Helicobacter pylori infection in Xinjiang Uyghur Autonomous Region: Prevalence and analysis of related factors.

BACKGROUND: 14C urea breath test (14C UBT) and immunohistochemical staining (IHC) are widely used for detection Helicobacter pylori (H. pylori) infection with different sensitivity, and there is a difference in H. pylori infection rate in Uyghur and Han ethnic groups. Both need large cohort studies to evaluate the differences more accurately. AIM: To analyze the difference between 14C UBT and IHC for H. pylori detection in Xinjiang Uyghur Autonomous Region and the difference between Uyghur and Han populations. METHODS: There were 3944 cases of H. pylori infection detected by both IHC and 14C UBT at the same time (interval < 1 wk, with sampling site including gastric antrum, selected from 5747 patients). We compared the sensitivity of 14C UBT and IHC. We also compared 555 pairs of Han/Uyghur cases (completely matched for gender and age) for their H. pylori infection rates. The overall H. pylori infection rate of all 5747 cases and the correlation with other clinicopathological data were also further analyzed. SPSS V23.0 software was used for statistical analysis. RESULTS: The sensitivity was 94.9% for 14C UBT and 65.1% for IHC, which was a significant difference (n = 3944, P < 0.001). However, among those cases negative for H. pylori by 14C UBT (detection value ≤ 100), 4.8% were positive by IHC. Combining both methods, the overall H. pylori infection rate was 48.6% (n = 5747), and differences in gender, age group, ethnicity and region of residence significantly affected the H. pylori positive rates. According to age group (Han/Uyghur), the positive rates were ≤ 30 years (62.2%/100.0%), 31-40 years (45.2%/85.7%), 41-50 years (47.2%/79.2%), 51-60 years (44.6%/76.1%), 61-70 years (40.9%/68.2%), 71-80 years (41.7%/54.1%) and ≥ 81 years (42.9%/NA). The H. pylori infection rates of Han/Uyghur paired cases were 41.4% and 73.3%, which was a significant difference (P < 0.001) (555 pairs). H. pylori positivity was significantly related to moderate-severe grade 2-3 chronic/active gastritis and intestinal metaplasia (all P < 0.05). CONCLUSION: The sensitivity of 14C UBT was significantly higher, but combined application can still increase the accuracy. The prevention H. pylori should be emphasized for Uygur and young people.

Research on the schemes formulation and optimization method of sponge reconstruction in a highway service area.

This study proposed a method for constructing a low impact development (LID) plan to improve the utilization rate of rainwater in a highway service area and solve the problem of waterlogging. Firstly, based on the theory of LID, taking the total runoff as the control goal, and combining it with the functional zoning of the highway service area and the characteristics of LID facilities, several LID schemes were proposed. Then, the evaluation system of the LID scheme in service area was established by the analytic hierarchy process (AHP). These preliminary construction schemes were compared from three aspects (runoff control efficiency, economic efficiency and social efficiency) to determine the best LID plan. Finally, taking the Pu'er tunnel service area as an example, the construction scheme of the sponge city service area was optimized.

[Natural regeneration of young Excentrodendron hsienmu in karst mountainous region in Southwest Guangxi, China].

A field survey was conducted in the karst mountainous region in Pingguo County of Southwest Guangxi, China to explore the structural characteristics, spatial distribution pattern, and growth dynamics of young Excentrodendron hsienmu as well as the main environmental factors affecting the natural regeneration of the E. hsienmu population. In the study area, the population structure of the young E. hsienmu was stable, and exhibited a clumped spatial pattern for the seedlings and seedling sprouts. The ground diameter growth and height growth of the young E. hsienmu presented the same variation trend, i. e., the ground diameter increased with increasing height. The ground diameter growth and height growth of the E. hsienmu seedlings were limited by population density, i. e., decreased with increasing population density. The correlation analysis showed that the trees more than 2.5 m in height and the shrubs were the major stand factors affecting the natural regeneration of young E. hsienmu, while the herbs had no significant correlation with the regeneration. The percentage of covered rock also had no significant effects on the regeneration. Kruskal-Wallis ANOVA showed that there existed significant differences in the height and ground diameter of young E. hsienmu at different slope degrees and slope positions. The population density, height, and ground diameter had significant differences across slope aspects. The natural regeneration of young E. hsienmu was comprehensively affected by the species biological characteristics, intraspecific competition, interspecific competition, heterogeneous habitat, and anthropogenic disturbances.