The presence of intraductal carcinoma of the prostate is closely associated with poor prognosis: a systematic review and meta-analysis / 亚洲男科学杂志(英文版)

We aimed to confirm the predictive ability of the presence of intraductal carcinoma of the prostate (IDC-P) for prognosis and the associations between IDC-P and clinicopathological parameters. Studies were identified in PubMed, Cochrane Library, EMBASE, Web of Science, and SCOPUS up to December 1, 2019. Hazard ratios (HRs) for survival data and odds ratios for clinicopathological data with 95% confidence intervals (CIs) were extracted. Heterogeneity was evaluated by the I

Blood pressure and related cognition among elderly residents in the community in Beijing - a 4-year longitudinal study / 中华流行病学杂志

<p><b>OBJECTIVE</b>To investigate the association between blood pressure and related cognitive function with Mini-Mental State Examination (MMSE) in the elderly community residents in Beijing.</p><p><b>METHODS</b>A selected sample of 60 years old and over from the communities was randomized ascertained to a longitudinal study in Beijing. The baseline data was produced in 1993, in which blood pressure, MMSE and a multidisciplinary questionnaire were involved. 4 years later in 1997, a similar procedure was repeated in 2079 elderly people whose MMSE scores were normal during the baseline study.</p><p><b>RESULTS</b>The mean systolic blood pressure, diastolic blood pressure and MMSE score were 141.77 +/- 24.94 mm Hg, 81.76 +/- 12.08 mm Hg and 25.65 +/- 3.59 in baseline. The MMSE score was 23.24 +/- 5.63 in the follow-up study. Significant decline in cognition was defined as a decrease of 4 score and over during the 4-years study. The proportion of significant decline in cognition in the follow-up was larger when the systolic blood pressure or diastolic blood pressure having an increase in baseline data. Further stratified observation showed that factors as elderly with elevated blood pressure, under 75 years old from rural areas without diabetes mellitus or antihypertensive medication were more commonly seen in the ones with significant cognition decline. Increased incidence of cognitive decline was found in those with increased level of hypertension. This association was also seen in systolic blood pressure after adjustment of heart disease and cerebrovascular disease.</p><p><b>CONCLUSIONS</b>In the 4-year longitudinal study, cognitive dysfunction might cause elevated baseline systolic and diastolic blood pressure in the elderly people whose baseline MMSE scores were normal.</p>