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Objective:To investigate the clinical significance of suction blister transplantation in improving the efficacy of ReCell technique in the treatment of vitiligo.Methods:Patients were divided into three groups, namely, vitiligo patients without history of suction blister therapy, patients with ineffective suction blister therapy and patients with effective suction blister therapy. There were 30 patients in each group. All patients were treated with standard procedure of ReCell technique. The color recovery effect of leukoplakia was observed 3 and 6 months after operation, and the incidence of complications was also observed.Results:The effective rate of color recovery 3 and 6 months after operation were as follow: in patients without history of suction blister group, the effective rate of three months was 53.3%, and that of six months was 63.3%; in patients with ineffective suction blister group, the effective rate was 43.3% in three months and 50.0% in six months, and in patients with effective suction blister group, the effective rate was 76.7% in three months and 90.0% in six months. No obvious complications were observed in the three groups.Conclusions:For the treatment of stable vitiligo with ReCell technique, suction blister method is a simple and effective method for screening patients.
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Objective@#To explore the effect of ambient fine particulate matters (PM2.5) exposure on nasal oxidative stress level in patients with allergic rhinitis (AR).@*Methods@#A panel of sixty AR patients was recruited as subjects. Four repeated measurements were carried out from June 2017 to January 2018. Nasal irrigation solution was collected and examined for malondialdehyde (MDA) and superoxide dismutase (SOD). Monitoring data of atmospheric pollutants and meteorological factors during measurement periods were also collected. Time activity pattern combined with micro-environment monitoring method was used to evaluate PM2.5 exposure. Mixed effect model was applied to analyze the relationship between PM2.5 exposure concentration and oxidative stress level.@*Results@#49 subjects accomplished the four repeated measurements, and the mean±SD of their age was (36.7±8.4) years old. The median of MDA and SOD in four measurement periods was 3.70, 3.70, 5.58, 6.24 nmol/ml, and 105.50, 102.50, 95.00, 96.50 U/ml. The concentration of PM2.5 exposure in four measurement periods was (40.0±2.7), (41.5±2.5), (52.3±5.9) and (74.7±4.9) μg/m3, respectively. Results of single pollutant mixed effect model analysis showed that 0-, 1-, 2-, 3-day lag concentrations of PM2.5 was significantly positively associated with MDA, about β (95%CI) estimated as 0.24 (0.17, 0.30), 0.34 (0.27, 0.41), 0.32 (0.20, 0.44) and 0.33 (0.23, 0.43), respectively. 0-, 1-, 2-day concentrations of PM2.5 was significantly negatively associated with SOD, about β (95%CI) estimated as -0.99 (-1.66, -0.31), -1.35 (-2.08, -0.62) and -0.94 (-1.80, -0.07), respectively. Multivariate analysis found that lag 1-day concentration of PM2.5 was still significantly associated with MDA and SOD after controlling for temperature, age and other influencing factors. For a 10 μg/m3 increase of PM2.5 concentration, MDA increased 0.26 (95%CI: 0.18, 0.33) nmol/ml, and SOD decreased 0.87 (95%CI: 0.21, 1.53) U/ml.@*Conclusion@#Our results suggested that PM2.5 exposure can aggravate the nasal oxidative stress response of AR patients.
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Time activity pattern refers to the time and behavior of people at different locations. The knowledge of time-activity pattern is essential for air pollution exposure assessment when direct personal exposure monitoring can't not be conducted, because air pollutant concentrations may vary significantly by location and activity. This review is focused on the survey method for human time-activity pattern and its application in the exposure assessment of air pollutants. After comparing the diary-reported trips and Global Positioning System (GPS) recording method, we believed that diary-reported trips were more reliable in describing comprehensive and detail records of the behavior and environmental circumstances while GPS-recorded trend to maintain sound information of time, location and transportations. Meanwhile, according to different subjects, the air pollution exposure model could be divided for population and individuals. There were great difference between two types of model in many areas, including the required information about time, activity and microenvironment.
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Objective@#To compare diary-reported trips and Global Positioning System (GPS) recording trips and identify the reasons for the discrepancies between two methods.@*Methods@#The survey was conducted in Jiangning district in Nanjing city during July to September and November to December, 2015. Both the diary records and GPS method were used to investigate the travel behavior of 33 retired adults for 5 consecutive days. The GPS traces were display in Google Earth and then split into trips to compare with the diary records according to time and location. χ2 test was used to analyze the influence of trip characteristics on misreporting rates of each method.@*Results@#A total of 1 087 trips in the survey can be compared between the diary (n=909) and the GPS method (n=912). 7.3% (79/1 087) of the trips were only recorded by GPS method, and 11.8% (128/1 087) were only reported in the diary. Of the remaining 880 trips recorded by the both methods, 86.7% (763/880) matched each other, while 13.3% (117/880) did not. For the matched trips, the difference between the trip durations recorded by diary and GPS method was 2.0 (quartile was 6.0) minutes and the diary method overestimated about 25.0% trip durations when compared with the GPS method. The accuracy rates were 84.8%(903/1 065) and 86.9%(925/1 065) for diary and GPS method, respectively. Both methods were more likely to misreport the trip under 5 minutes. The misreporting rates of diary method for trips under 5 minutes were 6.8 times higher than trips over 30 minutes (21.7% vs 3.2%). The reporting accuracy was also significantly different among trips by different travel mode (P<0.05) for both methods, diary method had the lowest accuracy in reporting vehicles recorders (69.3%, 133/192), while GPS method was more accuracy in both biking (91.9%, 136/148) and vehicles recorders(89.6%, 172/192). The main reasons for misreporting by diary method were forgetting or unwilling to record and failing to record trips according to travel mode, while forgetting to carry GPS device, bad GPS signal and failing to locate the position were the main reasons for misreporting by GPS method.@*Conclusion@#The majority of the trips reported in diary and GPS method are well consistent with each other. Both of the methods should be used simultaneously in the survey of time-activity pattern to improve the data quality.
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In order to further deepen the reform of public hospitals, to improve the qualified personnel training in Qingpu, and to enhance the overall level of medical health development, Qingpu Municipal Commission of Health and Family Planning In October 2011, a new round of disciplinary construction and personnel training project was also started.Moreover, financial support has been provided to the project.By assessing the whole process, not only has the level of discipline personnel training and medical technology shown significant improvement, the tutors who provided the training also express academic interest and have new a vision for talent cultivation.Qingpu Municipal Commission of Health and Family Planning launched a new round of comprehensive program on researcher training and disciplinary construction in 2011, aimed to further deepen the reform of public hospitals,improve the capacity of health research in Qingpu, Shanghai.We have assessed this program and found that this program has significantly improved the quality of training, and medical technology level in those hospitals;in addition, trainees has shown the increase in the interesting in conducting research and raised vision and prospects.
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Objective A case control study was designed to explore the risk factors of asthma for city children residing for more than half a year,in China.Methods All physician-diagnosed asthma children enrolled in the 3rd nationwide survey (2010) in 43 typical cities of China were selected as the cases,and non-asthmatic children in the same survey were selected as control subjects if they wcre matched with the cases in age and sex.A revised questionnaire on the basis of ISAAC Phase Three Environmental Questionnaire was designed to investigate the risks of asthma among city children aged 0-14 years in China.Chi square analysis and generalized linear mixed models were performed to check the exposure difference between the cases and the controls.Results 43 out of the 44 city centers were qualified according to the results after reviewing both data from the survey and management.As a result,26 950 subjects including 12 450 asthmatic children and 14 500 control subjects were enrolled in the case-control study.Except for the children of Han ethnicity,another 5 980 children (22.2％) of ethnic minorities and 3 1 children (0.1 ％) born in foreign countries were also included as the study subjects.After controlling for city centers as random effect,age,sex,race,problems related to allergy,family history of asthma or allergy,personal medication history of antibiotics,preterm delivery,under caesarean section,baby age for introducing protein-contained foods,environmental tobacco smoking,maternal occupation,indoor plantings,room decorations,dampness,and cooking fuel were proved to be risk factors of childhood asthma.Some differences were seen in the risks of asthma between new cases and current cases.The risk for exposure to indoor plants was different between new cases (OR=2.09,95％CI:1.30-3.36) and current cases (OR=0.80,95％ CI:0.74-0.86).Risks on asthma were varied by age.Allergy,inflection,odor,and preterm delivery (OR=1.72,95％CI:1.42-2.08) appeared to be the key risks for asthma in children younger than 3 years.Apart from the risks,specifically for children younger than 3 years,the risks on asthma for children of 3 to 5 years would also include factors as:sex (OR=1.18,95％CI:1.03-1.35),low birth weight (OR=1.69,95％ CI:1.17-2.44),and caesarean section (OR=1.26,95％ CI:1.10-2.45).Apart from risks specifically for children younger than 6 years,age (OR=0.97,95％CI:0.95-0.99),race (OR=1.61,95％CI:1.26-2.06),and emigration (OR=1.68,95％CI:1.39-2.03) were proved to be associated with asthma for children aged 6-14 years.Conclusion Asthma risks for city children in China would include genetic factors,allergy,infection,and other environmental factors but called for further research in the country.
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Objective To explore the effect of air pollution on oxidative stress indices(SOD,GSH-Px,MDA) in serum of traffic policemen. Methods From Jun to Aug,2007,sixty-two traffic policemen and thirty-five male suburban inhabitants were selected. The ambient concentrations of PM2.5,polycyclic aromatic hydrocarbons(PAHs) ,nitrogen dioxide,formaldehyde,benzene and toluene were monitored within two consecutive days in the work places of traffic policemen and in the residential areas of suburban inhabitants to assess their air pollution exposure levels. The activity of SOD,GSH-Px and the concentration of MDA in serum were determined with regent kits,while the information on smoking,drinking alcohol,exercising habit and so on was investigated by questionnaire. Results There were significant differences in the concentrations of nitrogen dioxide,formaldehyde,benzene and toluene between the two study groups. The average levels of PM2.5 and PAHs in the traffic policeman group were also higher than those in the control group,but this difference was not significant for small sample size. The activities of SOD and GSH-Px in the traffic policeman group were significantly higher than those in the control group,while the difference of MDA concentration between the two groups was not significant. The relationship between air pollution and the activity of SOD and GSH-Px were also significant after controlling the influence of other factors. Conclusion Air pollution can decrease the activity of SOD and GSH-Px in serum of traffic policemen and induce oxidative stress.
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Objective To explore polycyclic aromatic hydrocarbons(PAHs) exposure of traffic policemen in Beijing and its impact on DNA oxidative damage. Methods From Jun. to Aug. 2007,41 male traffic policemen and 34 male suburban inhabitants in Beijing were selected. The ambient fine particulate matter(PM2.5) was sampled within two consecutive days in the work places of traffic policeman and in the residential area of suburban inhabitants respectively . The levels of urinary 1-hydroxypyrene(1-OHP) and 10 PAHs species were both analyzed by high performance liquid chromatography(HPLC) . The levels of urinary 8-hydroxy-2’-deoxyguanosine(8-OHdG) were detected by ELISA kit,while the questionnaires for health information on smoking,drinking alcohol,exercise habit and so on were also inquired. Results The average levels of PM2.5,benzo[a]pyrene [B(a) P] and total PAHs in the traffic policeman group were 0.096 mg/m3,3.20 ng/m3,and 38.32 ng/m3 respectively,while the corresponding values in the suburban inhabitant group were 0.045 mg/m3,1.54 ng/m3 and 25.43 ng/m3 respectively. The concentration of urinary 1-OHP in the policeman group [(0.50 ?0.38 ) ?mol/mol Cr] was higher than that of the suburban inhabitant group([0.34?0.28) ?mol/mol Cr],P0.05. Multiple factors analysis indicated that urinary 1-OHP and smoking habit had influence on urinary 8-OHdG level,while there was no relationship with other factors(such as drinking alcohol,exercise and cooking habit) . Conclusion Traffic pollution may increase the level of DNA oxidative damage in policemen in Beijing.Traffic and smoking habit-related PAHs exposure is the important influencing factor.
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Objective To assess the exposure to polycyclic aromatic hydrocarbons(PAHs) in traffic police and suburban inhabitants in Beijing and to explore the factors that can influence urinary 1-hydroxypyrene(1-OHP) which will be taken as PAHs exposure biomarker.Methods From Jun.to Aug.2007,Sixty-two traffic policemen and 35 male suburban inhabitants were selected.The ambient PM2.5 samples were collected within two consecutive days in the work place of traffic policeman and in the residential area of suburban inhabitants respectively.The levels of urinary 1-OHP and 10 PAHs species in the collected PM2.5 were determined by high performance liquid chromatography(HPLC),while the information on smoking,drinking alcohol,exercising habit and so on was investigated by questionnaire.Results The average levels of benzo[a]pyrene,pyrene and total PAHs in the traffic policeman group were 3.20,6.48 and 38.32 ng/m3 respectively,while the corresponding values in the suburban inhabitant group were 1.54,4.05 and 25.43 ng/m3 respectively.The concentration of urinary 1-OHP in the policeman group was higher than that of the suburban inhabitant group.In addition,the effect of smoking on the 1-OHP concentrations were also detected in the smoking suburban inhabitants and serious smoking traffic policemen(≥20 cigarettes per day).There was no effect of other factors(such as drinking alcohol,exercising and cooking habit) on 1-OHP.Conclusion Both traffic policemen and suburban inhabitants in Beijing were exposed to high level of PAHs.The ambient air exposure and smoking are the most important factors influencing the concentration of urinary 1-OHP.