A retrospective study on the short-term effect of high-dose spironolactone (80 mg/d) on chronic congestive heart failure.

ABSTRACT: To explore the short-term effect of high-dose spironolactone (80 mg/d) on chronic congestive heart failure (CHF).The general clinical data of 211 patients with CHF from February 2016 to August 2019 were collected and analyzed. Patients were divided into Low-dose group (taking 40 mg/d spironolactone) and High-dose group (taking 80 mg/d spironolactone) according to the patient's previous dose of spironolactone. The changes of B-type brain natriuretic peptide (BNP), NT-pro BNP (N terminal pro B type natriuretic peptide), echocardiography, 6-minute walking test (6MWT), and comprehensive cardiac function assessment data were collected for analysis.Compared with before treatment, the blood potassium of the two groups increased significantly (P < .05), but the blood potassium did not exceed the normal range. Compared with before treatment, BNP, NT-pro BNP, LVEDD, LVEDV and NYHA grading were significantly decreased (P < .05), LVEF and 6-MWT were significantly increased (P < .05). Compared with the Low-dose group, the high-dose group BNP (117.49 ±â€Š50.32 vs 195.76 ±â€Š64.62, P < .05), NT-pro BNP (312.47 ±â€Š86.28 vs 578.47 ±â€Š76.73, P < .05), LVEDD (45.57 ±â€Š5.69 vs 51.96 ±â€Š5.41, P <.05), LVEDV (141.63 ±â€Š51.14 vs 189.85 ±â€Š62.49, P < .05) and NYHA grading (1.29 ±â€Š0.41 vs 1.57 ±â€Š0.49, P < .05) were significantly reduced, but, 6-MWT (386.57 ±â€Š69.72 vs 341.73 ±â€Š78.62, P < .05), LVEF (41.62 ±â€Š2.76 vs 36.02 ±â€Š2.18, P < .05) and total effective rate (92.68% vs 81.39%, P < .05) increased significantly.Compared with 40 mg spironolactone, 80 mg spironolactone can rapidly reduce BNP and NT-pro BNP concentration, enhance exercise tolerance, improve clinical signs and cardiac function classification, and has better efficacy.

Two Arbuscular Mycorrhizal Fungi Alleviates Drought Stress and Improves Plant Growth inCinnamomum migao Seedlings

Cinnamomum migao plants often face different degrees of drought in karst habitats, which can lead to plants’ death, especially in the seedling stage. Widespread of arbuscular mycorrhizal (AM) fungi in karst soils have the potential to address this drought, which is a threat to C. migao seedlings. We inoculated C. migao seedlings with spores from Glomus lamellosum and Glomus etunicatum, two AM fungi widely distributed in karst soils, to observe seedling growth response after simulated drought. Our results showed that 40 g of G. lamellosum and G. etunicatum significantly promoted the growth of C. migao seedlings, 120 days after inoculation. Following a 15-day drought treatment, root colonization of the seedlings with G. lamellosum or G. etunicatum had lower the accumulation of malondialdehyde (MDA) and increased the accumulation of enzymes and osmotic substances in the seedlings. The relative water content in different organs (roots, stems, and leaves) of the drought-stressed seedlings was higher in plants with G. lamellosum or G. etunicatum than in plants without AM fungi colonization. Our results showed that inoculation with AM fungi was an effective means to improve the drought resistance of C. migao seedlings.

Two Arbuscular Mycorrhizal Fungi Alleviates Drought Stress and Improves Plant Growth inCinnamomum migao Seedlings

Cinnamomum migao plants often face different degrees of drought in karst habitats, which can lead to plants’ death, especially in the seedling stage. Widespread of arbuscular mycorrhizal (AM) fungi in karst soils have the potential to address this drought, which is a threat to C. migao seedlings. We inoculated C. migao seedlings with spores from Glomus lamellosum and Glomus etunicatum, two AM fungi widely distributed in karst soils, to observe seedling growth response after simulated drought. Our results showed that 40 g of G. lamellosum and G. etunicatum significantly promoted the growth of C. migao seedlings, 120 days after inoculation. Following a 15-day drought treatment, root colonization of the seedlings with G. lamellosum or G. etunicatum had lower the accumulation of malondialdehyde (MDA) and increased the accumulation of enzymes and osmotic substances in the seedlings. The relative water content in different organs (roots, stems, and leaves) of the drought-stressed seedlings was higher in plants with G. lamellosum or G. etunicatum than in plants without AM fungi colonization. Our results showed that inoculation with AM fungi was an effective means to improve the drought resistance of C. migao seedlings.

Impact of Interaction Between PPAR Alpha and PPAR Gamma on Breast Cancer Risk in the Chinese Han Population.

BACKGROUND: Several studies have been conducted to investigate the association of the peroxisome proliferator-activated receptor (PPAR) alpha (PPAR A) and PPAR gamma (PPAR G) polymorphism and breast cancer (BC) risk, but the results were inconsistent, and, until now, no study focused on the impact of gene-gene interactions between PPAR A and PPAR G on BC risk; thus, the aim of this study was to investigate the impact of interaction between PPAR A and PPAR G on BC risk in the Chinese Han population. METHODS: A total of 862 participants with a mean age of 63.0 ± 15.7 years were selected, including 432 patients with BC and 430 controls. A logistic regression model was used to examine the association between single-nucleotide polymorphisms and BC risk. The odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated. Generalized multifactor dimensionality reduction was employed to analyze the gene-gene interaction. RESULTS: Logistic regression analysis showed that BC risk was significantly higher in carriers of G allele of rs1800206 polymorphism than those with CC (CG + GG vs. CC) (adjusted OR, 1.50; 95% CI, 1.20-1.93). In addition, we found that BC risk was also significantly higher in carriers of the G allele of the rs1805192 polymorphism than those with the CC genotype (CG + GG vs. CC) (adjusted OR, 1.78; 95% CI, 1.34-2.26). There was a significant gene-gene interaction between rs1805192 and rs1800206. Overall, the 2-locus models had a cross-validation consistency of 10 of 10, and had a testing accuracy of 60.11%. Patients with CG or GG of rs1805192 and CG or GG of rs1800206 genotype have the highest BC risk, compared with patients with CC of rs1805192 and CC of rs1800206 genotype (OR, 2.59; 95% CI, 1.70-3.48, after covariates adjustment for gender, age, age at menarche, number of children, body mass index, and waist circumference). CONCLUSIONS: The minor allele of rs1800206 and rs1805192 and its interaction were associated with increased BC risk.

Submandibular venous malformation with multiple phleboliths misdiagnozed as sialolithiasis:Report of a case / 实用口腔医学杂志

A rare case of submandibular venous malformation with multiple phleboliths is reported.The clinical pathology,diagnosis ,treat-ment,causes and differential diagnosis of submandibular gland sialolithiasis were discussed based on related literatures.

Cytotoxicitic detection of laser welding between NiTi shape memory alloy and stainless steel in vitro / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To investigate the cytotoxicity of laser-welded nickel titanium (NiTi) and stainless steel composite archwire.</p><p><b>METHODS</b>The NiTi and stainless steel composite archwire (CoAW) laser-welded with pure copper inrerplayer was studied with methyl thiazolyl tetrazolium (MTT) test in vitro. The cytotoxicity of CoAW was compared with stainless steel archwire and NiTi archwire. Two tests were carried out. Test 1: the immersed solution of CoAW was diluted to five grades (50%, 40%, 30%, 20%, 10%). The cytotoxicity in vitro of these agents was assayed on murine fibroblast cell L929 line with MTT test at 24 and 48 hours. Test 2: the immeresed solution of CoAW, NiTi archwires and stainless steel archwires was diluted to four grads (100%, 75%, 50%, 25%). The cytotoxity of three kinds of material was compared at 48 hours.</p><p><b>RESULTS</b>The results of all samples revealed level 0-1 cytotoxicity. In test 1, the same grade solution optical density (except 20%) at 24 hours was statistically lower than at 48 hours. In test 2, the optical density of CoAW solution (1.964 ± 0.122, 2.084 ± 0.056, 2.056 ± 0.071, 2.096 ± 0.050) was statistically lower than the same grade solution of stainless steel archwire (2.168 ± 0.091, 2.227 ± 0.160, 2.302 ± 0.052, 2.301 ± 0.060) and NiTi archwire (2.138 ± 0.105, 2.262 ± 0.050, 2.271 ± 0.082, 2.294 ± 0.056) (P < 0.05).</p><p><b>CONCLUSIONS</b>The MTT test of CoAW in vitro showed that cytotoxicity was related to concentration and time. The cytotoxicity of the CoAW was more serious than that of stainless steel and NiTi archwires. However, CoAW belonged to secure rang of material toxicity reaction.</p>

Effects of Transcranial Magnetic Stimulation on Polysomnography in Patients with Insomnia / 中国康复理论与实践

Objective To explore the effect of transcranial magnetic stimulation (TMS) on polysomnography in patients with insomnia. Methods 20 healthy volunteers and 60 patients with primary insomnia from the outpatient department were chosen. The insomnia patients were divided into 2 groups with 30 patients in each group, one group received TMS every day, the other group received benzodiazepine 5 mg every night, both groups were treated for 14 days. The healthy volunteer received no treatment. The effect was assessed with polysom-nography before and after treatment. 20 healthy volunteers were as the normal group and they were assessed by polysomnography only when they were collected. Results TMS and benzodiazepine have the same effect on sleep latency, sleep time, awakening time and sleep effi-ciency. And TMS may increase S3~S4 and rapid eye movement sleep. Conclusion TMS has better effect than benzodiazepine in the treat-ment of sleep disorder.