Image-Based Bolt-Loosening Detection Using a Checkerboard Perspective Correction Method.

In this paper, a new image-correction method for flange joint bolts is proposed. A checkerboard is arranged on the side of a flange node bolt, and the homography matrix can be estimated using more than four feature points, which include the checkerboard corner points. Then, the perspective distortion of the captured image and the deviation of the camera position angle are corrected using the estimated homography matrix. Due to the use of more feature points, the stability of homography matrix identification is effectively improved. Simultaneously, the influence of the number of feature points, camera lens distance, and light intensities are analyzed. Finally, based on a bolt image taken using an iPhone 12, the prototype structure of the flange joint in the laboratory is verified. The results show that the proposed method can effectively correct image distortion and camera position angle deviation. The use of more than four correction points not only effectively improves the stability of bolt image correction but also improves the stability and accuracy of bolt-loosening detection. The analysis of influencing factors shows that the proposed method is still effective when the number of checkerboard correction points is reduced to nine, and the average error of the bolt-loosening detection result is less than 1.5 degrees. Moreover, the recommended camera shooting distance range is 20 cm to 60 cm, and the method exhibits low sensitivity to light intensity.

A novel anti-loosening bolt looseness diagnosis of bolt connections using a vision-based technique.

Bolt looseness detection is a common problem in engineering. Most vision-based detection techniques focus on diagnosing ordinary bolt looseness, i.e., the methods used for diagnosis are based only on the sidelines of nuts. These methods cannot be used for anti-loosening bolt looseness diagnosis because of the simultaneous rotation of screws and nuts. Therefore, a novel anti-loosening bolt looseness diagnosis method based on a vision-based technique is proposed in this paper. First, a regular hexagonal cap was installed on the screw, which can be used as a reference for the nut. Then, to automatically distinguish the hexagonal borders of the screw cap and nut, a new hexagonal border reconstruction algorithm is proposed. Furthermore, the relative rotation angles of the screw cap and nut hexagons can be determined using the sidelines of the reconstructed hexagonal borders of the screw cap and nut. Finally, a novel anti-loosening bolt looseness diagnosis method is established by using the relative rotation angle of the regular hexagonal borders of the screw cap and nut under initial status and loose status. A prototype flange node of the transmission tower was used for experimental verification. The results show that the proposed method can effectively detect the loosening angle of anti-loosening bolts.

Angiotensin-converting enzyme inhibitors provide a protective effect on hypoxia-induced injury in human coronary artery endothelial cells via Nrf2 signaling and PLVAP.

BACKGROUND: Angiotensin-converting enzyme inhibitors (ACEIs) were reported to protect from hypoxia-induced oxidative stress in coronary endothelial cells (CECs) after acute myocardial infarction (AMI). Nrf2 shows a protective effect in hypoxia-induced CECs after AMI. Plasmalemma vesicle-associated protein (PLVAP) plays a pivotal role in angiogenesis after AMI. AIM: To explore the protective effect of ACEIs and the involved mechanisms under hypoxia challenge. METHODS: Human coronary endothelial cells (HCAECs) were used to establish hypoxia-induced oxidative stress injury in vitro. Flow cytometry was used to evaluate the protective effect of ACEI on hypoxia conditions.ET-1, NO, ROS, and VEGF were detected by ELISA. HO-1, Nrf2, and Keap-1, the pivotal member in the Nrf2 signaling pathway, eNOS and PLVAP were detected in HEAECs treated with ACEI by immunofluorescence, qPCR, and western blotting. RESULTS: The hypoxia ACEI or Nrf2 agonist groups showed higher cell viability compared with the hypoxia control group at 24 (61.75±1.16 or 61.23±0.59 vs. 44.24±0.58, both P < 0.05) and 48 h (41.85±1.19 or 59.64±1.13 vs. 22.98±0.25, both P < 0.05). ACEI decreased the levels of ET-1 and ROS under hypoxia challenge at 24 and 48 h (all P < 0.05); ACEI increased the VEGF and NO levels (all P < 0.05). ACEI promoted the expression level of eNOS, HO-1, Nrf2 and PLVAP but inhibited Keap-1 expression at the mRNA and protein levels (all P < 0.05). Blockade of the Nrf2 signaling pathway significantly decreased the expression level of PLVAP. CONCLUSION: ACEI protects hypoxia-treated HEAECs by activating the Nrf2 signaling pathway and upregulating the expression of PLVAP.

Analytical solution and optimal design for the output performance of Galfenol cantilever energy harvester considering electromechanical coupling effect.

The theoretical model of a Galfenol cantilever energy harvester is investigated for vibration energy harvesting. Compared with the numerical solution, the analytical solution can better capture the intrinsic effects of the physical parameters on the performance of the harvester. In this work, an electromechanical coupled distributed-parameter model of the Galfenol cantilever energy harvester is established based on Hamilton's principle, linear constitutive equations of magnetostrictive material, and Faraday's law of electromagnetic induction. The definitions and expressions of the electric damping and modified frequency are proposed due to the electromechanical coupling. The explicit analytical expressions of the average harvested power across the load resistance and tip vibration displacement of the Galfenol energy harvesting model are derived using the methods of Galliakin decomposition and electromechanical decoupling. The accuracy of the derived analytical results is verified by the experimental data and numerical solutions. The vibration response and energy harvesting performance of the Galfenol energy harvesting model are investigated by varying the excitation frequency, external resistance, and excitation acceleration amplitude. The analytical results show that, with the increase of the external load resistance and excitation frequency, the harvested power increases first and then decreases, indicating the existence of the optimal resistance and excitation frequency. From the explicit analytical expressions of the average harvested power, the optimal external load resistance or excitation frequency could be easily found to achieve the maximum harvested power for any fixed excitation frequency or external load resistance. The concept of proposing the electric damping and modified frequency for the Galfenol cantilever energy harvester simplifies the solution process for the output performances benefiting from the exact relationship between the output performances and the electromechanical coupling parameter derived in this work.

Adrenal Venous Sampling Via an Antecubital Approach in Primary Aldosteronism: A Multicenter Study.

CONTEXT: Adrenal venous sampling (AVS) is considered the gold standard for differentiating unilateral and bilateral forms of primary aldosteronism. Currently, almost all AVS procedures are performed via femoral vein access. OBJECTIVE: The aim of this study was to evaluate the success rate and safety of AVS via an antecubital approach. METHODS: In a retrospective multicenter study involving 7 Chinese medical centers, patients with primary aldosteronism who underwent AVS via an antecubital approach between January 2012 and December 2018 were analyzed. Successful sampling was determined by a selectivity index (cortisol in the adrenal vein/cortisol in inferior vena cava) greater than 2. RESULTS: A total of 1226 participants (mean age, 47.1 years; 57.9% male) were included. The puncture site was right and left antecubital vein in 1211 (98.8%), and 15 (1.2%) patients. The access of 6 patients (0.5%) was changed to right femoral vein due to the failure of antecubital vein cannulation or anatomic variation of adrenal vein. The success rate of bilateral, right, and left sampling was 91.5%, 94.9%, and 95.1%, respectively. The success rate of bilateral, right, and left sampling increased from 82.9%, 87.1%, and 88.6% during the initial 70 cases (total of initial 10 cases at each center) to 92.0% (P = .012), 95.3% (P = .008), and 95.5% (P = .018) with subsequent cases. Adrenal vein rupture occurred in 5 patients (0.41%), with no sequelae. CONCLUSION: This multicenter study demonstrates that AVS via an antecubital approach is safe and feasible, with a high rate of successful sampling, which may be an alternative to the femoral vein access method.

Application of Biomass Corrosion Inhibitors in Metal Corrosion Control: A Review.

Corrosion is the process of damaging materials, and corrosion of metallic materials frequently results in serious consequences. The addition of corrosion inhibitors is the most effective means of preventing metal corrosion. Until now, researchers have made unremitting efforts in the research of high-efficiency green corrosion inhibitors, and research on biomass corrosion inhibitors in a class of environmentally friendly corrosion inhibitors is currently quite promising. This work presents the classification of green biomass corrosion inhibitors in detail, including plant-based corrosion inhibitors, amino acid corrosion inhibitors, and biosurfactant corrosion inhibitors, based on the advantages of easy preparation, environmental friendliness, high corrosion inhibition efficiency, and a wide application range of biomass corrosion inhibitors. This work also introduces the preparation methods of biomass corrosion inhibitors, including hydrolysis, enzymatic digestion, the heating reflux method, and microwave extraction. In addition, the corrosion inhibition mechanisms of green biomass corrosion inhibitors, including physical adsorption, chemisorption, and film-forming adsorption, and evaluation methods of biomass corrosion inhibitors are also explicitly described. This study provides valuable insights into the development of green corrosion inhibitors.

Self-Supplied Electron Photoelectrochemical Biosensor with PTB7-Th as a Photoelectric Material and Biotin as an Efficient Quencher.

In this work, a self-supplied electron photoelectrochemical (PEC) biosensor for sensitive determination of Pb2+ was established by utilizing donor-acceptor (D-A)-type PTB7-Th (poly{4,8-bis[5-(2-ethylhexyl) thiophen-2-yl]benzo[1,2-b,4,5-b']dithiophene-2,6-diyl-alt-3-fluoro-2-[(2-ethylhexyl)carbonyl] thieno[3,4-b]-thiophene-4,6-diyl}) as a photoelectric material coupled with biotin as an efficient signal quencher. Impressively, compared with the traditional PEC signal quenchers, biotin was first applied as a PEC signal quencher in this work and it effectively avoided a cumbersome preparation process, complex DNA sequence design, and extra reagent assistance and greatly simplified experimental steps, which could achieve an efficient PEC signal quenching toward PTB7-Th. In addition, the execution of a DNAzyme-assisted Pb2+ recycling amplification reaction could release the quencher biotin, leading to the recovery of the PEC signal, thereby realizing the quantitative detection of Pb2+. Resultantly, the submitted self-supplied electron PEC biosensor presented an extensive coverage of assay Pb2+ (50 fM to 500 nM) along with a low determination limit (16.7 fM), which exhibited the advantages of high selectivity and excellent stability. Importantly, this work provided a powerful alternative to traditional heavy metal-ion assessment methods and possessed the potential for application in environment, biomedicine, and food-safety fields.

Au NP-Decorated g-C3N4-Based Photoelectochemical Biosensor for Sensitive Mercury Ions Analysis.

Herein, an efficient and feasible photoelectrochemical (PEC) biosensor based on gold nanoparticle-decorated graphitic-like carbon nitride (Au NPs@g-C3N4) with excellent photoelectric performance was designed for the highly sensitive detection of mercury ions (Hg2+) . The proposed Au NPs@g-C3N4 was first modified on the surface of the electrode, which possessed a remarkable photocurrent conversion efficiency and could produce a strong initial photocurrent. Then, the thymine-rich DNA (S1) was immobilized on the surface of the modified electrode via Au-N bonds. Subsequently, 1-hexanethiol (HT) was added to the resultant electrode to block nonspecific binding sites. Finally, the target Hg2+ was incubated on the surface of the modified glassy carbon electrode (GCE). In the presence of target Hg2+, the thymine-Hg2+-thymine (T-Hg2+-T) structure formed due to the selective capture capability of thymine base pairs toward Hg2+, resulting in the significantly decrease of the photocurrent. Thereafter, the proposed PEC biosensor was successfully used for sensitive Hg2+ detection, as it possessed a wide linear range from 1 pM to 1000 nM with a low detection limit of 0.33 pM. Importantly, this study demonstrates a new method of detecting Hg2+ and provides a promising platform for the detection of other heavy metal ions of interest.

Digital Twins Model of Industrial Product Management and Control Based on Lightweight Deep Learning.

Digital twins (DTs) can realize the integration of information and entities. It is widely used because of its simulation characteristics and virtual reality (VR) mapping. Its application to industrial product management and control is explored. First, the concept and the functions in different stages of DTs are expounded. Second, the Workench simulation platform and SolidWorks software are applied in the design of the aluminum alloy flange according to DTs in the design stage of industrial product management and control. Third, the role of DTs in industrial product management and control is confirmed through a comparative experiment. Finally, an intelligent algorithm for the automatic identification of internal defects is designed based on lightweight deep learning to improve the efficiency of ultrasonic detection. The results show that the accuracy of the lightweight convolution neural network (CNN) is 94.1%; the model size is 2.9 MB; the network is more lightweight and has an excellent performance in ultrasonic defect detection; the nonlinear finite element analysis results and the test results are consistent. Therefore, it is proved that the finite element analysis method is reliable and helps to improve the efficiency and shorten the design cycle. The emergence of DTs provides a technical scheme for product management and control under the three-dimensional model.

An Investigation of the Properties of Expanded Polystyrene Concrete with Fibers Based on an Orthogonal Experimental Design.

Expanded polystyrene (EPS) concrete is commonly used as the core material of commercial sandwich panels (CSPs). It is environmentally friendly and lightweight but has poor strength. Adding fibers can improve the microstructure of EPS concrete and reduce the weakening effect of EPS beads on the mechanical properties of concrete. An orthogonal experimental design (OED) was used in this paper to analyze the influence of length and content of polypropylene fiber (PF), glass fiber (GF), and carbon fiber (CF) on the physical and mechanical properties and micromorphology of EPS concrete. Among them, CFs have the most apparent impact on concrete and produce the most significant improvements in all properties. According to the requirements of the flexural performance of CSPs, the splitting tensile strength was taken as the optimization index, and the predicted optimal combination (OC) of EPS concrete with fibers was selected. The variations in the material properties, mechanical properties, and microstructure with age were analyzed. The results show that with increasing age, the dry density, compressive strength, and splitting tensile strength of concrete are markedly improved relative to those of the CSP core material and the control case (CC), and even the degree of hydration is improved.

Combined metabolic, phenomic and genomic data to prioritize atrial fibrillation-related metabolites.

Metabolites in atrial fibrillation (AF) were characterized to further explore the molecular mechanisms of AF by integrating metabolic, phenomic and genomic data. Gene expression data on AF (E-GEOD-79768) were downloaded from the EMBL-EBI database, followed by identification of differentially expressed genes (DEGs) which were used to construct gene-gene network. Then, multi-omics composite networks were constructed. Subsequently, random walk with restart was expanded to a multi-omics composite network to identify and prioritize the metabolites according to the AF-related seed genes deposited in the OMIM database, the whole metabolome as candidates and the phenotype of AF. Using the interaction score among metabolites, we extracted the top 50 metabolites, and identified the top 100 co-expressed genes interacted with the top 50 metabolites. Based on the FDR <0.05, 622 DEGs were extracted. In order to demonstrate the intrinsic mode of this method, we sorted the metabolites of the composite network in descending order based on the interaction scores. The top 5 metabolites were respectively weighed potassium, sodium ion, chitin, benzo[a]pyrene-7,8-dihydrodiol-9,10-oxide, and celebrex (TN). Potassium and sodium ion possessed higher degrees in the subnetwork of the entire composite network and the co-expressed network. Metabolites such as potassium and sodium ion may provide valuable clues for early diagnostic and therapeutic targets for AF.

A systematic analysis of the association between Notch1 expression and the patients with digestive tract cancers.

AIM: Notch1 expression remains controversial on digestive tract cancers. This meta-analysis was performed to assess the clinicopathological significance of Notch1 expression in individuals with digestive tract cancers, mainly involving esophageal squamous cell carcinoma (ESCC), gastric cancer (GC), pancreatic cancer (PC) and colorectal cancer (CRC). METHODS: Available articles were searched from the online databases, and the meta-analysis was done using Review Manager software 5.3. RESULTS: 35 studies were included in this analysis (6187 samples). Notch1 is downregulated in esophageal squamous cell carcinoma (p < 0.00001), Notch1 expression at high levels was detected in GC (p = 0.02) and CRC (p < 0.001), and no significant difference exists between PC and normal tissue (p = 0.76). CONCLUSION: Notch1 overexpression in GC and CRC suggested aggressive biological behaviors, and Notch1 may be a biomarker in digestive tract cancers.

Expression Profiles of Six Atherosclerosis-Associated microRNAs That Cluster in Patients with Hyperhomocysteinemia: A Clinical Study.

The aim of this study is to discuss the hypothesis that expression of plasma atherosclerosis-associated microRNAs (miRNAs) in hyperhomocysteinemia (Hhcy) patients could predict the presence of atherosclerosis from different channels. Six plasma miRNAs (miR-145, miR-155, miR-222, miR-133, miR-217, and miR-30) selected for our study have been confirmed as critical gene regulators involved in atherosclerosis and can be steadily determined in plasma. Expression of the above six plasma circulating miRNAs revealed significant upregulation of two miRNAs (miR-133 and miR-217) and downregulation of three miRNAs (miR-145, miR-155, and miR-222). Six candidate miRNAs showed a significant correlation with homocysteine (Hcy) or lipid parameters. The results of this study indicated that miR-217 was further significantly upregulated in Hhcy + ATH groups than in normal control, Hhcy-, and atherosclerosis-alone (ATH) groups and it showed a significant negative correlation with Hcy and triglycerides. More specifically, miR-217 showed the most specific expression patterns in all patients with atherosclerosis (ATH and Hhcy + ATH groups), which may have been a diagnostic value for Hhcy complicated with atherosclerosis, and predicted the progress of atherosclerosis in Hhcy patients effectively.

[Relationship between genetic variation of furin gene and hypercholesterolemia and hyper-low-density lipoprotein cholesterolemia in Kazakh general population].

OBJECTIVE: To investigate the relationship between the genetic variation of Furin gene and the hypercholesterolemia and hyper-low-density lipoprotein cholesterolemia in Kazakh general population. METHODS: Based on a cross-sectional epidemiological study in a Kazakh general population, a case-control study including 878 subjects was conducted. All the sequence variant-located promoters and exon regions of Furin gene were identified by the direct sequencing of PCR products in 48 randomly selected hypercholesterolemic individuals (24 males and 24 females). After having genotyped the representative polymorphisms in 878 subjects by TaqMan PCR, we investigated the relationship between genetic variation of Furin and hypercholesterolemia/hyper-low-density lipoprotein cholesterolemia in these subjects. RESULTS: Twelve genetic variations in Furin gene were identified by sequencing 48 hypercholesterolemic individuals and 4 common single nucleotide polymorphisms (rs6226, rs6227, rs2071410, and rs4932178)were selected as the representatives for genotyping in these subjects. The rs6226, rs6227, rs2071410, and rs4932178 polymorphisms were successfully genotyped. The distribution of the genotypes, alleles, and haplotypes of rs6226, rs6227, rs2071410, and rs4932178 polymorphisms did not differ significantly between the hypercholesterolemia group and the control groups or between the hyper-low-density lipoprotein cholesterolemia group and the control groups (all P>0.05). The cholesterol and low-density lipoprotein cholesterol levels did not differ significantly among individuals with different genotypes (all P>0.05). CONCLUSION: The genetic variation of Furin may not be associated with hypercholesterolemia or hyper-low-density lipoprotein cholesterolemia in Kazakh general population.

[Analysis of influencing factors on circadian blood pressure of hypertensive patients with obstructive sleep apnea-hypopnea syndrome].

OBJECTIVE: To investigate the effect of obesity, arousal, hypoxia and sympathetic activation on the circadian blood pressure of hypertensive patients with obstructive sleep apnea-hypopnea syndrome. METHODS: Polysomnography (PSG) was performed in 436 hypertensive patients complaining of snoring, daytime sleepiness, lips cyanosis, hyperhemoglobinemia of unknown etiology, or with refractory hypertension. Hypertensive subjects were divided into four groups according to apnea-hypopnea index (AHI): hypertensive with mild obstructive sleep apnea-hypopnea syndrome (OSAHS) (n = 131), hypertensive with moderate OSAHS (n = 95), hypertensive with severe OSAHS (n = 95) and hypertensive without OSAHS as control group (n = 115). The ambulatory blood pressure monitoring (ABPM), PSG, urine electrolyte, and urine vanillylmandelic acid (VMA) were compared among groups. Factor analysis was employed to identify common factors related to the alterations of circadian blood pressure. Multiple linear regression analysis was used to analyze the influencing factors of the observed variables. RESULTS: There were significant differences among groups in age, neck circumference and waist circumference(P < 0.001). In severe group, 24 hour average systolic blood pressure (24 hSBP)[ (137.0 ± 16.8) mm Hg vs.(131.3 ± 11.9)mm Hg, (131.3 ± 13.2)mm Hg (1 mm Hg = 0.133 kPa)], daytime systolic blood pressure (day-SBP) [(140.8 ± 16.8) mm Hg vs. (135.7 ± 11.9) mm Hg, (135.3 ± 13.5) mm Hg]and night systolic blood pressure (night-SBP)[ (130.9 ± 17.0) mm Hg vs.(124.5 ± 14.0 )mm Hg, (124.3 ± 13.2) mm Hg] were significantly higher than those of control or mild OSAS groups (P < 0.01). Factor analysis showed that body mass (BM), life style, urine electrolyte, age and course of disease (ACD) were the common factors influencing circadian blood pressure. OSAHS was correlated with declining percentage of SBP (ß = -0.128, P < 0.01) and declining percentage of DBP (ß = -0.126, P < 0.01). The contribution according to priority was ACD > OSAHS > BM for declining percentage of SBP (ß = -0.148, P = 0.002;ß = -0.128, P = 0.007;ß = 0.099, P = 0.035), OSAHS > ACD > BM for declining percentage of DBP(ß = -0.126, P = 0.008;ß = -0.105, P = 0.026;ß = 0.097, P = 0.042). CONCLUSION: OSAHS, ACD and BM are the independent risk factors contributing to the alterations of circadian blood pressure in hypertensive patients with obstructive sleep apnea-hypopnea syndrome.

[Association study of PRDM16 gene polymorphisms with essential hypertension in Xinjiang Uygur population].

OBJECTIVE: To assess the association of polymorphisms of PR domain containing 16 gene (PRDM16) with essential hypertension in ethnic Uygur population from Xinjiang, China. METHODS: Functional regions of the PRDM16 gene were sequenced in 48 Uygur subjects with essential hypertension selected from 480 hypertensive patients and 819 normotensive controls. Representative variations were genotyped with TaqMan-PCR method. Association of variations of PRDM16 gene with hypertension was analyzed. RESULTS: For the 4 genotyped representative variations (rs2236518, rs2282198, rs2493292 and rs870171), no significant difference in genotype distribution and allele frequencies has been found between the patient and control groups (P>0.05). By ANOVA analysis, none of the polymorphisms was significantly associated with systolic or diastolic blood pressure (P>0.05). Nor was significant difference in haplotypic frequencies between the two groups detected (P>0.05). CONCLUSION: We have found no association between the four polymorphisms (rs2236518, rs2282198, rs2493292 and rs870171) of the PRDM16 gene with essential hypertension in ethnic Uygur population from Xinjiang.

Genetic polymorphism of six transmembrane protein of prostate 2 associated with diabetes mellitus in Xinjiang Uygur population.

OBJECTIVE: To investigate the association between the genetic variations of six transmembrane protein of prostate 2 (STAMP2) with type 2 diabetes mellitus (T2DM) in Xinjiang Uygur population. METHODS: A case-control study was conducted based on epidemiological investigation. A total of 1838 Uygur subjects were selected and divided into two groups: T2DM group (n=274) and control group (n=1564). All exons, flanking introns, and the promoter regions of STAMP2 gene were sequenced in 48 Uygur Xinjiang population with diabetes. Representative variations selected were genotyped by TaqMan-PCR method in all individuals. RESULTS: Ten novel and 6 known variations in the STAMP2 gene were identified. The distribution of genotype rs8122 significantly differed between T2DM group and control group (P=0.05), whereas the distribution of genotypes rs1981529 and rs34741656 showed no such difference. The fasting insulin in the total cohort and homeostasis model of assessment index in females showed significant difference between these two groups (P<0.05), while the adjusted P value showed no statistical significance (P>0.05). In the male population, the different genotypes of rs8122 variation of STAMP2 gene were not significantly different (P>0.05). CONCLUSION: Three polymorphisms (rs8122, rs1981529 and rs34741656) of STAMP2 gene may be not related with T2DM in Xinjiang Uygur population.

Ethnic disparities in the clustering of risk factors for cardiovascular disease among the Kazakh, Uygur, Mongolian and Han populations of Xinjiang: a cross-sectional study.

BACKGROUND: Chinese Uygur, Kazakh, Mongolian and Han populations represent >90% of the total population of Xinjiang Uygur Autonomous Region, and their genetic backgrounds, customs, culture, and food consumption are different. The effect of ethnic differences on cardiovascular disease risk factors (CRFs; hypertension, obesity, diabetes, dyslipidemia, smoking) can be striking but is rarely studied. We report here the findings of the relationship among these ethnic groups and their CRFs across the four largest ethnic groups of Xinjiang. METHODS: A cross-sectional survey of representative samples was conducted 2002-2008 in Chinese Uygur, Kazakh, Mongolian and Han populations (age >30 years; 4,421 Kazakh, 3884 Han, 3,218 Uygur, and 892 Mongolian individuals) in Xinjiang. RESULTS: A total of 90.4% of Kazakh, 91.9% of Uygur, 90.4% of Mongolian, 85.1% of Han individuals had at least one CRF. Clustering of ≥2 or ≥3 of these risk factors was noted in 65.2% or 32.1% of Kazakh, 64.8% or 33.0% of Uygur, 66.9% or 36.5% of Mongolian as well as 62.0% or 28.3% of Han subjects, respectively. Compared with the Han population, the adjusted odds ratios of ≥1, ≥2, and ≥3 CRFs for Kazakh, Uygur and Mongolian populations were higher (all P<0.001). The age-standardized prevalence of the clustering of ≥1, ≥2, and ≥3 CRFs in Kazakh, Uygur, Mongolian, and Han populations was lower than their counterparts in the NHANES Ш study (USA) but higher than in the InterASIA Study (China). CONCLUSIONS: Ethnic groups living in Xinjiang had striking differences in CRFs. Ethnic-specific strategies should be developed to prevent cardiovascular disease in different ethnic groups.

Influence of age on the association of GIRK4 with metabolic syndrome.

BACKGROUND: G protein-coupled inward rectifier K+ channel 4 (GIRK4) gene expressions have been implicated in the development of obesity, a key feature of metabolic syndrome (MetS). We investigated whether sequence variants of GIRK4 may represent metabolic risk factors for the Uygur Chinese population. METHODS: The entire GIRK4 gene, including all exons, the promoter and untranslated regions from 48 MetS individuals, was studied in order to identify genetic variations associated with the disorder. Targeted genotyping of four common single nucleotide polymorphisms (SNPs: rs11221497, rs6590357, rs4937391 and rs2604204) and one novel missense mutation (M210I) was performed using the TaqMan polymerase chain reaction method for 443 MetS and 786 non-MetS subjects. RESULTS: When all MetS cases were compared against all non-MetS controls, no significant association was found between the three SNPs (rs2604204, rs4937391 and rs6590357) and MetS status or metabolic traits. After adjustment, rs11221497 was associated with MetS (odds ratio (OR) [95% CI]=0.731 [0.551-0.968], P=0.029). Interestingly, when the MetS group was stratified into subclasses by age, an association was found for the three SNPs (rs2604204, rs4937391 and rs6590357) having estimated false discovery rates<0.001 and age of <50 y. After adjustment, the SNPs rs2604204, rs4937391 and rs6590357 were also associated with MetS in younger subjects: ORs [95% CI]: 1.678 [1.149-2.450], 1.839 [1.204-2.809] and 0.602 [0.379-0.958], respectively. All of the four SNPs showed a trend towards lower or higher metabolic traits (P<0.05) in younger subjects. In addition, a newly identified missense mutation (M210I) was not specifically related with MetS. CONCLUSIONS: GIRK4 sequence variants appear to associate with MetS in the Uygurian population, and this association may be influenced by age.

[Impact of body mass index on incidence of obstructive sleep apnea-hypopnea syndrome in hospitalized hypertensive patients].

OBJECTIVE: To investigate the impact of obesity on incidence of obstructive sleep apnea-hypopnea syndrome (OSAHS) in hospitalized hypertensive patients. METHODS: A total of 825 hospitalized hypertensive patients from April 1 to June 30 in 2009 in our hospital were included. Patients were asked to answer the questions concerning snoring, daytime sleepiness. Patients with loud snoring and daytime sleepiness, tubbiness neck, retrognathia, enlarged tongue, orolingual cyanosis were selected to undergo polysomnography monitoring for a whole night. OSAHS is defined by clinical symptoms and apnea-hypopnea index (AHI) not less than 5 per hour. RESULTS: (1) The detection rate of OSAHS in this cohort was 23.52% (178/825), 34.34% (148/431) in males and 11.68% (46/394) in females respectively. (2) The detection rate was 6.6% (12/183) in normal weight subjects, 22.22% (78/351) in overweight subjects and 36.75% (104/283) in obesity subjects (χ(2) = 56.736, P < 0.01). The severe OSAHS rate in obesity group (16.61%) was significantly higher than that in normal weight group (2.19%) and overweight group (7.69%, χ(2) = 29.219, P < 0.01). (3) The OSAHS rate was 7.83% (9/115) in normal waist circumference group and 26.29% (184/700) in centricity obesity group (χ(2) = 18.623, P < 0.01). The severe OSAHS rate was 2.61% (3/115) in normal waist circumference group and 10.57% (74/700) in centricity obesity (χ(2) = 7.32, P < 0.01). (4) The moderate to severe OSAHS rate increased in proportion with BMI increase in female patients (χ(2) = 5.846, P < 0.05) and increased in proportion with BMI and waist circumference increase in male patients (P < 0.01). CONCLUSIONS: The incidence of OSAHS in hypertensive patients is high. Obesity further increases the morbidity of OSAHS in hypertensive patients.