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ObjectiveWith the increase in coffee consumption， its impact on health has garnered significant attention. However， the relationship between coffee intake and cancer risk remains controversial in epidemiological studies. To summarize the most reliable evidence on coffee consumption and cancer risk， we conducted a comprehensive review of meta-analyses examining the association between coffee consumption and cancer risk in various populations. MethodsMeta-analyses of observational studies were conducted， utilizing searches of the PubMed and Web of Science databases to identify associations between coffee intake and cancer risk. ResultsA total of 24 observational studies comprising 76 non-overlapping associations were included in this umbrella review. Coffee intake was found to be associated with a reduced risk of breast cancer， brain cancer， colon cancer， colorectal cancer， endometrial cancer， liver cancer， melanoma， non-melanoma， oral cancer， and oral/pharyngeal cancer. Conversely， coffee intake was associated with a high risk of urothelial carcinoma and bladder cancer. ConclusionModerate consumption of coffee has a wide range of potential benefits in reducing the risk of cancer. Further well-designed randomized controlled trials， taking into account other factors that may have contributed to bias， are needed to investigate the association between coffee consumption and cancer in other anatomical sites.
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Objective To evaluate the efficacy of compressive cryotherapy on blood-loss control after total knee arthroplasty (TKA). Methods Fifty patients undergoing unilateral TKA were randomized into cryotherapy group and controlled group postoperatively. Patients in the cryotherapy group were treated with Iceman model 2200 cold therapy unit on the knee for 48 hours. The drainage volume of both groups was measured dynamically for 6 hours, 8 hours, 24 hours, 48 hours after the TKA. The hemoglobin and hematocrit were continuously followed up for 24 hours, 48 hours and 72 hours. The limb circumference was measured for 24 hours and 48 hours after the TKA. Postoperative 72-hour American Knee Society Score (KSS) was calculated. Results The hemorrhage volume of cryotherapy group was (198.12±8.88), (250.00±10.89), (301.00±15.44), (358.04±11.60) ml separately for 6 hours, 8 hours, 24 hours, 48 hours after the TKA and (249.88 ± 9.21), (302.60 ± 11.61), (369.12 ± 13.20), (450.40 ± 12.71) ml in the controlled group, (t=16.518-26.836, P<0.05) there was significant difference. The hemoglobin value of cryotherapy group was (130.1 ± 16.3), (117.5 ± 14.5), (115.0 ± 12.7) g/L separately for 24 hours, 48 hours, 72 hours, after the TKA and (119.9 ± 13.8), (106.7 ± 15.7), (108.6 ± 8.6) g/L in the controlled group, there was significant difference (t=2.07, 2.37, 2.52, P<0.05). The postoperative 24h and 48h values of hemoglobin and hematocrit were greater in the cryotherapy group than that in the controlled group (t=2.09, 2.54, P<0.05). The postoperative 24h and 48h edema (shown as limb circumference increase) was lighter in the cryotherapy group (above the knee t=2.63, 3.04, P<0.05, below the knee t=6.29, 12.03, P<0.05). These results were all statistically significant (P<0.05). The 72 h KSS values showed no differences in the two groups (P>0.05). Conclusions Compressive cryotherapy after TKA is effective in reducing blood loss and edema, which is beneficial to early recovery and functional rehabilitation.
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Objective To explore the intervention effect of evidence-based nursing on the health behavior of elderly hypertensive patients in the community.Methods 187 elderly hypertensive patients who were hospitalized in December 2015 and met the inclusive criteria were divided into observation group (n=93) and control group (n=94).The observation group received evidence-based nursing according to the evidence-based medical system evaluation while the control group was given regular nursing both for 6 months.The clinical efficacy of two nursing modes was observed and the differences between pre-intervention and pose-intervention and groups were recorded and analyzed with a self-designed questionnaire, drug compliance questionnaire and health behavior scale.Results In the observation group, the blood pressure was effectively controlled or reduced, treatment compliance was significantly increased and body mass index (BMI) was within the ideal range 6 months later.Scores of unhealthy behaviors such as those in living habits and mental stress were lower than those in the control group, which showed significant difference (P0.05).Conclusion Evidence-based nursing intervention can effectively control the hypertension, improve the treatment compliance of the community elderly hypertension patients and help lead them to a more positive and healthier life style.
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Objective Maxillary canine palatal impaction is a common deformity in stomatology and its etiology remains dis-putable.The aim of this study is to investigate the crown-root morphology of the adjacent lateral incisors in patients with palatally impacted maxillary canines using cone-beam computed tomography ( CBCT) in order to explore its etiology. Methods Using CBCT scanning, we examined 94 maxillary canines in 84 patients, including 27 palatally impacted maxillary canines in 24 patients ( the experi- mental group) , 37 buccally impacted maxillary canines in 30 age-and sex-matched subjects ( control group A) , and 30 normal maxil-lary canines in 30 age-and sex-matched subjects ( control group B) .We selected some necessary reference planes, measured the ori-entation and position of the chosen canines, and studied the morphology of the adjacent lateral incisors by CS 3D imaging, followed by statistical analysis of 17 of the linear variables obtained. Results Compared with control group A, the experimental group showed significantly shorter tooth length ([22.930 ±1.849]mm vs [21.240 ±1.651]mm, P<0.05), crown length ([9.270 ±0.559]mm vs [8.150 ±0.889] mm, P<0.05), and mesiodistal width at 4 mm to the cementoenamel junction (CEJ) ([7.260 ±0.579]mm vs [5.900 ±0.581] mm, P<0.05) as well as shorter buccolingual width at the CEJ level, mesiodistal width at 4 mm to the CEJ, buc-colingual width at 4 mm apical to the CEJ, distance from the canine cusp to the coronal and occlusal planes, and coronal angulation of the canine (all P<0.05).There was a negative correlation between maxillary canine palatal impaction and age (P<0.05). Conclusion One of the main causes of maxillary canine palatal impaction is that the adjacent lateral incisor is too small to provide suf-ficient guidance to the canine.The severity of maxillary canine palatal impaction increases with the age of the patient.
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Objective To investigate the distribution and antimicrobial resistance of gram-negative bacilli isolated from wound specimens of orthopedic patients,and provide reference for the rational use of antimicrobial agents. Methods 682 isolates of gram-negative bacilli were collected from orthopedic department in a comprehensive hospi-tal between January 2011 and December 2013, antimicrobial susceptibility testing results were analyzed. Results The main gram-negative bacilli isolated from wound specimens of orthopedic patients were Pseudomonas aeruginosa (P .aeruginosa)(16.72%),Escherichia coli (E.coli)(15.40%),and Enterobacter cloacae (E.cloa-cae)(12.76%).The detection rates of extended-spectrum beta-lactamase-producing E.coli and Klebsialla pneu-moniae (K .pneumoniae)were 54.29%(57/105)and 31 .43% (22/70)respectively,and mainly distributed in the trauma orthopedic department,accounting for 49.12% and 45.45% respectively.The susceptibility rates of E.coli, K .pneumoniae ,and E.cloacae to meropenem and imipenem were all 100.00%.The susceptibility rates of E.coli and K .pneumoniae to amikacin,piperacillin-tazobactam and amoxicillin/clavulanic acid were all >80%.Suscepti-bility rate of E.cloacae to most antimicrobial agents were 71 .26% -100.00% except for piperacillin(64.37%). Susceptibility rates of P .aeruginosa to most antimicrobial agents were >85% except for cefepime (78.95%)and aztreonam (65.79%).Conclusion Gram-negative bacilli are the most common pathogens in wound infection of or-thopedics patients.In order to use antimicrobial agents rationally and improve clinical treatment effect,it is impor-tant to realize the distribution of pathogens and antimicrobial resistance.
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Objective To analyze the skeletal characteristics of temporomandibular joint in patients with unilateral posterior scis-sors bite by using the cone-beam computed tomography(CBCT) .Methods Thirty-five patients of Angle class Ⅰ were scanned by CBCT (19 cases with unilateral scissors bite as the experimental group and 16 cases without scissors bite as the control group ) The CT images were reconstructed into 3D computer models by using the Dental Volume Reformat Function of the Ondemand 3D pack-age .9 anatomical landmarks were located and all data of 11 measured value were statistically analyzed .Results There were statisti-cal differences in the skeletal characteristics of temporomandibular joint in the scissors-bite side of the experimental group compared with those in the non-scissors-bite side (P0 .05) .There were statistical significances in the skeletal characteris-tics of temporomandibular joint of the controlled group compared with those in the scissors-bite side of the experimental group ,and the same with those in the non-scissors-bite side (P<0 .01) .Conclusion The CBCT is an effective tool to analyze the skeletal char-acteristics of temporomandibular joint characteristics .There were differences in the morphology of the condyle and the glenoid fossa of patients with unilateral posterior scissors bite .
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Objective To study the characteristics and regularities of Chinese drugs preparations ADR in order to improve the rational drug use.Methods A total of 112 cases of TCM ADR reports collected in 2009～2011 which have been presented to the Guangzhou ADR Monitoring Center.Results Of the 112 cases,26 kinds of drugs were involved,quinquagenarian were the main crowd,intravenous infusion was the main route of administration,the main types of TCM ADR were lesions of skin and accessories.Conclusion Great importance should be attached to TCM ADR monitoring to promote rational drug use in the clinic.
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Objective To explore the nursing effect of strengthened psychological intervention on patients with abortion receiving assisted reproductive technology.Methods 180 patients with abortion receiving assisted reproductive technology from January 2009 to December 2011 were chosen as the research object.They were randomly divided into the control group and the observation group with 90 patients in each group.The control group adopted conventional methods of care for nursing,the observation group received strengthened psychological intervention on the basis of the control group.The assessment results of SCL-90 scale and IDA scale before and after five-day nursing were compared between the two groups.Results The scores of SCL-90 scale and IDA scale after five-day nursing in the observation group were lower than those of the control group,there was significant difference.Conclusions Strengthened psychological intervention for abortion patients receiving assisted reproductive technology demonstrated good effect.It can significantly improve adverse psychological state of these patients.
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AIM: To investigate the inducing action of retinal cells of rat neonates on the adult rat bone marrow stromal cells (BMSCs).METHODS: The full marrow from adult Wistar rat were cultured and passaged repeatedly to harvest the pure BMSCs. In vitro, the BMSCs were induced by retinal cells of rat neonates in transwell.The morphological changes of the BMSCs were observed under phase contrast microscope, the specific markers of the induced cells were ~identified immunocytochemically with nestin, Map-2, neuron-specific enolase(NSE),neurofilament(NF), Thy 1.1 and glial fibrillary acidic protein(GFAP) antibodies. The mRNA of nestin, NF, NSE, Thy 1.1 and Ran were detected in the induced cells by RT-PCR.RESULTS: The BMSCs were induced by reinal cells of rat neonates into the retina-like neurons, which showed the typical neural morphology and expression of the specific retinal neural antigens.CONCLUSION: The BMSCs from the adult rat can be induced into retina-like cells by retinal cells of rat neonates. [
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AIM:To explore the feasibility of inducing mouse embryonic stem cells into neural stem cells in vitro. METHODS: Embryonic body induced by retinoic acid and retinal m?ller cells were selected in neural stem cell-defined medium for 7 days, and the morphological changes were observed. The selected cells were stained immunocytochemically with anti-nestin, anti-BrdU antibodies, and their ability of expansion and differentiation were analyzed. RESULTS:Large amounts of neurospheres were derived from embryonic body in the selected medium on the 7th day, which could be passaged and differentiated, stained positive with nestin and BrdU, and expressed nestin, glutaminase and Brn-3 genes. CONCLUSION:Neural stem cells could be derived from embryonic body induced by RA and m?ller cells in the selected medium, which would offer an alternative to treat neuropathy such as glaucoma and retinal degeneration in the future.