BACKGROUND Low rectal cancer poses a significant surgical challenge because of its close proximity to the anal sphincter,often requiring radical resection with permanent colostomy to achieve oncological safety.Revisit...BACKGROUND Low rectal cancer poses a significant surgical challenge because of its close proximity to the anal sphincter,often requiring radical resection with permanent colostomy to achieve oncological safety.Revisited rectal anatomy,advances in surgical techniques and neoadjuvant therapies have enabled the possibility of sphincter-preserving procedures,however,it is uniformly not applicable.Selecting appropriate candidates for sphincter preservation is crucial,as an illadvised approach may compromise oncological outcome or lead to poor functional outcomes.Currently there is no consensus-which clinical,anatomical,or molecular factors most accurately predict the feasibility of sphincter-preserving surgery(SPS)in this subset of patients.By identifying these predictors,the study seeks to support improved patient selection,enhance surgical planning,and ultimately contribute to better functional and oncological outcomes in patients with low rectal cancer.AIM To identify predictive factors that determine the feasibility of SPS in patients with low rectal cancer.METHODS A comprehensive literature search was conducted using PubMed/MEDLINE databases.The search focused on various factors influencing the feasibility of SPS in low rectal cancer.These included patient-related factors,anatomical considerations,findings from different imaging modalities,advancements in diagnostic tools and techniques,and the role of neoadjuvant chemoradiotherapy.The relevance of each factor in predicting the potential for sphincter preservation was critically analyzed and presented based on the current evidence RESULTS Multiple studies have identified a range of predictive factors influencing the feasibility of SPS in low rectal cancer.Patient-related factors include age,sex,preoperative continence status,comorbidities,and body mass index.Anatomical considerations,such as tumor distance from the anal verge,involvement of the external anal sphincter,and levator ani muscles,also play a critical role.Additionally,a favourable response to neoadjuvant chemoradiotherapy has been associated with improved suitability for sphincter preservation.Several biomarkers,such as inflammatory markers like interleukins and C-reactive protein,as well as tumor markers like carcinoembryonic antigen,are important.Molecular markers,including BRAF and KRAS mutations and microsatellite instability status,have been linked to prognosis and may further guide decision-making regarding sphincter-preserving approaches.Artificial intelligence(AI)can further add in to select an ideal patient for sphincter preservation.CONCLUSION SPS is feasible in low rectal cancer and depends on patient factors,tumor anatomy and biology,preoperative treatment response,and biomarkers.In addition,tools and technology including AI can further help in selecting an ideal patient for long term optimal outcome.展开更多
Introduction: Common low-back pain is a frequent reason for consultation and a genuine public health problem. Preserving quality of life remains one of the main challenges. Objective: To evaluate the quality of life o...Introduction: Common low-back pain is a frequent reason for consultation and a genuine public health problem. Preserving quality of life remains one of the main challenges. Objective: To evaluate the quality of life of patients with low back pain seen in rheumatology consultations at Brazzaville University Hospital. Patients and Method: Cross-sectional, analytical study with control group, conducted at the Brazzaville University Hospital, from January 2 to September 30, 2023. Patients over 30 years of age, seen for documented common low-back pain, were included. Study variables were epidemiological, clinical and functional. The EIFEL and SF-36 scores were used to assess functional impact and quality of life, respectively. Results: We included 96 people divided into two groups: 48 patients with low back pain and 48 controls. The frequency of common low-back pain was 12.8%. The mean age of patients with low back pain was 59.14 ± 11.86 years. Women predominated (sex ratio 0.3). Degenerative disc disease was the main etiology. Common low-back pain had a moderate impact on functional abilities, with a mean EIFEL score of 11 +/− 5.51. Quality of life was impaired in patients with low back pain (overall SF-36 at 43.95%) compared with the control group, with a statistically significant difference (P Conclusion: Common low back pain affects patients’ overall quality of life, particularly in terms of physical pain and limitations due to physical condition.展开更多
The active ingredients of Camellia japonica flowers(CJF)at high and low altitudes,as well as their skin care efficacy were compared.The dried red CJF at high and low altitudes were ultrasonically extracted with 70%eth...The active ingredients of Camellia japonica flowers(CJF)at high and low altitudes,as well as their skin care efficacy were compared.The dried red CJF at high and low altitudes were ultrasonically extracted with 70%ethanol,and these extracts were concentrated and then diluted to a constant volume.The content of total flavonoids,total polyphenols and total proteins was tested and analyzed.In addition,DPPH free radical scavenging,inhibition of the formation of advanced glycation end products,and inhibitory activity against elastase was measured to compare their skin care efficacy in anti-oxidation,anti-glycation,anti-wrinkling and firming.The results showed that,based on the dry weight of CJF,the content of total flavonoids and total proteins of the CJF at high altitude was approximately 1.5 times of the CJF at low altitude,while the content of total polyphenols was approximately 2.4 times that of the CJF at low altitude.The skin care efficacy of CJF at high altitude was significantly better than that of the CJF at low altitude.This work could provide theoretical basis for the selection and application of Camellia japonica flowers in the field of cosmetics.展开更多
Recently,many encouraging experimental advances have been achieved in ternary hydrides superconductors under high pressure.However,the extreme pressure required is indeed a challenge for practical application,which pr...Recently,many encouraging experimental advances have been achieved in ternary hydrides superconductors under high pressure.However,the extreme pressure required is indeed a challenge for practical application,which promotes a further exploration for high temperature(T_(c))superconductors at relatively low pressure.Herein,we performed a systematic theoretical investigation on a series of ternary hydrides with stoichiometry AX_(2)H_(8),which is constructed by interacting molecular XH_(4)(X=B,C,and N)into the fcc metal A lattice under low pressure of 0-150 GPa.We uncovered five compounds which are dynamically stable below 100 GPa,e.g.,AcB_(2)H_(8)(25 GPa),LaB_(2)H_(8)(40 GPa),RbC_(2)H_(8)(40 GPa),CSC_(2)H_(8)(60 GPa),and SrC_(2)H_(8)(65 GPa).Among them,AcB_(2)H_(8),which is energetically stable above 2.5 GPa,exhibits the highest Tcof 32 K at 25 GPa.The superconductivity originates mainly from the coupling between the electron of Ac atoms and the associated low-frequency phonons,distinct from the previous typical hydrides with H-derived superconductivity.Our results shed light on the future exploration of superconductivity among ternary compounds at low pressure.展开更多
BACKGROUND From the anal function,inflammatory response and other indicators,acupuncture combined with rehabilitation gymnastics was applied to patients with cancer undergoing low resection,aiming to improve the progn...BACKGROUND From the anal function,inflammatory response and other indicators,acupuncture combined with rehabilitation gymnastics was applied to patients with cancer undergoing low resection,aiming to improve the prognosis of patients.AIM To explore the effects of acupuncture combined with rehabilitation gymnastics on anal function after lower rectal cancer surgery.METHODS From January 2020 to December 2022,128 patients who underwent rectal cancer surgery in the Department of Oncology of Hebei Provincial Hospital of Traditional Chinese Medicine Hospital were selected and divided into two groups using the random number table method,with 64 patients in each group.Patients in the control group were not treated with acupuncture or rehabilitation gymnastics and served as blank controls.Patients in the study group were treated with acupuncture and rehabilitation gymnastics from the 7th postoperative day.The anal incontinence scores,changes in serum interleukin-4,interleukin-6,and interleukin-10 Levels,and serum motilin,5-hydroxytryptamine,and vasoactive intestinal peptide levels were compared.RESULTS There were no significant differences in serum interleukin-4,interleukin-6,and interleukin-10 Levels between the groups before treatment(P>0.05).After treatment,these levels were better than those of the control group(P<0.05).There was no significant difference in the anal incontinence scores between the groups before and 7 d after surgery(P>0.05).Anal incontinence scores in the study group were lower than those in the control group at 14 d,21 d,and 28 d postoperatively(P<0.05).There were no significant differences in serum motilin,5-hydroxytryptamine,or vasoactive intestinal peptide levels between the groups before treatment(P>0.05).After treatment,these levels were higher in the study group than in the control group,and vasoactive intestinal peptide level was lower in the study group than in the control group(P<0.05).CONCLUSION Acupuncture combined with rehabilitation gymnastics can promote the recovery of anal function and reduce the inflammatory response in patients with lower rectal cancer after surgery.展开更多
Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) ...Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.展开更多
AIM: To investigate the phenotype and genotype of a family with X-linked recessive Lowe syndrome. METHODS: All the members in the Chinese pedigree underwent comprehensive ophthalmologic and systemic examinations. Geno...AIM: To investigate the phenotype and genotype of a family with X-linked recessive Lowe syndrome. METHODS: All the members in the Chinese pedigree underwent comprehensive ophthalmologic and systemic examinations. Genomic DNA was isolated from peripheral blood of the pedigree members and 100 unrelated healthy Chinese subjects. Direct sequencing was performed to screen the exons and intron boundaries of OCRL.RESULTS: The ophthalmological and systemic exami nations suggested that the affected individual had Lowe syndrome. The phenotype in the pedigree is severe and consistent among all the affected individuals except for an individual who additionally suffered from congenital heart disease and laryngeal cartilage dysplasia. Directio nal San ger sequenci ng identified a complex mutation c.(2368_2368delG;c.2370A>C) in the Rho-GTPase activating protein domain. This complex mutation causes termination of protein synthesis at amino acid 824 and result in a new peptide with 823 amino acids (p.Ala790ProfsX34). This mutation was not detected in 100 unrelated healthy Chinese subjects.CONCLUSION: Our findings expand the phenotypic and genotypic spectrum of Lowe syndrome.展开更多
Lowe氏眼、脑、肾综合症(Oculo—cerebro—renal syndrome of Lowe)首先由Lowe氏于1952年所报道。由于患者尿液明显的生化所见是该综合症特点之一,故一般把它分属于肾小管转运功能障碍的遗传性代谢疾病。在Lowe原始文献中载有对三名患...Lowe氏眼、脑、肾综合症(Oculo—cerebro—renal syndrome of Lowe)首先由Lowe氏于1952年所报道。由于患者尿液明显的生化所见是该综合症特点之一,故一般把它分属于肾小管转运功能障碍的遗传性代谢疾病。在Lowe原始文献中载有对三名患儿尿液全面检查的资料;但由于当时的生化分析技术有限和检测仪器贫乏,对于尿中像氨基酸和蛋白质这样含量微少、种类复杂的物质的分析结果是不够精确的。在以后的一些国外报道中。展开更多
In situ measurements of the vertical structure of ozone were made in Changchun （43.53°N, 125.13°E）, China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated oz...In situ measurements of the vertical structure of ozone were made in Changchun （43.53°N, 125.13°E）, China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated ozone profiles shows the vari- ation of ozone concentration in the upper troposphere and lower stratosphere （UTLS） caused by cut-off lows （COLs） over Changchun. During the COL events, an increase of the ozone concentration and a lower height of the tropopause are observed. Backward simulations with a trajectory model show that the ozone-rich airmass brought by the COL is from Siberia. A case study proves that stratosphere-troposphere exchange （STE） occurs in the COL. The ozone-rich air mass transported from the stratosphere to the troposphere first becomes unstable, then loses its high ozone concentration. This process usually happens during the decay stage of COLs. In order to understand the influence of COLs on the ozone in the UTLS, statistical analysis of the ozone profiles within COLs, and other profiles, are employed. The results indicate that the ozone concentrations of the in-COL profiles are significantly higher than those of the other profiles between ±4 km around the tropopause. The COLs induce an increase in UTLS column ozone by 32% on average. Meanwhile, the COLs depress the lapse-rate tropopause （LRT）/dynamical tropopause height by 1.4/1.7 km and cause the atmosphere above the tropopause to be less stable. The influence of COLs is durable because the increased ozone concentration lasts at least one day after the COL has passed over Changchun. Furthermore, the relative coefficient between LRT height and lower stratosphere （LS） column ozone is -0.62, which implies a positive correlation between COL strength and LS ozone concentration.展开更多
Despite the absence of regional cap rocks in the Lower Paleozoic for the entire Tazhong Low Rise,several sets of effective local cap rocks are well preserved on the Northern Slope.Of these the best is the Ordovician m...Despite the absence of regional cap rocks in the Lower Paleozoic for the entire Tazhong Low Rise,several sets of effective local cap rocks are well preserved on the Northern Slope.Of these the best is the Ordovician mudstone of the Sangtamu Formation; the second is the Silurian Red Mudstone Member of the Tatairtag Formation and the marl of the Ordovician Lianglitag Formation; and the third is the gray mudstone of the Silurian Kepingtag Formation.The dense limestone of the Ordovician Yingshan Formation and the gypsum of the Middle Cambrian have shown initial sealing capacity.These effective cap rocks are closely related to the distribution of Lower Palaeozoic hydrocarbons in the Tazhong Low Rise.With well-preserved Sangtamu Formation mudstone and its location close to migration pathways,rich Lower Paleozoic hydrocarbon accumulation can be found on the Northem Slope.Vertically,most of the reserves are distributed below the Sangtamu Formation mudstone; areally,hydrocarbons are mainly found in the areas with well-developed Sangtamu Formation mudstone and Lianglitag Formation marl.Burial history and hydrocarbon charging history show that the evolution of Lower Palaeozoic cap rocks controlled the accumulation of hydrocarbon in the Tazhong Low Rise.Take the Red Mudstone Member of the Tatairtag Formation and Sangtamu Formation mudstone for examples：1） In the hydrocarbon charging time of the Late Caledonian-Early Hercynian,with top surfaces at burial depths of over 1,100 m,the cap rocks were able to seal oil and gas; 2） During the intense uplifting of the Devonian,the cap rocks with top surfaces at burial depths of 200-800 m and 500-1,100 m respectively were denuded in local areas,thus hydrocarbons trapped in earlier time were degraded to widespread bitumen; 3） In the hydrocarbon charging time of the Late Hercynian and Himalayan,the top surfaces of the cap rocks were at burial depths of over 2,000 m without intense uplifting and denudation thereafter,so trapped hydrocarbons were preserved.Based on cap rocks,the Ordovician Penglaiba Formation and Lower Cambrian dolomite could be potential targets for exploration on the Tazhong Northern Slope,and combined with hydrocarbon migration,less risk would be involved.展开更多
文摘BACKGROUND Low rectal cancer poses a significant surgical challenge because of its close proximity to the anal sphincter,often requiring radical resection with permanent colostomy to achieve oncological safety.Revisited rectal anatomy,advances in surgical techniques and neoadjuvant therapies have enabled the possibility of sphincter-preserving procedures,however,it is uniformly not applicable.Selecting appropriate candidates for sphincter preservation is crucial,as an illadvised approach may compromise oncological outcome or lead to poor functional outcomes.Currently there is no consensus-which clinical,anatomical,or molecular factors most accurately predict the feasibility of sphincter-preserving surgery(SPS)in this subset of patients.By identifying these predictors,the study seeks to support improved patient selection,enhance surgical planning,and ultimately contribute to better functional and oncological outcomes in patients with low rectal cancer.AIM To identify predictive factors that determine the feasibility of SPS in patients with low rectal cancer.METHODS A comprehensive literature search was conducted using PubMed/MEDLINE databases.The search focused on various factors influencing the feasibility of SPS in low rectal cancer.These included patient-related factors,anatomical considerations,findings from different imaging modalities,advancements in diagnostic tools and techniques,and the role of neoadjuvant chemoradiotherapy.The relevance of each factor in predicting the potential for sphincter preservation was critically analyzed and presented based on the current evidence RESULTS Multiple studies have identified a range of predictive factors influencing the feasibility of SPS in low rectal cancer.Patient-related factors include age,sex,preoperative continence status,comorbidities,and body mass index.Anatomical considerations,such as tumor distance from the anal verge,involvement of the external anal sphincter,and levator ani muscles,also play a critical role.Additionally,a favourable response to neoadjuvant chemoradiotherapy has been associated with improved suitability for sphincter preservation.Several biomarkers,such as inflammatory markers like interleukins and C-reactive protein,as well as tumor markers like carcinoembryonic antigen,are important.Molecular markers,including BRAF and KRAS mutations and microsatellite instability status,have been linked to prognosis and may further guide decision-making regarding sphincter-preserving approaches.Artificial intelligence(AI)can further add in to select an ideal patient for sphincter preservation.CONCLUSION SPS is feasible in low rectal cancer and depends on patient factors,tumor anatomy and biology,preoperative treatment response,and biomarkers.In addition,tools and technology including AI can further help in selecting an ideal patient for long term optimal outcome.
文摘Introduction: Common low-back pain is a frequent reason for consultation and a genuine public health problem. Preserving quality of life remains one of the main challenges. Objective: To evaluate the quality of life of patients with low back pain seen in rheumatology consultations at Brazzaville University Hospital. Patients and Method: Cross-sectional, analytical study with control group, conducted at the Brazzaville University Hospital, from January 2 to September 30, 2023. Patients over 30 years of age, seen for documented common low-back pain, were included. Study variables were epidemiological, clinical and functional. The EIFEL and SF-36 scores were used to assess functional impact and quality of life, respectively. Results: We included 96 people divided into two groups: 48 patients with low back pain and 48 controls. The frequency of common low-back pain was 12.8%. The mean age of patients with low back pain was 59.14 ± 11.86 years. Women predominated (sex ratio 0.3). Degenerative disc disease was the main etiology. Common low-back pain had a moderate impact on functional abilities, with a mean EIFEL score of 11 +/− 5.51. Quality of life was impaired in patients with low back pain (overall SF-36 at 43.95%) compared with the control group, with a statistically significant difference (P Conclusion: Common low back pain affects patients’ overall quality of life, particularly in terms of physical pain and limitations due to physical condition.
文摘The active ingredients of Camellia japonica flowers(CJF)at high and low altitudes,as well as their skin care efficacy were compared.The dried red CJF at high and low altitudes were ultrasonically extracted with 70%ethanol,and these extracts were concentrated and then diluted to a constant volume.The content of total flavonoids,total polyphenols and total proteins was tested and analyzed.In addition,DPPH free radical scavenging,inhibition of the formation of advanced glycation end products,and inhibitory activity against elastase was measured to compare their skin care efficacy in anti-oxidation,anti-glycation,anti-wrinkling and firming.The results showed that,based on the dry weight of CJF,the content of total flavonoids and total proteins of the CJF at high altitude was approximately 1.5 times of the CJF at low altitude,while the content of total polyphenols was approximately 2.4 times that of the CJF at low altitude.The skin care efficacy of CJF at high altitude was significantly better than that of the CJF at low altitude.This work could provide theoretical basis for the selection and application of Camellia japonica flowers in the field of cosmetics.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.12074154,12174160,and 11722433)the funding from the Six Talent Peaks Project+1 种基金333 High-level Talents Project of Jiangsu Provincethe Innovation and Entrepreneurship Training Programme for University Students in Jiangsu Province(Grant No.202210320140Y)。
文摘Recently,many encouraging experimental advances have been achieved in ternary hydrides superconductors under high pressure.However,the extreme pressure required is indeed a challenge for practical application,which promotes a further exploration for high temperature(T_(c))superconductors at relatively low pressure.Herein,we performed a systematic theoretical investigation on a series of ternary hydrides with stoichiometry AX_(2)H_(8),which is constructed by interacting molecular XH_(4)(X=B,C,and N)into the fcc metal A lattice under low pressure of 0-150 GPa.We uncovered five compounds which are dynamically stable below 100 GPa,e.g.,AcB_(2)H_(8)(25 GPa),LaB_(2)H_(8)(40 GPa),RbC_(2)H_(8)(40 GPa),CSC_(2)H_(8)(60 GPa),and SrC_(2)H_(8)(65 GPa).Among them,AcB_(2)H_(8),which is energetically stable above 2.5 GPa,exhibits the highest Tcof 32 K at 25 GPa.The superconductivity originates mainly from the coupling between the electron of Ac atoms and the associated low-frequency phonons,distinct from the previous typical hydrides with H-derived superconductivity.Our results shed light on the future exploration of superconductivity among ternary compounds at low pressure.
基金Supported by The Government Subsidizes Special Funds for Outstanding Health Talents,No.Ji Cai Yu Fu[2020]397.
文摘BACKGROUND From the anal function,inflammatory response and other indicators,acupuncture combined with rehabilitation gymnastics was applied to patients with cancer undergoing low resection,aiming to improve the prognosis of patients.AIM To explore the effects of acupuncture combined with rehabilitation gymnastics on anal function after lower rectal cancer surgery.METHODS From January 2020 to December 2022,128 patients who underwent rectal cancer surgery in the Department of Oncology of Hebei Provincial Hospital of Traditional Chinese Medicine Hospital were selected and divided into two groups using the random number table method,with 64 patients in each group.Patients in the control group were not treated with acupuncture or rehabilitation gymnastics and served as blank controls.Patients in the study group were treated with acupuncture and rehabilitation gymnastics from the 7th postoperative day.The anal incontinence scores,changes in serum interleukin-4,interleukin-6,and interleukin-10 Levels,and serum motilin,5-hydroxytryptamine,and vasoactive intestinal peptide levels were compared.RESULTS There were no significant differences in serum interleukin-4,interleukin-6,and interleukin-10 Levels between the groups before treatment(P>0.05).After treatment,these levels were better than those of the control group(P<0.05).There was no significant difference in the anal incontinence scores between the groups before and 7 d after surgery(P>0.05).Anal incontinence scores in the study group were lower than those in the control group at 14 d,21 d,and 28 d postoperatively(P<0.05).There were no significant differences in serum motilin,5-hydroxytryptamine,or vasoactive intestinal peptide levels between the groups before treatment(P>0.05).After treatment,these levels were higher in the study group than in the control group,and vasoactive intestinal peptide level was lower in the study group than in the control group(P<0.05).CONCLUSION Acupuncture combined with rehabilitation gymnastics can promote the recovery of anal function and reduce the inflammatory response in patients with lower rectal cancer after surgery.
文摘Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.
基金Supported by the National Natural Science Foundation of China(No.81700812)the Ph.D.Start-up Fund of Natural Science Foundation of Guangdong Province(No.2017A030310214)the Guangdong Provincial Foundation for Medical Scientific Research(No.A2017016)
文摘AIM: To investigate the phenotype and genotype of a family with X-linked recessive Lowe syndrome. METHODS: All the members in the Chinese pedigree underwent comprehensive ophthalmologic and systemic examinations. Genomic DNA was isolated from peripheral blood of the pedigree members and 100 unrelated healthy Chinese subjects. Direct sequencing was performed to screen the exons and intron boundaries of OCRL.RESULTS: The ophthalmological and systemic exami nations suggested that the affected individual had Lowe syndrome. The phenotype in the pedigree is severe and consistent among all the affected individuals except for an individual who additionally suffered from congenital heart disease and laryngeal cartilage dysplasia. Directio nal San ger sequenci ng identified a complex mutation c.(2368_2368delG;c.2370A>C) in the Rho-GTPase activating protein domain. This complex mutation causes termination of protein synthesis at amino acid 824 and result in a new peptide with 823 amino acids (p.Ala790ProfsX34). This mutation was not detected in 100 unrelated healthy Chinese subjects.CONCLUSION: Our findings expand the phenotypic and genotypic spectrum of Lowe syndrome.
文摘Lowe氏眼、脑、肾综合症(Oculo—cerebro—renal syndrome of Lowe)首先由Lowe氏于1952年所报道。由于患者尿液明显的生化所见是该综合症特点之一,故一般把它分属于肾小管转运功能障碍的遗传性代谢疾病。在Lowe原始文献中载有对三名患儿尿液全面检查的资料;但由于当时的生化分析技术有限和检测仪器贫乏,对于尿中像氨基酸和蛋白质这样含量微少、种类复杂的物质的分析结果是不够精确的。在以后的一些国外报道中。
基金jointly supported by the National Basic Research Program of China (Grant No.2010CB428602)the National Natural Science Foundation of China (Grant Nos.41275046 and 41025017)
文摘In situ measurements of the vertical structure of ozone were made in Changchun （43.53°N, 125.13°E）, China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated ozone profiles shows the vari- ation of ozone concentration in the upper troposphere and lower stratosphere （UTLS） caused by cut-off lows （COLs） over Changchun. During the COL events, an increase of the ozone concentration and a lower height of the tropopause are observed. Backward simulations with a trajectory model show that the ozone-rich airmass brought by the COL is from Siberia. A case study proves that stratosphere-troposphere exchange （STE） occurs in the COL. The ozone-rich air mass transported from the stratosphere to the troposphere first becomes unstable, then loses its high ozone concentration. This process usually happens during the decay stage of COLs. In order to understand the influence of COLs on the ozone in the UTLS, statistical analysis of the ozone profiles within COLs, and other profiles, are employed. The results indicate that the ozone concentrations of the in-COL profiles are significantly higher than those of the other profiles between ±4 km around the tropopause. The COLs induce an increase in UTLS column ozone by 32% on average. Meanwhile, the COLs depress the lapse-rate tropopause （LRT）/dynamical tropopause height by 1.4/1.7 km and cause the atmosphere above the tropopause to be less stable. The influence of COLs is durable because the increased ozone concentration lasts at least one day after the COL has passed over Changchun. Furthermore, the relative coefficient between LRT height and lower stratosphere （LS） column ozone is -0.62, which implies a positive correlation between COL strength and LS ozone concentration.
基金supported by the National Natural Science Foundation of China(No.41072102)National Key Basic Research Development Plan("973"Project,No.2005CB422108)National Major Projects(Nos.2008ZX05004-004,2011ZX05005-001)
文摘Despite the absence of regional cap rocks in the Lower Paleozoic for the entire Tazhong Low Rise,several sets of effective local cap rocks are well preserved on the Northern Slope.Of these the best is the Ordovician mudstone of the Sangtamu Formation; the second is the Silurian Red Mudstone Member of the Tatairtag Formation and the marl of the Ordovician Lianglitag Formation; and the third is the gray mudstone of the Silurian Kepingtag Formation.The dense limestone of the Ordovician Yingshan Formation and the gypsum of the Middle Cambrian have shown initial sealing capacity.These effective cap rocks are closely related to the distribution of Lower Palaeozoic hydrocarbons in the Tazhong Low Rise.With well-preserved Sangtamu Formation mudstone and its location close to migration pathways,rich Lower Paleozoic hydrocarbon accumulation can be found on the Northem Slope.Vertically,most of the reserves are distributed below the Sangtamu Formation mudstone; areally,hydrocarbons are mainly found in the areas with well-developed Sangtamu Formation mudstone and Lianglitag Formation marl.Burial history and hydrocarbon charging history show that the evolution of Lower Palaeozoic cap rocks controlled the accumulation of hydrocarbon in the Tazhong Low Rise.Take the Red Mudstone Member of the Tatairtag Formation and Sangtamu Formation mudstone for examples：1） In the hydrocarbon charging time of the Late Caledonian-Early Hercynian,with top surfaces at burial depths of over 1,100 m,the cap rocks were able to seal oil and gas; 2） During the intense uplifting of the Devonian,the cap rocks with top surfaces at burial depths of 200-800 m and 500-1,100 m respectively were denuded in local areas,thus hydrocarbons trapped in earlier time were degraded to widespread bitumen; 3） In the hydrocarbon charging time of the Late Hercynian and Himalayan,the top surfaces of the cap rocks were at burial depths of over 2,000 m without intense uplifting and denudation thereafter,so trapped hydrocarbons were preserved.Based on cap rocks,the Ordovician Penglaiba Formation and Lower Cambrian dolomite could be potential targets for exploration on the Tazhong Northern Slope,and combined with hydrocarbon migration,less risk would be involved.
