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Objective:To analyze and evaluate the capacity of adolescent healthcare at health centers for women and children at district and county level in Chongqing, for theoretical basis in promoting adolescent healthcare.Methods:From January to February 2021, a unified questionnaire was used to collect the information of adolescent healthcare and data of human resources from 39 health centers for women and children at district and county level in Chongqing. The survey data were analyzed by descriptive statistics.Results:Among the 39 health centers for women and children at district and county level in Chongqing, 32 (82.1%) institutions maintain adolescent outpatient clinics, most of which under gynecology (40.6%) instead of independent departments. 37(94.9%) institutions could provide health care services for adolescents, and 26 (66.7%) institutions could provide the services both in and out-institution services. All the institutions could provide services of prevention and treatment for regular reproductive health diseases, but the numbers of institutions providing such services as nutritional assessment, common problems consultation and guidance, psycho-behavioral screening, mental health consultation and guidance, accidental injury prevention and guidance, violence injury prevention and guidance, as well as Internet addiction assessment and guidance, were 25, 20, 16, 10 and 8, respectively. There were 273 medical workers engaged in adolescent healthcare, mostly part-time (98.9%).Conclusions:The construction of outpatient clinics for adolescent health care is expected to be strengthened at health centers for women and children at district and county level in Chongqing. Meanwhile, services provision and human resources of medical workers for adolescent health care are inadequate.
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OBJECTIVE@#This study aimed to clone and characterize the oxiranedicarboxylate hydrolase (ORCH) from Labrys sp. WH-1.@*METHODS@#Purification by column chromatography, characterization of enzymatic properties, gene cloning by protein terminal sequencing and polymerase chain reaction (PCR), and sequence analysis by secondary structure prediction and multiple sequence alignment were performed.@*RESULTS@#The ORCH from Labrys sp. WH-1 was purified 26-fold with a yield of 12.7%. It is a monomer with an isoelectric point (pI) of 8.57 and molecular mass of 30.2 kDa. It was stable up to 55 °C with temperature at which the activity of the enzyme decreased by 50% in 15 min (T5015) of 61 °C and the half-life at 50 °C (t1/2, 50 °C) of 51 min and was also stable from pH 4 to 10, with maximum activity at 55 °C and pH 8.5. It is a metal-independent enzyme and strongly inhibited by Cu2+, Ag+, and anionic surfactants. Its kinetic parameters (Km, kcat, and kcat/Km) were 18.7 mmol/L, 222.3 s-1, and 11.9 mmol/(L·s), respectively. The ORCH gene, which contained an open reading frame (ORF) of 825 bp encoding 274 amino acid residues, was overexpressed in Escherichia coli and the enzyme activity was 33 times higher than that of the wild strain.@*CONCLUSIONS@#The catalytic efficiency and thermal stability of the ORCH from Labrys sp. WH-1 were the best among the reported ORCHs, and it provides an alternative catalyst for preparation of L(+)-2,3-dihydrobutanedioic acid.
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Alphaproteobacteria/enzymology , Cloning, Molecular , Dicarboxylic Acids/metabolism , Enzyme Stability , Epoxide Hydrolases/metabolismABSTRACT
Objective To investigate and analyze the situation of urban neglected children aged 3 to 6 in 9 districts of Chongqing .Methods Totally 1 316 children were randomly sampled under stratification from 18 streets of 9 district of Chongqing . Based on the Child Neglect Norms used by China ,prevalence of child neglect was identified and SPSS 13 .0 was employed for statis‐tical analysis .Scores ,frequency/degrees ,age ,sex and 5 types (physical ,emotional ,educational ,safety and medical) of child neglect on every group of the regions were calculated .Results The average prevalence of child neglect for the 3 to 6 year‐olds was 22 .95% ,and the total degree was 39 .56 ± 7 .19 .No significant differences were found in the prevalence and degree of child neglect between males and females and among age groups (P<0 .05) .The frequencies of child neglect for the five types were 5 .09% to 10 .64% ,with the higher frequencies of safety neglect (10 .64% ) and physical neglect (9 .50% ) .The degrees of child neglect for the five types were 36 .94 to 41 .24 ,with the higher degrees of educational neglect and physical neglect (41 .24 ± 10 .43 ,39 .81 ± 9 .32 respectively ) .No significant differences were found in the frequency of the types between males and females and among age groups . No significant differences were found in the degree of the types (with an exception on emotional neglect among age groups) between males and females and among age groups .The children aged 3 to 6 were mainly involved in single item of negligence ,with incidence rates as 13 .68% and proportions as 59 .60% .Conclusion The frequency and degree of child neglect among children aged 3 to 6 in the urban areas of 9 district of Chongqing were medium ,and similar between males and females and among age groups ,except the degree of emotional neglect .The children aged 3 to 6 had the higher frequencies of safety and physical neglect ,and the higher de‐grees of educational and physical neglect .The children aged 3 to 6 were mainly involved in single item of negligence .
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<p><b>OBJECTIVE</b>To study the clinical significance of virulence genes exo U and exo S of type III secretion system (TTSS) of Pseudomonas aeruginosa (PA).</p><p><b>METHODS</b>One hundred and eighty-nine clinical isolates of PA were collected from five hospitals. The incidence of virulence genes exo U and exo S in PA were determined with PCR. Minimum inhibitory concentration of anti-bacterial drug for PA was determined with microdilution method. The clinical features and outcomes of 60 hospitalized patients colonized or infected with exo U+/exo S- positive or exo U-/exo S+ positive PA isolated from sputum were analyzed retrospectively. Data were processed with chi-square test.</p><p><b>RESULTS</b>Among the 189 PA isolates, 85.2% (161/189) harbored TTSS genes, including exo U-/exo S+ type (120 isolates), exo U+/exo S- type (31 isolates), exo U-/exo S- type (7 isolates), and exo U+/exo S+ type (3 isolates). 72.0% (72/100) isolates from sputum and 81.5% (44/54) isolates from blood belonged to exo U-/exo S+ genotype. Compared with those of TTSS-negative isolates, the antimicrobial resistance of TTSS-positive isolates to cefoperazone/sulbactam, ceftazidime, amikacin, and cefepime were lower (with χ² value respectively 10.1, 16.1, 9.3, 33.8, P values all below 0.01). The antimicrobial resistance to all examined drug between exo U-/exo S+ type and exo U+/exo S- type isolates was close (with χ² values from 0.08 to 2.04, P values all above 0.05). Patients detected with exo U+/exo S- positive PA isolated from sputum were significantly associated with PA infection, and they usually had history of tracheal intubation, ICU hospitalization, and combined use of drugs for anti-infection treatment. Patients detected with exo U-/exo S+ positive PA isolated from sputum were significantly associated with PA colonization, which had basic lung disease and better outcome than the former infection type.</p><p><b>CONCLUSIONS</b>The TTSS exists in most clinical isolates of PA. Detection of exo U or exo S of PA isolated from sputum is helpful for the analysis of clinical features and outcome of patients.</p>