Sex-based responses of heat stress and subsequent recovery on the growth performance, metabolic changes, and redox status of broilers at market age.

This experiment investigated the sex responses of heat stress (HS) and subsequent recovery on growth performance, serum metabolic parameters, and redox status. Two hundred 38-day-old broilers were arranged in a completely randomized design with a 2 × 2 (temperatures and sexes) factorial arrangement in five replicates. Broilers were raised at 24 ± 1 °C or 32 ± 1 °C for 3 days and returned to 24 °C for 2 days. The study showed that HS decreased both average daily feed intake (ADFI), average daily gain (ADG), serum total glutathione peroxidase (GPx), and superoxide dismutase (T-SOD). However, it increased feed conversion ratio (FCR), rectal temperature (RT), respiratory rate (RR), serum glucose, blood urea nitrogen (BUN), low-density lipoprotein cholesterol, and the protein carbonyl group (PCG). Male broilers had higher ADFI, ADG, lactic acid (LA), high-density lipoprotein cholesterol (HDL-C), and PCG, but lower FCR, albumin, total antioxidant capacity, T-SOD, and GPx. Temperature and sex significantly interacted with ADFI, ADG, LA, and HDL-C. The effects of HS on RR, RT, glucose, albumin, BUN, PCG, T-SOD, and GPx recovered after 2 days. These results indicate that HS and subsequent recovery affect growth performance, which is accompanied by disturbances in serum nutrient metabolism and abnormalities in redox function and manifested by temporal and gender differences.

Adult cerebral hepatolenticular degeneration: report of one case with literature review / 中华全科医师杂志

A 26-year-old male presented with tremor of bilateral shoulders and hands as the major symptom and also had cognitive and emotional abnormalities for more than 1 year, who was diagnosed as cerebral hepatolenticular degeneration (HLD) in Tongji Hospital of Huazhong University of Science and Technology in October 2021. The serum ceruloplasmin and urine copper levels of the patient were 0.023 g/L and 3760.00 μg/24 h, respectively, and the Kayser-Fleischer (K-F) ring was seen in the cornea. Genetic testing revealed a homozygous mutation of ATP7B gene c.2975C>T (p.Pro992Leu), while transcranial sonography (TCS) showed lenticular nucleus hyper-echogenicity. The literature was searched using hepatolenticular degeneration and transcranial sonography as key words; and 9 articles involving 150 HLD cases were obtained. The lenticular nucleus hyper-echogenicity was presented in 76.9% HLD patients (150/195), while only in 12.7% healthy subjects (17/134) ( P<0.001), suggesting that advanced transcranial sonography can detect the metal deposition and may be used for diagnosis of cerebral HLD.

Compilation of questionnaire for quality evaluation on problem-based learning of Neurology and analysis of its reliability and validity / 中华医学教育探索杂志

Objective:To design and compile quality evaluation questionnaire on problem-based learning (PBL) of Neurology and to test its reliability and validity.Methods:Referring to the framework of the evaluation system and according to the characteristics of the discipline, we designed the questionnaire on PBL of Neurology. The clinical medical students who participated in neurologic PBL course were taken as the objects of investigation. The reliability of the questionnaire and the reliability of internal consistency were tested. Correlation analysis and exploratory factor analysis were used to evaluate the validity of the questionnaire.Results:The questionnaire on PBL of Neurology included three first-level indicators: teaching plan quality evaluation, teaching method evaluation and teaching quality evaluation, containing 6 second-level indicators and 25 third-level indicators. The correlation coefficient ρ=0.990 ( P<0.01) showed that the retest reliability was good. The cronbach's α coefficient is 0.901, meeting the internal consistency reliability requirement. And the content validity correlation coefficient was 0.307-0.7 ( P<0.05), indicating that each third-level index had a significant correlation with the total score, and the questionnaire item design was good. The three first-level indicators were used as common factors to evaluate the structural validity by exploratory factor analysis and identify the direction of optimization. Conclusion:The questionnaire has good reliability and validity, which can be used as a tool for scientific evaluation on PBL of neurology, and also provide an optimization direction for further research in the future.