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Objective To investigate the expression level of serum microRNA-663 (miR-663) in nasopharyngeal carcinoma (NPC) patients and its relationships with clinicopathological features and prognosis.Methods The serums of 60 NPC patients (NPC group),40 patients with nasopharyngeal chronic inflammation (nasopharyngitis group) and 30 healthy subjects (health control group) were collected from June 2014 to April 2017 in our hospital.The relative expression levels of serum miR-663 were detected by quantitative real time polymerase chain reaction (qRT-PCR).The relationships between the expression of miR-663 and clinicopathological features were analyzed.The diagnostic value of serum miR-663 in patients with NPC was analyzed by receiver operating characteristic (ROC) curve.According to the optimal cut-off value determined by the ROC curve,the patients were divided into miR-663 ≥ optimal cut-off value group and miR-663 ＜ optimal cut-off value group,and prognosis analysis was performed for the two groups.Results The relative expression levels of miR-663 among NPC group (6.38 ± 2.05),nasopharyngitis group (3.11 ± 0.97) and health control group (1.74 ±0.75) were significantly different (F =107.722,P =0.001).Serum miR-663 level in NPC group was significantly higher than that in nasopharyngitis group and healthy control group,with significant differences (both P ＜0.001).The relative expression level of miR-663 in nasopharyngitis group was significantly higher than that in health control group,with a significant difference (P ＜ 0.001).The relative expression of serum miR-663 in patients with NPC was not related to patient's age,sex and differentiation (t =1.832,P =0.072;t =0.578,P =0.565;F =0.132,P =0.877).The relative expression of miR-663 in stage Ⅰ-Ⅱ (5.24 ±1.98) was significantly lower than that in stage Ⅲ-Ⅳ (6.99 ± 1.84) of NPC patients,with a significant difference (t =3.417,P ＜ 0.001).The relative expression of serum miR-663 in patients with lymph node metastasis (7.55 ± 1.38) was significantly higher than that in patients without lymph node metastasis (4.62 ± 1.60),with a significant difference (t =7.572,P =0.001).The analysis of the diagnostic value of serum miR-663 in patients with NPC using the ROC curve showed that the area under the curve (AUC) of miR-663 was 0.939.When the optimal cut-off value of miR-663 was 3.190,the sensitivity was 80.0％ and the specificity was 89.0％.The median survival time in miR-663 ≥3.190 group (21.7 months) was significantly shorter than that in miR-663 ＜3.190 group (33.4 months),with a significant difference (x2 =4.332,P =0.037).Conclusion The relative expression level of serum miR-663 in patients with NPC is increased,and the expression level of miR-663 is related to lymph node metastasis and clinical stage.High expression of miR-663 predicts poor clinical outcomes,and miR-663 may be a potential predictor of prognosis in patients with NPC.
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Objective To investigate the effect of percutaneous vertebroplasty and kyphoplasty (PKP) on bone density and serum leptin in patients with osteoporotic thoracolumbar compression fractures. Methods One hundred and two patients with osteoporotic thoracolumbar vertebral compression fractures and 100 cases of healthy control were treated with PKP surgery. The serum leptin and adiponectin, and the bone mineral density of the lumbar spine were determined. Results patients Levels of the serum leptin and adiponectin in patients with osteoporotic thoracolumbar vertebral compression fracture were significantly higher than those with non osteoporotic fracture patients (P < 0.05). One month post-PVP, the levels of serum leptin and adiponectin in the two groups were significantly decreased (P < 0.05). postoperative group of The lumbar bone density at 1 month post-operation was is significantly higher than that before operation in each group (P < 0.05, respectively), with no significant difference between the two groups. The levels of serum leptin and adiponectin were negatively correlated with the bone mineral density (BMD) (P < 0.05). Conclusions tLevels of serum adiponectin and leptin were both increased in osteoporotic or non bone osteoporosis thoracolumbar vertebral compressor fractures. The percutaneous vertebroplasty forming operation could effectively reduce the serum level of leptin and adiponectin, and improve the bone mineral density of the lumbar vertebrae.
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Objective To examine the short-and middle-term efficacy and refracture rate in patients with thoracolumbar fracture having percutaneous kyphoplasty (PKP) and determine their correlation with the severity of osteoporosis.Methods A retrospective analysis was conducted on 247 patients with thoracolumbar fracture undergone PKP from January 2008 to February 2014.Mean age of the patients (94 males and 153 females) was 63.2 years (range,50-81 years).Ground-level falls occurred in 119 patients,traffic injuries in 72 patients and high falls in 56 patients.The patients were assigned to osteopenia group and osteoporosis group based on the preoperative bone mineral density.Visual analogue score (VAS),Roland-Morris disability survey scale (RDQ),vertebral compression rate,kyphotic Cobb angle and refracture rate were recorded before and after operation.Efficacy in correlation with the severity of osteoporosis was evaluated.Results Mean duration of follow-up was 24.3 months (range,18-36 months).Three days after operation,VAS descended from (7.7 ± 2.1) points to (4.3 ± 1.1) points in osteopenia group and from (7.7 ± 2.0) points to (4.2 ± 1.5) points in osteoporosis group (P ＜ 0.05);RDQ descended from (21.2 ± 1.5) points to (10.4 ± 2.5) points in osteopenia group and from (20.8 ± 1.9) points to (11.2 ± 1.7) points in osteoporosis group (P ＜ 0.05);rate of vertebral body compression descended from (42.2 ± 10.5) ％ to (3.2 ± 0.5) ％ in osteopenia group and from (46.2 ± 12.7) ％ to (2.9 ± 0.8) ％ in osteoporosis group (P ＜ 0.05);kyphotic Cobb angle descended from (21.2 ± 9.5) ° to (7.2 ±2.4) °in osteopenia group and from (23.1 ± 8.9) ° to (7.1 ± 2.6) ° in osteoporosis group (P ＜ 0.05).Three years after operation,all the parameters remained better than these before operation,with the value higher in osteoporosis group than in osteopenia group (P ＜ 0.05).Rate of refracture was higher in osteoporosis group after operation,compared to that in osteopenia group (P ＜ 0.05).Conclusions The clinical short-term result is satisfactory,but refracture rate is increased with the osteoporosis aggravation.Targeting osteoporosis therapy is important to obtain a better mid-term results.
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Objective To investigate the effects of hyperbaric oxygen (HBO) therapy following spinal cord injury (SCI) and its mechanisms. Methods Thirty Sprague-Dawley rats were randomly divided into two groups after inducing SCI models using a modified version of Allen's method. The HBO group received HBO treatment 2 h after the procedure and were then treated 100 min every day for 5 consecutive days. All the rats were evaluated 1 h before the operation, and 1 h, 10 d and 20 d afterward using BBB scores and inclined plane experiments. Superoxide dismutase (SOD) and malondialdehyde (MDA) levels were measured. At twenty days, all the rats were sacrificed and their spinal cords were examined pathologically using HE staining. Results Average BBB scores and climbing ability in the HBO group were better than in the control group at the 10th and 20th day after the operation. Compared to the control group, SOD increased significantly and MDA decreased significantly in the HBO group at the 2nd and 5th day after the operation. There was less cystic degeneration of the spinal cord in the HBO group. Conclusions HBO demonstrated a positive effect after SCI. Oxygen free radicals might be one of the mechanisms for the better recovery.
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Electricigens play an important role in microbial fuel cell(MFC) . This review provides an introduction of different electricigens on theirs taxonomical group,biochemical,physiological and morphological characteristics. The ability of electricity production of electricigens and electron transfer mechanisms in microbial fuel cells are also concluded. The prospect of waste water treatment and bio-electricity production is underlined,it is point out in this review that the future research of microorganism for MFC should be focused on enrichment,adaptation,modification and optimization by multi-strains application to improve the performances of MFC.