Pathogenesis of depression: focusing on protein levels and genetic abnormalities / 中华神经科杂志

Depression is a common psychiatric disorder characterized by a wide range of clinical manifestations, including depressed mood, psychomotor retardation, diminished motivation, anhedonia, despair, and even suicidality. The heterogeneity of the features of depression indicates the diversity of its pathogenesis. Protein levels and their genetic abnormalities are essential factors in the pathogenesis of depression. This review focuses on the levels and genetic abnormalities of depression-related proteins to further elaborate the pathogenesis of depression and presents current problems and challenges to provide a theoretical foundation for the development of novel antidepressant medications.

Effects of comprehensive rehabilitation nursing based on guided education and training on rehabilitation treatment in school-age children with drug-resistant epilepsy undergoing epileptogenic focus resection / 中国实用护理杂志

Objective:To evaluate the effects of comprehensive rehabilitation nursing based on guided education and training on rehabilitation treatment in school-age children with drug-resistant epilepsy undergoing epileptogenic focus resection.Methods:Fifty movement disorders school-age children with drug-resistant epilepsy undergoing epileptogenic focus resection in Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University from January 2017 to December 2019 were enrolled in this study. The child patients were divided into the control group and the observation group according to the order of admission, with 25 cases in each group, and the control group was from January 2017 to June 2018 while the observation group was from July 2018 to December 2019. In the control group, routine nursing after epileptogenic focus resection and functional exercise were conducted. The observation group was treated with comprehensive rehabilitation nursing based on guided education and training. On the third day after operation, the day of discharge respectively, the motor function and activity of daily living of the two groups were evaluated. The satisfaction of children′s parents on nursing was compared between the two groups.Results:The scores of motor function on the third day after operation and the day of discharge were (57.0 ± 6.8), (73.0 ± 5.4) points respectively in the observation group, and those in the control group were (55.0 ± 5.6), (65.6 ± 5.9) points. There were significant differences intra group comparison ( t=-9.26, -6.48, both P<0.05). The activity of daily living scores on the third day after operation and the day of discharge were (45.2 ± 5.9), (74.2 ± 8.3) points respectively in the observation group, and those in the control group were (44.0 ± 5.8), (60.2 ± 7.6) points. There were significant differences intra group comparison ( t=-14.33, -8.51, both P<0.05). There were significant differences between the scores of motor function and the ability of daily living scores on the day of discharge in the observation group and the control group ( t values were -4.65, -6.25, both P<0.05). The satisfaction of children′s parents on nursing in the observation group and the control group were 96.0% (24/25), 72.0% (18/25) respectively. There was significant difference between the two groups ( χ 2=8.78, P<0.05). Conclusions:Rehabilitation nursing based on guided education and training can improve motor function and ability of daily living in movement disorders school-age children with drug-resistant epilepsy undergoing epileptogenic focus resection, promote the functional recovery of children after surgery and increase the satisfaction of children′s parents on nursing.

Effects of low-calorie diet intervention and aerobic exercise intervention on insulin levels and body composition in obese patients with type 2 diabetes / 中国实用护理杂志

Objective:To explore the effects of low-calorie diet intervention and aerobic exercise intervention on insulin levels and body composition in obese patients with type 2 diabetes.Methods:A total of 300 obese patients with early type 2 diabetes who were diagnosed and treated in the Department of Endocrinology, Xuanwu Hospital of Capital Medical University from July 2016 to July 2019 were selected as the research objects. According to the random sampling method, they were divided into a control group and an observation group with 150 cases each. Calorie diet intervention was given to control group, while the observation group was given low-calorie diet intervention and concentrated aerobic exercise intervention. Observation and evaluation of fasting blood glucose (FBG), fasting insulin (FINS), homeostasis model assessment of insulin resistance (HOMA-IR), body mass index (BMI), body fat percentage, body weight, triacylglycerol (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) were conducted.Results:After 4 weeks of intervention, FBG, FINS, HOMA-IR, BMI, body fat percentage, body mass, TG, TC, HDL-C, LDL-C indicators of the observation group were (6.15±0.92) mmol/L and (14.12±1.11) mU/L, 2.67±0.32, (25.01±1.75) kg/m 2, (27.45±1.92)%, (70.01±3.56) kg, (3.01±0.30) mmol/L, (5.25±0.88) mmol/L, (2.25 ±0.42) mmol/L, (3.15±0.41) mmol/L. The control group were (8.18±1.28) mmol/L, (16.78±1.85) mU/L, 3.78±0.78, (27.36±2.45) kg/m 2, (29.78±2.39)%, (72.98±5.62) kg, (3.49±0.52) mmol/L, (6.23±1.08) mmol/L, (1.88±0.30) mmol/L, (3.98±0.89)mmol/L. The difference between the two groups was statistically significant ( t values were 5.47-16.13, all P<0.05). After 8 weeks of intervention, FBG, FINS, HOMA-IR, BMI, body fat percentage, body mass, TG, TC, HDL-C, LDL-C indicators of the observation were (5.06±0.45) mmol/L, (12.78±0.69) mU/L, 2.01±0.12, (23.25±1.18) kg/m 2, (25.05±1.19)%, (66.02±2.45) kg, (2.21±0.12) mmol/L, (4.03±0.41) mmol/L, (3.08 ±0.72) mmol/L, (2.65±0.15) mmol/L,while in the control group were (6.07±0.88) mmol/L, (14.09±1.05) mU/L, 2.95±0.45, (26.98±2.08) kg/m2, (27.18±2.06)%, (70.98±4.02) kg, (2.98±0.28) mmol/L, (5.16±0.71) mmol/L, (2.41±0.51) mmol/L, (3.29±0.39) mmol/L. The difference between the two groups was statistically significant ( t values were 5.47-30.96, all P<0.05). Conclusions:Low-calorie diet intervention combined with concentrated aerobic exercise intervention is more conducive to improving patients′ blood sugar and blood lipid levels, as well as reducing body weight.

Association between selenoprotein P and Brucella infection / 中华地方病学杂志

Objective:To investigate the association between selenoprotein P (Sepp1) and Brucella infection at gene and protein levels. Methods:In this case-control study, 32 patients with chronic brucellosis (referred to as brucellosis) in Jiuyuan District and Bayan Obo Mining District of Baotou City from June to September 2019 were selected as brucellosis group, and 30 healthy people with the same epidemiological environment as the brucellosis group were selected as control group. The two groups were Han nationality. The single nucleotide polymorphism (SNP) of Sepp1 gene(rs7579) in 32 brucellosis patients and 30 healthy controls were tested by amplification refractory mutation system-PCR (ARMS-PCR). And the Sepp1 protein content was measured by enzyme linked immunosorbent assay (ELISA).Results:Thirty-two cases of brucellosis group, including 6 females and 26 males, aged (50.312 ± 5.035) years; 30 cases of control group, including 4 females and 26 males, aged (49.994 ± 5.098) years. There were no significant differences in sex ratio and age between the two groups (χ 2=0.336, t = 1.744, P > 0.05). There were no significant differences in the frequency distribution of G, A allele and GG, GA, and AA genotypes of rs7579 locus of Sepp1 gene between brucellosis group and control group (χ 2=0.263, 0.942, P > 0.05). In stratified analysis, there was a statistically significant difference in the frequency distribution of genotypes between female brucellosis group and control group (GG: 0/6, GA: 2/6, AA: 4/6; GG: 4/4, GA: 0/4, AA: 0/4, P < 0.05). And the level of Sepp1 protein in brucellosis group was significantly lower than that in control group (13.71±0.32, 19.26±0.69, t = 20.316, P < 0.05), low level of Sepp1 was a risk factor for brucellosis ( OR = 1.512, 95% CI: 1.290 - 1.687). Conclusions:The SNP of Sepp1 gene (rs7579) plays a role in Brucella infection, G allele may be the protective factor for women. The low level of Sepp1 protein is also associated with brucellosis.

Analysis of high risk factors in 263 very premature infants complicated with bronchopulmonary dysplasia / 中国基层医药

Objective@#To analyze the clinical risk factors of bronchopulmonary dysplasia(BPD) in very premature infants and provide reference for the prevention and treatment of BPD in order to improve the prognosis of premature infants.@*Methods@#From January 2015 to December 2017, 263 very premature infants(referring to premature infants with gestational age between 28 weeks and 32 weeks) in the neonatology department of the Maternal and Child Health Care Hospital Affiliated to Anhui Medical University were selected.They were divided into BPD group(108 cases) and non-BPD group(155 cases) according to the diagnostic criteria of BPD.The clinical data of the patients and the hospitalized patients were retrospectively investigated.The general conditions of the very premature infants in the two groups were compared.The clinical risk factors for BPD in very premature infants were analyzed.@*Results@#There were 263 very preterm infants included in the study, 108 cases in the BPD group, the incidence was 41.1%.The data analysis showed that BPD occurred in premature infants with sex(χ2=4.311), gestational age(Z=-6.544), birth weight(t=-5.382), maternal chorioamnionitis(χ2=4.946), neonatal respiratory distress syndrome(χ2=25.424), anemia(χ2=22.443), multiple blood transfusion(Z=-8.101), mechanical ventilation time greater than 7 days(χ2=10.946), high oxygen concentration(χ2=25.028), the differences were statistically significant(all P<0.05). The multivariate logistic regression analysis suggested that gestational age(OR=1.478, 95% CI: 1.140-1.914), maternal pregnancy with chorioamnionitis (OR=0.152, 95% CI: 0.029-0.797), maximum oxygen concentration>40%(OR=0.261, 95% CI: 0.136-0.502), number of blood transfusions(OR=0.582, 95% CI: 0.456-0.742) were independent risk factors for BPD in preterm infants.@*Conclusion@#There are many factors leading to BPD in premature infants, including maternal comorbidities and neonatal factors, and its pathogenesis is complex and diverse.It is necessary to further study these related factors, timely intervention, strengthen maternal health care, and minimize risk factors, thus to reduce the incidence of BPD, improve the prognosis of premature infants.

Analysis of high risk factors in 263 very premature infants complicated with bronchopulmonary dysplasia / 中国基层医药

Objective To analyze the clinical risk factors of bronchopulmonary dysplasia (BPD) in very premature infants and provide reference for the prevention and treatment of BPD in order to improve the prognosis of premature infants.Methods From January 2015 to December 2017,263 very premature infants(referring to premature infants with gestational age between 28 weeks and 32 weeks) in the neonatology department of the Maternal and Child Health Care Hospital Affiliated to Anhui Medical University were selected .They were divided into BPD group(108 cases) and non-BPD group(155 cases) according to the diagnostic criteria of BPD .The clinical data of the patients and the hospitalized patients were retrospectively investigated .The general conditions of the very premature infants in the two groups were compared.The clinical risk factors for BPDin very premature infants were analyzed.Results There were 263 very preterm infants included in the study ,108 cases in the BPD group,the incidence was 41.1％.The data analysis showed that BPD occurred in premature infants with sex (χ2 =4.311),gestational age(Z=-6.544),birth weight(t=-5.382),maternal chorioamnionitis(χ2 =4.946),neonatal respiratory distress syndrome (χ2 =25.424), anemia(χ2 =22.443),multiple blood transfusion(Z=-8.101),mechanical ventilation time greater than 7 days (χ2 =10.946),high oxygen concentration (χ2 =25.028),the differences were statistically significant (all P<0.05). The multivariate logistic regression analysis suggested that gestational age (OR=1.478,95％ CI:1.140-1.914), maternal pregnancy with chorioamnionitis (OR=0.152,95％CI:0.029-0.797),maximum oxygen concentration >40％(OR=0.261,95％CI:0.136-0.502),number of blood transfusions (OR=0.582,95％ CI:0.456-0.742) were independent risk factors for BPD in preterm infants.Conclusion There are many factors leading to BPD in premature infants,including maternal comorbidities and neonatal factors ,and its pathogenesis is complex and diverse . It is necessary to further study these related factors ,timely intervention ,strengthen maternal health care ,and minimize risk factors,thus to reduce the incidence of BPD ,improve the prognosis of premature infants .

Regional characteristics of diabetes mellitus in Ninghai County / 中华健康管理学杂志

Objective The study aimed to analyze the main risk factors of diabetes mellitus in different districts of Ninghai county.Method A total of 3 210 cases including 715 cases form town center,1 413 cases in the coastal area and 1 082 cases in mountain areas were investigated by multistage cluster random sampling.Risk factors of chronic disease survey was developed in January 2016,Chi square tests and logistic regression were performed to compare differences.Result The survey was conducted in 277 diabetic patients,with a prevalence of 8.63％.The prevalence of diabetes was 13.99％ (100/715),7.29％ (103/1 413)and 7.84％ (74/1 082) for town center,coastal area and mountain area.The prevalence of diabetes mellitus in town centers was higher than that in coastal and mountainous areas(x2=33.64,P＜0.05).The results of multivariate Logistic regression analysis suggested that regional factors are the main influencing factors of diabetes mellitus.Compared with urban areas,the risk of diabetes mellitus in coastal areas(OR=0.492,95％CI:0.350-0.690) and mountainous areas (OR=0.479,95％CI:0.336-0.684)is lower.Family history of diabetes mellitus(OR=4.405,95％CI:3.022-6.420),long-term static time (OR=1.092,95％CI:1.034-1.153),central obesity(OR=1.699,95％CI:1.230-2.346),hypertension(OR=1.837,95％CI:1.346-2.508) and dyslipidemia (OR=2.143,95％CI:1.614-2.846)are risk factors for diabetes mellitus.Low age group (15-29 years old is the smallest,OR=0.032,95％CI:0.008-0.136)and proper egg consumption(minimum frequency per day,OR=0.347,95％CI:0.183-0.661)were protective factors.Conclusion Regional factors are the main influencing factors of diabetes mellitus in Ninghai County.Prevention and control should be tailored to local conditions.We should make monitoring and early prevention,and carry out targeted intervention in a targeted manner.

Analysis of the epidemic situation of inter-human brucellosis in Zhongwei City of Ningxia from 2005 to 2017 / 中华地方病学杂志

Objective To analyze the epidemic situation of inter-human brucellosis in Zhongwei City of Ningxia from 2005 to 2017,and to provide basis for making scientific and effective prevention and control measures of the disease.Methods Incidence data of brucellosis were collected in Zhongwei City from 2005 to 2017 and prevalence trends and distribution characteristics (place,time,and population distribution) were analyzed by descriptive epidemiological method.Results A total of 1 880 human brucellosis cases were reported in Zhongwei City from 2005 to 2017.The incidence of brucellosis in 2012 and 2015 was 5.03/100 000 and 61.80/100 000,which showed a dramatic and rapid ascent (x2trend =681.40,P ＜ 0.05),while after 2016,it showed a downward trend (xtrend =324.85,P ＜ 0.05),and in 2017 the reported incidence dropped to 25.13/100 000.Zhongning and Haiyuan Counties showed a high incidence from 2005 to 2017,and the incidence was 39.79％(748/1 880) and 36.06％ (678/1 880),respectively;April to September was the peak season;the sex ratio was 2.72:1.00 (1 375/505);1 379 cases (73.35％)occurred between 30 and 64 years old,and 1 616 cases (85.96％) occurred among farmer.Conclusion After 2016,the incidence of human outbreaks in Zhongwei City has declined;Zhongning and Haiyuan Counties are the key areas of morbidity;the key population for prevention and control is farmer.

Clinical observation of valsartan on chronic pulmonary heart disease with heart failure / 中国生化药物杂志

Objective To study and analyze the clinical effect of valsartan on chronic pulmonary heart disease. Methods 100 cases of heart failure patients with pulmonary heart disease treated in our hospital from January 2015 to October 2016 were selected and randomly divided into the control group and the experimental group,50 cases in each group.Two groups of patients were given the basic treatment of diuretics,low salt diet, digitalis and nitrates,so as to ensure that the patients had enough rest.Patients in the control group were treated with benazepril,and the patients in the experimental group were treated with valsartan.The clinical indexes of the experimental group and the control group were compared and analyzed. Results After corresponding treatment,the number of effective treatment was 48 cases.In the control group,the total effective number was 41 cases. The effective rate of the control group (82.0％) was significantly lower than the experimental group(96.0％) (P<0.05).The incidence of adverse reactions in the experimental group was 8.0％, and the fatality rate was 10.0％. The incidence of adverse reactions in the control group was 10.0％, and the fatality rate was 12.0％.There was no significant difference between two groups.After treatment,the indexes of LVEDD and LVESD in the experimental group were better than those in the control group,with statistical significance(P<0.05).Conclusion Valsartan was effective in the treatment of chronic pulmonary heart disease with heart failure.It can improve the treatment efficiency and security in a certain extent,and has the significance of further popularization and application.

Disability adjusted life years of type 2 diabetes in population in Zhejiang province, 2013 / 中华流行病学杂志

<p><b>OBJECTIVE</b>To estimate the disease burden of type 2 diabetes in population in Zhejiang in 2013.</p><p><b>METHODS</b>According to the method in global burden of disease study (GBD) 2010, the related disability adjusted life years (DALYs), years of life lost (YLL) and years lived with disability (YLD) were calculated by using the incidence, prevalence and mortality data of type 2 diabetes in population in Zhejiang and DISMODⅡ.</p><p><b>RESULTS</b>The overall DALYs of type 2 diabetes was 5.36 per 1000 population, which was higher in women (5.49 per 1000) than in men (5.24 per 1000), The population in urban area had higher DALYs (5.47 per 1000) than those in rural area (5.42 per 1000). The DALYs in old population was high, which peaked in age group 80-84 years (32.63 per 1000) with YLL/YLD of 0.62. The disease burden of type 2 diabetes was mainly caused by disability.</p><p><b>CONCLUSION</b>The YLL of type 2 diabetes in Zhejiang was higher than the national average level.</p>

Clinical observation of aerosol inhalation of budesonide suspension for the treatment of children with acute infectious laryngitis / 中国基层医药

Objective To observe and analyze the clinical effect of aerosol inhalation with budesonide suspension liquid drug in the treatment of children with acute infectious laryngitis.Methods 76 children with acute infectious laryngitis were divided into the observation group (n=38) and control group (n=38).Two groups of chil-dren were treated with conventional therapy,on the basis of conventional therapy,the control group was given dexam-ethasone aerosol inhalation,the observation group was treated with atomization of inhalation with budesonide suspen-sion liquid.The clinical therapeutic effects of the two groups were assessed.Results The total effective rate of the observation group was 97.37%,which was significantly higher than 76.32% of the control group,the difference was statistically significant (χ2 =19.392,P<0.05).The disappeared time of fever,cough,hoarseness,dyspnea,throat beep symptoms in the observation group was (2.21 ±1.12)days,(2.21 ±0.54)days,(1.21 ±0.33)days,(1.61 ± 0.81)days,(1.23 ±0.21)days,which were significantly shorter than the control group,the differences were statisti-cally significant (t=4.118,4.362,6.369,3.943,3.946,all P<0.05).The two groups had no obvious adverse reac-tion,The duration and hospitalization time of the observation group were (2.11 ±0.72)days,(3.09 ±0.54)days respectively,which were significantly shorter than the control group (t=4.966,5.795,all P<0.05).The satisfaction rate of the observation group was (91.23 ±4.52)%,which was significantly higher than the control group,the differ-ence was statistically significant (χ2 =4.203,P<0.05).Conclusion For the children with acute infectious laryngi-tis,inhalation with budesonide suspension liquid therapy can significantly improve clinical symptoms,with no adverse reaction,shorten the course of disease and hospitalization time,reduce the physical and psychological suffering of chil-dren,improve the clinical treatment effect,promote the healthy growth of children,it is worthy of clinical application.

The effect of moderate static magnetic fields on secretion of pro-inflammatory factors in THP-1 cells / 天津医药

Objective To investigate the effect of moderate static magnetic fields (SMF) on secretion of inflammato?ry factors tumor necrosis factor-α(TNF-α), interleukin-6 (IL-6) and interleukin-8 (IL-8) in human monocytic leukemic cell line THP-1. Methods THP-1 cells at logarithmic phase were divided into control group and magnetic treatment group. CCK-8 method was used to detect cell proliferation after THP-1 cells were exposed to 60 mT, 200 mT and 400 mT static magnetic fields at 18, 24 and 48 h. Then THP-1 cells were divided into control group, magnetic treatment group, LPS activation group and LPS+SMF treatment group. When magnetic treatment group and LPS+SMF treatment group were ex?posed to SMF at 18, 24 and 48 h, the levels of the cytokines TNF-α, IL-6 and IL-8 were determined by ELISA. Results (1) 60 mT, 200 mT and 400 mT SMF had no significant effects on cell proliferation in THP-1 cells (P>0.05). (2)THP-1 cells secreted more TNF-αand IL-6 in 24 h than 18 h in every group, while IL-8 didn′t change. Compared with 24 h, the secre?tion of TNF-αdecreased and IL-6 didn′t change, while IL-8 increased in 48 h. At three sampled time THP-1 cells of LPS activation group secreted more TNF-α, IL-6, IL-8 than those of control group and magnetic treatment group. After magnetic treatment THP-1 cells of LPS+SMF treatment group secreted less TNF-α, IL-6, IL-8 than those of LPS activation group (P<0.05). Conclusion Static magnetic field may have some inhibitory effects on release of TNF-α, IL-6, IL-8 from THP-1 cells, which can provide basic data for the treatment of rheumatoid arthritis.

Chinese neonatal birth weight curve for different gestational age / 中华儿科杂志

<p><b>OBJECTIVE</b>Since 1986, the reference of birth weight for gestational age has not been updated. The aim of this study was to set up Chinese neonatal network to investigate the current situation of birth weight in China, especially preterm birth weight, to develop the new reference for birth weight for gestational age and birth weight curve.</p><p><b>METHOD</b>A nationwide neonatology network was established in China. This survey was carried out in 63 hospitals of 23 provinces, municipalities and autonomous regions. We continuously collected the information of live births in participating hospitals during the study period of 2011-2014. Data describing birth weight and gestational age were collected prospectively. Newborn's birth weight was measured by electronic scale within 2 hours after birth when baby was undressed. The evaluation of gestational age was based on the combination of mother's last menstrual period, ultrasound in first trimester and gestational age estimation by gestational age scoring system.</p><p><b>STATISTICAL ANALYSIS</b>the growth curve was drawn by using LMSP method, which was conducted in GAMLSS 1.9-4 software package in R software 2.11.1.</p><p><b>RESULT</b>A total of 159 334 newborn infants were enrolled in this study. There were 84 447 male and 74 907 female. The mean birth weight was (3 232 ± 555) g, the mean birth weight of male newborn was (3 271 ± 576) g, the mean weight of female newborn was (3 188 ± 528) g. The test of the variables' distribution suggested that the distribution of gestational age and birth weight did not fit the normal distribution, the optimal distribution for them was BCT distribution. The Q-Q plot test and worm plot test suggested that this curve fitted the distribution optimally. The male and female neonatal birth weight curve was developed using the same method.</p><p><b>CONCLUSION</b>Using GAMLSS method to establish nationwide neonatal birth weight curve, and the first time to update the birth weight reference in recent 28 years.</p>

Comprehensive application of four quality management tools in nursing quality management / 中国实用护理杂志

Objective To analyze the effect and the problems of the comprehensive application of quality management tools in order to improve nursing quality and ensure patient safety.Methods To summarize the implementation of Plan,Do,Check,Action(PDCA),quality control circle(QCC),root cause analysis(RCA),healthcare failure mode and effect analysis(HFMEA) in the nursing quality improvement.Aiming at problems arising in application process,the measures such as systematic training of quality management knowledge,case demonstration,standardized evaluation throughout the whole process,holding competition activities,inviting experts to give immediate guidance were applied.Results Among 1 798 PDCA and QCC programs,the result of 1 795 programs reached the target value,3 substandard programs reached the expected outcome finally after cause analysis,procedure break down and adjust of improvement contents.No nursing error or adverse events occurred.The indicators of nursing quality improved and patient satisfaction was 98.58％,which got the third position among all national hospitals.Conclusions The comprehensive application of four quality management tools was helpful in enhancing the effect of nursing quality improvement.

The development of study in pain management during wound dressing / 中国实用护理杂志

The status quo of pain,trigger mechanism of pain,the manner of pain valuation and painalleviating measures during wound dressing were analyzed by checking literatures at home and abroad.These studies implied that the dressing-related pain impacted not only wound healing but also patients' daily life.At the same time,the studies and clinic practice of dressing-related pain in China were relatively deficient,therefore it is important that clinic practitioner should pay more attention to awareness of dressing-related pain and pain causes and take measures to relieve pain.

Expression and significance of p15, p16, p21 in Uygur patients with psoriasis in Xinjiang / 中国医师杂志

Objective To investigate the expressions of p15,p16,and p21 in skin of uygur patients with psoriasis and its significance in the development of psoriasis.Methods The expressions of p15,p16,and p21 were studied with immunohistochemical method in the Xinjiang Uygur psoriatic and normal Uygur skins.Results The positive expression rate of p16 gene was 12.5％ in skin lesions of patients with psoriasis Uygur,and 66.67％ in the normal group.The positive expressions of p15,and p21 genes in skin lesions of patients with psoriasis and healthy Uygur population were higher.Conclusions There is a significant correlation between the development of uygur psoriasis vulgaris and abnormal expression of p16.

The expression of MiR-34a/c in lesions of psoriasis vulgaris Uyghur and Han patients in XinJiang / 中国医师杂志

Objective To investigate the expression differences of MiR-34a/c in lesions of psoriasis vulgaris Uyghur and Han patients and beside-lesional tissue and normal skin tissue in XinJiang.Methods Real-time fluorescent quantitative polymerase chain reaction (PCR) was used to determine the expression levels of MiR-34a/c in the psoriasis vulgaris Uyghur and Han patients with lesion tissues, beside-lesion tissues, and normal skin tissues, respectively.Results The expression level of MiR-34a was higher in lesions of psoriasis vulgaris in XinJiang than in the beside-lesion tissues and normal skin tissues, and differences were statistical significance (P ＜ 0.05).However, the expression level of MiR-34a in beside-lesion tissues and normal skin tissues, and in the Uyghur and Han psoriasis vulgaris werent statistically significant difference (P ＞ 0.05).The expression level of MiR-34c in three types of tissues and in the Uyghur and Han psoriasis vulgaris weren't statistically significant difference (P ＞ 0.05).Conclusions MiR-34a might participate in the pathogenesis of Uyghur and Han psoriasis vulgaris in XinJiang.

Toll-like receptors and bacterial infection / 国际儿科学杂志

Toll-like receptor( TLR) ,which belongs to pattern recognition receptor,is type I transmem-brane glycoprotein. TLR activates natural immune and induces several cytokines. Foreign studies have showed that bacterial infection is closely related with TLR. In this paper,the relationship between TLR and bacterial in-fection is reviewd.

Exploring in management of women with atypical squamous cells of undetermined significance / 实用医学杂志

Objective Exploring in processing method to triage of women with a cytologic smear showing atypical squamous cells of undetermined significance. Methods All 130 cases were diagnosed with ASCUS received high-risk HPV (hr-HPV)test, colposcopic inspections, reformeded Reid's colposcopic index score and cervical biopsies for pathological examination. Resluts The pathology of 130 ASCUS patients included 31cases of normal and inflammation (23.90%), 29 cases of CINⅠ(22.30%), 14 cases of CINⅡ(10.80%), 55 cases of CINⅢ or cervical carcinoma in situ (42.30%), and 1 case of invasive cervical carcinoma (0.80%). The reformed Reid's colposcopic index score of 130 ASCUS patients included 32 cases of 0 score (24.60%), 36 cases of 1~2 scores (27.70%), 47 cases of 3~4 scores(36.10%), 15 cases of 5~6 scores(11.60%). 2. The colposcopy used to detect the CIN of ASCUS, its sensitivity was 98.99%(98/99), specificity was 51.61%(16/31). The hr-HPV used to detect the CIN of ASCUS, its sensitivity was 96.97%(96/99), specificity was 32.26%(10/31). Conclusion Both the reformeded Reid′s colposcopic index score and hr-HPV testing as the clinical triage methods of ASCUS. The former has good sensitivity and specificity ,which is superior to hr-HPV testing.