Hepatocellular carcinoma presents with three distinct immune phenotypes,including immune-desert,immune-excluded,and immune-inflamed,indicating various treatment responses and prognostic outcomes.The clinical applicati...Hepatocellular carcinoma presents with three distinct immune phenotypes,including immune-desert,immune-excluded,and immune-inflamed,indicating various treatment responses and prognostic outcomes.The clinical application of multi-omics parameters is still restricted by the expensive and less accessible assays,although they accurately reflect immune status.A comprehensive evaluation framework based on“easy-to-obtain”multi-model clinical parameters is urgently required,incorporating clinical features to establish baseline patient profiles and disease staging;routine blood tests assessing systemic metabolic and functional status;immune cell subsets quantifying subcluster dynamics;imaging features delineating tumor morphology,spatial configuration,and perilesional anatomical relationships;immunohistochemical markers positioning qualitative and quantitative detection of tumor antigens from the cellular and molecular level.This integrated phenomic approach aims to improve prognostic stratification and clinical decision-making in hepatocellular carcinoma management conveniently and practically.展开更多
The successful application of the Xixia Imperial Tombs for World Heritage Status has brought this civilization,sealed in the loess,to the global stage.The Xixia Imperial Tombs may become an important node connecting t...The successful application of the Xixia Imperial Tombs for World Heritage Status has brought this civilization,sealed in the loess,to the global stage.The Xixia Imperial Tombs may become an important node connecting the civilizations along the Silk Road.Their characteristic cultural integration serves as a unique window through which foreign tourists can understand Chinese civilization.展开更多
In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the ...In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the potential to positively influence mental health by providing monitoring,insights,and inter-ventions.However,they also come with challenges that need to be addressed.Understanding the primary purpose for which individuals use these smart tech-nologies is essential to tailoring them to specific mental health needs and prefe-rences.展开更多
This paper investigates and analyzes the general situation of the tomato seed production industry in Lintong District,Xi'an City.Development strategies and suggestions are proposed to address existing problems.The...This paper investigates and analyzes the general situation of the tomato seed production industry in Lintong District,Xi'an City.Development strategies and suggestions are proposed to address existing problems.These include strengthening technological innovation and variety R&D,promoting industrial standardization and intelligent upgrading,enhancing brand building and market expansion,improving policy support and industrial chain coordination,strengthening intellectual property protection and talent cultivation,and expanding sales channels to promote industrial transformation and upgrading.展开更多
impacting quality of life.This study aimed to identify technological nursing interventions that promote self-care and improve the nutritional status of middle-aged and older adults undergoing hemodialysis.Methods:A sy...impacting quality of life.This study aimed to identify technological nursing interventions that promote self-care and improve the nutritional status of middle-aged and older adults undergoing hemodialysis.Methods:A systematic literature review was conducted in accordance with the Joanna Briggs Institute(JBI)and PRISMA guidelines.Searches were conducted in Medline,CINAHL,the Cochrane Library,Scopus,Web of Science,and grey literature,Studies published between 2018 and 2024,involving patients aged 40 years or more undergoing regular hemodialysis,and available in Portuguese,English,or Spanish,were included.JBI's critical appraisal tools were used to conduct a rigorous analysis and methodological quality assessment of the articles.Results:Out of a total of 738 articles,10 were included for analysis.Five key dimensions of technologydriven self-care interventions were established.1)Mobile applications and digital platforms with features like nutritional databases,food logging,and personalized feedback;2)E-learning and virtual education using social media and chat-based communication;3)Telenursing employing a hybrid follow-up model of face-to-face,telephone,and SMS contact;4)Educational strategies focused on nutritional status,utilizing methods such as teach-back and pictorial learning within a multidisciplinary team;and 5)Comprehensive assessment tools evaluating treatment adherence(hemodialysis,medication,diet,fluid)and laboratory markers.Significant improvements were reported across several outcomes:eight studies showed enhanced biochemical markers(e.g.,phosphorus,sodium,potassium,calcium,iron,albumin,urea,and hemoglobin)and nutritional status,three demonstrated increased selfefficacy,and two reported improved quality of life.Conclusion:Integrating technology and face-to-face education enhances nutritional status,highlighting the importance of comprehensive strategies to improve treatment adherence and prevent malnutrition in hemodialysis patients.展开更多
BACKGROUND Hypertension is a common chronic disease in the elderly population,and its association with cognitive impairment has been increasingly recognized.Cognitive impairment,including mild cognitive impairment and...BACKGROUND Hypertension is a common chronic disease in the elderly population,and its association with cognitive impairment has been increasingly recognized.Cognitive impairment,including mild cognitive impairment and dementia,can significantly affect the quality of life and independence of elderly individuals.Therefore,identifying risk factors for cognitive impairment in elderly hypertensive patients is crucial for developing effective interventions and improving health outcomes.Nutritional status is one of the potential factors that may influence cognitive function in elderly hypertensive patients.Malnutrition or inadequate nutrition can lead to various health problems,including weakened immune system,increased susceptibility to infections,and impaired physical and mental function.Furthermore,poor nutritional status has been linked to increased risk of cognitive decline and dementia in various populations.In this observational study,we aimed to investigate the nutritional status of elderly hypertensive patients and its relationship to the occurrence of cognitive impairment.By collecting baseline data on general information,body composition,and clinical indicators,we hope to identify risk factors for cognitive impairment in this patient population.The results of this study are expected to provide more scientific basis for the health management of elderly patients with hypertension,particularly in terms of maintaining good nutritional status and reducing the risk of cognitive impairment.AIM To explore the differences between clinical data and cognitive function of elderly hypertensive patients with different nutritional status,analyze the internal relationship between nutritional statuses and cognitive impairment,and build a nomogram model for predicting nutritional status in elderly hypertensive patients.METHODS The present study retrospectively analyzed 200 elderly patients admitted to our hospital for a hypertension during the period July 1,2024 to September 30,2024 as study subjects,and the 200 patients were divided into a modeling cohort(140 patients)and a validation cohort(60 patients)according to the ratio of 7:3.The modeling cohort were divided into a malnutrition group(26 cases),a malnutrition risk group(42 cases),and a normal nutritional status group(72 cases)according to the patients’Mini-Nutritional Assessment Scale(MNA)scores,and the modeling cohort was divided into a hypertension combined with cognitive impairment group(34 cases)and a hypertension cognitively normal group(106 cases)according to the Montreal Cognitive Assessment Scale(MoCA)scores,and the validation cohort was divided into a hypertension combined with cognitive impairment group(14 cases)and hypertension cognitively normal group(46 cases).The study outcome was the occurrence of cognitive impairment in elderly hypertensive patients.Univariate and multivariate logistic regression was used to explore the relationship between the general information of the elderly hypertensive patients and the influence indicators and the occurrence of cognitive impairment,the roadmap prediction model was established and validated,the patient work receiver operating characteristic curve was used to evaluate the predictive efficacy of the model,the calibration curve was used to assess the consistency between the predicted events and the actual events,and the decision curve analysis was used to evaluate the validity of the model.Pearson correlation analysis was used to explore the relationship between nutrition-related indicators and MoCA scores.RESULTS In this research,the modeling cohort comprised 140 cases,while the verification cohort consisted of 60 cases,with no notable discrepancy in the data between the two groups.In the modeling cohort,there were significant differences in body mass index(BMI),albumin(ALB),hemoglobin(Hb)and homocysteine levels among the malnourished group,the malnourished risk group and the normal nutritional status group.The results of univariate and multivariate analysis showed that BMI[odds ratio(OR)=0.830,P=0.014],ALB(OR=0.860,P=0.028),Hb(OR=0.939,P=0.035)and MNA score(OR=0.640,P=0.000)were independent protective factors for patients without cognitive impairment,and alkaline phosphatase(ALP)(OR=1.074,P=0.000)was an independent risk factor for patients with cognitive impairment.In this study,the prediction nomogram tailored for cognitive deterioration in elderly patients with hypertension demonstrated robust predictive power and a close correspondence between predicted and observed outcomes.This model offers significant potential as a means to forestall cognitive decline in hypertensive elderly patients.ALP was negatively correlated with MoCA score,while BMI,MNA score,Hb and ALB were positively correlated with MoCA score.CONCLUSION BMI,MNA score,Hb and ALB were independent protective factors for cognitive impairment in elderly hypertensive patients and were positively correlated with MoCA score.ALP was an independent risk factor for cognitive impairment in elderly hypertensive patients and was negatively correlated with the MoCA score.The column line graph model established in the study has a good predictive value.展开更多
Human dignity is a core concept in contemporary moral philosophy,political science,and jurisprudence.The“social status theory”proposed by Jeremy Waldron argues that human dignity is a social construct,focusing on th...Human dignity is a core concept in contemporary moral philosophy,political science,and jurisprudence.The“social status theory”proposed by Jeremy Waldron argues that human dignity is a social construct,focusing on the fundamental equal social status of individuals.It addresses behaviors of humiliation or devaluation by others,emphasizing both the negative prohibition of such harms and the positive promotion of protections against them.Unlike traditional theories of dignity that often rely on abstract or metaphysical justifications,the social status theory adopts a bottom-up approach grounded in the social practices of dignity.This perspective avoids entanglement in endless value debates over the concept and provides new rationale for affirming human dignity.Furthermore,it refines the understanding of human dignity by identifying three specific types of social harm to dignity and corresponding protective measures.The social status theory significantly mitigates cultural skepticism regarding the concept of human dignity,offering a relatively objective and practicable framework for defining dignity norms.Practically,the theory aligns well with the application of human dignity in both public and private law domains and effectively explains the concept as utilized in international human rights conventions and practices.While there is room for further refinement,the social status theory currently stands out as the most advantageous and robust framework for understanding and promoting human dignity.展开更多
Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to indiv...Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to individuals who are not in healthcare professions. Medical students are classified as a high-risk demographic since, like HCWs, they often come into contact with bodily fluids and blood during their clinical training. By 2030, a greater proportion of people will have received HBV vaccinations, thereby halting the spread of new infections—The Somali Ministry of Health with the help of various agencies announced to eradicate hepatitis from Somalia. The priority actions are national hepatitis strategy, hepatitis survey, public awareness, training, and capacity building. Objectives: This study aims to assess the knowledge, attitude, and vaccination status of Hepatitis B infection among medical university students in Mogadishu, Somalia, 2024. Methods: Cross-sectional study design was used in this study and the survey was carried out among medical students enrolled in Universities from April 1, 2023 to June 30, 2023. The data was analyzed using SPSS version 26.0 software, Chi-square analysis and Logistic regression analysis to identify associations between demographic factors and HBV knowledge, attitudes, and vaccination status, as well as perspectives and immunization status concerning viral hepatitis. Results: The study achieved a response rate of (96%), with 230 participants. Most students (76.5%) were aged 26 - 30 years, and (60.8%) were male. Nearly half (48.7%) were in their third year of study, and the majority (36.1%) were from the Medicine and Surgery department. While 92.2% had heard of HBV, gaps in understanding were evident. About 37.8% erroneously believed HBV could spread via handshakes, and only 33.9% were aware HBV is treatable. Awareness of HBV’s severe complications, such as liver cirrhosis and liver cancer, was reported by 61.3%, and 83% understood that vaccination could prevent infection. Positive attitudes towards HBV vaccination were prevalent. Most participants (81.3%) supported vaccination before sexual activity, and 78.3% endorsed mandatory HBV vaccination policies for healthcare workers. However, 87.4% expressed concerns about the vaccine promoting unsafe sexual behavior, and 96.1% cited cultural resistance as a barrier to vaccination. A significant proportion (80.86%) of students had not been vaccinated against HBV. Among vaccinated students, 17.4%, 15.7%, and 47.82% had received one, two, and three doses, respectively. Barriers to vaccination included safety concerns (77.4%), lack of time (86.52%), and doubts about efficacy (42.61%). Conclusion: This study highlights gaps in knowledge and vaccination coverage among medical students, which are critical for their health and future clinical practice. Enhancing awareness and vaccination rates can empower students to advocate for preventative measures in their professional environments. Despite high awareness of HBV, knowledge gaps and cultural barriers persist, affecting attitudes and vaccination uptake among medical students. Educational interventions addressing misconceptions, cultural resistance, and vaccine safety are critical. Increased advocacy for mandatory vaccination policies in healthcare settings is also essential to improve HBV prevention methods.展开更多
Dongshan Bay,along with Xiamen Bay,serves as a significant distribution area for amphioxus in Fujian Province.In this survey,we observed that the sedimentary environment of Dongshan Bay has been seriously silted due t...Dongshan Bay,along with Xiamen Bay,serves as a significant distribution area for amphioxus in Fujian Province.In this survey,we observed that the sedimentary environment of Dongshan Bay has been seriously silted due to rapid economic development and the thriving aquaculture industry.Consequently,there has been a significant reduction in suitable habitats for amphioxus and a sharp decline in its resource abundance.Totally 9 amphioxuses were collected from its eastern region in 2022 with a population density of 18.75 ind m^(-2) and a body length from 34.15 to 48.02 mm.The amphioxuses acquired in this investigation were classified as Branchiostoma japonicum based on morphological traits,such as a cuspate rostral fin,measurements of angles between the dorsal and super-caudal fins,angles between the pre-anal and sub-caudal fins,along with an accurate count of pre-anal fin chambers which matched those observed in B.japonicum.Moreover,a molecular barcoding analysis was conducted using a fragment of the mitochondrial COI gene.The results indicated that Branchiostoma sp.from Dongshan Bay in this study belongs to B.japonicum,providing additional support for the morphological identification results.Considering amphioxuses are still surviving in Dongshan Bay despite the destruction of their habitat,it is recommended to implement measures to safeguard their resources and habitats.The measures may include designating protection areas,strengthening law enforcement management to prohibit sand mining,regulating the scale of cage aquaculture,and augmenting wild resources through artificial breeding and release.展开更多
Objective This study examines the sequential mediating roles of body pain and self-reported health in the association between sleep duration and self-reported life satisfaction among elderly Chinese adults.Methods Dat...Objective This study examines the sequential mediating roles of body pain and self-reported health in the association between sleep duration and self-reported life satisfaction among elderly Chinese adults.Methods Data from the fifth wave of the China Health and Retirement Longitudinal Survey(CHARLS)were used to analyse the relationships between sleep duration and body pain,self-reported health,and life satisfaction through logistic regression and Restricted Cubic Spline(RCS)analyses.The sequential mediation effects of body pain and self-reported health status were examined via chain mediation analysis.Results Logistic regression analysis showed that sleeping fewer than 6 hours or 6-7 hours was linked to higher risks of body pain,poor health,and dissatisfaction with life compared to sleeping 7-8 hours(all P<0.05).Additionally,those sleeping more than 9 hours also had increased risks of poor health and dissatisfaction with life compared to those sleeping 7-8 hours(all P<0.05).Chain mediation analysis showed that body pain and self-reported health status sequentially mediated 46.15%of the association between sleep duration and life satisfaction.Conclusion Body pain and self-reported health may shape the relationship between sleep duration and life satisfaction in elderly Chinese adults.展开更多
Objective To analyze the current research status and development trend of active surveillance of drug safety in China,and to provide reference and suggestions for future research.Methods Using bibliometric methods and...Objective To analyze the current research status and development trend of active surveillance of drug safety in China,and to provide reference and suggestions for future research.Methods Using bibliometric methods and with the help of the CiteSpace 6.1.R6,the literature on active surveillance of drug safety in CNKI from 2010 to 2022 was visualized and analyzed in terms of authors,institutions and keywords.Results and Conclusion The research on active surveillance of drug safety in China started late and is in a stable development period.Some Chinese scholars have done more work on active surveillance of drug safety.Additionally,a number of institutions have published some articles and surveillance objects,surveillance methods,and surveillance results are the main research content.However,the cross-institutional cooperation is not close.The traditional Chinese medicine injection,centralized surveillance,and automatic surveillance are the hot spots of research.It is the latest research frontier to use the Chinese hospital pharmacovigilance system to actively monitor drug safety.At present,the research related to active surveillance of drug safety in China is still in the early stage,and more in-depth research is needed to follow up.展开更多
Objective To identify whether metabolic status mediates the associations between frailty and mortality and incident cardiovascular disease(CVD),and to assess of interactive or joint relationships between frailty and m...Objective To identify whether metabolic status mediates the associations between frailty and mortality and incident cardiovascular disease(CVD),and to assess of interactive or joint relationships between frailty and metabolic status on these outcomes.Methods In this prospective cohort study of 456,445 UK Biobank participants,frailty was assessed using five phenotype criteria.Metabolic status was scored(0–4)based on central obesity,hypertension,hyperglycemia,and dyslipidemia.Multivariable-adjusted Cox regression models were used to assess the associations between frailty and mortality and incident CVD.Results During a median follow-up of 13.8 years for mortality and 13.6 years for CVD,30,907 deaths(7,467 CVD-related)and 37,115 incident CVD cases occurred.Frailty was associated with higher risks of all-cause mortality(hazard ratio[HR],2.41;95%confidence interval[CI],2.31–2.51),CVD mortality(HR,2.64;95%CI,2.43–2.87),and incident CVD(HR,1.83;95%CI,1.75–1.91),compared with non-frail individuals.Metabolic status mediated 8.7%,16.1%,and 16.4%of these associations,respectively.Frailty and metabolic status interacted multiplicatively for all-cause mortality(P-value for interaction<0.001)and additively for CVD mortality[relative excess risk due to interaction(RERI),1.78;95%CI,0.88–2.68]and incident CVD(RERI,0.60;95%CI,0.33–0.86).Joint exposure to frailty and three to four metabolic disorders conferred 3.34-,6.32-,and 3.30-fold risks of all-cause mortality,CVD mortality,and incident CVD,respectively,compared with metabolically healthy non-frail individuals.Conclusion This study highlights the need for integrated management strategies targeting both frailty and metabolic conditions to mitigate cardiovascular and mortality risks.展开更多
The Xuan Dai Bay,located in Phu Yen Province,Vietnam,is one of the most traditional and important aquaculture areas of the country.Using physico-chemical methods to evaluate the environmental quality of the bay shows ...The Xuan Dai Bay,located in Phu Yen Province,Vietnam,is one of the most traditional and important aquaculture areas of the country.Using physico-chemical methods to evaluate the environmental quality of the bay shows that the area is contaminated with nutrients.However,it is necessary to clarify the level of pollution and the impact of polluting factors on biological communities and ecological status in the area.Two marine biotic indices AZTI’s marine biotic index(AMBI)and multivariate-AMBI(M-AMBI)were used to shed light on these issues.This research reveals the outcomes of applying these indicators in evaluating the ecological status in the area.The results show that the environment of the Xuan Dai Bay is being polluted.The most severe pollution level is at stations close to denser farms sites;while the lower pollution is found at stations near the mouth of the bay.The benthic community was imbalanced at all sampling stations,ranging from mild to moderate levels;while the ecological status is moderate,except good-high quality status close to the mouth.展开更多
The objective of this study was to characterize the rumination time in lactating dairy cows fed with corn silage.Rumination time was recorded 24 h/day using direct visual observation.Six trials were conducted during 2...The objective of this study was to characterize the rumination time in lactating dairy cows fed with corn silage.Rumination time was recorded 24 h/day using direct visual observation.Six trials were conducted during 2018,2019 and 2020,and rumination time was recorded in 480-2-hour periods from 40 Holstein Friesian cows.In each trial,6 or 8 cows were selected and balanced for days in milk(DIM),milk production and number of lactations.Each cow was recorded continuously for periods of 2 h at a time to complete a full 24-h period per week(12 values per day).Data from all cows were associated with 4 reproductive statuses of cows:Inseminated(1-45 days after insemination),Open(45-150 days after calving),not-pregnant and pregnant.The longest rumination time(RT)was found in pregnant cows(average 536.9±29.87 min/day),and the shortest RT was in open cows(average 420.3±63.2 min/day).Inseminated and non-pregnant cows were found with intermediate values(527.3±82.4 min/day and 467.1±30.7 respectively).Significantly different RT means were found between pregnant and open cows(p<0.0001),pregnant vs.inseminated cows(p<0.0001),and between inseminated and open cows(p=0.0005).We concluded that some gynecological conditions of lactating cows affect the RT.Measurement of RT by visual observations proved to be acceptable for the conditions of this study when cows were housed indoors and were fed with partial mixed ration(PMR)based on corn silage.展开更多
In the published version of our article(Shaji et al.,2024),in the last paragraph of the article,Hong Kong should be corrected to Hong Kong(China)and the repetition of Spain and Ireland in the same sentence need to be ...In the published version of our article(Shaji et al.,2024),in the last paragraph of the article,Hong Kong should be corrected to Hong Kong(China)and the repetition of Spain and Ireland in the same sentence need to be deleted.The correct sentence is as below.展开更多
AIM:To investigate the occurrence of eye asthenopia in Chinese adults and pinpoint the factors contributing to it using a 17-item Asthenopia Survey Questionnaire(ASQ-17).METHODS:A total of 2509 Chinese adults aged 18 ...AIM:To investigate the occurrence of eye asthenopia in Chinese adults and pinpoint the factors contributing to it using a 17-item Asthenopia Survey Questionnaire(ASQ-17).METHODS:A total of 2509 Chinese adults aged 18 and above from 30 regions in China participated in a crosssectional online survey in February 2020.The survey utilized the ASQ-17,which had been proven reliable and validated for assessing asthenopia-related symptoms experienced in the past two weeks among the Chinese population.Data on demographics and living conditions,including age,gender,humidity,air quality in their residential areas,frequency of heightened anxiety or depression,daily duration of near vision activity,sleep duration,sleep quality,and history of eye surgery,were collected.Principal component analysis and multivariate logistic regression were employed to identify independent factors associated with asthenopia.RESULTS:Out of the 2502 participants,with an average age of 31±8y included in the analysis,asthenopia was prevalent in 35.2%of cases.Multivariate analysis revealed that the most influential risk factor was poor sleep and mental well-being,which encompassed shorter daily sleep duration,lower sleep quality,and more frequent feelings of heightened anxiety or depression[odds ratio(OR):2.07,95%confidence interval(CI):1.88–2.29,P<0.001].This was followed by each additional 2h of daily near vision activity relative to 4h(OR:1.33,95%CI:1.21–1.45,P<0.001),and lower humidity and worse air quality in the residential area(OR:1.10,95%CI:1.02–1.21,P=0.019).CONCLUSION:Asthenopia is a common issue among Chinese adults,and preventative measures should focus on improving sleep and mental well-being.Further research targeting physiological exposure,different age groups or longitudinal studies to establish causality are needed to explore the role of sleep and mental status as an influencing factor.展开更多
BACKGROUND In randomized controlled trials(RCTs),the placebo arm has often been ignored as the attention tends to be focused on the treatment arm.We undertook a meta-analysis based on the data from the placebo arm in ...BACKGROUND In randomized controlled trials(RCTs),the placebo arm has often been ignored as the attention tends to be focused on the treatment arm.We undertook a meta-analysis based on the data from the placebo arm in RCTs of hepatocellular carci-noma(HCC),the response rates and survival status,and adverse events(AEs)were summarized and evaluated.AIM To systematically evaluate the response rates,survival status and AEs in the placebo arms of RCTs for HCC.METHODS A systematic search was performed on PubMed,Ovid MEDLINE,Embase and Cochrane Library to identify relevant trials evaluating the efficacy of drugs for the treatment of HCC,published until December 31,2023.Statistical analysis was performed using R statistical software(version 4.3.2).RESULTS A total of 18 RCTs,involving 2390 patients,met the criteria for inclusion in the meta-analysis.The pooled overall disease control rate and objective response rate in the placebo group were 38%[95%confidence interval(CI):33%-42%]and 1%(95%CI:1%-2%),respectively.Overall survival and progression-free survival in the placebo group were 7.9 months(95%CI:7.6-8.31 months)and 1.9 months(95%CI:1.6-2.1 months),respectively.The incidence of grade 3 or 4 AEs was 37%(95%CI:30%-43%).Additionally,the incidence of interruptions or dose reductions due to AEs was 20%(95%CI:13%-27%),while the incidence of treatment discontinuation due to AEs was 9%(95%CI:6%-12%).CONCLUSION Over one-third of advanced HCC patients exhibit therapy-free disease control,with placebo-arm AEs observed.These findings guide single-arm trials design and enhance patient acceptance of anticancer therapies.展开更多
Objective:This study aims to investigate the cognitive status of community medical staff and patients in Neijiang City towards general practitioners,and analyze the current cognitive status,cognitive needs,and the imp...Objective:This study aims to investigate the cognitive status of community medical staff and patients in Neijiang City towards general practitioners,and analyze the current cognitive status,cognitive needs,and the importance of knowledge dissemination and intervention regarding general practitioners.Methods:A total of 50 community medical staff and patients in Neijiang City were selected for a questionnaire survey conducted from April 2023 to March 2025.A self-designed questionnaire on the concepts of multimorbidity and general practitioners was employed,and the survey was carried out twice,before and after the dissemination of general practice knowledge.Based on the demographic characteristics of the participants and the differences in survey results before and after the knowledge dissemination,the influencing factors and cognitive needs of community medical staff and patients towards general practitioners at this stage were analyzed.Results:Individuals under the age of 35 acquired knowledge mainly through community education(50.00%)and electronic media(50.00%),while those aged 35-65 and over 65 primarily learned through peers,accounting for 57.14%and 48.72%,respectively.After general practice education,among individuals aged≤65,those with a college degree or higher demonstrated higher rates of multimorbidity and met the criteria for family doctor awareness compared to those aged>65 with a high school diploma or lower,with statistically significant differences(p<0.05).Logistic regression analysis revealed that educational attainment(college degree or higher)served as a protective factor for high awareness levels among general practitioners,while age(>65 years)emerged as a risk factor for high awareness levels among general practitioners,with statistically significant differences(p<0.05).Conclusion:To enhance the knowledge and awareness levels of general practitioners among community medical staff and patients,it is imperative to actively expand channels for proactive acquisition of relevant knowledge through education and outreach.Additionally,targeted educational efforts should be intensified for individuals with lower educational attainment and older age groups to establish a public awareness foundation for the effective promotion of general practitioner-led healthcare initiatives at the grassroots level.展开更多
As a new type of pollutant,microplastics have been widely detected in environments such as the ocean,lakes,atmosphere and soil.As a major sink for plastic waste,soil is particularly severely polluted.The current situa...As a new type of pollutant,microplastics have been widely detected in environments such as the ocean,lakes,atmosphere and soil.As a major sink for plastic waste,soil is particularly severely polluted.The current situation and hazards of microplastic pollution in agricultural soils in China are summarized,and the research progress of microplastic degradation and treatment is elaborated,providing a basis for further studies on soil microplastics.展开更多
AIM:To evaluate the effect of different monochromatic lights on the refractive status and the secretion levels of neurotransmitters in the progressive myopic model of guinea pigs.METHODS:Guinea pigs(n=90)underwent dif...AIM:To evaluate the effect of different monochromatic lights on the refractive status and the secretion levels of neurotransmitters in the progressive myopic model of guinea pigs.METHODS:Guinea pigs(n=90)underwent different monochromatic lights irradiation for two weeks were randomly divided into 6 groups:white light(control),ultraviolet(UV),blue,green,red,and simulative sunlight(simSUN).The refractive status and axial length(AL)were measured.Transmission electron microscopy,Masson’s trichrome staining and hematoxylin-eosin staining were performed to observe the structural changes of retina and sclera.High-performance liquid chromatography(HPLC),western blotting and immunofluorescence were used to measure neurotransmitters and their receptors.RESULTS:Myopia models were established successfully.When compared the degrees of change in myopic eyes of control group,the UV group showed a minor decrease in AL and refraction,along with a significant increase in scleral thickness.In contrast,the red and green groups revealed a net increase in AL and refraction,coupled with a net decrease in scleral thickness(all,P<0.01).The dopamine concentration increased in the UV group,while concentrations of serotonin and melatonin significantly decreased(all,P<0.01).The groups that were exposed to UV,blue and simSUN,the expression of dopamine receptor D2(DRD2)increased,and the expression of hydroxytryptamine receptor 2A(HTR2A)and melatonin receptor type 2(MT2)decreased significantly when compared to the control group(all P<0.01).CONCLUSION:Exposure to short-wavelength light could slow the development of myopia by promoting the production of dopamine and suppressing the serotonin and melatonin concentration.The neurotransmitter receptors MT2,DRD2,and HTR2A in the sclera appear to play different roles by different color lights in myopic guinea pigs.展开更多
文摘Hepatocellular carcinoma presents with three distinct immune phenotypes,including immune-desert,immune-excluded,and immune-inflamed,indicating various treatment responses and prognostic outcomes.The clinical application of multi-omics parameters is still restricted by the expensive and less accessible assays,although they accurately reflect immune status.A comprehensive evaluation framework based on“easy-to-obtain”multi-model clinical parameters is urgently required,incorporating clinical features to establish baseline patient profiles and disease staging;routine blood tests assessing systemic metabolic and functional status;immune cell subsets quantifying subcluster dynamics;imaging features delineating tumor morphology,spatial configuration,and perilesional anatomical relationships;immunohistochemical markers positioning qualitative and quantitative detection of tumor antigens from the cellular and molecular level.This integrated phenomic approach aims to improve prognostic stratification and clinical decision-making in hepatocellular carcinoma management conveniently and practically.
文摘The successful application of the Xixia Imperial Tombs for World Heritage Status has brought this civilization,sealed in the loess,to the global stage.The Xixia Imperial Tombs may become an important node connecting the civilizations along the Silk Road.Their characteristic cultural integration serves as a unique window through which foreign tourists can understand Chinese civilization.
文摘In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the potential to positively influence mental health by providing monitoring,insights,and inter-ventions.However,they also come with challenges that need to be addressed.Understanding the primary purpose for which individuals use these smart tech-nologies is essential to tailoring them to specific mental health needs and prefe-rences.
基金Supported by Research Project on Food Detection Technology Innovation and Standard Integration 2024(YNXM-2024-FW-019).
文摘This paper investigates and analyzes the general situation of the tomato seed production industry in Lintong District,Xi'an City.Development strategies and suggestions are proposed to address existing problems.These include strengthening technological innovation and variety R&D,promoting industrial standardization and intelligent upgrading,enhancing brand building and market expansion,improving policy support and industrial chain coordination,strengthening intellectual property protection and talent cultivation,and expanding sales channels to promote industrial transformation and upgrading.
基金funded by national funds through the Foundation for Science and Technology,under the project UIDB/04923。
文摘impacting quality of life.This study aimed to identify technological nursing interventions that promote self-care and improve the nutritional status of middle-aged and older adults undergoing hemodialysis.Methods:A systematic literature review was conducted in accordance with the Joanna Briggs Institute(JBI)and PRISMA guidelines.Searches were conducted in Medline,CINAHL,the Cochrane Library,Scopus,Web of Science,and grey literature,Studies published between 2018 and 2024,involving patients aged 40 years or more undergoing regular hemodialysis,and available in Portuguese,English,or Spanish,were included.JBI's critical appraisal tools were used to conduct a rigorous analysis and methodological quality assessment of the articles.Results:Out of a total of 738 articles,10 were included for analysis.Five key dimensions of technologydriven self-care interventions were established.1)Mobile applications and digital platforms with features like nutritional databases,food logging,and personalized feedback;2)E-learning and virtual education using social media and chat-based communication;3)Telenursing employing a hybrid follow-up model of face-to-face,telephone,and SMS contact;4)Educational strategies focused on nutritional status,utilizing methods such as teach-back and pictorial learning within a multidisciplinary team;and 5)Comprehensive assessment tools evaluating treatment adherence(hemodialysis,medication,diet,fluid)and laboratory markers.Significant improvements were reported across several outcomes:eight studies showed enhanced biochemical markers(e.g.,phosphorus,sodium,potassium,calcium,iron,albumin,urea,and hemoglobin)and nutritional status,three demonstrated increased selfefficacy,and two reported improved quality of life.Conclusion:Integrating technology and face-to-face education enhances nutritional status,highlighting the importance of comprehensive strategies to improve treatment adherence and prevent malnutrition in hemodialysis patients.
基金Supported by the Wuxi Science and Technology Plan Project Plan,No.BJ21008.
文摘BACKGROUND Hypertension is a common chronic disease in the elderly population,and its association with cognitive impairment has been increasingly recognized.Cognitive impairment,including mild cognitive impairment and dementia,can significantly affect the quality of life and independence of elderly individuals.Therefore,identifying risk factors for cognitive impairment in elderly hypertensive patients is crucial for developing effective interventions and improving health outcomes.Nutritional status is one of the potential factors that may influence cognitive function in elderly hypertensive patients.Malnutrition or inadequate nutrition can lead to various health problems,including weakened immune system,increased susceptibility to infections,and impaired physical and mental function.Furthermore,poor nutritional status has been linked to increased risk of cognitive decline and dementia in various populations.In this observational study,we aimed to investigate the nutritional status of elderly hypertensive patients and its relationship to the occurrence of cognitive impairment.By collecting baseline data on general information,body composition,and clinical indicators,we hope to identify risk factors for cognitive impairment in this patient population.The results of this study are expected to provide more scientific basis for the health management of elderly patients with hypertension,particularly in terms of maintaining good nutritional status and reducing the risk of cognitive impairment.AIM To explore the differences between clinical data and cognitive function of elderly hypertensive patients with different nutritional status,analyze the internal relationship between nutritional statuses and cognitive impairment,and build a nomogram model for predicting nutritional status in elderly hypertensive patients.METHODS The present study retrospectively analyzed 200 elderly patients admitted to our hospital for a hypertension during the period July 1,2024 to September 30,2024 as study subjects,and the 200 patients were divided into a modeling cohort(140 patients)and a validation cohort(60 patients)according to the ratio of 7:3.The modeling cohort were divided into a malnutrition group(26 cases),a malnutrition risk group(42 cases),and a normal nutritional status group(72 cases)according to the patients’Mini-Nutritional Assessment Scale(MNA)scores,and the modeling cohort was divided into a hypertension combined with cognitive impairment group(34 cases)and a hypertension cognitively normal group(106 cases)according to the Montreal Cognitive Assessment Scale(MoCA)scores,and the validation cohort was divided into a hypertension combined with cognitive impairment group(14 cases)and hypertension cognitively normal group(46 cases).The study outcome was the occurrence of cognitive impairment in elderly hypertensive patients.Univariate and multivariate logistic regression was used to explore the relationship between the general information of the elderly hypertensive patients and the influence indicators and the occurrence of cognitive impairment,the roadmap prediction model was established and validated,the patient work receiver operating characteristic curve was used to evaluate the predictive efficacy of the model,the calibration curve was used to assess the consistency between the predicted events and the actual events,and the decision curve analysis was used to evaluate the validity of the model.Pearson correlation analysis was used to explore the relationship between nutrition-related indicators and MoCA scores.RESULTS In this research,the modeling cohort comprised 140 cases,while the verification cohort consisted of 60 cases,with no notable discrepancy in the data between the two groups.In the modeling cohort,there were significant differences in body mass index(BMI),albumin(ALB),hemoglobin(Hb)and homocysteine levels among the malnourished group,the malnourished risk group and the normal nutritional status group.The results of univariate and multivariate analysis showed that BMI[odds ratio(OR)=0.830,P=0.014],ALB(OR=0.860,P=0.028),Hb(OR=0.939,P=0.035)and MNA score(OR=0.640,P=0.000)were independent protective factors for patients without cognitive impairment,and alkaline phosphatase(ALP)(OR=1.074,P=0.000)was an independent risk factor for patients with cognitive impairment.In this study,the prediction nomogram tailored for cognitive deterioration in elderly patients with hypertension demonstrated robust predictive power and a close correspondence between predicted and observed outcomes.This model offers significant potential as a means to forestall cognitive decline in hypertensive elderly patients.ALP was negatively correlated with MoCA score,while BMI,MNA score,Hb and ALB were positively correlated with MoCA score.CONCLUSION BMI,MNA score,Hb and ALB were independent protective factors for cognitive impairment in elderly hypertensive patients and were positively correlated with MoCA score.ALP was an independent risk factor for cognitive impairment in elderly hypertensive patients and was negatively correlated with the MoCA score.The column line graph model established in the study has a good predictive value.
基金This paper is an interim result of the“Research on the Construction of China’s Independent Human Rights Knowledge System,”a major project of the National Human Rights Education and Training Base(Approval Number 24JJD820007).
文摘Human dignity is a core concept in contemporary moral philosophy,political science,and jurisprudence.The“social status theory”proposed by Jeremy Waldron argues that human dignity is a social construct,focusing on the fundamental equal social status of individuals.It addresses behaviors of humiliation or devaluation by others,emphasizing both the negative prohibition of such harms and the positive promotion of protections against them.Unlike traditional theories of dignity that often rely on abstract or metaphysical justifications,the social status theory adopts a bottom-up approach grounded in the social practices of dignity.This perspective avoids entanglement in endless value debates over the concept and provides new rationale for affirming human dignity.Furthermore,it refines the understanding of human dignity by identifying three specific types of social harm to dignity and corresponding protective measures.The social status theory significantly mitigates cultural skepticism regarding the concept of human dignity,offering a relatively objective and practicable framework for defining dignity norms.Practically,the theory aligns well with the application of human dignity in both public and private law domains and effectively explains the concept as utilized in international human rights conventions and practices.While there is room for further refinement,the social status theory currently stands out as the most advantageous and robust framework for understanding and promoting human dignity.
文摘Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to individuals who are not in healthcare professions. Medical students are classified as a high-risk demographic since, like HCWs, they often come into contact with bodily fluids and blood during their clinical training. By 2030, a greater proportion of people will have received HBV vaccinations, thereby halting the spread of new infections—The Somali Ministry of Health with the help of various agencies announced to eradicate hepatitis from Somalia. The priority actions are national hepatitis strategy, hepatitis survey, public awareness, training, and capacity building. Objectives: This study aims to assess the knowledge, attitude, and vaccination status of Hepatitis B infection among medical university students in Mogadishu, Somalia, 2024. Methods: Cross-sectional study design was used in this study and the survey was carried out among medical students enrolled in Universities from April 1, 2023 to June 30, 2023. The data was analyzed using SPSS version 26.0 software, Chi-square analysis and Logistic regression analysis to identify associations between demographic factors and HBV knowledge, attitudes, and vaccination status, as well as perspectives and immunization status concerning viral hepatitis. Results: The study achieved a response rate of (96%), with 230 participants. Most students (76.5%) were aged 26 - 30 years, and (60.8%) were male. Nearly half (48.7%) were in their third year of study, and the majority (36.1%) were from the Medicine and Surgery department. While 92.2% had heard of HBV, gaps in understanding were evident. About 37.8% erroneously believed HBV could spread via handshakes, and only 33.9% were aware HBV is treatable. Awareness of HBV’s severe complications, such as liver cirrhosis and liver cancer, was reported by 61.3%, and 83% understood that vaccination could prevent infection. Positive attitudes towards HBV vaccination were prevalent. Most participants (81.3%) supported vaccination before sexual activity, and 78.3% endorsed mandatory HBV vaccination policies for healthcare workers. However, 87.4% expressed concerns about the vaccine promoting unsafe sexual behavior, and 96.1% cited cultural resistance as a barrier to vaccination. A significant proportion (80.86%) of students had not been vaccinated against HBV. Among vaccinated students, 17.4%, 15.7%, and 47.82% had received one, two, and three doses, respectively. Barriers to vaccination included safety concerns (77.4%), lack of time (86.52%), and doubts about efficacy (42.61%). Conclusion: This study highlights gaps in knowledge and vaccination coverage among medical students, which are critical for their health and future clinical practice. Enhancing awareness and vaccination rates can empower students to advocate for preventative measures in their professional environments. Despite high awareness of HBV, knowledge gaps and cultural barriers persist, affecting attitudes and vaccination uptake among medical students. Educational interventions addressing misconceptions, cultural resistance, and vaccine safety are critical. Increased advocacy for mandatory vaccination policies in healthcare settings is also essential to improve HBV prevention methods.
基金supported by grants from the Science and Technology Bureau of Xiamen(No.3502Z20227207)。
文摘Dongshan Bay,along with Xiamen Bay,serves as a significant distribution area for amphioxus in Fujian Province.In this survey,we observed that the sedimentary environment of Dongshan Bay has been seriously silted due to rapid economic development and the thriving aquaculture industry.Consequently,there has been a significant reduction in suitable habitats for amphioxus and a sharp decline in its resource abundance.Totally 9 amphioxuses were collected from its eastern region in 2022 with a population density of 18.75 ind m^(-2) and a body length from 34.15 to 48.02 mm.The amphioxuses acquired in this investigation were classified as Branchiostoma japonicum based on morphological traits,such as a cuspate rostral fin,measurements of angles between the dorsal and super-caudal fins,angles between the pre-anal and sub-caudal fins,along with an accurate count of pre-anal fin chambers which matched those observed in B.japonicum.Moreover,a molecular barcoding analysis was conducted using a fragment of the mitochondrial COI gene.The results indicated that Branchiostoma sp.from Dongshan Bay in this study belongs to B.japonicum,providing additional support for the morphological identification results.Considering amphioxuses are still surviving in Dongshan Bay despite the destruction of their habitat,it is recommended to implement measures to safeguard their resources and habitats.The measures may include designating protection areas,strengthening law enforcement management to prohibit sand mining,regulating the scale of cage aquaculture,and augmenting wild resources through artificial breeding and release.
基金supported by This work was supported by the Ministry of Science and Technology of the People’s Republic of China(STI2030-Major Projects2021ZD0201900)。
文摘Objective This study examines the sequential mediating roles of body pain and self-reported health in the association between sleep duration and self-reported life satisfaction among elderly Chinese adults.Methods Data from the fifth wave of the China Health and Retirement Longitudinal Survey(CHARLS)were used to analyse the relationships between sleep duration and body pain,self-reported health,and life satisfaction through logistic regression and Restricted Cubic Spline(RCS)analyses.The sequential mediation effects of body pain and self-reported health status were examined via chain mediation analysis.Results Logistic regression analysis showed that sleeping fewer than 6 hours or 6-7 hours was linked to higher risks of body pain,poor health,and dissatisfaction with life compared to sleeping 7-8 hours(all P<0.05).Additionally,those sleeping more than 9 hours also had increased risks of poor health and dissatisfaction with life compared to those sleeping 7-8 hours(all P<0.05).Chain mediation analysis showed that body pain and self-reported health status sequentially mediated 46.15%of the association between sleep duration and life satisfaction.Conclusion Body pain and self-reported health may shape the relationship between sleep duration and life satisfaction in elderly Chinese adults.
文摘Objective To analyze the current research status and development trend of active surveillance of drug safety in China,and to provide reference and suggestions for future research.Methods Using bibliometric methods and with the help of the CiteSpace 6.1.R6,the literature on active surveillance of drug safety in CNKI from 2010 to 2022 was visualized and analyzed in terms of authors,institutions and keywords.Results and Conclusion The research on active surveillance of drug safety in China started late and is in a stable development period.Some Chinese scholars have done more work on active surveillance of drug safety.Additionally,a number of institutions have published some articles and surveillance objects,surveillance methods,and surveillance results are the main research content.However,the cross-institutional cooperation is not close.The traditional Chinese medicine injection,centralized surveillance,and automatic surveillance are the hot spots of research.It is the latest research frontier to use the Chinese hospital pharmacovigilance system to actively monitor drug safety.At present,the research related to active surveillance of drug safety in China is still in the early stage,and more in-depth research is needed to follow up.
基金supported by grants from the National Natural Science Foundation of China(82192902 and 82325043)the National Key R&D Program of China(2023YFC3606300)supported by grants from the National Natural Science Foundation of China(82273623 and 82073554).
文摘Objective To identify whether metabolic status mediates the associations between frailty and mortality and incident cardiovascular disease(CVD),and to assess of interactive or joint relationships between frailty and metabolic status on these outcomes.Methods In this prospective cohort study of 456,445 UK Biobank participants,frailty was assessed using five phenotype criteria.Metabolic status was scored(0–4)based on central obesity,hypertension,hyperglycemia,and dyslipidemia.Multivariable-adjusted Cox regression models were used to assess the associations between frailty and mortality and incident CVD.Results During a median follow-up of 13.8 years for mortality and 13.6 years for CVD,30,907 deaths(7,467 CVD-related)and 37,115 incident CVD cases occurred.Frailty was associated with higher risks of all-cause mortality(hazard ratio[HR],2.41;95%confidence interval[CI],2.31–2.51),CVD mortality(HR,2.64;95%CI,2.43–2.87),and incident CVD(HR,1.83;95%CI,1.75–1.91),compared with non-frail individuals.Metabolic status mediated 8.7%,16.1%,and 16.4%of these associations,respectively.Frailty and metabolic status interacted multiplicatively for all-cause mortality(P-value for interaction<0.001)and additively for CVD mortality[relative excess risk due to interaction(RERI),1.78;95%CI,0.88–2.68]and incident CVD(RERI,0.60;95%CI,0.33–0.86).Joint exposure to frailty and three to four metabolic disorders conferred 3.34-,6.32-,and 3.30-fold risks of all-cause mortality,CVD mortality,and incident CVD,respectively,compared with metabolically healthy non-frail individuals.Conclusion This study highlights the need for integrated management strategies targeting both frailty and metabolic conditions to mitigate cardiovascular and mortality risks.
基金A project at the Joint Vietnam-Russia Tropical Science and Technology Research Center under contract No.1113/QD-TTNDVN.
文摘The Xuan Dai Bay,located in Phu Yen Province,Vietnam,is one of the most traditional and important aquaculture areas of the country.Using physico-chemical methods to evaluate the environmental quality of the bay shows that the area is contaminated with nutrients.However,it is necessary to clarify the level of pollution and the impact of polluting factors on biological communities and ecological status in the area.Two marine biotic indices AZTI’s marine biotic index(AMBI)and multivariate-AMBI(M-AMBI)were used to shed light on these issues.This research reveals the outcomes of applying these indicators in evaluating the ecological status in the area.The results show that the environment of the Xuan Dai Bay is being polluted.The most severe pollution level is at stations close to denser farms sites;while the lower pollution is found at stations near the mouth of the bay.The benthic community was imbalanced at all sampling stations,ranging from mild to moderate levels;while the ecological status is moderate,except good-high quality status close to the mouth.
文摘The objective of this study was to characterize the rumination time in lactating dairy cows fed with corn silage.Rumination time was recorded 24 h/day using direct visual observation.Six trials were conducted during 2018,2019 and 2020,and rumination time was recorded in 480-2-hour periods from 40 Holstein Friesian cows.In each trial,6 or 8 cows were selected and balanced for days in milk(DIM),milk production and number of lactations.Each cow was recorded continuously for periods of 2 h at a time to complete a full 24-h period per week(12 values per day).Data from all cows were associated with 4 reproductive statuses of cows:Inseminated(1-45 days after insemination),Open(45-150 days after calving),not-pregnant and pregnant.The longest rumination time(RT)was found in pregnant cows(average 536.9±29.87 min/day),and the shortest RT was in open cows(average 420.3±63.2 min/day).Inseminated and non-pregnant cows were found with intermediate values(527.3±82.4 min/day and 467.1±30.7 respectively).Significantly different RT means were found between pregnant and open cows(p<0.0001),pregnant vs.inseminated cows(p<0.0001),and between inseminated and open cows(p=0.0005).We concluded that some gynecological conditions of lactating cows affect the RT.Measurement of RT by visual observations proved to be acceptable for the conditions of this study when cows were housed indoors and were fed with partial mixed ration(PMR)based on corn silage.
文摘In the published version of our article(Shaji et al.,2024),in the last paragraph of the article,Hong Kong should be corrected to Hong Kong(China)and the repetition of Spain and Ireland in the same sentence need to be deleted.The correct sentence is as below.
基金Supported by Wenzhou Science and Technology Bureau Project(No.Y20240062)the National Natural Science Foundation of China(No.82000861).
文摘AIM:To investigate the occurrence of eye asthenopia in Chinese adults and pinpoint the factors contributing to it using a 17-item Asthenopia Survey Questionnaire(ASQ-17).METHODS:A total of 2509 Chinese adults aged 18 and above from 30 regions in China participated in a crosssectional online survey in February 2020.The survey utilized the ASQ-17,which had been proven reliable and validated for assessing asthenopia-related symptoms experienced in the past two weeks among the Chinese population.Data on demographics and living conditions,including age,gender,humidity,air quality in their residential areas,frequency of heightened anxiety or depression,daily duration of near vision activity,sleep duration,sleep quality,and history of eye surgery,were collected.Principal component analysis and multivariate logistic regression were employed to identify independent factors associated with asthenopia.RESULTS:Out of the 2502 participants,with an average age of 31±8y included in the analysis,asthenopia was prevalent in 35.2%of cases.Multivariate analysis revealed that the most influential risk factor was poor sleep and mental well-being,which encompassed shorter daily sleep duration,lower sleep quality,and more frequent feelings of heightened anxiety or depression[odds ratio(OR):2.07,95%confidence interval(CI):1.88–2.29,P<0.001].This was followed by each additional 2h of daily near vision activity relative to 4h(OR:1.33,95%CI:1.21–1.45,P<0.001),and lower humidity and worse air quality in the residential area(OR:1.10,95%CI:1.02–1.21,P=0.019).CONCLUSION:Asthenopia is a common issue among Chinese adults,and preventative measures should focus on improving sleep and mental well-being.Further research targeting physiological exposure,different age groups or longitudinal studies to establish causality are needed to explore the role of sleep and mental status as an influencing factor.
文摘BACKGROUND In randomized controlled trials(RCTs),the placebo arm has often been ignored as the attention tends to be focused on the treatment arm.We undertook a meta-analysis based on the data from the placebo arm in RCTs of hepatocellular carci-noma(HCC),the response rates and survival status,and adverse events(AEs)were summarized and evaluated.AIM To systematically evaluate the response rates,survival status and AEs in the placebo arms of RCTs for HCC.METHODS A systematic search was performed on PubMed,Ovid MEDLINE,Embase and Cochrane Library to identify relevant trials evaluating the efficacy of drugs for the treatment of HCC,published until December 31,2023.Statistical analysis was performed using R statistical software(version 4.3.2).RESULTS A total of 18 RCTs,involving 2390 patients,met the criteria for inclusion in the meta-analysis.The pooled overall disease control rate and objective response rate in the placebo group were 38%[95%confidence interval(CI):33%-42%]and 1%(95%CI:1%-2%),respectively.Overall survival and progression-free survival in the placebo group were 7.9 months(95%CI:7.6-8.31 months)and 1.9 months(95%CI:1.6-2.1 months),respectively.The incidence of grade 3 or 4 AEs was 37%(95%CI:30%-43%).Additionally,the incidence of interruptions or dose reductions due to AEs was 20%(95%CI:13%-27%),while the incidence of treatment discontinuation due to AEs was 9%(95%CI:6%-12%).CONCLUSION Over one-third of advanced HCC patients exhibit therapy-free disease control,with placebo-arm AEs observed.These findings guide single-arm trials design and enhance patient acceptance of anticancer therapies.
文摘Objective:This study aims to investigate the cognitive status of community medical staff and patients in Neijiang City towards general practitioners,and analyze the current cognitive status,cognitive needs,and the importance of knowledge dissemination and intervention regarding general practitioners.Methods:A total of 50 community medical staff and patients in Neijiang City were selected for a questionnaire survey conducted from April 2023 to March 2025.A self-designed questionnaire on the concepts of multimorbidity and general practitioners was employed,and the survey was carried out twice,before and after the dissemination of general practice knowledge.Based on the demographic characteristics of the participants and the differences in survey results before and after the knowledge dissemination,the influencing factors and cognitive needs of community medical staff and patients towards general practitioners at this stage were analyzed.Results:Individuals under the age of 35 acquired knowledge mainly through community education(50.00%)and electronic media(50.00%),while those aged 35-65 and over 65 primarily learned through peers,accounting for 57.14%and 48.72%,respectively.After general practice education,among individuals aged≤65,those with a college degree or higher demonstrated higher rates of multimorbidity and met the criteria for family doctor awareness compared to those aged>65 with a high school diploma or lower,with statistically significant differences(p<0.05).Logistic regression analysis revealed that educational attainment(college degree or higher)served as a protective factor for high awareness levels among general practitioners,while age(>65 years)emerged as a risk factor for high awareness levels among general practitioners,with statistically significant differences(p<0.05).Conclusion:To enhance the knowledge and awareness levels of general practitioners among community medical staff and patients,it is imperative to actively expand channels for proactive acquisition of relevant knowledge through education and outreach.Additionally,targeted educational efforts should be intensified for individuals with lower educational attainment and older age groups to establish a public awareness foundation for the effective promotion of general practitioner-led healthcare initiatives at the grassroots level.
基金Supported by Hebei Geological Exploration Fund Project(13000024P00B04-410056L).
文摘As a new type of pollutant,microplastics have been widely detected in environments such as the ocean,lakes,atmosphere and soil.As a major sink for plastic waste,soil is particularly severely polluted.The current situation and hazards of microplastic pollution in agricultural soils in China are summarized,and the research progress of microplastic degradation and treatment is elaborated,providing a basis for further studies on soil microplastics.
基金Supported by the Zhejiang Traditional Chinese Medicine Science and Technology Plan(No.2023ZL241)Zhejiang Medical Science and Technology Plan(No.2025KY648).
文摘AIM:To evaluate the effect of different monochromatic lights on the refractive status and the secretion levels of neurotransmitters in the progressive myopic model of guinea pigs.METHODS:Guinea pigs(n=90)underwent different monochromatic lights irradiation for two weeks were randomly divided into 6 groups:white light(control),ultraviolet(UV),blue,green,red,and simulative sunlight(simSUN).The refractive status and axial length(AL)were measured.Transmission electron microscopy,Masson’s trichrome staining and hematoxylin-eosin staining were performed to observe the structural changes of retina and sclera.High-performance liquid chromatography(HPLC),western blotting and immunofluorescence were used to measure neurotransmitters and their receptors.RESULTS:Myopia models were established successfully.When compared the degrees of change in myopic eyes of control group,the UV group showed a minor decrease in AL and refraction,along with a significant increase in scleral thickness.In contrast,the red and green groups revealed a net increase in AL and refraction,coupled with a net decrease in scleral thickness(all,P<0.01).The dopamine concentration increased in the UV group,while concentrations of serotonin and melatonin significantly decreased(all,P<0.01).The groups that were exposed to UV,blue and simSUN,the expression of dopamine receptor D2(DRD2)increased,and the expression of hydroxytryptamine receptor 2A(HTR2A)and melatonin receptor type 2(MT2)decreased significantly when compared to the control group(all P<0.01).CONCLUSION:Exposure to short-wavelength light could slow the development of myopia by promoting the production of dopamine and suppressing the serotonin and melatonin concentration.The neurotransmitter receptors MT2,DRD2,and HTR2A in the sclera appear to play different roles by different color lights in myopic guinea pigs.
