Moderating role of peer attachment in the relationship between adolescent knowledge-attitudepractice and psychological resilience / 上海交通大学学报（医学版）

Objective: To explore the relationship between adolescent knowledge-attitude-practice (KAP), peer attachment and psychological resilience, and the moderating role of peer attachment in the relationship between adolescent KAP and psychological resilience. Methods: A stratified cluster sampling method was conducted, involving 5 105 subjects who were investigated by self-designed Adolescent KAP Questionnaire, Inventory of Peer Attachment and Resilience Scale for Chinese Adolescents. Statistical analysis and inference were performed using analysis of variance, t test, Pearson correlation analysis, hierarchical regression analysis and simple slope analysis. Results: The scores of target concentration, emotional control, positive cognition, family support and interpersonal assistance were more than 3 points for adolescents. Adolescent KAP, trust and peer communication had a significant positive predictive effect on target concentration, emotional control, family support and interpersonal assistance (all P<0.05). Peer estrangement was negatively related to all dimensions of psychological resilience (all P<0.05). Communication (B=0.007, SE=0.003, P=0.026) and peer estrangement (B=-0.010, SE=0.003, P=0.000) had the moderating effect on the relationship between adolescent KAP and psychological resilience. Conclusion: Adolescents have relatively better psychological resilience. Adolescents with higher adolescent KAP and greater peer attachment have better psychological resilience. Similarly, peer communication and estrangement can regulate the effect of adolescent KAP on psychological resilience.

The association between sleep duration, bedtimes, and early pubertal timing among Chinese adolescents: a cross-sectional study

BACKGROUND AND OBJECTIVE@#Early pubertal timing is associated with sleep among Western adolescents, but little is known about this association in Chinese adolescents, especially with regard to the association between bedtimes and early pubertal timing. This paper aimed to identify the association between sleep duration, bedtimes, and early pubertal timing in Chinese adolescents.@*METHODS@#An anonymous cross-sectional survey was conducted among primary and junior middle students (grades 3 to 9) from QiJiang District, ChongQing, China. Participants were recruited by applying stratified cluster sampling. Pubertal timing, sleep duration, and bedtimes were assessed using the Pubertal Development Scale and a self-designed sleep questionnaire. We utilized multivariable logistic linear regression (MLLR) to test the association between sleep duration, bedtimes, and pubertal timing.@*RESULTS@#A total of 5461 adolescents were evaluated, with mean age and BMI values of 11.41 ± 2.05 and 18.03 ± 3.03, respectively, of whom 1257 (23.02%) were in early pubertal timing. In MLLR controlling for age, BMI, family economic status, and other covariates, sufficient sleep (b = - 0.214, P = 0.032, OR = 0.808, 95% CI 0.664-0.982) was negatively related to early pubertal timing, and later bedtime (b = 0.195, P < 0.001, OR = 1.215, 95% CI 1.104-1.338) was positively associated with early pubertal timing.@*CONCLUSION@#Students with early pubertal timing had less sleep duration and later bedtimes, which may be the result of increased stress caused by physical and psychological changes. Therefore, more attention should be paid to pubertal health education for adolescents during puberty. Further longitudinal studies are needed to confirm the causality between sleep and early pubertal timing in Chinese adolescents.

TLR4/NF-kappaB p65 signaling pathway mediates protective effect of triptolide on endothelium in rats with endotoxemia / 中国中药杂志

The aim of this paper was to observe the effect of triptolide( TP) on cardiovascular function and its possible mechanism by intraperitoneal injection of bacterial lipopolysaccharide in rats with endotoxemia. Sixty male Sprague-Dawley rats were randomly divided intonormal group( NC group),endotoxemia model group( LPS group),TP low concentration intervention group( LPS + TP-L group,25 μg·kg~(-1)),TP middle concentration intervention group( LPS+TP-M group,50 μg·kg~(-1)),TP high concentration intervention group( LPS+TP-H group,100 μg·kg~(-1)) and polymyxin B group( LPS+PMX-B group,0. 2 mg·kg~(-1)). 10 mg·kg~(-1) LPS was injected intraperitoneally for 6 h to replicate the endotoxemia rat model. The rats in TP intervention groups were pre-treated 15 min before intraperitoneal injection of LPS. Rats in each group underwent total arterial intubation to measure hemodynamic parameters: heart rate( HR),left ventricular diastolic pressure( LVDP),the maximum rate of the increase/decrease of left ventricular pressure( ±dp/dtmax). The levels of BNP,CK-MB and c Tn-Ⅰ in serum and levels of TNF-α and IL-6 in plasma were detected by ELISA. The contents of p65 protein in myocardium and contents of p65,TLR4,i NOS and e NOS protein in thoracic aorta were detected by Western blot. As compared with NC group,the hemodynamic indexes in LPS group were significantly decreased; the contents of BNP,CK-MB and c Tn-Ⅰ in serum,TNF-α and IL-6 in plasma,p65 in myocardium,i NOS,e NOS,TLR4 and p65 in vascular tissues were significantly increased. As compared with LPS group,the hemodynamic indexes were significantly improved in LPS+TP-M group,LPS+TP-H group and LPS+PMX-B group; the contents of BNP,CK-MB and c Tn-Ⅰ in serum,TNF-α and IL-6 in plasma,p65 in myocardium,i NOS,e NOS,TLR4 and p65 in vascular tissues were significantly decreased in each treatment group. Triptolide has a protective effect on cardiovascular damage in a dose-dependent manner in endotoxemia rats,probably through TLR4/NF-κB p65 signaling pathway to improve endothelial function.

Evaluation of Adolescents' Quality of Life Scale on reliability and validity in left-behind children / 上海交通大学学报（医学版）

Objective: To evaluate the reliability and validity of the Adolescents' Quality of Life Scale in left-behind children to provide a reliable measurement tool for the study of the quality of life of left-behind children. Methods:Six schools (three primary schools and three secondary schools) were selected in the Qianjiang District of Chongqing City by the purpose sampling method. A total of 1 276 students in the 4-9 grades were selected. One week later, one of the primary and secondary schools was retested respectively. Results: The 23rd item was deleted from the Adolescents' Quality of Life Scale. Every factor load of 38 items was greater than 0.4, and the cumulative variance contribution rate was 61.713%. A total of 4 dimensions and 11 factors were obtained. Confirmatory factor analysis showed that, for physical, psychological, social, and pubertal dimensions and total scale, χ2/df values were less than 5, and goodness of fit index (GFI), incremental fit index (IFI) and comparative fit index (CFI) values were greater than 0.9; root mean square error of approximation (RMSEA) value of each dimension was less than 0.08, and RMSEA value of total scale was 0.083; normed fit index (NFI) values of physical and pubertal dimensions were greater than 0.9, and NFI values for the psychological and social dimensions and total scale were 0.883, 0.876, and 0.871, respectively. The coefficient and the test-retest reliability of each dimension and the total scale were 0.648-0.849 and 0.554-0.831, respectively. Conclusion: The revised Adolescent Children's Quality of Life Scale has good reliability and validity, suggesting that it can be used for assessing the quality of life of left-behind children in China.

The spermostatic and plasma membrane injury effects of ceritinib in vitro / 复旦学报（医学版）

Objective To explore the in vitro spermostatic effects and the mechanisms of ceritinib,a novel candidate from the active compound pools previously screened for the regulation of sperm function.Methods The vigor sperm of human and mouse were incubated with ceritinib for 20seconds,and the sperm motility was evaluated by computer assistant sperm analysis (CASA).The integrity of the sperm plasma membrane and the survival ratio of sperm was assessed by hypo-osmotic swelling (HOS) assay and SYBR-14/PI staining.The damage of sperm plasma membrane was detected by electron microscope.The cytotoxicity of ceritinib to VK2/E6E7,End1/E6E7 and Ect1/E6E7 cells was measured by CCK-8 assay and fluorescent staining.Results The minimal effective concentration (MEC) of ceritinib to (5-10) × 106/mL human sperm within 20 seconds was (74.87 ± 31.46)μmol/L,which was significantly lower than the MEC of nonoxynol-9 (219.75 ± 20.89) μmol/L measured in the same condition.The time-dose related spermostatic effects of ceritinib were measured by CASA system.Ceritinib was able to damage sperm membrane and caused sperm death with HOS and SYBR-14/PI staining.With electron microscopy,the sperm membrane was observed to be ruptured,and the heads and tails of sperm were separated by ceritinib.Ceritinib was also able to damage the epithelial cells.Conclusions Ceritinib has acute spermostatic effects and potential contraceptive effects.

Expression of recombinant human ZP3 protein using the baculovirus expression system / 中华男科学杂志

<p><b>OBJECTIVE</b>To investigate the methods and solve the technical bottlenecks in the preparation of recombinant human protein hZP3 using the baculovirus expression system and pave the technical ground for the production and application of recombinant hZP3.</p><p><b>METHODS</b>The recombinant vector pFASTBAC HTa-hZP3 was constructed and transferred to competent E. coli cells carrying bacmid to produce recombinant bacmid by homologous recombination. Sf9 cells were transfected with the recombinant bacmid to produce recombinant baculovirus. Full-length recombinant hZP3 (amino acids 1-424) and truncated recombinant hZP3 (amino acids 23-348) were expressed in the sf9 cells by infection with the recombinant baculovirus. The expression time of hZP3 was determined by Western blot and its purification was explored.</p><p><b>RESULTS</b>The recombinant bacmid and baculovirus were successfully constructed for expressing both the full-length and truncated hZP3. The maximal expression of recombinant hZP3 in the sf9 cells was achieved at 72-96 hours after baculovirus infection. Some of the recombinant hZP3 with His-tag could bind affinity matrix and got purified but most of the solubilized hZP3 passed through and the reasons remained unknown. Purified recombinant hZP3 labeled with Dylight Dye488 was able to bind human sperm.</p><p><b>CONCLUSION</b>It is feasible to express recombinant hZP3 in insect cells using the baculovirus system though the yield of hZP3 needs to be optimized. The methods for efficient enrichment and purification of recombinant hZP3 require further exploration.</p>

Coronary artery bypass graft for patients with ascending aorta atherosclerosis / 中华外科杂志

<p><b>OBJECTIVE</b>The increasing number of aged patients with severe ascending aorta atherosclerosis who are undergoing coronary artery bypass graft (CABG) present high risk for ascending aortic cannulation, cross-clamping or partial occluding and proximal anastomosis. We reviewed the surgical experience in 22 patients of CABG with ascending aorta atherosclerosis and tried to find the way to minimize the complications.</p><p><b>METHODS</b>Twenty-two patients with severe atherosclerotic and calcified ascending aorta underwent CABG in our hospital. Thirteen of them received CABG on beating heart. Nine patients had their CABG with extracorporeal circulation. With deep hypothermia, we reduced the flow rate and intermittently arrested the circulation for the proximal anastomosis on ascending aorta in 5 patients with neither cross-clamping nor partial occluding. The sequential grafts and "Y" type anastomosis between reversed saphenous venous grafts were employed.</p><p><b>RESULTS</b>Twenty of the patients survived after surgery. One died of inhalation pneumonia in two weeks after surgery. Another died of right hemothorax in ten days after surgery. The complications include: pneumonia 4 patients (18%), angina 2 patients (9%), ventricular fibrillation 1 patients (5%), post-CABG myocardium infarction 1 case (5%) and hemothorax 1 case (5%). There is no neurologic complications or aortic dissection after CABG.</p><p><b>CONCLUSION</b>CABG on beating heart with pedicel arterial grafts is the best approach to performing the surgery without touching the diseased ascending aorta. Ventricular fibrillation under mild hypothermia cardiopulmonary bypass and left ventricular suction were employed for quiet and bloodless field while distal anastomosis had no cross-clamping the ascending aorta. Also deep hypothermia and intermittently circulatory arrest offer quiet and bloodless field for the proximal anastomosis on ascending aorta without cross-clamping or partial-occluding. Distal sequential anastomosis and proximal "Y" type anastomosis are the effective approach to minimizing the proximal anastomosis on the ascending aorta.</p>