Influencing factors for hospitalization of pneumoconiosis patients / 预防医学

Objective@#To analyze the influencing factors for hospitalization of pneumoconiosis patients, so as to provide reference for improving the timeliness of treatment and quality of life in these patients. @*Methods@#The pneumoconiosis patients in Changshan, Wenling and Changxing ( having mining industry ) of Zhejiang Province were selected by stratified and typical sampling methods. Their demographic features, prevalence of pneumoconiosis and hospitalization status were collected by a questionnaire survey. Logistic regression analysis was conducted to analyze the influencing factors for hospitalization. @*Results@#Among 166 pneumoconiosis patients, 122 ( 73.49% ) chose to be hospitalized. The multivariate logistic regression analysis revealed that the patients who scored higher in ED-5Q ( OR=65.821, 95%CI: 3.831-1130.781 )and who would communicate with other pneumoconiosis patients ( OR=3.744, 95%CI: 1.261-11.115 ) were more likely to be hospitalized; the patients who were under the medical insurance for urban employees were more likely to be hospitalized than those who were under the new rural cooperative medical care system ( OR=0.033, 95%CI: 0.007-0.154 ) and others ( OR=0.038, 95%CI: 0.002-0.960 ) . @*Conclusion@#The quality of life, communication with other pneumoconiosis patients and type of medical insurance were the influencing factors for hospitalization of pneumoconiosis patients.

Percutaneous thermal ablation combined with simultaneous transarterial chemoembolization for hepatocellular carcinoma ≤5 cm

Background/Aim: Percutaneous thermal ablation combined with transarterial chemoembolization (TACE) becomes a treatment option for unresectable hepatocellular carcinoma (HCC). This study aims to investigate the safety and feasibility of percutaneous thermal ablation combined with simultaneous TACE for patients with HCC ≤ 5 cm. Materials and Methods: From June 2010 to February 2017, a total of 280 patients with HCC ≤ 5 cm who underwent percutaneous thermal ablation combined with simultaneous TACE were included in our study. Their clinical data were collected and analyzed. Results: Major complications occurred in five cases (1.8%). The complete necrosis rate was 91.9%. The median overall survival (OS) was 66.5 months (95% confidence interval [CI] = 57.7–75.2). The OS rates in 1-, 3-, 5-, and 7-year were 96.7%, 76.0%, 59.7%, and 31.1%, respectively. Tumor size (hazard ratio = 1.826; 95% CI = 1.131–2.947; P = 0.014) was considered as independent prognostic factors of long-term survival. Conclusion: Percutaneous thermal ablation combined with simultaneous TACE is a safe and effective treatment for HCC ≤ 5 cm.

Prevalence and associated factors of hypertension among primary and secondary school students in Henan Province / 中国学校卫生

Objective@#To analyze the prevalence and associated factors of hypertension among primary and secondary school students aged 9-18 years in Henan province, and to provide scientific evidence for targeted hypertension prevention strategies.@*Methods@#Data of 34 840 students aged 9-18 years with physical examination and questionnaire information came from National School Student Physical Fitness and Health Survey in 2014.@*Results@#The prevalence of hypertension among primary and secondary school students aged 9-18 years in Henan Province was 11.5%. The prevalence of boys and girls was 13.1% and 9.9%, respectively, and boy’s was higher than girl’s (χ2=89.04, P<0.01). The prevalence of primary school, junior high school and senior high school was 13.0%, 12.1% and 9.2%, respectively, and primary school was higher compared with junior and senior high school (χ2=89.66, P<0.01). Binary logistic regression analysis showed that high BMI (OR=1.97), eating eggs every day (OR=1.11), attending more physical education classes every week (OR=1.16), doing more setting-up exercises during the break (OR=1.08) and playing electronic products for longer time (OR=1.09) were positively associated with risk of hypertension (P<0.05). While longer sleep time (OR=0.83) and more serious attitude toward setting-up exercises during the break (OR=0.91) were negatively associated with risk of hypertension (P<0.05).@*Conclusion@#The study documents a high prevalence of hypertension among primary and secondary school students in Henan Province, which is associated with multifarious factors. Therefore, effective prevention and control measures should be taken for different populations to prevent high blood pression.

Physical fitness among middle school students in Henan Province and associated factors / 中国学校卫生

Objective@#To understand physical fitness among students aged 13-18 years in Henan Province and its influencing factors.@*Methods@#Data of 21 785 students aged 13-18 years who participated in the national physical fitness surveys in Henan Province in 2014 were analyzed based on phyical fitness indicators and the questionnarie of physical exercise. The qualified rates of physical fitness indicators were evaluated based on the "National Students Constitutional Health Standards"(2014 revised edition).@*Results@#In 2014, the eligible rate for physical test was 85.6% for boys and 82.5% for girls. Higher eligible rate was observed among boys with sleep duration less than 7 hours, compared to those with higher than 7 hours, while lower eligible rate was more likely observed in boys who reported sweaty and tired in PE class(OR=0.76), sweay and extreme tired in PE class(OR=0.72). Higher eligible rate was more common among girls who attended exercise during recess 2-3 times per day (OR=1.18) compared to those attended exercises higher than 3 times per day. Lower eligible rate was more common among girls with sleep duration less than 7 hours (OR=0.88) and those with low attendance in school recess exercises(OR=0.77). Normal weight, living in urban area, sufficient and regular PE class, daily physical exercise for more than 1 hour, enjoying physical exercise and extracurricular sports activities or long-distance running activities have higher success rates(P<0.05).@*Conclusion@#There is a relatively high eligible rate of phyical fitness among middle school boys and girls in Henan Province. Physical fitness is related to multiple factors. These findings highlight the need to target physical fitness interventions with sufficient time allocation in PE class and physical activity so as to effectively promote the phyical quality of students.

Premaxillary crest variation within the Wukongopteridae (Reptilia, Pterosauria) and comments on cranial structures in pterosaurs

ABSTRACT Cranial crests show considerable variation within the Pterosauria, a group of flying reptiles that developed powered flight. This includes the Wukongopteridae, a clade of non-pterodactyloids, where the presence or absence of such head structures, allied with variation in the pelvic canal, have been regarded as evidence for sexual dimorphism. Here we discuss the cranial crest variation within wukongopterids and briefly report on a new specimen (IVPP V 17957). We also show that there is no significant variation in the anatomy of the pelvis of crested and crestless specimens. We further revisit the discussion regarding the function of cranial structures in pterosaurs and argue that they cannot be dismissed a priori as a valuable tool for species recognition.

Association of mRNA Expression Level of IP-10 in Peripheral Blood Mononuclear Cells with HBV-associated Acute-on-chronic Liver Failure and Its Prognosis / 华中科技大学学报（医学）（英德文版）

HBV-associated acute-on-chronic liver failure is prevalent in mainland China.The prognosis of HBV-ACLF is poor.The mortality of HBV-ACLF is approximately 80％.Therefore,a prognostic indicator was needed in order to allow us to intervene as soon as possible.The model for end-stage liver disease (MELD) scoring system is widely used to predict the prognosis of liver failure.However,the assessment is too complex to restrict its application.This study aimed to investigate the expression ofIP-10 in peripheral blood mononuclear cells (PBMC),in order to explore the relationship between the expression and prognosis of patients with HBV-ACLF.The mRNA level of IP-10 in PBMCs were analyzed in 80 patients with HBV-ACLF,40 patients with chronic hepatitis B (CHB)and 40 healthy people by fluorescent quantitative PCR.IP-10 mRNA level was significantly higher in the HBV-ACLF group than in the other two groups (P＜0.01).Group with MELD score below 30 had lower IP-10 mRNA level than group with MELD score over 30 (P＜0.05).The IP-10 mRNA level in PBMCs in positive group was higher than that in negative group (P＜0.01).With a threshold of 0.925,the area under the receiver operating characteristic (ROC) curves was 0.815.These findings suggest that assessment of IP-10 mRNA level in the PBMCs would be helpful for evaluating the disease severity and prognosis in patients with HBV-ACLF.

A new ctenochasmatid pterosaur from the Lower Cretaceous, western Liaoning, China

A nearly complete skull of a new ctenochasmatid pterosaur, Pterofiltus qiui gen. et sp. nov., from the Lower Cretaceous deposits of Liaoning, China, is described here. The specimen (IVPP V12339), was collected from the shale of the lower Yixian Formation (125 Ma) at the Zhangjiagou locality. It has the following combination of characters: about 112 teeth in total (including the upper and lower jaws); the dentition occupies more than 50 percent of the skull length; the anterior teeth vary in size; the mandibular symphysis is longer than half of the whole mandible length; in ventral view, an apparent symphyseal trough in the median part of the symphysis.

Um crânio quase completo de um novo pterossauro ctenochasmatídeo, Pterofiltus qiui gen. et sp. nov., de depósitos do Cretáceo Inferior de Liaoning, China é descrito. O exemplar (IVPP V12339) foi coletado de um argilito da parte inferior da Formação Yixian (125 Ma) na localidade Zhangjiagou. A nova espécie possui a seguinte combinação de caracteres: aproximadamente 112 dentes (incluindo ambas as arcadas); dentição ocupando mais de 50 por cento do comprimento do crânio; dentes anteriores de tamanho variado; sínfise mandibular ocupando mais da metade do comprimento da mandíbula; abertura ventral na parte média da sínfise mandibular.

New long-tailed pterosaurs (Wukongopteridae) from western Liaoning, China

Two almost complete long-tailed pterosaurs from the Linglongta, Jianchang County, western Liaoning, China, are described and represent new taxa referred to the non-pterodactyloid clade Wukongopteridae. Kunpengopterus sinensis gen. et sp. nov. differs from other members of this clade mainly by the rounded posterior region of the skull, thick lacrimal process of the jugal and lack of a bony premaxillary crest. This species further shows a soft tissue crest above the frontal, a comparatively larger wing finger, and the proximal segment of the second pedal phalanx of the fifth toe shorter than in other wukongopterids. The second new species is referred to the genus Darwinopterus, D. linglongtaensis sp. nov. based on the posterior region of the skull. It further differs from other wukongopterid pterosaurs by the thin lacrimal process of the jugal, foramen on nasal process rounded, and by having the second pedal phalanx of the fifth toe less curved (115°). Several differences among the Wukongopteridae can be found in the dentition and the feet, suggesting that they might have occupied slightly different ecological niches. The long-tailed Changchengopterus pani is tentatively referred to this clade and new diagnosis for the wukongopterids Wukongopterus lii and Darwinopterus modularis is provided.

Dois novos pterossauros de cauda longa procedentes de Linglongta, Jianchang County da região oeste de Liaoning, China, são descritos e referidos ao clado Wukongopteridae. Kunpengopterus sinensis gen. et sp. nov. difere dos demais integrantes desse clado basicamente pela região mais arredondada da parte posterior do crânio, pelo espesso processo lacrimal do jugal e pela ausência de uma crista óssea premaxilar. Esta espécie apresenta uma crista formada por tecido mole acima da região frontal e possui o dedo alar proporcionalmente maior do que nos demais wukongopterídeos. A segunda espécie é referida ao gênero Darwinopterus, D. linglongtaensis sp. nov., com base na região posterior do crânio. Difere dos deais pterossauros wukongopterídeos por possuir o processo lacrimal do jugal delgado, o forâmen no processo nasal arredondado e pela condição menos curvada da segunda falange do quinto dígito do pé. As principais diferenças entre os Wukongopteridae são encontradas na dentição e nos pés, o que sugere que estes ocupavam nichos ecológicos ligeiramente distintos. O pterossauro de cauda longa Changchen-gopterus pani também é tentativamente referido a esse clado. Novas diagnoses para os wukongopterídeos Wukongopterus lii e Darwinopterus modularis são apresentadas.

An unusual long-tailed pterosaur with elongated neck from western Liaoning of China

A new long-tailed pterosaur, Wukongopterus lii gen. et sp. nov, is described based on an almost complete skeleton (IVPP V15113) representing an individual with an estimated wing span of 730 mm. The specimen was discovered in strata that possibly represent the Daohugou Bed (or Daohugou Formation) at Linglongta, Jianchang, Liaoning Province, China. Wukongopterus lii is a non-pterodactyloid pterosaur diagnosed by the first two pairs of premaxillary teeth protruding beyond the dentary, elongated cervical vertebrae (convergent with Pterodactyloidea), and a strongly curved second pedal phalanx of the fifth toe. The specimen further has a broken tibia that indicates an injury occurred while the individual was still alive. Taphonomic aspects provide indirect evidence of an uropatagium, supporting the general hypothesis that at least all non-pterodactyloid pterosaurs show a membrane between the hind limbs. A phylogenetic analysis including most non-pterodactyloid pterosaurs shows that Wukongopterus lii gen. et sp. nov. lies outside the Novialoidea, being cladistically more primitive than the Rhamphorhynchidae and Capylognathoides. This analysis differs from previous studies and indicates that more work is needed before a stable picture of non-pterodactyloid pterosaur relationships is achieved.

Um novo pterossauro de cauda longa, Wukongopterus lii gen. et sp. nov., é descrito baseado em um esqueleto quase completo (IVPP V15113) de um indivíduo com abertura alar estimada em 730 mm. O exemplar foi encontrado nas camadas Daohugou (ou Formação Daohugou) em Linglongta, Jianchang, Província de Liaoning, China. Wukongopterus lii é um pterossauro não-pterodactilóide diagnosticado pela presença de dois pares de dentes pré-maxilares posicionados antes do início do dentário, vertebras cervicais alongadas (convergente com os Pterodactyloidea) e a segunda falange do quinto dígito do pé fortemente curvada. Este espécime também apresenta uma tíbia quebrada indicando que a quebra ocorreu com o animal em vida. Evidências tafonômicas apresentam dados indiretos da presença de um uropatágio, corroborando com a hipótese de que pelo menos os não-pterodactilóides possuíam uma membrana entre os seus membros posteriores. Uma análise filogenética incluindo vários pterossauros não-pterodactilóides resulta no posicionamento de Wukongopterus lii gen. et sp. nov. fora dos Novialoidea, sendo cladisticamente mais primitivo do que os Rhamphorhynchidae e Campylognathoides. Esta nova análise filogenética difere de resultados anteriores, indicando que mais trabalhos são necessários até que uma estabilidade da relação de parentesco entre os pterossauros não-pterodactilóides seja alcançada.