SUMMARY OBJECTIVE: The objective of this study was to investigate factors influencing intrapartum fever in parturients receiving epidural labor analgesia. METHODS: This study included 410 parturients who received epidural labor analgesia at the authors’ hospital between February 2022 and February 2024. Participants were divided into a fever group (>37.5℃) and a control group (<37.5℃) based on their body temperature post-analgesia. General data, gestational comorbidities, and intrapartum-related conditions were compared. Influencing factors were analyzed using the chi-squared test and logistic regression. RESULTS: Intrapartum fever occurred in 90 parturients (22.0%). Univariate analysis indicated that maternal age (p=0.046), parity (p=0.042), oxytocin use (p=0.041), and timing of analgesia (p<0.001) were associated with intrapartum fever. Multivariate analysis revealed that the timing of analgesia (OR 3.612, 95%CI 1.533–8.510) and amniotic fluid contamination degrees I (OR 1.072, 95%CI 1.012–3.082) and II (OR 2.874, 95%CI 1.901–9.092) were independent risk factors. No significant differences were found between the fever and control groups in body mass index, gestational age, gestational comorbidities, and artificial membrane rupture (p>0.05). Intrapartum fever increased the rate of neonatal fever within 2 h after birth (41.7 vs 18.6%, p<0.05) but did not significantly affect other neonatal health indicators. CONCLUSION: Timing of analgesia and amniotic fluid contamination are significant factors influencing intrapartum fever in parturients receiving epidural labor analgesia. OBJECTIVE METHODS 41 authors 202 2024 >37.5℃ 375 37 5 (>37.5℃ <37.5℃ (<37.5℃ postanalgesia. postanalgesia post post-analgesia data comorbidities intrapartumrelated related compared chisquared chi squared regression RESULTS 9 22.0%. 220 22.0% . 22 0 (22.0%) p=0.046, p0046 p p=0.046 , 046 (p=0.046) p=0.042, p0042 p=0.042 042 (p=0.042) p=0.041, p0041 p=0.041 041 (p=0.041) p<0.001 p0001 001 (p<0.001 OR 3612 3 612 3.612 95CI CI 95 1.533–8.510 15338510 1 533 8 510 1072 072 1.072 1.012–3.082 10123082 012 082 2874 874 2.874 1.901–9.092 19019092 901 092 index p>0.05. p005 p>0.05 05 (p>0.05) 41.7 417 7 (41. 186 18 6 18.6% p<0.05 indicators CONCLUSION 4 20 >37.5 (>37.5 <37.5 (<37.5 22.0 (22.0% p004 p=0.04 04 (p=0.046 (p=0.042 (p=0.041 p<0.00 p000 00 (p<0.00 361 61 3.61 1.533–8.51 1533851 53 51 107 07 1.07 1.012–3.08 1012308 01 08 287 87 2.87 1.901–9.09 1901909 09 p00 p>0.0 (p>0.05 41. (41 18.6 p<0.0 >37. (>37. <37. (<37. 22. (22.0 p=0.0 (p=0.04 (p<0.0 36 3.6 1.533–8.5 153385 10 1.0 1.012–3.0 101230 28 2.8 1.901–9.0 190190 p0 p>0. (p>0.0 (4 18. p<0. >37 (>37 <37 (<37 (22. p=0. (p=0.0 (p<0. 3. 1.533–8. 15338 1. 1.012–3. 10123 2. 1.901–9. 19019 p>0 (p>0. ( p<0 >3 (>3 <3 (<3 (22 p=0 (p=0. (p<0 1.533–8 1533 1.012–3 1012 1.901–9 1901 p> (p>0 p< > (> < (< (2 p= (p=0 (p< 1.533– 153 1.012– 101 1.901– 190 (p> (p= (p 1.533 15 1.012 1.901 19 1.53 1.01 1.90 1.5 1.9

SUMMARY OBJECTIVE: This study aimed to investigate the factors associated with behavioral problems in children with congenital pseudarthrosis of the tibia. METHODS: Random sampling is utilized to obtain a sample of 90 patients. The behavioral problems of the patients are detected by Achenbach Children's Behavior Scale. Parental emotional problems are investigated by the Self-Rating Depression Scale and Self-Rating Anxiety Scale. RESULTS: The results demonstrate that the detection rate of behavioral problems in children with congenital pseudarthrosis of the tibia is 53.3% (48/90). Among these behavioral problems, an abnormal rate is higher in the four dimensions: thinking, violation of discipline, social interaction, and aggression. The anxiety and depression scores of caregivers are statistically higher in the abnormal group than in the normal group. The results of the multivariate analysis show that the anxiety degree of the parents had a significant impact on the behavior of the children. CONCLUSIONS: Children with congenital pseudarthrosis of the tibia are facing the issues of high rates of behavioral problems. Parents of children with congenital pseudarthrosis of the tibia had higher levels of anxiety and depression than parents of normal children. The anxiety and depressive state of mind of parents or caregivers had a significant impact on the behavior of children with congenital pseudarthrosis of the tibia.

Abstract Blumea balsamifera (L.) DC., a medicinal plant with high economic value in the Asteraceae family, is widely distributed in China and Southeast Asia. However, studies on the population structure or phylogenetic relationships with other related species are rare owing to the lack of genome information. In this study, through high-throughput sequencing, we found that the chloroplast genome of B. balsamifera was 151,170 bp in length, with a pair of inverted repeat regions (IRa and IRb) comprising 24,982 bp, a large single-copy (LSC) region comprising 82,740 bp, and a small single-copy (SSC) region comprising 18,466 bp. A total of 130 genes were identified in the chloroplast genome of B. balsamifera, including 85 protein-coding, 37 transfer RNA, and 8 ribosomal RNA genes; furthermore, sequence analysis identified 53 simple sequence repeats. Whole chloroplast genome comparison indicated that the inverted regions (IR) were more conserved than large single-copy and SSC regions. Phylogenetic analysis showed that B. balsamifera is closely related to Pluchea indica. Conclusively, the chloroplast genome of B. balsamifera was helpful for species identification and analysis of the genetic diversity and evolution in the genus Blumea and family Asteraceae.