ABSTRACT
ObjectiveTo determine the reference range of liver stiffness in healthy population, and to investigate the influence of age and sex on liver stiffness. MethodsA total of 1794 healthy subjects who underwent physical examination in China National Petroleum Corporation Central Hospital from October 1, 2012 to October 31, 2014 were enrolled, and FibroScan was used to perform liver stiffness measurement (LSM). Since LSM value was not normally distributed, the Wilcoxon rank sum test was used to compare LSM value between male and female patients, the Kruskal-Wallis test was used to compare LSM value between different age groups, and the Spearman's rank correlation analysis was used to analyze the correlation between LSM value and age. The one-sided percentile method was used to determine the range of normal reference values in male and female subjects or in different age groups. ResultsLSM was successfully performed in 1590 patients, and the rate of successful measurement was 88.63%. A total of 107 patients were excluded due to abnormal liver enzymes. The analysis showed that LSM value showed a significant difference between male and female subjects (Z=-4.980, P＜0.001), as well as between different age groups (χ2=16.983, P=0.001). Age was positively correlated with LSM value (r=0.087, P=0.001). The reference range was estimated to be ≤7.1 kPa in adults, ≤7.0 kPa in females, and ≤7.2 kPa in males. From the perspective of age, the reference range was estimated to be ≤6.8 kPa in persons aged 20-29 years, ≤6.7 kPa in persons aged 30-44 years, ≤7.8 kPa in persons aged 45-59 years, and ≤8.8 kPa in persons aged 60-74 years. ConclusionLiver stiffness value is influenced by sex and age. Sex and age should be taken into account while performing liver stiffness measurement in healthy subjects.
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Objective To study the effects of collaborative care model on the negative mood and the quality of life of lung cancer patients. Methods Sixty patients were randomized into the observation group and the control group with 30 cases in each.The control group only received usual care,the observation group Was treated with collaborative care,encouraging patients and their families to participate in health care.Using SDS、SAS、activities of daily living(ADL)scale and St.George's Respiratory Question-naire(SGRQ)to evaluate the effects ofthe patients in both groups on admission and one months after the discharge.Results One months after the discharge,the scores of anxiety and depression among the observation group were lower than those of the control group;ADL grade and quality of life score in the observation group compared with the control group were significantly improved,the difference was statistically significant. Conclusions Application of collaborative care management can improve the state of anxiety and depression,reduce hospitalization time and medical costs as well as improve quality of life.
ABSTRACT
Objective To investigate the difference of differentiation from rat bone marrow mesenchymal stem cells(MSCs) from normal group and hepatic fibrosis model group into hepatocyte-like cells.Methods Wistar rats were randomly divided into two groups: normal group and hepatic fibrosis model group.The liver fibrosis was induced by CCL4.MSCs were isolated by combining gradient density centrifugation with plastic adherence.Pure MSCs were obtained by cultivation and passage.The cells then treated with HGF and FGF-4.Levels of AFP and albumin from supernatant were determined on day 15,21 and 27.On day 27,cells of induced and non-induced were collected,glycogen store of hepatocytes and the expressions of CK-18 and CK-19 were detected.Results The level of AFP in induced MSCs was higher on day 15,21,27,and reached the peak on day 21;there was no significant difference between induced and non-induced MSCs in albumin levels on day 15,but on day 21,27,compared with the non-induced MSCs,the albumin level in the induced MSCs was higher and reaches its peak on day 27;glycogen storage of induced MSCs was measured on day 27 as compared with non-induced MSCs;the induced MSCs expressed CK-18 and CK-19 while the non-induced MSCs did not.Compared by the levels of AFP and albumin,there was no significant difference in differentiation effect of MSCs between the normal group and hepatic fibrosis model group.Conclusion Rat MSCs of hepatic fibrosis model group could differentiate into hepatocyte-like cells with hepatic phenotype and biological function in the presence HGF and FGF-4.