Dear Editor,We recently reviewed two important studies that investigate the use of botulinum-A toxin(BoNT-A)injections into the bulbospongiosus muscle as a treatment for lifelong premature ejaculation(PE).While both s...Dear Editor,We recently reviewed two important studies that investigate the use of botulinum-A toxin(BoNT-A)injections into the bulbospongiosus muscle as a treatment for lifelong premature ejaculation(PE).While both studies share the goal of evaluating the efficacy and safety of BoNT-A in this context,they reached very different conclusions.The study by Shaher et al.demonstrated significant improvements in ejaculatory latency,indicating that BoNT-A injections may be a helpful treatment for PE.展开更多
Objective:To explore the positive role of developmental care measures in promoting the growth and development of premature infants,and analyze their specific effects on improving the sleep duration and quality of prem...Objective:To explore the positive role of developmental care measures in promoting the growth and development of premature infants,and analyze their specific effects on improving the sleep duration and quality of premature infants.Methods:A total of 80 premature infants who met the inclusion criteria were selected by convenient sampling method and divided into an experimental group and a control group,with 40 cases in each group.The experimental group received comprehensive nursing intervention of developmental care during the nursing process;the control group adopted the traditional conventional nursing model.Results:There was no statistically significant difference in various physical indicators between the two groups of premature infants before nursing intervention.After nursing intervention,the scores of intellectual development level,psychomotor development index and various physical indicators of premature infants in the experimental group were significantly higher than those in the control group,and the difference was statistically significant.Conclusion:The implementation of developmental care for premature infants can significantly improve their various developmental indicators,which can not only effectively promote the rapid development of premature infants’mental and physical growth,but also improve their sleep quality.展开更多
Age-related osteoporosis poses a significant challenge in musculoskeletal health;a condition characterized by reduced bone density and increased fracture susceptibility in older individuals necessitates a better under...Age-related osteoporosis poses a significant challenge in musculoskeletal health;a condition characterized by reduced bone density and increased fracture susceptibility in older individuals necessitates a better understanding of underlying molecular and cellular mechanisms.Emerging evidence suggests that osteocytes are the pivotal orchestrators of bone remodeling and represent novel therapeutic targets for age-related bone loss.Our study uses the prematurely aged PolgD257A/D257A(PolgA)mouse model to scrutinize age-and sex-related alterations in musculoskeletal health parameters(frailty,grip strength,gait data),bone and particularly the osteocyte lacuno-canalicular network(LCN).Moreover,a new quantitative in silico image analysis pipeline is used to evaluate the alterations in the osteocyte network with aging.Our findings underscore the pronounced degenerative changes in the musculoskeletal health parameters,bone,and osteocyte LCN in PolgA mice as early as 40 weeks,with more prominent alterations evident in aged males.Our findings suggest that the PolgA mouse model serves as a valuable model for studying the cellular mechanisms underlying age-related bone loss,given the comparable aging signs and age-related degeneration of the bone and the osteocyte network observed in naturally aging mice and elderly humans.展开更多
Objective:To explore the pharmacological effects and molecular mechanisms of a Jiao'ai decoction(JAD)in treating premature ovarian failure.Specifically,we evaluated the receptor for advanced glycation end(RAGE)pro...Objective:To explore the pharmacological effects and molecular mechanisms of a Jiao'ai decoction(JAD)in treating premature ovarian failure.Specifically,we evaluated the receptor for advanced glycation end(RAGE)products pathway,metabolic disorders,and intestinal flora dysbiosis.Methods:Forty female rats with normal estrous cycles were randomly divided into five groups:control,model,estradiol,low-dose JAD,and high-dose JAD,with 8 rats in each.Except for the control group,the rats in other groups were injected intraperitoneally with cisplatin for 8 days(1.5 mg/kg)to establish a premature ovarian failure model.Starting on the fifth day of cisplatin injections,the estradiol,low-dose JAD,and high-dose JAD groups were administered corresponding drugs for 21 days.Sex hormone levels and pathological changes in the ovaries were measured.Key proteins in the RAGE pathway related to apoptosis,aging,and inflammation,were tested using Western blot.A 16S rRNA analysis of feces and non-targeted metabolism in serum was performed to determine the effects of JAD on intestinal flora and metabolism.Results:Body weight,ovarian index,and the number of follicles at all levels increased in the JAD group.Regarding serum hormones,estradiol,anti-mullerian hormone(AMH)and P levels increased,whereas follicle-stimulating hormone(FSH)and luteinizing hormone(LH)levels decreased in the JAD group.The levels of phosphorylated Akt protein(P-Akt),receptor for advanced glycation end products(RAGE),tumor protein p53(P53),C-reactive protein(CRP),apoptosis regulator BAX(BAX)and Caspase3 were downregulated by JAD,whereas B cell leukemia/lymphoma 2(Bcl-2)and Endothelial nitric oxidase synthase(eNOS)were upregulated.JAD was also found to play an important role in the regulation of metabolic disorders and intestinal ecological imbalances by adjusting species composition and diversity.Conclusion:JAD can protect ovaries by exerting anti-inflammatory and anti-apoptotic effects via inhibition of the RAGE pathway.JAD can also regulate metabolic disorders and maintain the dynamic balance of intestinal flora,thereby contributing to the improvement of the ovarian reserve function.展开更多
Premature senescence in Bacillus thuringiensis(Bt)cotton has emerged as a significant challenge to the formation and realization of fiber yield and quality since its commercialization in 1997.Initially,premature senes...Premature senescence in Bacillus thuringiensis(Bt)cotton has emerged as a significant challenge to the formation and realization of fiber yield and quality since its commercialization in 1997.Initially,premature senescence was thought to be an inherent trait associated with the Bt gene.However,subsequent research and practice have demonstrated that it is not directly linked to the Bt gene but rather results from a physiological imbalance between the sink and source,as well as between the root and shoot in Bt cotton.This short review provides an overview of the causes,mechanisms,and control measures for premature senescence in Bt cotton.It offers valuable insights for future research and the sustainable application of transgenic crops.展开更多
A survey conducted on the premature bolting of Huarong large leaf mustard from 2018 to 2024 revealed that Huarong large leaf mustard sown in middle August was associated with a higher propensity for premature bolting....A survey conducted on the premature bolting of Huarong large leaf mustard from 2018 to 2024 revealed that Huarong large leaf mustard sown in middle August was associated with a higher propensity for premature bolting. Furthermore, it was observed that the earlier being sown, the greater the rate of premature bolting when being sown prior to middle August. The rate of premature bolting observed in seedlings sown on August 8 was recorded at 35.6%. It was noted that as the age of the seedlings increased, the rate of premature bolting correspondingly increased. There were notable differences in the tolerance of various cultivars to elevated temperatures and prolonged sunlight exposure. For instance, cultivars such as Zhangjie 1 and Sichuan Shaguodi, which exhibit greater heat resistance, did not demonstrate premature bolting when sown in early August. The prolonged exposure to elevated temperatures, drought conditions, and extended periods of sunlight during the seedling stage of Huarong large leaf mustard, coupled with delayed irrigation and transplantation, contributed to the occurrence of premature bolting. The Huarong large leaf mustard, when been sown from late August to early September and transplanted at the appropriate time, exhibited normal growth and development, with no instances of premature bolting observed. It is advisable to select heat-resistant varieties, such as Zhangjie 1, prior to middle August. Huarong large leaf mustard should be sown in early to middle September. Additionally, it is essential to ensure centralized production and timely release of seeds, prompt transplantation and harvesting, and enhance the management of pests and diseases.展开更多
Objective:To study the antioxidant protective effect and mechanism of melatonin on cyclophosphamide-induced premature ovarian failure model mice.Methods:Six-month sexually mature female Kunming mice were taken for one...Objective:To study the antioxidant protective effect and mechanism of melatonin on cyclophosphamide-induced premature ovarian failure model mice.Methods:Six-month sexually mature female Kunming mice were taken for one week of acclimatization and then randomly divided into a normal group,blank control group,drug control group,ovarian premature aging model group,and melatonin intervention low,medium,and high dose group,with 20 mice in each group.We observed the status and body mass of the mice in each group;observed and monitored the estrous cycle by HE staining;measured the diameter and size of the ovaries and weighed the wet weight of the ovaries;observed the morphological changes of the ovaries by HE staining and counted the developing follicles at all levels;detected the levels of serum estradiol(E2),follicle-stimulating hormone(FSH),and luteinizing hormone(LH)by ELISA;measured the levels of serum MDA,SOD,and GSH-PX by antioxidant kit;detected the levels of protein immunoblotting by ELISA;protein immunoblotting(Western blot)to examine the expression of DNA damage-related proteinsγH2AX,p53,and p21 in ovarian tissues.Results:Compared with the control group,mice in the premature ovarian failure model group showed reduced mobility,rough hair,decreased body weight,disorganized estrous cycle,decreased ovarian weight(P<0.05),decreased number of follicles at all levels of development(P<0.05),increased number of atretic follicles(P<0.05),significantly elevated levels of serum FSH and LH,significantly decreased levels of E2(P<0.05),significantly increased levels of serum MDA,significantly lower SOD and GSH-PX levels(P<0.05),and the expression of p53,p21,andγH2AX in ovarian tissues was increased(P<0.05).Compared with the model group of premature ovarian failure,melatonin improved the changes of the above indexes induced by cyclophosphamide-induced premature ovarian failure in mice.Conclusion:Melatonin can improve the changes of motility cycle disorders,abnormal follicular development,and abnormal serum hormone levels induced by cyclophosphamide-induced oxidative stress in mice with premature ovarian failure.At the same time,melatonin can improve the oxidative stress induced by cyclophosphamide and alleviate the role of oxidative stress-induced DNA damage in mouse ovaries by exerting its antioxidant effect.展开更多
Objective:To explore the correlation between night ECG parameters and sleep quality in elderly patients with atrial premature beat(PAC).Methods:A total of 307 elderly patients with PAC were selected from March 2022 to...Objective:To explore the correlation between night ECG parameters and sleep quality in elderly patients with atrial premature beat(PAC).Methods:A total of 307 elderly patients with PAC were selected from March 2022 to March 2024.The parameters of room morning load and heart rate variability(HRV)at night(22:00-6:00)were collected by 24h holter electrocardiogram,and the sleep quality of PAC patients was evaluated by Pittsburgh Sleep Quality Index(PSQI).Multiple regression analysis was used to explore the correlation between night ECG parameters and sleep quality.Results:The incidence of sleep disorder in 307 elderly PAC patients was 62.54%.Univariate analysis showed that there were no statistically significant differences in gender,BMI and education level(P>0.05),but there were statistically significant differences in age,disease course,underlying diseases,atrial morning load,SDNN,RMSSD,LF,HF,LF/HF and TP(P<0.05).Multivariate Logistic regression analysis showed that atrial morning load,SDNN,RMSSD,LF and LF/HF were independent influencing factors of sleep disorder in elderly PAC patients(P<0.05).Patients with sleep disorders were divided into mild group,moderate group and severe group according to PSQI score,and there were statistically significant differences in the indexes of atrial morning load,SDNN,LF,LF/HF and TP among the three groups(all P<0.05).Spearman correlation analysis showed that room morning load,LF,LF/HF and TP were positively correlated with the degree of sleep disorder,while SDNN parameters were negatively correlated with the degree of sleep disorder(all P<0.05).Conclusion:There is a significant correlation between night ECG parameters and sleep disorders in elderly patients with PAC.It is possible to prevent and treat sleep disorders by monitoring ECG abnormalities and improve the reliability of treatment.展开更多
Premature ovarian insufficiency(POI)is characterized by irreversible loss of ovarian function before 40 years of age and affects 3.7%of women worldwide(Golezar et al.,2019;Huang et al.,2021).Raised serum follicle-stim...Premature ovarian insufficiency(POI)is characterized by irreversible loss of ovarian function before 40 years of age and affects 3.7%of women worldwide(Golezar et al.,2019;Huang et al.,2021).Raised serum follicle-stimulating hormone(FSH)levels,menstrual disturbance,and estrogen deficiency are the main symptoms of POl(European Society for Human Reproduction et al.,2016).Besides infertility,patients have an increased risk of long-term complications due to the early deficiency of ovarian steroids,such as osteoporosis,cardiovascular disease,and metabolic disorders(lshizuka,2021).Due to the lack of biomarkers for prediction or early diagnosis,most patients are not diagnosed until the failure stage(serum levels of FSH above 25 IU/L and amenorrhea),missing opportunities for intervention.Therefore,developing sensitive biomarkers for diminished ovarian reserves is paramount for timely treatment to improve reproductive outcomes and prevent long-term complications.展开更多
Objective:To explore the application effect of improved“Bird’s nest”nursing in the transport of premature infants.Methods:Collecting 100 cases of premature infants,randomly divided into experimental group and contr...Objective:To explore the application effect of improved“Bird’s nest”nursing in the transport of premature infants.Methods:Collecting 100 cases of premature infants,randomly divided into experimental group and control group,two groups of premature 50 cases each.The control group received the traditional“Bird’s nest”nursing.Experimental group in modified the“bird’s nest”nursing intervention,compared two groups of premature monitoring vital signs during the transfer process,transport after the body development indicators,the time and cure warmers intervention.Results:Compared with control group,experimental group premature temperature fluctuation is small,apnea and fewer times of low body temperature and oxygen saturation is higher,the contrast results with statistical significance(P<0.05).There was no significant difference in physical development,time to get out of the incubator,and cure rate.Conclusion:Modified the“bird’s nest”care in outside the hospital application,help to improve premature transfer process safety,and security for premature success implementation of transshipment is of great significance.展开更多
To counter the defect of traditional genetic algorithms, an improved adaptivegenetic algorithm with the criterion of premature convergence is provided. The occurrence ofpremature convergence is forecasted using colony...To counter the defect of traditional genetic algorithms, an improved adaptivegenetic algorithm with the criterion of premature convergence is provided. The occurrence ofpremature convergence is forecasted using colony entropy and colony variance. When prematureconvergence occurs, new individuals are generated in proper scale randomly based on superiorindividuals in the colony. We use these new individuals to replace some individuals in the oldcolony. The updated individuals account for 30 percent - 40 percent of all individuals and the sizeof scale is related to the distribution of the extreme value of the target function. Simulationtests show that there is much improvement in the speed of convergence and the probability of globalconvergence.展开更多
Aim: To assess the psychometric properties of the Chinese Index of Premature Ejaculation (CIPE). Methods: The sexual function of 167 patients with and 114 normai controls without premature ejaculation (PE) were evalua...Aim: To assess the psychometric properties of the Chinese Index of Premature Ejaculation (CIPE). Methods: The sexual function of 167 patients with and 114 normai controls without premature ejaculation (PE) were evaluated with CIPE. All subjects were married and had regular sexual activity. The CIPE has 10 questions, focusing on libido, erectile function, ejaculatory latency, sexual satisfaction and difficulty in delaying ejaculation, self-confi dence and depression. Each question was responded to on a 5 point Likert-type scale. The individual question score and the total scale score were analyzed between the two groups. Results: There were no significant differences between the age, duration of marriage and educational level (P > 0.05) of patients with and vvithout PE and normai controls. The mean latency of patients with PE and normai controls were 1.6±1.2 and 10.2±9.5 minutes, respectively. Significant differences between patients with (26.7±4.6) PE and normai controls (41.9±4.0) were observed on the total score of CIPE (P < 0.01). Using binary logistic regression analysis, PE was significantly related to five questions of the original measure. They are the so-called the CIPE-5 and include: ejaculatory latency, sexual satisfaction of patients and sexual partner, difficulty in delaying ejaculation, anxiety and depression. Receiver Operat ing Characteristic (ROC) curve analysis of CIPE-5 questionnaire indicated that the sensitivity and specificity of CIPE were 97.60 % and 94.74 %, respectively. Employing the total score of CIPE-5, patients with PE could be divided into three groups: mild (>15 point) 19.8 %, moderate (10-14 point) 62.8 % and severe (< 9 point) 16.7 %. Conclusion: The CIPE-5 is a useful method for the evaluation of sexual function of patients with PE and can be used as a clinical endpoint for clinical trials studying the efficacy of pharmacologica] intervention.展开更多
The amount of root bleeding sap, contents of chlorophyl , nutrients and hormones in flag leaves of a super-hybrid rice cultivar Liangyoupeijiu （LYPJ） and its parents 9311 and Pei’ai 64S after heading were measured ...The amount of root bleeding sap, contents of chlorophyl , nutrients and hormones in flag leaves of a super-hybrid rice cultivar Liangyoupeijiu （LYPJ） and its parents 9311 and Pei’ai 64S after heading were measured in this study. The re-sults revealed that compared with 9311, the chlorophyl content of LYPJ reduced more quickly after heading, and then kept at a lower level, which was an obvious characteristic of premature senescence. The other physiological indices of LYPJ af-ter heading except abscisic acid （ABA） content in leaf and root also maintained at a lower level than 9311, while al the physiological indices of the sterile line Pei＇ai 64S were lower than LYPJ. So it was speculated that the early-aging characteristic of LYPJ may be inherited from Pei’ai 64S. Al the leaf and root early-aging traits reduced for LYPJ and its parent lines after heading, their leaf and root aged grad-ual y, which indicated that the above-ground （leaf） and under-ground （root） parts cor-related to each other closely, but there was not absolute correlations between them judged from the data.展开更多
Objective To probe into the effective method of acupuncture for premature heartbeats. Methods Sixty-four cases of premature heartbeats were randomly divided into an observation group （n=33） and a control group （n=3...Objective To probe into the effective method of acupuncture for premature heartbeats. Methods Sixty-four cases of premature heartbeats were randomly divided into an observation group （n=33） and a control group （n=31）. In the observation group, acupuncture was applied in light of regulating the heart and calming down the mind. The acupoints were Língtái （灵台 GV 10）, Shéndào （神道 GV 11）, Nèiguān （内关 PC 6） and Bǎihuì （百会 GV 20）. In the control group, acupuncture was applied at Nèiguān （内关 PC 6）. The dynamic electrocardiogram （DCG） was measured before and after treatment in each group separately. Results The total effective rate was 63.6% （21/33） in the observation group and was 38.7% （12/31） in the control group, indicating the statistically significant difference in comparison （P〈0.05）. Conclusion Acupuncture in light of regulating the heart and calming down the mind is the good approach for the treatment of premature heartbeats.展开更多
The aim of the study was to evaluate the long-term outcomes of pelvic floor muscle （PFM） rehabilitation in males with lifelong premature ejaculation （PE）, using intravaginal ejaculatory latency time （IELT） and t...The aim of the study was to evaluate the long-term outcomes of pelvic floor muscle （PFM） rehabilitation in males with lifelong premature ejaculation （PE）, using intravaginal ejaculatory latency time （IELT） and the self-report Premature Ejaculation Diagnostic Tool （PEDT） as primary outcomes. A total of 154 participants were retrospectively reviewed in this study, with 122 completing the training protocol. At baseline, all participants had an IELT 〈60 s and PEDT score 〉11. Participants completed a 12-week program of PFM rehabilitation, including physio-kinesiotherapy treatment, electrostimulation, and biofeedback, with three sessions per week, with 20 min for each component completed at each session. The effectiveness of intervention was evaluated by comparing the change in the geometric mean of IELT and PEDT values, from baseline, at 3, 6, and 12 months during the intervention, and at 24 and 36 months postintervention, using a paired sample 2-tailed t-test, including the associated 95% confidence intervals. Of the 122 participants who completed PFM rehabilitation, 111 gained control of their ejaculation reflex, with a mean IELT of 161.6 s and PEDT score of 2.3 at the 12-week endpoint of the intervention, representing an increase from baseline of 40.4 s and 17.0 scores, respectively, for IELT and PEDT （P 〈 0.0001）. Of the 95 participants who completed the 36-month follow-up, 64% and 56% maintained satisfactory eiaculation control at 24 and 36 months oostintervention, respectively.展开更多
The premature ejaculation diagnostic tool （PEDT） is a brief diagnostic measure to assess premature ejaculation （PE）. However, there is insufficient evidence regarding its validity in the new evidence-based-defined...The premature ejaculation diagnostic tool （PEDT） is a brief diagnostic measure to assess premature ejaculation （PE）. However, there is insufficient evidence regarding its validity in the new evidence-based-defined PE. This study was performed to evaluate the validity of PEDT and its association with IIEF-15 in different types of evidence-based-defined PE. From June 2015 to January 2016, a total of 260 men complaining of PE and defined as lifelong PE （LPE）/acquired PE （APE） according to the evidence-based definition from Andrology Clinic of the First Affiliated Hospital of Anhui Medical University, along with 104 male healthy controls without PE from a medical examination center, were enrolled in this study. All individuals completed questionnaires including demographics, medical and sexual history, as well as PEDT and IIEF-15. After statistical analysis, it was found that men with PE reported higher PEDT scores （14.28 ± 3.05） and lower IIEF-15 （41.26 ± 8.20） than men without PE （PEDT： 5.32 ± 3.42, IIEF-15：52.66 ± 6.86, P 〈 0.001 for both）. It was suggested that a score of 〉9 indicated PE in both LPE and APE by sensitivity and specificity analyses （sensitivity： 0.875, 0.913; specificity： 0.865, 0.865, respectively）. In addition, IIEF-15 were higher in men with LPE （42.64 ± 8.11） than APE （39.43 ± 7.84, P 〈 0.001）. After adjusting for age, IIEF-15 was negatively related to PEDT in men with LPE （adjust r = -0.225, P 〈 0.001） and APE （adjust r = -0.378, P 〈 0.001）. In this study, we concluded that PEDT was valid in the diagnosis of evidenced-based-defined PE. Furthermore, IIEF-15 was negatively related to PEDT in men with different types of PE.展开更多
Premature ejaculation （PE） is the most common sexual disorder. It affects 20%-30% of adult men; the aetiology of this condition has not yet been elucidated. The aim of this study is to evaluate the efficacy, safety,...Premature ejaculation （PE） is the most common sexual disorder. It affects 20%-30% of adult men; the aetiology of this condition has not yet been elucidated. The aim of this study is to evaluate the efficacy, safety, tolerability, undesirable effects and improved satisfaction with sexual intercourse with tramadol hydrochloride at different dosages for the treatment of PE. A total of 300 patients who presented with lifelong （primary） PE were included in this study. The study was performed for 28 weeks, in which placebo （starch tablet） was given for 4 weeks, and active ingredient （tramadol hydrochloride） was administered at different therapeutic dosages for 24 weeks. Patients were divided into three equal groups, each consisting of 100 patients. The first group （A） was given tramadol hydrochloride capsule 25 mg. The second group （B） was given tramadol hydrochloride capsule 50 mg. The third group （C） was given tramadol hydrochloride capsule 100 mg. All of the 300 participants included completed the study voluntarily. The age of the patients varied from 25 to 50 years. After the treatment period, the recorded data were collected for each group and analysed. The results showed a highly significant increase in the mean intravaginal ejaculatory latency time （IELT） in all groups compared to baseline data （P〈0.0001）. We concluded that using tramadol hydrochloride at different doses on demand for the treatment of PE is effective, safe and tolerable, with minimal undesirable effects, and approval for this indication should be souRht.展开更多
Human norovirus(HuNoV)is the leading cause of acute gastroenteritis.The varying severity of chronic infection in patients with underlying immune deficiencies poses additional burdens on public health.However,the poten...Human norovirus(HuNoV)is the leading cause of acute gastroenteritis.The varying severity of chronic infection in patients with underlying immune deficiencies poses additional burdens on public health.However,the potential effects of HuNoV infection during pregnancy,a specific immune perturbed state,have been rarely reported.Recently,four cases of HuNoV-infected patients in the late stages of pregnancy were admitted to the Guangzhou Women and Children's Medical Center,and premature rupture of membranes as primary adverse outcome was observed in these cases.Samples of fetal accessory tissue were collected from two of these cases at delivery to explore the potential pathogenesis.Pathological analysis showed placental malperfusion in both maternal and fetal vascular,while a decrease in vessels was not observed in villi of placenta.There was obvious pathological change in the chorion of fetal membrane,accompanied by a tendency of Th-1 immune bias.Notably,aggregation of M2 macrophages was observed in the chorion of the fetal membrane,potentially recruited for tissue repair.Next-generation sequencing showed minimal changes in immune pathways within placenta tissue.A gene panel associated with immunosuppression was identified in the fetal membrane of HuNoV-infected women compared to those of normal parturient.Taken together,this study provides clues for the association between the HuNoV and premature delivery,which requires the attention of the clinicians.展开更多
Objective: to investigate the clinical efficacy of antibiotics in treating premature fetal membrane rupture combined with reproductive tract infection. Methods: 60 cases of premature birth with reproductive tract infe...Objective: to investigate the clinical efficacy of antibiotics in treating premature fetal membrane rupture combined with reproductive tract infection. Methods: 60 cases of premature birth with reproductive tract infection were divided into A (n=30) and B (n=30) and studied from September 2020 to September 2021 to give routine clinical treatment, group B added antibiotics according to the results of bacterial culture and drug sensitivity test to compare the treatment effects and differences between the two groups. Results The incidence of neonatal pneumonia and adverse maternal pregnancy outcomes were lower in group B than in group A, which were both statis significant (P <0.05). Conclusion: using antibiotics to the treatment of premature pre-mature birth combined with reproductive tract infection can improve the quality of delivery and reduce the adverse effects on mother and baby.展开更多
There are ongoing debates about the definition, classification and prevalence of premature ejaculation （PE）. The first evidence-based definition of PE was limited to heterosexual men with lifelong PE who engage in v...There are ongoing debates about the definition, classification and prevalence of premature ejaculation （PE）. The first evidence-based definition of PE was limited to heterosexual men with lifelong PE who engage in vaginal intercourse. Unfortunately, many patients with the complaint of PE do not meet these criteria. However, these men can be diagnosed as one of the PE subtypes, namely acquired PE, natural variable PE or premature-like ejaculatory dysfunction. Nevertheless, the validity of these subtypes has not yet been supported by evidence. The absence of a universally accepted PE definition and lack of standards for data acquisition have resulted in prevalence studies that have reported conflicting rates. The very high prevalence of 20%-30% is probably due to the vague terminology used in the definitions at the time when such surveys were conducted. Although many men may complain of PE when questioned for a population-based prevalence study, only a few of them will actively seek treatment for their complaint, even though most of these patients would define symptoms congruent with PE. The complaints of acquired PE patients may be more severe, whereas complaints of patients experiencing premature-like ejaculatory dysfunction seem to be least severe among men with various forms of PE. Although numerous treatment modalities have been proposed for management of PE, only antidepressants and topical anaesthetic creams have currently been proven to be effective. However, as none of the treatment modalities have been approved by the regulatory agencies, further studies must be carried to develop a beneficial treatment strategy for PE.展开更多
文摘Dear Editor,We recently reviewed two important studies that investigate the use of botulinum-A toxin(BoNT-A)injections into the bulbospongiosus muscle as a treatment for lifelong premature ejaculation(PE).While both studies share the goal of evaluating the efficacy and safety of BoNT-A in this context,they reached very different conclusions.The study by Shaher et al.demonstrated significant improvements in ejaculatory latency,indicating that BoNT-A injections may be a helpful treatment for PE.
文摘Objective:To explore the positive role of developmental care measures in promoting the growth and development of premature infants,and analyze their specific effects on improving the sleep duration and quality of premature infants.Methods:A total of 80 premature infants who met the inclusion criteria were selected by convenient sampling method and divided into an experimental group and a control group,with 40 cases in each group.The experimental group received comprehensive nursing intervention of developmental care during the nursing process;the control group adopted the traditional conventional nursing model.Results:There was no statistically significant difference in various physical indicators between the two groups of premature infants before nursing intervention.After nursing intervention,the scores of intellectual development level,psychomotor development index and various physical indicators of premature infants in the experimental group were significantly higher than those in the control group,and the difference was statistically significant.Conclusion:The implementation of developmental care for premature infants can significantly improve their various developmental indicators,which can not only effectively promote the rapid development of premature infants’mental and physical growth,but also improve their sleep quality.
基金the European Research Council(ERC Advanced MechAGE-ERC-2016-ADG-741883)the Swiss National Science Foundation(no.188522).
文摘Age-related osteoporosis poses a significant challenge in musculoskeletal health;a condition characterized by reduced bone density and increased fracture susceptibility in older individuals necessitates a better understanding of underlying molecular and cellular mechanisms.Emerging evidence suggests that osteocytes are the pivotal orchestrators of bone remodeling and represent novel therapeutic targets for age-related bone loss.Our study uses the prematurely aged PolgD257A/D257A(PolgA)mouse model to scrutinize age-and sex-related alterations in musculoskeletal health parameters(frailty,grip strength,gait data),bone and particularly the osteocyte lacuno-canalicular network(LCN).Moreover,a new quantitative in silico image analysis pipeline is used to evaluate the alterations in the osteocyte network with aging.Our findings underscore the pronounced degenerative changes in the musculoskeletal health parameters,bone,and osteocyte LCN in PolgA mice as early as 40 weeks,with more prominent alterations evident in aged males.Our findings suggest that the PolgA mouse model serves as a valuable model for studying the cellular mechanisms underlying age-related bone loss,given the comparable aging signs and age-related degeneration of the bone and the osteocyte network observed in naturally aging mice and elderly humans.
基金sponsored by the National Natural Science Foundation of China(81673764)National Key R&D Program of China(022YFC3502301).
文摘Objective:To explore the pharmacological effects and molecular mechanisms of a Jiao'ai decoction(JAD)in treating premature ovarian failure.Specifically,we evaluated the receptor for advanced glycation end(RAGE)products pathway,metabolic disorders,and intestinal flora dysbiosis.Methods:Forty female rats with normal estrous cycles were randomly divided into five groups:control,model,estradiol,low-dose JAD,and high-dose JAD,with 8 rats in each.Except for the control group,the rats in other groups were injected intraperitoneally with cisplatin for 8 days(1.5 mg/kg)to establish a premature ovarian failure model.Starting on the fifth day of cisplatin injections,the estradiol,low-dose JAD,and high-dose JAD groups were administered corresponding drugs for 21 days.Sex hormone levels and pathological changes in the ovaries were measured.Key proteins in the RAGE pathway related to apoptosis,aging,and inflammation,were tested using Western blot.A 16S rRNA analysis of feces and non-targeted metabolism in serum was performed to determine the effects of JAD on intestinal flora and metabolism.Results:Body weight,ovarian index,and the number of follicles at all levels increased in the JAD group.Regarding serum hormones,estradiol,anti-mullerian hormone(AMH)and P levels increased,whereas follicle-stimulating hormone(FSH)and luteinizing hormone(LH)levels decreased in the JAD group.The levels of phosphorylated Akt protein(P-Akt),receptor for advanced glycation end products(RAGE),tumor protein p53(P53),C-reactive protein(CRP),apoptosis regulator BAX(BAX)and Caspase3 were downregulated by JAD,whereas B cell leukemia/lymphoma 2(Bcl-2)and Endothelial nitric oxidase synthase(eNOS)were upregulated.JAD was also found to play an important role in the regulation of metabolic disorders and intestinal ecological imbalances by adjusting species composition and diversity.Conclusion:JAD can protect ovaries by exerting anti-inflammatory and anti-apoptotic effects via inhibition of the RAGE pathway.JAD can also regulate metabolic disorders and maintain the dynamic balance of intestinal flora,thereby contributing to the improvement of the ovarian reserve function.
基金supported by National Key Research and Development Program of China(2024YFD2300221)China Agricultural Research System(CARS-15–15)+1 种基金Agricultural Scientific and Technological Innovation Project of Shandong Academy of Agricultural Sciences(CXGC2024D03)Dong Hezhong Studio for Popularization of Science and Technology in Salt Tolerant Industrial Crops(202228297).
文摘Premature senescence in Bacillus thuringiensis(Bt)cotton has emerged as a significant challenge to the formation and realization of fiber yield and quality since its commercialization in 1997.Initially,premature senescence was thought to be an inherent trait associated with the Bt gene.However,subsequent research and practice have demonstrated that it is not directly linked to the Bt gene but rather results from a physiological imbalance between the sink and source,as well as between the root and shoot in Bt cotton.This short review provides an overview of the causes,mechanisms,and control measures for premature senescence in Bt cotton.It offers valuable insights for future research and the sustainable application of transgenic crops.
基金Supported by Key R&D Projects of Hunan Provincial Department of Science and Technology"Study on Key Modern Processing Techniques and Product Development of Huarong Mustard"(2023NK2039).
文摘A survey conducted on the premature bolting of Huarong large leaf mustard from 2018 to 2024 revealed that Huarong large leaf mustard sown in middle August was associated with a higher propensity for premature bolting. Furthermore, it was observed that the earlier being sown, the greater the rate of premature bolting when being sown prior to middle August. The rate of premature bolting observed in seedlings sown on August 8 was recorded at 35.6%. It was noted that as the age of the seedlings increased, the rate of premature bolting correspondingly increased. There were notable differences in the tolerance of various cultivars to elevated temperatures and prolonged sunlight exposure. For instance, cultivars such as Zhangjie 1 and Sichuan Shaguodi, which exhibit greater heat resistance, did not demonstrate premature bolting when sown in early August. The prolonged exposure to elevated temperatures, drought conditions, and extended periods of sunlight during the seedling stage of Huarong large leaf mustard, coupled with delayed irrigation and transplantation, contributed to the occurrence of premature bolting. The Huarong large leaf mustard, when been sown from late August to early September and transplanted at the appropriate time, exhibited normal growth and development, with no instances of premature bolting observed. It is advisable to select heat-resistant varieties, such as Zhangjie 1, prior to middle August. Huarong large leaf mustard should be sown in early to middle September. Additionally, it is essential to ensure centralized production and timely release of seeds, prompt transplantation and harvesting, and enhance the management of pests and diseases.
基金2023 Special Project for Serving the National Development Strategy with Basic Scientific Research Fees from Central Universities(No.31920230188)2023 Northwestern Minzu University College-Level Innovation and Entrepreneurship Training Program(No.X202310742289)2024 National College Students’Innovation and Entrepreneurship Training Program(No.202410742005)。
文摘Objective:To study the antioxidant protective effect and mechanism of melatonin on cyclophosphamide-induced premature ovarian failure model mice.Methods:Six-month sexually mature female Kunming mice were taken for one week of acclimatization and then randomly divided into a normal group,blank control group,drug control group,ovarian premature aging model group,and melatonin intervention low,medium,and high dose group,with 20 mice in each group.We observed the status and body mass of the mice in each group;observed and monitored the estrous cycle by HE staining;measured the diameter and size of the ovaries and weighed the wet weight of the ovaries;observed the morphological changes of the ovaries by HE staining and counted the developing follicles at all levels;detected the levels of serum estradiol(E2),follicle-stimulating hormone(FSH),and luteinizing hormone(LH)by ELISA;measured the levels of serum MDA,SOD,and GSH-PX by antioxidant kit;detected the levels of protein immunoblotting by ELISA;protein immunoblotting(Western blot)to examine the expression of DNA damage-related proteinsγH2AX,p53,and p21 in ovarian tissues.Results:Compared with the control group,mice in the premature ovarian failure model group showed reduced mobility,rough hair,decreased body weight,disorganized estrous cycle,decreased ovarian weight(P<0.05),decreased number of follicles at all levels of development(P<0.05),increased number of atretic follicles(P<0.05),significantly elevated levels of serum FSH and LH,significantly decreased levels of E2(P<0.05),significantly increased levels of serum MDA,significantly lower SOD and GSH-PX levels(P<0.05),and the expression of p53,p21,andγH2AX in ovarian tissues was increased(P<0.05).Compared with the model group of premature ovarian failure,melatonin improved the changes of the above indexes induced by cyclophosphamide-induced premature ovarian failure in mice.Conclusion:Melatonin can improve the changes of motility cycle disorders,abnormal follicular development,and abnormal serum hormone levels induced by cyclophosphamide-induced oxidative stress in mice with premature ovarian failure.At the same time,melatonin can improve the oxidative stress induced by cyclophosphamide and alleviate the role of oxidative stress-induced DNA damage in mouse ovaries by exerting its antioxidant effect.
文摘Objective:To explore the correlation between night ECG parameters and sleep quality in elderly patients with atrial premature beat(PAC).Methods:A total of 307 elderly patients with PAC were selected from March 2022 to March 2024.The parameters of room morning load and heart rate variability(HRV)at night(22:00-6:00)were collected by 24h holter electrocardiogram,and the sleep quality of PAC patients was evaluated by Pittsburgh Sleep Quality Index(PSQI).Multiple regression analysis was used to explore the correlation between night ECG parameters and sleep quality.Results:The incidence of sleep disorder in 307 elderly PAC patients was 62.54%.Univariate analysis showed that there were no statistically significant differences in gender,BMI and education level(P>0.05),but there were statistically significant differences in age,disease course,underlying diseases,atrial morning load,SDNN,RMSSD,LF,HF,LF/HF and TP(P<0.05).Multivariate Logistic regression analysis showed that atrial morning load,SDNN,RMSSD,LF and LF/HF were independent influencing factors of sleep disorder in elderly PAC patients(P<0.05).Patients with sleep disorders were divided into mild group,moderate group and severe group according to PSQI score,and there were statistically significant differences in the indexes of atrial morning load,SDNN,LF,LF/HF and TP among the three groups(all P<0.05).Spearman correlation analysis showed that room morning load,LF,LF/HF and TP were positively correlated with the degree of sleep disorder,while SDNN parameters were negatively correlated with the degree of sleep disorder(all P<0.05).Conclusion:There is a significant correlation between night ECG parameters and sleep disorders in elderly patients with PAC.It is possible to prevent and treat sleep disorders by monitoring ECG abnormalities and improve the reliability of treatment.
基金supported by the National Key Research&Developmental Program of China(2022YFC2703800,2022YFC2703000)the National Natural Science Foundation of China(82125014,82371646,32070847)+1 种基金Basic Science Center Program of NSFC(31988101)the Natural Science Foundation of Shandong Province(ZR202105250005,ZR2022YQ69,tsqn202211371).
文摘Premature ovarian insufficiency(POI)is characterized by irreversible loss of ovarian function before 40 years of age and affects 3.7%of women worldwide(Golezar et al.,2019;Huang et al.,2021).Raised serum follicle-stimulating hormone(FSH)levels,menstrual disturbance,and estrogen deficiency are the main symptoms of POl(European Society for Human Reproduction et al.,2016).Besides infertility,patients have an increased risk of long-term complications due to the early deficiency of ovarian steroids,such as osteoporosis,cardiovascular disease,and metabolic disorders(lshizuka,2021).Due to the lack of biomarkers for prediction or early diagnosis,most patients are not diagnosed until the failure stage(serum levels of FSH above 25 IU/L and amenorrhea),missing opportunities for intervention.Therefore,developing sensitive biomarkers for diminished ovarian reserves is paramount for timely treatment to improve reproductive outcomes and prevent long-term complications.
基金Health Commission of Guangxi Zhuang Autonomous Region,Self-Financing Scientific Research Subject(Project No.:Z20210327)。
文摘Objective:To explore the application effect of improved“Bird’s nest”nursing in the transport of premature infants.Methods:Collecting 100 cases of premature infants,randomly divided into experimental group and control group,two groups of premature 50 cases each.The control group received the traditional“Bird’s nest”nursing.Experimental group in modified the“bird’s nest”nursing intervention,compared two groups of premature monitoring vital signs during the transfer process,transport after the body development indicators,the time and cure warmers intervention.Results:Compared with control group,experimental group premature temperature fluctuation is small,apnea and fewer times of low body temperature and oxygen saturation is higher,the contrast results with statistical significance(P<0.05).There was no significant difference in physical development,time to get out of the incubator,and cure rate.Conclusion:Modified the“bird’s nest”care in outside the hospital application,help to improve premature transfer process safety,and security for premature success implementation of transshipment is of great significance.
基金The Natural Science Foundation of Jiangsu Province (BK99011).
文摘To counter the defect of traditional genetic algorithms, an improved adaptivegenetic algorithm with the criterion of premature convergence is provided. The occurrence ofpremature convergence is forecasted using colony entropy and colony variance. When prematureconvergence occurs, new individuals are generated in proper scale randomly based on superiorindividuals in the colony. We use these new individuals to replace some individuals in the oldcolony. The updated individuals account for 30 percent - 40 percent of all individuals and the sizeof scale is related to the distribution of the extreme value of the target function. Simulationtests show that there is much improvement in the speed of convergence and the probability of globalconvergence.
文摘Aim: To assess the psychometric properties of the Chinese Index of Premature Ejaculation (CIPE). Methods: The sexual function of 167 patients with and 114 normai controls without premature ejaculation (PE) were evaluated with CIPE. All subjects were married and had regular sexual activity. The CIPE has 10 questions, focusing on libido, erectile function, ejaculatory latency, sexual satisfaction and difficulty in delaying ejaculation, self-confi dence and depression. Each question was responded to on a 5 point Likert-type scale. The individual question score and the total scale score were analyzed between the two groups. Results: There were no significant differences between the age, duration of marriage and educational level (P > 0.05) of patients with and vvithout PE and normai controls. The mean latency of patients with PE and normai controls were 1.6±1.2 and 10.2±9.5 minutes, respectively. Significant differences between patients with (26.7±4.6) PE and normai controls (41.9±4.0) were observed on the total score of CIPE (P < 0.01). Using binary logistic regression analysis, PE was significantly related to five questions of the original measure. They are the so-called the CIPE-5 and include: ejaculatory latency, sexual satisfaction of patients and sexual partner, difficulty in delaying ejaculation, anxiety and depression. Receiver Operat ing Characteristic (ROC) curve analysis of CIPE-5 questionnaire indicated that the sensitivity and specificity of CIPE were 97.60 % and 94.74 %, respectively. Employing the total score of CIPE-5, patients with PE could be divided into three groups: mild (>15 point) 19.8 %, moderate (10-14 point) 62.8 % and severe (< 9 point) 16.7 %. Conclusion: The CIPE-5 is a useful method for the evaluation of sexual function of patients with PE and can be used as a clinical endpoint for clinical trials studying the efficacy of pharmacologica] intervention.
基金Supported by Special Fund for Agro-scientific Research in the Public Interest(201303102)the Agricultural Science Independent Innovation Foundation of Jiangsu Province[CX(12)3042]~~
文摘The amount of root bleeding sap, contents of chlorophyl , nutrients and hormones in flag leaves of a super-hybrid rice cultivar Liangyoupeijiu （LYPJ） and its parents 9311 and Pei’ai 64S after heading were measured in this study. The re-sults revealed that compared with 9311, the chlorophyl content of LYPJ reduced more quickly after heading, and then kept at a lower level, which was an obvious characteristic of premature senescence. The other physiological indices of LYPJ af-ter heading except abscisic acid （ABA） content in leaf and root also maintained at a lower level than 9311, while al the physiological indices of the sterile line Pei＇ai 64S were lower than LYPJ. So it was speculated that the early-aging characteristic of LYPJ may be inherited from Pei’ai 64S. Al the leaf and root early-aging traits reduced for LYPJ and its parent lines after heading, their leaf and root aged grad-ual y, which indicated that the above-ground （leaf） and under-ground （root） parts cor-related to each other closely, but there was not absolute correlations between them judged from the data.
基金Supported by Science and Technology Development Plan Project of Traditional Chinese Medicine, Shandong Province: 2005-163
文摘Objective To probe into the effective method of acupuncture for premature heartbeats. Methods Sixty-four cases of premature heartbeats were randomly divided into an observation group （n=33） and a control group （n=31）. In the observation group, acupuncture was applied in light of regulating the heart and calming down the mind. The acupoints were Língtái （灵台 GV 10）, Shéndào （神道 GV 11）, Nèiguān （内关 PC 6） and Bǎihuì （百会 GV 20）. In the control group, acupuncture was applied at Nèiguān （内关 PC 6）. The dynamic electrocardiogram （DCG） was measured before and after treatment in each group separately. Results The total effective rate was 63.6% （21/33） in the observation group and was 38.7% （12/31） in the control group, indicating the statistically significant difference in comparison （P〈0.05）. Conclusion Acupuncture in light of regulating the heart and calming down the mind is the good approach for the treatment of premature heartbeats.
文摘The aim of the study was to evaluate the long-term outcomes of pelvic floor muscle （PFM） rehabilitation in males with lifelong premature ejaculation （PE）, using intravaginal ejaculatory latency time （IELT） and the self-report Premature Ejaculation Diagnostic Tool （PEDT） as primary outcomes. A total of 154 participants were retrospectively reviewed in this study, with 122 completing the training protocol. At baseline, all participants had an IELT 〈60 s and PEDT score 〉11. Participants completed a 12-week program of PFM rehabilitation, including physio-kinesiotherapy treatment, electrostimulation, and biofeedback, with three sessions per week, with 20 min for each component completed at each session. The effectiveness of intervention was evaluated by comparing the change in the geometric mean of IELT and PEDT values, from baseline, at 3, 6, and 12 months during the intervention, and at 24 and 36 months postintervention, using a paired sample 2-tailed t-test, including the associated 95% confidence intervals. Of the 122 participants who completed PFM rehabilitation, 111 gained control of their ejaculation reflex, with a mean IELT of 161.6 s and PEDT score of 2.3 at the 12-week endpoint of the intervention, representing an increase from baseline of 40.4 s and 17.0 scores, respectively, for IELT and PEDT （P 〈 0.0001）. Of the 95 participants who completed the 36-month follow-up, 64% and 56% maintained satisfactory eiaculation control at 24 and 36 months oostintervention, respectively.
文摘The premature ejaculation diagnostic tool （PEDT） is a brief diagnostic measure to assess premature ejaculation （PE）. However, there is insufficient evidence regarding its validity in the new evidence-based-defined PE. This study was performed to evaluate the validity of PEDT and its association with IIEF-15 in different types of evidence-based-defined PE. From June 2015 to January 2016, a total of 260 men complaining of PE and defined as lifelong PE （LPE）/acquired PE （APE） according to the evidence-based definition from Andrology Clinic of the First Affiliated Hospital of Anhui Medical University, along with 104 male healthy controls without PE from a medical examination center, were enrolled in this study. All individuals completed questionnaires including demographics, medical and sexual history, as well as PEDT and IIEF-15. After statistical analysis, it was found that men with PE reported higher PEDT scores （14.28 ± 3.05） and lower IIEF-15 （41.26 ± 8.20） than men without PE （PEDT： 5.32 ± 3.42, IIEF-15：52.66 ± 6.86, P 〈 0.001 for both）. It was suggested that a score of 〉9 indicated PE in both LPE and APE by sensitivity and specificity analyses （sensitivity： 0.875, 0.913; specificity： 0.865, 0.865, respectively）. In addition, IIEF-15 were higher in men with LPE （42.64 ± 8.11） than APE （39.43 ± 7.84, P 〈 0.001）. After adjusting for age, IIEF-15 was negatively related to PEDT in men with LPE （adjust r = -0.225, P 〈 0.001） and APE （adjust r = -0.378, P 〈 0.001）. In this study, we concluded that PEDT was valid in the diagnosis of evidenced-based-defined PE. Furthermore, IIEF-15 was negatively related to PEDT in men with different types of PE.
文摘Premature ejaculation （PE） is the most common sexual disorder. It affects 20%-30% of adult men; the aetiology of this condition has not yet been elucidated. The aim of this study is to evaluate the efficacy, safety, tolerability, undesirable effects and improved satisfaction with sexual intercourse with tramadol hydrochloride at different dosages for the treatment of PE. A total of 300 patients who presented with lifelong （primary） PE were included in this study. The study was performed for 28 weeks, in which placebo （starch tablet） was given for 4 weeks, and active ingredient （tramadol hydrochloride） was administered at different therapeutic dosages for 24 weeks. Patients were divided into three equal groups, each consisting of 100 patients. The first group （A） was given tramadol hydrochloride capsule 25 mg. The second group （B） was given tramadol hydrochloride capsule 50 mg. The third group （C） was given tramadol hydrochloride capsule 100 mg. All of the 300 participants included completed the study voluntarily. The age of the patients varied from 25 to 50 years. After the treatment period, the recorded data were collected for each group and analysed. The results showed a highly significant increase in the mean intravaginal ejaculatory latency time （IELT） in all groups compared to baseline data （P〈0.0001）. We concluded that using tramadol hydrochloride at different doses on demand for the treatment of PE is effective, safe and tolerable, with minimal undesirable effects, and approval for this indication should be souRht.
基金supported by the National Natural Science Foundation of China(No.82241071,32370163&32400134)National Key Research and Development program(2019YFC0121905).
文摘Human norovirus(HuNoV)is the leading cause of acute gastroenteritis.The varying severity of chronic infection in patients with underlying immune deficiencies poses additional burdens on public health.However,the potential effects of HuNoV infection during pregnancy,a specific immune perturbed state,have been rarely reported.Recently,four cases of HuNoV-infected patients in the late stages of pregnancy were admitted to the Guangzhou Women and Children's Medical Center,and premature rupture of membranes as primary adverse outcome was observed in these cases.Samples of fetal accessory tissue were collected from two of these cases at delivery to explore the potential pathogenesis.Pathological analysis showed placental malperfusion in both maternal and fetal vascular,while a decrease in vessels was not observed in villi of placenta.There was obvious pathological change in the chorion of fetal membrane,accompanied by a tendency of Th-1 immune bias.Notably,aggregation of M2 macrophages was observed in the chorion of the fetal membrane,potentially recruited for tissue repair.Next-generation sequencing showed minimal changes in immune pathways within placenta tissue.A gene panel associated with immunosuppression was identified in the fetal membrane of HuNoV-infected women compared to those of normal parturient.Taken together,this study provides clues for the association between the HuNoV and premature delivery,which requires the attention of the clinicians.
文摘Objective: to investigate the clinical efficacy of antibiotics in treating premature fetal membrane rupture combined with reproductive tract infection. Methods: 60 cases of premature birth with reproductive tract infection were divided into A (n=30) and B (n=30) and studied from September 2020 to September 2021 to give routine clinical treatment, group B added antibiotics according to the results of bacterial culture and drug sensitivity test to compare the treatment effects and differences between the two groups. Results The incidence of neonatal pneumonia and adverse maternal pregnancy outcomes were lower in group B than in group A, which were both statis significant (P <0.05). Conclusion: using antibiotics to the treatment of premature pre-mature birth combined with reproductive tract infection can improve the quality of delivery and reduce the adverse effects on mother and baby.
文摘There are ongoing debates about the definition, classification and prevalence of premature ejaculation （PE）. The first evidence-based definition of PE was limited to heterosexual men with lifelong PE who engage in vaginal intercourse. Unfortunately, many patients with the complaint of PE do not meet these criteria. However, these men can be diagnosed as one of the PE subtypes, namely acquired PE, natural variable PE or premature-like ejaculatory dysfunction. Nevertheless, the validity of these subtypes has not yet been supported by evidence. The absence of a universally accepted PE definition and lack of standards for data acquisition have resulted in prevalence studies that have reported conflicting rates. The very high prevalence of 20%-30% is probably due to the vague terminology used in the definitions at the time when such surveys were conducted. Although many men may complain of PE when questioned for a population-based prevalence study, only a few of them will actively seek treatment for their complaint, even though most of these patients would define symptoms congruent with PE. The complaints of acquired PE patients may be more severe, whereas complaints of patients experiencing premature-like ejaculatory dysfunction seem to be least severe among men with various forms of PE. Although numerous treatment modalities have been proposed for management of PE, only antidepressants and topical anaesthetic creams have currently been proven to be effective. However, as none of the treatment modalities have been approved by the regulatory agencies, further studies must be carried to develop a beneficial treatment strategy for PE.
