病肾病死亡率预测作用的研究(英文)

研究目的:探讨Charlson合并症指数(CCI)对2型糖尿病肾病死亡率的预测作用。研究方法:建立2型糖尿病肾病研究队列,根据CCI评分将患者合并症的严重程度分为三度:轻度(CCI1–2分)、中度(CCI 3–4分)、重度(CCI≥5分)。将影响死亡率的因素及按CCI分层后的组间差异指标进行Logistic回归分析及方差分析(ANOVA)。Kaplan-Meier生存曲线分析CCI指数对生存时间及死亡率的影响。重要结论:533例2型糖尿病肾病患者纳入研究。所有患者的CCI评分均大于1,44.7%(238/533)的患者死亡。患者的死亡率随CCI评分增加而增加,CCI 1–2分患者的死亡率为21.0%(50/238),CCI 3–4分患者的死亡率为56.7%(135/238),CCI≥5分患者的死亡率为22.3%(53/238)。Logistic回归分析显示CCI评分、血红蛋白和血浆白蛋白水平是患者死亡率的预测因子(P0.05)。方差分析结果显示,与CCI评分相对较低的患者相比,CCI评分越高的患者其血红蛋白水平较低,而血清肌酐较高,死亡率也更高。Kaplan-Meier生存曲线显示CCI评分越高的患者生存时间越短。CCI评分是一种简单易行且实用的评估疾病合并症的方法,可用于预测2型糖尿病肾病患者的死亡率。关注2型糖尿病肾病患者的合并症将有利于早期、有效治疗及改善预后。     

开放英语CD-ROM应用效率调查研究简

采取定量研究方法,对某电大208名开放英语CD—ROM使用者进行问卷调查。研究结果表明系统应用效率低下。这既有学习者本身的原因,如学习自主性不高、计算机辅助语言学习经验欠缺、语言水平不足以及投入学习时间少等;也有学校和教师的原因,如没有采取相关措施或政策以及支持、服务和对话互动不够。其中,最重要的原因是学习者自主学习能力不足。     

泰国南邦省陶瓷厂细颗粒物对大鼠肺部的影响(英文)简

Background： Lung cancer ranks as the fifth largest of all cancer cases in Thailand. However, it is the first leading cancer in the northern part of Thailand （data from 2003-2007）. There are several predisposing causes that lead to lung cancer and one important inducement is particulate matters （PMs）. Lampang Province in Thailand is famous for the ceramic industry, where there are over 200 ceramic industrial factories. PMs are produced during the ceramic manufacturing process and spread throughout all of the working areas. It is very possible that workers could directly inhale PM-contaminated air during working hours. Objective： This study focuses on the toxic effects of PMs collected from ceramic factories on genes and lungs of rats. Methods： PMs collected from six ceramic factories in Lampang Province were extracted using dimethyl sulfoxide （DMSO）. The inductively coupled plasma mass spec- trometry （ICP-MS） and inductively coupled plasma optical emission spectrometry （ICP-OES） were used to analyze the chemical elements at lower and higher concentrations, respectively. Then, the toxicity of PMs on the genes was ex- amined by the Ames test, and subsequently, the effect of PMs on DNA was examined by quantifying the amount of 8-hydroxy-2＇-deoxyguanosine （8-OHdG）. Finally, the toxicity of the PMs on rat＇s lungs was examined by histology. Results： As chemical elements of lower concentrations, cadmium, chromium, nickel, copper, and lead were detected by ICP-MS. As chemical elements of higher concentrations, manganese, magnesium, zinc, iron, potassium, calcium, and sodium were detected by ICP-OES. No mutagenicity in Salmone/la typhimurium was found in the PM extracts from all six factories by utilizing the Ames test. In the histological study, the reduction in spaces of alveolar ducts and sacs, and terminal bronchioles, the thickening of interstitial connective tissues were noted by PM extracts in high amounts （100 and 350 pg）. Female rats were more sensitive to PM extracts than males in terms of their pulmonary damages. Conclusions： PMs were not mutagenic to S. typhimurium but can damage the lung tissue of rats.     

揭秘物质的变质简

CaO、NaOH、Ca（OH）2等物质放置在空气中,极易吸收空气中的水蒸气、二氧化碳气体而发生变质,这部分内容已成为近年来中考化学命题的热点,试题多以探究题为主.     

英文摘要简

Liang Qichao＇ s ＂Rural Governance＂ Theory and Its Revelation （ by YU Rong - gen） Abstract： In 1925, Liang Qichao affectionately recollected his native village Chakeng＇ s ＂rural governance＂ status and left a his- torical record of rural governance tradition in South China. Villagers＇ autonomy is an important part of building a socialist country ruled by law and ChaKeng＇ s rural governance record can still provide lessons to current China＇ s villagers＇ autonomy. Liang＇ s Chakeng rural governance record is a valuable document for researching and exploring traditional rural governance institutions and culture and Chaking as a village name under Liang＇ s pen can be made into a cultural calling card. Key words： Liang Qichao ; rural governance at Chakeng; villagers＇ autonomy ;＂ ural governance＂ culture calling cards     

前列腺癌:亟待肿瘤标志物和治疗新靶点(英文)简

Prostate cancer （PCa） incidence and mortality have decreased in recent years. Nonetheless, it remains one of the most prevalent cancers in men, being a disquieting cause of men＇s death worldwide. Changes in many cell signaling pathways have a predominant role in the onset, development, and progression of the disease. These include prominent pathways involved in the growth, apoptosis, and angiogenesis of the normal prostate gland, such as an- drogen and estrogen signaling, and other growth factor signaling pathways. Understanding the foundations of PCa is leading to the discovery of key molecules that could be used to improve patient management. The ideal scenario would be to have a panel of molecules, preferably detectable in body fluids, that are specific and sensitive biomarkers for PCa In the early stages, androgen deprivation is the gold standard therapy. However, as the cancer progresses, it even- tually becomes independent of androgens, and hormonal therapy fails. For this reason, androgen-independent PCa is still a major therapeutic challenge. By disrupting specific protein interactions or manipulating the expression of some key molecules, it might be possible to regulate tumor growth and metastasis formation, avoiding the systemic side effects of current therapies. Clinical trials are already underway to assess the efficacy of molecules specially designed to target key proteins or protein interactions. In this review, we address that recent progress made towards under- standing PCa development and the molecular pathways underlying this pathology. We also discuss relevant molecular markers for the management of PCa and new therapeutic challenges.     

中国地区孢子丝菌临床分离株的分子鉴定(英文)简

In this study, we investigated the molecular phylogeny of 64 clinical isolates which were identified as Sporothrix schenckii sensu lato by morphological identification. All of the strains were isolates from patients from several provinces in China. The phylogeny was inferred by DNA sequence analyses based on datasets of the ribo- somal internal transcribed spacer （ITS） and a combined ITS and partial 13-tubulin region. Reference sequences were retrieved from GenBank. Results showed that all of the isolates were clustered in a distinct clade with a type of Spo- rothrix globosa. Our analysis showed that S. globosa is the causal agent of the tested sporotrichosis in China, rather than S. schenckii that was generally believed to be the case. The existence of S. schenckii in China remains to be confirmed. This study improved our understanding of the distribution of the species in S. schenckii complex.     

辅助生殖技术学龄前单双胎子代的认知发展存在差异么?(英文)简

Objective： To explore whether there exist differences in cognitive development between singletons and twins born after in vitro fertilization （IVF） or intracytoplasmic sperm injection （ICSI）. Methods： A total of 566 children were recruited for the study, including 388 children （singletons, n=175; twins, n=213） born after IVF and 178 children （singletons, n=87; twins, n=91 ） born after ICSI. The cognitive development was assessed using the Chinese-Wechsler Intelligence Scale for Children （C-WISC）. Results： For all pre-term offspring, all the intelligence quotient （IQ） items between singletons and twins showed no significant differences no matter if they were born after IVF or ICSI. There was a significant difference in the cognitive development of IVF-conceived full-term singletons and twins. The twins born after IVF obtained significantly lower scores than the singletons in verbal IQ （containing information, picture ＆ vocabulary, arithmetic, picture completion, comprehension, and language）, performance IQ （containing maze, visual analysis, object assembly, and performance）, and full scale IQ （P〈0.05）. The cognitive development of full-term sin- gletons and twins born after ICSI did not show any significant differences. There was no significant difference between the parents of the singletons and twins in their characteristics where data were collected, including the age of the mothers, the current employment status, the educational backgrounds, and areas of residence. There were also no consistent differences in the duration of pregnancy, sex composition of the children, age, and height between sin- gletons and twins at the time of our study although there existed significant differences between the two groups in the sex composition of the full-term children born after ICSI （P〈0.05）. Conclusions： Compared to the full-term singletons born after IVF, the full-term twins have lower cognitive development. The cognitive development of full-term singletons and twins born after ICSI did not show any significant differences. For all pre-term offspring, singletons and twins born after IVF or ICSI, the results of the cognitive development showed no significant differences.     

红地毯简

我特别感谢我的导师、德国模拟科学研究生院以及国家。同时我也十分感激我的父母和妻子。诗云“行百里者半于九十”,此言末路之难。我寄语在求学路上的同行者们．要相信自己能够比前人做得更好,在科学的国际舞台上为中国学者赢得声誉。——张超     

一米阳光简

“丁零……”下午三点整,郑凌几乎踩着铃声奔进初一（3）班教室,回到座位,迅速坐下。“又是他!”班长小胖心想,不由得皱了皱眉。     

Influence of HbA1c on short-term blood pressure variability in type 2 diabetic patients with diabetic nephropathy

The aim of this study was to understand the characteristics of blood pressure(BP)variability in subjects with diabetic nephropathy(DN),and identify the probable predictors affecting BP variability.Fifty-one chronic kidney disease(CKD)-hypertensive patients without diabetes(NDN group)and sixty type 2 diabetic patients with overt DN(DN group)were enrolled in this study.The values of short-term BP variability were obtained from 24 h ambulatory BP monitoring(ABPM).Variance analysis or nonparametric analysis revealed that 24-h systolic BP variability and nighttime systolic BP variability of the DN group were significantly higher than those of the NDN group[(12.23±3.66)vs.(10.74±3.83)mmHg,P<0.05;(11.23±4.82)vs.(9.48±3.69)mmHg,P<0.05].Then the patients of the DN group were divided into two groups according to glycated hemoglobin(HbA1c)level:Group A(HbA1c<7%)and Group B(HbA1c≥7%),and the t-test showed that patients in Group B had larger 24-h diastolic,daytime diastolic,and nighttime systolic/diastolic BP variability compared with Group A.In the DN group,partial correlation analysis revealed that HbA1c exhibited a strong association with 24-h diastolic,daytime diastolic,nighttime systolic and diastolic BP variability(P<0.001,P<0.001,P<0.05,and P<0.001,respectively).Taken together,larger short-term BP variability was detected in hypertensive type 2 diabetic patients with overt nephropathy and renal insufficiency.It may imply that the optimal BP variability level could benefit from a better glycaemic control.     

Effects of atorvastatin on progression of diabetic nephropathy and local RAGE and soluble RAGE expressions in rats

Objective  

Advanced glycation end-products (AGEs) exert inflammatory and oxidative stress insults to produce diabetic nephropathy mainly through the receptor for AGEs (RAGE). This study aimed to assess the effect of atorvastatin on diabetic nephropathy via soluble RAGE (sRAGE) and RAGE expressions in the rat kidney.     

Ⅱ型糖尿病肾病患者血和尿中IL-6检测的意义

[目的]研究Ⅱ型糖尿病肾病(DN)患者血和尿中IL-6的含量与糖尿病微血管病变的关系。[方法]采用ELISA法对48例Ⅱ型糖尿肾病(组1)患者血液、尿液及外周单个核细胞PHA体外刺激培养上清液(CPBMCS)中的IL-6含量进行检测,并与46例肾功能正常的Ⅱ型糖尿病组(组2)及48例健康人(组3)比较。[结果]组1血和尿中的IL-6含量明显升高,其尿液中含量与组2和组3比较,分别为(P<0.01和P<0.001),血浆中含量与组2和组3比较,分别为(P<0.05和P<0.01)。组2和组3之间比较,血浆和尿液中含量无明显差异(P均>0.05),组1患者CPBMCS中的IL-6含量与组2,组3之间无明显异(P均>0.05)。[结论]血浆和尿液中IL-6的检测可作为判断Ⅱ型糖尿病肾病病情活动的一项有意义的指标。     

Renal insufficiency is an independent predictor of in-hospital mortality for patients with acute myocardial infarction receiving primary percutaneous coronary intervention

Objective:To investigate the relationship between renal function and clinical outcomes among patients with acute ST-segment elevation myocardial infarction (ASTEMI), who were treated with emergency percutaneous coronary intervention (PCI). Methods: 420 patients hospitalized in Peking University First Hospital, diagnosed with ASTEMI treated with emergency (PCI) from January 2001 to June 2011 were enrolled in this study. Estimated glomerular filtration rate (eGFR) was used as a measure of renal function. We compared the clinical parameters and outcomes between ASTEMI patients combined renal insufficiency and the patients with normal renal function. Results:There was a significant increase in the concentrations of fibrinogen and D-Dimer (P<0.05) and a much higher morbidity of diabetes mellitus in the group of patients with chronic kidney disease (CKD; eGFR<60 ml/(min·1.73 m2)) (P<0.01). CKD (eGFR<60 ml/(min·1.73 m2)) was an independent predictor of in-hospital mortality for patients hospitalized with ASTEMI receiving PCI therapy rapidly (P=0.032, odds ratio (OR) 4.159, 95% confidence interval (CI) 1.127-15.346). Conclusions:Renal insufficiency is an independent predictor of in-hospital mortality for patients hospitalized with ASTEMI treated with primary PCI.     

Effect of intensive multifactorial treatment on the intima-media thickness of large arteries in patients with new-onset type 2 diabetes mellitus

Objective  

To quantify the changes in blood glucose, blood lipids, blood pressure, and the intima-media thickness (IMT) of large arteries in patients with new-onset type 2 diabetes mellitus who received either intensive multifactorial treatment or conventional treatment.     

Development and validation of an individualized nomogram for early prediction of the duration of SARS-CoV-2 shedding in COVID-19 patients with non-severe disease

With the number of cases of coronavirus disease-2019(COVID-19) increasing rapidly, the World Health Organization(WHO) has recommended that patients with mild or moderate symptoms could be released from quarantine without nucleic acid retesting, and self-isolate in the community. This may pose a potential virus transmission risk. We aimed to develop a nomogram to predict the duration of viral shedding for individual COVID-19 patients. This retrospective multicentric study enrolled 135 patients as a training cohort and 102 patients as a validation cohort. Significant factors associated with the duration of viral shedding were identified by multivariate Cox modeling in the training cohort and combined to develop a nomogram to predict the probability of viral shedding at 9, 13, 17, and 21 d after admission. The nomogram was validated in the validation cohort and evaluated by concordance index(C-index), area under the curve(AUC), and calibration curve. A higher absolute lymphocyte count(P=0.001) and lymphocyte-to-monocyte ratio(P=0.013) were correlated with a shorter duration of viral shedding, while a longer activated partial thromboplastin time(P=0.007) prolonged the viral shedding duration. The C-indices of the nomogram were 0.732(95% confidence interval(CI): 0.685-0.777) in the training cohort and 0.703(95% CI: 0.642-0.764) in the validation cohort. The AUC showed a good discriminative ability(training cohort: 0.879, 0.762, 0.738, and 0.715 for 9, 13, 17, and 21 d; validation cohort: 0.855, 0.758, 0.728, and 0.706 for 9, 13, 17, and 21 d), and calibration curves were consistent between outcomes and predictions in both cohorts. A predictive nomogram for viral shedding duration based on three easily accessible factors was developed to help estimate appropriate self-isolation time for patients with mild or moderate symptoms, and to control virus transmission.