Résumé: Jusqu’à présent, le développement humain a eu pour corolaire la destruction des paysages culturels. Avec le développement de la civilisation industrielle, les gens ne profitent pas seulement du bonheur qu’elle leur apporte, mais sont également confrontés à divers problèmes liés aux paysages culturels. La philosophie de l’environnement est une philosophie moderne qui considère la relation entre l’homme et la nature comme une question fondamentale, et qui met l’accent sur la protection des paysages culturels. L’analyse de la philosophie environnementale de la Chine ancienne montre que les anciens penseurs se souciaient de tout ce qui se trouve au ciel et sur la terre et qu’ils exploraient en profondeur des questions telles que le développement harmonieux entre l’homme et la nature, offrant ainsi une nouvelle approche de la protection des paysages culturels chinois. Prenant l’exemple de la philosophie environnementale taoïste, cet article propose une analyse préliminaire de la définition des paysages culturels, du développement de la philosophie environnementale et de la philosophie environnementale taoïste. Partant de là, il explore le rôle de la philosophie environnementale telle que “l’unité du ciel et de l’homme” dans la construction de la civilisation écologique, apportant ainsi de nouvelles idées pour la protection des paysages culturels. Résumé Jusquà Jusqu présent industrielle quelle qu elle apporte lenvironnement l environnement lhomme homme fondamentale laccent accent Lanalyse L quils ils chinois lexemple exemple taoïste là lunité unité écologique

Abstract: Thus far, human development has been achieved at the cost of the destruction of cultural landscapes. With advent of industrial civilization, people have gained happiness and conveniences, but also confronted various cultural landscape predicaments. Environmental philosophy, a contemporary philosophy that regards the relationship between humans and nature as a fundamental issue, has focused on the protection of cultural landscapes. An analysis of ancient Chinese environmental philosophy demonstrates that ancient thinkers cared about everything in heaven and earth, and explored issues, such as a harmonious development between humans and nature, offering a novel approach to the preservation of Chinese cultural landscapes. Using Taoist environmental philosophy as an exemplar, this article provides a preliminary analysis of the definition of cultural landscapes, development of environmental philosophy and Taoist environmental philosophy. Building upon this foundation, it explores the role of environmental philosophies, such as “unity of heaven and man” in construction of ecological civilization, providing fresh perspectives for cultural landscape conservation. Abstract far landscapes civilization conveniences predicaments issue earth issues exemplar foundation philosophies unity man conservation

This study aimed to analyze the safety and applicability of a 90-min duration of infusion (SDI) of obinutuzumab in patients with B-cell non-Hodgkin's lymphoma (NHL) in a tertiary hospital in China. This exploratory clinical trial was performed at Jiangsu Province Hospital. All patients were treated with the standard infusion regimen for the first infusion. If no grade ≥3 infusion-related reactions (IRRs) occurred, the subsequent infusions were given as SDI. The primary endpoint was the incidence of IRR during the standard infusion (3-4 h) and 90-min SDI regimens. This study enrolled 208 patients and all completed cycle 1. Forty-one patients (19.71%) had IRRs: five (2.40%) with grade 1, twenty-eight (13.46%) with grade 2, and eight (3.85%) with grade 3. The 41 patients had 71 IRRs, mainly fever (40.85%), chest pain/tightness (12.68%), and dyspnea (9.86%). The occurrence of IRRs in the first infusion was significantly lower in patients who received oral acetaminophen prophylaxis than those who did not (10.72% vs 30.21%, P<0.001). For the subsequent cycles with 90-min SDI, only two (0.25%) IRRs occurred among 814 infusions (one grade 1 hand numbness and one grade 2 chill/fever). The 90-min obinutuzumab SDI might be safe and feasible in patients with B-cell NHL in China. 90min min 90 (SDI Bcell B cell nonHodgkins non Hodgkin s (NHL China Hospital 3 ≥ infusionrelated related (IRRs 34 4 (3- h regimens 20 Fortyone Forty 19.71% 1971 19 (19.71% 2.40% 240 40 (2.40% twentyeight twenty 13.46% 1346 13 46 (13.46% 3.85% 385 85 (3.85% 7 40.85%, 4085 40.85% , (40.85%) paintightness pain tightness 12.68%, 1268 12.68% 12 68 (12.68%) 9.86%. 986 9.86% . 9 86 (9.86%) 10.72% 1072 10 72 (10.72 3021 30 21 30.21% P<0.001. P0001 P P<0.001 0 001 P<0.001) 0.25% 025 25 (0.25% 81 chill/fever. chillfever chill/fever chill chill/fever) (3 19.71 197 (19.71 2.40 24 (2.40 13.46 134 (13.46 3.85 38 8 (3.85 408 40.85 (40.85% 126 12.68 6 (12.68% 98 9.86 (9.86% 10.72 107 (10.7 302 30.21 P000 P<0.00 00 0.25 02 (0.25 ( 19.7 (19.7 2.4 (2.4 13.4 (13.4 3.8 (3.8 40.8 (40.85 12.6 (12.68 9.8 (9.86 10.7 (10. 30.2 P00 P<0.0 0.2 (0.2 19. (19. 2. (2. 13. (13. (3. 40. (40.8 12. (12.6 9. (9.8 10. (10 30. P0 P<0. 0. (0. (19 (2 (13 (40. (12. (9. (1 P<0 (0 (40 (12 (9 P< (4

ABSTRACT Coal gangue occupies substantial land resources. Using coal gangue as reinforcement fill material is an effective utilization method. The characteristics of the soil-reinforcement interface influence the safety and stability. Large-scale direct shear tests were conducted to study the interface characteristics of coal gangue with polypropylene woven geotextile, welded steel-plastic geogrid, and high-density polyethylene uniaxial geogrid. The tests revealed that the shear stress-shear displacement relationship is nonlinear and positively correlated with normal stress, with the breakage of burnt coal gangue particles observed during the process. The maximum shear stress and shear strength index of the interface for the three geosynthetics reinforced coal gangue are in the order of uniaxial high-density polyethylene (HDPE) geogrid showing the highest reinforcement strength, followed by the welded steel-plastic geogrid, with the polypropylene woven geotextile having the lowest strength. After HDPE geogrid reinforcement, interface friction angle slightly changes, but cohesion significantly increases, with an increase of 1156.9%. Considering the interface interactions, among the three geosynthetic materials, HDPE geogrid exhibits the most effective reinforcement effect on coal gangue, followed by the welded steel-plastic geogrid. The geotextile shows the least effectiveness in reinforcing burnt coal gangue. For reinforced coal gangue projects, HDPE geogrid is recommended as the reinforcing material. resources method soilreinforcement soil stability Largescale Large scale steelplastic steel plastic highdensity high density stressshear process (HDPE changes increases 11569 1156 9 1156.9% interactions materials projects 115 1156.9 11 1156. 1

Abstract Background The underlying mechanism of chronic pain involves the plasticity in synaptic receptors and neurotransmitters. This study aimed to investigate potential roles of Neuroligins (NLs) within the spinal dorsal horn of rats in a newly established Bone Cancer Pain (BCP) model. The objective was to explore the mechanism of neuroligin involved in the occurrence and development of bone cancer pain. Methods Using our rat BCP model, we assessed pain hypersensitivity over time. Quantitative real-time polymerase chain reaction and Western blot analysis were performed to investigate NL expression, and NLs were overexpressed in the rat spinal cord using lentiviral vectors. Immunofluorescence staining and whole-cell patch-clamp recordings were deployed to investigate the role of NLs in the development of BCP. Results We observed reduced expression levels of NL1 and NL2, but not of NL3, within the rat spinal cord, which were found to be associated with and essential for the development of BCP in our model. Accordingly, NL1 or NL2 overexpression in the spinal cord alleviated mechanical hypersensitivity of rats. Electrophysiological experiments indicated that NL1 and NL2 are involved in BCP via regulating γ-aminobutyric acid-ergic interneuronal synapses and the activity of glutamatergic interneuronal synapses, respectively. Conclusions Our observations unravel the role of NLs in cancer-related chronic pain and further suggest that inhibitory mechanisms are central features of BCP in the spinal dorsal horn. These results provide a new perspective and basis for subsequent studies elucidating the onset and progression of BCP. neurotransmitters (NLs (BCP model time realtime real vectors wholecell whole cell patchclamp patch clamp NL3 Accordingly γaminobutyric γ aminobutyric acidergic acid ergic respectively cancerrelated related

Abstract Despite the record speed of developing vaccines and therapeutics against the SARS-CoV-2 virus, it is not a given that such success can be secured in future pandemics. In addition, COVID-19 vaccination and application of therapeutics remain low in developing countries. Rapid and low cost mass production of antiviral IgY antibodies could be an attractive alternative or complementary option for vaccine and therapeutic development. In this article, we rapidly produced SARS-CoV-2 antigens, immunized hens and purified IgY antibodies in 2 months after the SARS-CoV-2 gene sequence became public. We further demonstrated that the IgY antibodies competitively block RBD binding to ACE2, neutralize authentic SARS-CoV-2 virus and effectively protect hamsters from SARS-CoV-2 challenge by preventing weight loss and lung pathology, representing the first comprehensive study with IgY antibodies. The process of mass production can be easily implemented in most developing countries and hence could become a new vital option in our toolbox for combating viral pandemics. This study could stimulate further studies, optimization and potential applications of IgY antibodies as therapeutics and prophylactics for human and animals.

Abstract Background As a common disabling disease, irreversible neuronal death due to spinal cord injury (SCI) is the root cause of functional impairment; however, the capacity for neuronal regeneration in the developing spinal cord tissue is limited. Therefore, there is an urgent need to investigate how defective neurons can be replenished and functionally integrated by neural regeneration; the reprogramming of intrinsic cells into functional neurons may represent an ideal solution. Methods A mouse model of transection SCI was prepared by forceps clamping, and an adeno-associated virus (AAV) carrying the transcription factors NeuroD1 and Neurogenin-2(Ngn2) was injected in situ into the spinal cord to specifically overexpress these transcription factors in astrocytes close to the injury site. 5-bromo-2´-deoxyuridine (BrdU) was subsequently injected intraperitoneally to continuously track cell regeneration, neuroblasts and immature neurons marker expression, neuronal regeneration, and glial scar regeneration. In addition, immunoprotein blotting was used to measure the levels of transforming growth factor-β (TGF-β) pathway-related protein expression. We also evaluated motor function, sensory function, and the integrity of the blood-spinal cord barrier(BSCB). Results The in situ overexpression of NeuroD1 and Ngn2 in the spinal cord was achieved by specific AAV vectors. This intervention led to a significant increase in cell regeneration and the proportion of cells with neuroblasts and immature neurons cell properties at the injury site(p < 0.0001). Immunofluorescence staining identified astrocytes with neuroblasts and immature neurons cell properties at the site of injury while neuronal marker-specific staining revealed an increased number of mature astrocytes at the injury site. Behavioral assessments showed that the intervention did not improve The BMS (Basso mouse scale) score (p = 0.0726) and gait (p > 0.05), although the treated mice had more sensory sensitivity and greater voluntary motor ability in open field than the non-intervention mice. We observed significant repair of the BSCB at the center of the injury site (p < 0.0001) and a significant improvement in glial scar proliferation. Electrophysiological assessments revealed a significant improvement in spinal nerve conduction (p < 0.0001) while immunostaining revealed that the levels of TGF-β protein at the site of injury in the intervention group were lower than control group (p = 0.0034); in addition, P70 s6 and PP2A related to the TGF-β pathway showed ascending trend (p = 0.0036, p = 0.0152 respectively). Conclusions The in situ overexpression of NeuroD1 and Ngn2 in the spinal cord after spinal cord injury can reprogram astrocytes into neurons and significantly enhance cell regeneration at the injury site. The reprogramming of astrocytes can lead to tissue repair, thus improving the reduced threshold and increasing voluntary movements. This strategy can also improve the integrity of the blood-spinal cord barrier and enhance nerve conduction function. However, the simple reprogramming of astrocytes cannot lead to significant improvements in the striding function of the lower limbs.

Abstract Introduction: Propofol is a widely used anesthetic and its dose is closely related to aging. Telomere length (TL) is a unique heritable trait, and emerging as a biomarker of aging, health and disease. Telomerase RNA component (TERC) plays an important role in maintaining TL. We proposed a hypothesis that propofol dose in general anesthesia can be predicted by measuring TL before operation, which greatly reduced the risk of anesthesia, especially the elderly. Methods: The association between the propofol dose in anesthesia induction and: TL in the DNA of peripheral blood leukocytes; body weight; sex; difference of the Bispectral Index (BIS) before and after anesthesia induction in patients was evaluated by multivariable linear regression analyses. The mutation at the 5’end or 3’end of TERC was detected. We recruited 100 patients of elective surgery. Results: We found that propofol dose in anesthesia induction was clearly correlated significantly with TL (r = 0.78, p < 0.001), body weight (r = 0.84, p = 0.004), sex (r = 0.83, p= 0.84, p = 0.004), sex (r = 0.83, p = 0.004), and difference of BIS before and after anesthesia induction (r = 0.85, p = 0.029). By comparing the absolute values of standardized regression coefficients (0.58, 0.21, 0.19, and 0.12) of the four variables, it can be seen that TL contributes the most to the propofol dose in anesthesia induction. However, the mutation at the 5’ end or 3’ end of TERC was not found. Conclusions: These findings provide preliminary evidence that the propofol dose in anesthesia induction was clearly correlated with genetically determined TL. TL may be a promising predictor of the propofol dose, which is beneficial to improve the safety of anesthesia and reduce perioperative complications. Introduction aging (TL trait disease (TERC operation elderly Methods leukocytes (BIS analyses 5end 5 3end 3 detected 10 surgery Results r 078 0 78 0.78 0.001, 0001 0.001 , 001 0.001) 084 84 0.84 0.004, 0004 0.004 004 0.004) 083 83 0.83 085 85 0.85 0.029. 0029 0.029 . 029 0.029) 0.58, 058 58 (0.58 021 21 0.21 019 19 0.19 0.12 012 12 variables However Conclusions complications 1 07 7 0.7 000 0.00 00 08 8 0.8 002 0.02 02 0.58 05 (0.5 2 0.2 01 0.1 0. 0.0 0.5 (0. (0 (

Abstract Background Oxidative stress is strongly associated with cellular senescence. Numerous studies have indicated that microRNAs (miRNAs) play a critical part in cellular senescence. MiR-181a was reported to induce cellular senescence, however, the potential mechanism of miR-181a in hydrogen peroxide (H2O2)-induced cellular senescence remains obscure. Objective The aim of this study is to investigate the role and regulatory mechanism of miR-181a in H2O2-induced cellular senescence. Methods Human foreskin fibroblasts (HFF) transfected with miR-181a inhibitor/miR-NC with or without H2O2 treatment were divided into four groups: control + miR-NC/miR-181a inhibitor, H2O2 + miR-NC/miR-181a inhibitor. CCK-8 assay was utilized to evaluate the viability of HFF. RT-qPCR was used to measure the expression of miR-181a and its target genes. Protein levels of protein disulfide isomerase family A member 6 (PDIA6) and senescence markers were assessed by western blotting. Senescence-associated β-galactosidase (SA-β-gal) staining was applied for detecting SA-β-gal activity. The activities of SOD, GPx, and CAT were detected by corresponding assay kits. The binding relation between PDIA6 and miR-181a was identified by luciferase reporter assay. Results MiR-181a inhibition suppressed H2O2-induced oxidative stress and cellular senescence in HFF. PDIA6 was targeted by miR-181a and lowly expressed in H2O2-treated HFF. Knocking down PDIA6 reversed miR-181a inhibition-mediated suppressive impact on H2O2-induced oxidative stress and cellular senescence in HFF. Study limitations Signaling pathways that might be mediated by miR-181a/PDIA6 axis were not investigated. Conclusion Downregulated miR-181a attenuates H2O2-induced oxidative stress and cellular senescence in HFF by targeting PDIA6. miRNAs (miRNAs MiR181a MiRa MiR 181a however miR181a miRa miR H2O2induced HOinduced induced H O obscure (HFF inhibitor/miRNC inhibitormiRNC inhibitor/miR NC inhibitor HO H2O groups miRNC/miR181a miRNCmiR181a miRNCmiRa NC/miR CCK8 CCK 8 CCK- RTqPCR RT qPCR genes PDIA (PDIA6 blotting Senescenceassociated Senescence βgalactosidase β galactosidase SAβgal SA gal (SA-β-gal activity SOD GPx kits H2O2treated HOtreated treated inhibitionmediated miR181a/PDIA6 miR181aPDIA6 miRaPDIA 181a/PDIA6 miR-181a/PDIA investigated miRNC inhibitormiR miRNCmiR NCmiR (PDIA miR181a/PDIA aPDIA miR181aPDIA 181aPDIA6 181a/PDIA 181aPDIA

Abstract Long non-coding RNA AK001796 was initially identified altered in lung cancer. Recent research showed it could participate in the prognosis of hepatocellular carcinoma (HCC). However, the general biological role of AK001796 and its underlying mechanisms in HCC remain unclear. Here we demonstrated that the expression level of AK001796 in HCC tissues and cell lines was up-regulated. Silencing AK001796 suppressed the proliferation ability of HCC cells. Through dual luciferase reporter assays and loss/gain of functions studies, we identified that AK001796 could bind to miR-150, a star microRNA, promoting HCC proliferation. Furthermore, it was reported that growth factor receptor binding protein 2-associated binder 1 (GAB1) is a target gene of miR-150. Owing to AK001796 being a decoy for miR-150 and binding the same putative sites of miR-150 as GAB1, we presented that inhibition of miR-150 in AK001796 silencing cells reversed the reduction in GAB1. Subsequently, our findings demonstrated that silencing AK001796 can impair phospho-ERK1/2 and phospho-AKT. In conclusion, our investigation revealed that AK001796 promoted proliferation by enhancing phospho-ERK1/2 and phospho-AKT through AK001796/miR-150/GAB1 axis in HCC. These results provided further evidence for the critical roles of AK001796 accumulating HCC and suggested that AK001796 might act as an HCC biomarker in clinical treatment. noncoding non coding AK AK00179 cancer . (HCC) However unclear upregulated. upregulated up regulated. regulated up-regulated lossgain loss gain studies miR150, miR150 miR 150, 150 microRNA Furthermore 2associated associated 2 GAB1 GAB (GAB1 miR150. 150. miR-15 Subsequently phosphoERK1/2 phosphoERK12 phosphoERK phospho ERK1/2 ERK1 ERK phospho-ERK1/ phosphoAKT. phosphoAKT AKT. AKT conclusion AK001796/miR150/GAB1 AK001796miR150GAB1 AKmiRGAB AK001796/miR 150/GAB1 AK001796/miR-150/GAB treatment AK0017 (HCC miR15 15 (GAB miR-1 phosphoERK1 phosphoERK1/ ERK12 ERK1/ phospho-ERK1 AK001796/miR150/GAB AK001796miR150GAB AK001796miR AKmiR 150GAB1 150/GAB AK001 miR1 miR- phospho-ERK 150GAB AK00 AK0

RESUMO Introdução: A preparação física do atleta é a base para melhorar suas habilidades no vôlei e o treinamento físico pode ter um papel essencial em todo o processo no treino dos jogadores de voleibol resultando na melhora do nível de função física dos jogadores de vôlei e alterar a estrutura da conformação corporal. Objetivo: Analisar os efeitos do treinamento físico na qualidade geral dos jogadores de voleibol. Métodos: Vários jogadores de voleibol foram selecionados aleatoriamente e submetidos a dois meses de treinamento físico embasado na literatura da teoria científica. Foram utilizadas estatísticas matemáticas para analisar os indicadores de aptidão física e desempenho dos jogadores de voleibol antes e depois do treinamento físico. Resultados: A aptidão física dos jogadores de vôlei foi significativamente aprimorada após dois meses de treinamento físico (P<0,05). O desempenho dos jogadores de voleibol melhorou após o treinamento físico (P<0,05). Conclusão: A agilidade física dos jogadores de voleibol é aprimorada quando submetida ao treinamento físico sistemático. Após o treinamento físico, a qualidade da velocidade dos jogadores de voleibol pode ser significativamente melhorada. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

ABSTRACT Introduction: Athletes’ physical fitness is the basis for improving their volleyball skills, and physical training can play an essential role in the whole process of training volleyball players resulting in improving the level of physical function of volleyball players and changing the structure of body conformation. Objective: Analyze the effects of physical training on the overall quality of volleyball players. Methods: Several volleyball players were randomly selected and submitted to two months of physical training based on scientific theory literature. We used mathematical statistics to analyze the fitness and performance indicators of volleyball players before and after physical training. Results: The physical fitness of volleyball players was significantly improved after two months of physical training (P<0.05). The performance of volleyball players improved after physical training (P<0.05). Conclusion: Physical agility of volleyball players is improved when submitted to systematic physical training. After physical training, the velocity quality of volleyball players can be significantly improved. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMEN Introducción: La condición física del deportista es la base para mejorar sus habilidades en el voleibol y el entrenamiento físico puede desempeñar un papel esencial en todo el proceso de formación de los jugadores de voleibol, lo que resulta en la mejora del nivel de la función física de los jugadores de voleibol y el cambio de la estructura de la conformación del cuerpo. Objetivo: Analizar los efectos del entrenamiento físico en la calidad general de los jugadores de voleibol. Métodos: Se seleccionaron aleatoriamente varios jugadores de voleibol y se los sometió a dos meses de entrenamiento físico basado en la literatura teórica científica. Se utilizó la estadística matemática para analizar la aptitud física y los indicadores de rendimiento de los jugadores de voleibol antes y después del entrenamiento físico. Resultados: La aptitud física de los jugadores de voleibol mejoró significativamente tras dos meses de entrenamiento físico (P<0,05). El rendimiento de los jugadores de voleibol mejoró tras el entrenamiento físico (P<0,05). Conclusión: La agilidad física de los jugadores de voleibol mejora cuando se los somete a un entrenamiento físico sistemático. Tras el entrenamiento físico, la calidad de la velocidad de los jugadores de voleibol puede mejorar considerablemente. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Abstract Objectives: Lung cancer was one of the most common malignancies around the world. It has great significance in to search for the mechanism of occurrence and development of lung cancer. LIM Domain Binding protein 2 (LDB2) belongs to the LIM-domain binding family, it can be used as a binding protein that combined with other transcription factors to form the transcription complex for regulating the expression of target genes. The expression of microRNA-96-5p (miR-96-5p) has been investigated in various tumors. The aim of this study is to investigate the potential role of LDB2 and miR-96-5p in lung cancer. Methods: Real-time quantitative PCR was applied to detect the expression of LDB2 and miR-96-5p. The proliferation, invasion, and metastasis of H1299 cells were analyzed by CCK8, transwell, and wound healing assay after LDB2 or miR-96-5p transfection. Luciferase activities assay and western blot were used to reveal the targeted regulation between LDB2 and miR-96-5p. Results: Here the authors found LDB2 was down-regulated in lung cancer tissues and negatively correlated with miR-96-5p expression, it could promote or inhibit the proliferation, invasion and metastasis of H1299 cells after LDB2 knockdown or overexpression and regulate the expression of cyclinD1, MMP9, Bcl-2, and Bax via ERK1/2 signaling pathway. Furthermore, miR-96-5p exerted its function by directly binding to 3′-UTR of LDB2 and regulating expression of LDB2. miR-96-5p could promote the proliferation, invasion, and metastasis of H1299 cells. Conclusion: These findings demonstrate that LDB2 can act as a new regulator to inhibit cell proliferation, invasion, and metastasis via the ERK1/2 signaling pathway, and miR-96-5p may be a potential promising molecular by targeting LDB2 in lung cancer. Objectives world LDB (LDB2 LIMdomain domain family genes microRNA965p microRNAp microRNA 96 5p p miR965p miRp miR (miR-96-5p tumors Methods Realtime Real time miR965p. 5p. proliferation H H129 CCK8 CCK transwell transfection Results downregulated down regulated cyclinD1 cyclinD MMP9 MMP Bcl2, Bcl2 Bcl 2, Bcl-2 ERK12 ERK ERK1 ERK1/ pathway Furthermore 3′UTR 3UTR UTR 3′ 3 Conclusion (LDB 9 H12 Bcl- H1

Abstract Background Previous studies have suggested that systemic metabolic abnormalities are closely related to psoriatic arthritis (PsA). Gamma-glutamyl transpeptidase (GGT) and indirect bilirubin (IBIL), two essential active substances in hepatic metabolism that have been demonstrated as an oxidative and anti-oxidative factor respectively, have been proved to be involved in oxidative stress damage and inflammation in several human diseases. However, their role in PsA remains unclear. Methods In this retrospective comparative cohort study, a case group of 68 PsA patients and a control group of 73 healthy volunteers from the Third Hospital of Hebei Medical University were enrolled. Serum GGT, IBIL, GGT/IBIL ratio and C-reactive protein (CRP), a well applied bio-marker of systemic inflammatory in PsA, were compared between the two groups. Furthermore, the relationship of GGT, IBIL and GGT/IBIL with CRP were explored in PsA patients. Finally, the patients were divided into high inflammation group and low inflammation group according to the median value of CRP. Multivariate logistic regression analyses were used for the association of systemic inflammation level with GGT, IBIL and GGT/IBIL. Results Compared with healthy controls, PsA patients exhibited significantly higher serum GGT, GGT/IBIL, and CRP levels and lower IBIL levels. Serum GGT and GGT/IBIL were positively correlated with CRP, whereas IBIL were negatively correlated with CRP. Binary logistic regression analysis revealed that serum GGT was a risk factor for high CRP in PsA, whereas IBIL was a protective factor. Furthermore, GGT/IBIL was a better indicator of high CRP condition in PsA patients than either GGT or IBIL alone, as determined by the receiver operating characteristic curves. Conclusion GGT and IBIL may participate in the pathogenesis of PsA. Additionally, GGT, IBIL and the balance of the two may reflect systemic inflammation mediated by oxidative stress events related to metabolic abnormalities to a certain extent. . (PsA) Gammaglutamyl Gamma glutamyl (GGT , (IBIL) antioxidative anti respectively diseases However unclear study 6 7 enrolled GGTIBIL Creactive C reactive (CRP) biomarker bio marker groups Furthermore Finally controls alone curves Additionally extent (PsA (IBIL (CRP

Abstract Introduction: Nutritional status can affect the treatment of hospitalized patients, and Malnutrition can even lead to death. However, the Nutritional status of patients with aplastic anemia (AA) is unclear. Objective: to assess the Nutritional status of aplastic anemia patients with body mass index (BMI) ≥ 24 kg/m2 (high BMI group) and BMI < 24 kg/m2 (low BMI group), and to compare the consistency between different Nutritional screening tools. Methods: patients with aplastic anemia hospitalized from January 2016 to December 2020 were collected. We used the combined index generated by Nutritional Risk Index (NRI), Prognostic Nutritional Index (PNI), Control Nutritional Status (CONUT) and Instant Nutritional Assessment (INA) to assess Nutritional status of patients with aplastic anemia. Kappa index was used to measure the consistency between different Nutritional screening tools. Receiver operating characteristic (ROC) curve was used to evaluate the diagnostic value of different Nutritional screening tools. Results: one hundred and ninety-five patients with aplastic anemia were enrolled. The overall prevalence of Malnutrition calculated by the combined index in patients with aplastic anemia was 51.3 %. The Malnutrition rates of patients in the low BMI group and high BMI group were 60.9 % and 38.8 %, respectively. The Malnutrition rates of very severe aplastic anemia (VSAA) patients, severe aplastic anemia (SAA) patients and ordinary patients were 76 %, 63.8 % and 45.1 %, respectively. Compared with the combined index, NRI had the highest consistency and area under the curve. Conclusions: the Nutritional status of patients with aplastic anemia was very poor; the more serious the disease, the worse the Nutritional status. Although the Malnutrition rate in the low-BMI group was higher than in the high BMI group, the Nutritional status of overweight or obese patients can not be ignored. NRI is the best tool for assessing the Nutritional status of patients with aplastic anemia.

Resumen Introducción: el estado nutricional puede afectar el tratamiento de los pacientes hospitalizados y la malnutrición puede incluso causar la muerte. Sin embargo, el estado nutricional de los pacientes con anemia aplásica (AA) no está claro. Objetivo: evaluar el estado nutricional de pacientes con anemia aplásica con índice de masa corporal (IMC) ≥ 24 kg/m2 (grupo de IMC mayor) e IMC < 24 kg/m2 (grupo de IMC inferior), y comparar la consistencia entre diferentes herramientas de cribado nutricional. Métodos: se recogieron datos de pacientes con anemia aplásica hospitalizados entre enero de 2016 y diciembre de 2020. El estado nutricional de los pacientes con anemia aplásica se evaluó utilizando un índice compuesto por el índice de riesgo nutricional (NRI), el índice de pronóstico nutricional (PNI), el índice de estado nutricional controlado (CONUT) y la evaluación nutricional instantánea (INA). El índice Kappa se utilizó para medir la coherencia entre los diferentes instrumentos de detección nutricional. Las curvas de características operativas de los sujetos (ROC) se utilizaron para evaluar el valor diagnóstico de las diferentes herramientas de detección nutricional. Resultados: un total de 195 pacientes con anemia aplásica fueron incluidos en el estudio. La prevalencia global de desnutrición calculada por el índice combinado en pacientes con anemia aplásica fue del 51,3 %. Las tasas de desnutrición de los pacientes en el grupo de bajo IMC y el grupo de alto IMC fueron 60,9 % y 38,8 %, respectivamente. Las tasas de desnutrición en pacientes con anemia aplásica muy grave (VSAA), anemia aplásica grave (SAA) y pacientes comunes fueron del 76 %, 63,8 % y 45,1 %, respectivamente. En comparación con el índice compuesto, NRI tiene la mayor consistencia y área bajo la curva. Conclusiones: el estado nutricional de los pacientes con anemia aplásica es muy deficiente; a mayor gravedad de la enfermedad, peor estado nutricional. Aunque la tasa de malnutrición en el grupo con bajo IMC es mayor que en el grupo con alto IMC, no se puede pasar por alto el estado nutricional de los pacientes con sobrepeso u obesidad. El NRI es la mejor herramienta para evaluar el estado nutricional de los pacientes con anemia aplásica.

Resumo Introdução Uma fístula anastomótica cervical refratária, que permanece sem cicatrização por mais de 2 meses sob cuidados conservadores, afeta gravemente a qualidade de vida do paciente e potencialmente causa estenose anastomótica após a cicatrização da fístula. É amplamente aceito que as fístulas anastomóticas cervicais refratárias devem ser submetidas a tratamentos mais agressivos. No entanto, quando e qual intervenção cirúrgica deve ser considerada ainda é incerto. Objetivo Avaliar o papel do retalho miocutâneo do peitoral maior no manejo de fístula anastomótica cervical refratárias com base em nossa experiência de 6 casos e uma revisão da literatura. Métodos Foram incluídos no estudo seis pacientes diagnosticados com fístula anastomótica cervical refratária após esofagectomia tratados com transferência de retalho miocutâneo do peitoral maior. Os dados clínicos, detalhes cirúrgicos e resultado do tratamento foram analisados retrospectivamente. Resultados Todos os pacientes sobreviveram às cirurgias. Um paciente com defeito anastomótico circunferencial, resultante da exploração cirúrgica, desenvolveu uma fístula leve no sítio neoanastomótico no 5° dia de pós-operatório, que foi resolvida após 7 dias de tratamento conservador. Esse paciente desenvolveu uma estenose anastomótica parcialmente aliviada por uma dilatação endoscópica anastomótica. Todos os outros 5 pacientes tiveram recuperações sem intercorrências após as cirurgias, restabeleceram a ingestão oral 10 ou 15 dias após a operação e toleraram dietas normais sem sequelas subsequentes no seguimento. Um paciente desenvolveu recorrência local e pulmonar e morreu 15 meses após a cirurgia, enquanto os outros 5 pacientes sobreviveram com bom controle tumoral durante o seguimento de 25 a 53 meses. Conclusão O resultado satisfatório do tratamento em nosso estudo demonstra que a reconstrução com o retalho miocutâneo do peitoral maior é uma modalidade de manejo confiável para as fístula anastomótica cervical refratárias após a esofagectomia, particularmente nos pacientes que apresentaram falha após o tratamento conservador das feridas cirúrgicas e com fechamento repetido delas.

Abstract Introduction A refractory cervical anastomotic fistula which postoperatively remains unhealed for more than 2 months under conservative care severely impacts the quality of life of the patient and potentially leads to anastomotic stricture after the fistula heals. It is widely accepted that, to avoid this complication, refractory cervical anastomotic fistulas should undergo more aggressive treatments. However, when and which surgical intervention should be considered is unclear. Objective This study was designed to evaluate the role of the pectoralis major myocutaneous flap in the management of refractory cervical anastomotic fistulas based on our experience of 6 cases and a literature review. Methods Six patients diagnosed with refractory cervical anastomotic fistula after esophagectomy treated using pectoralis major myocutaneous flap transfer were included in the study. The clinical data, surgical details, and treatment outcome were retrospectively analyzed. Results All patients survived the operations. One patient who had a circumferential anastomotic defect resulting from surgical exploration developed a mild fistula in the neo-anastomotic site in the 5th postoperative day, which healed after 7 days of conservative care. This patient developed an anastomotic stricture which was partially alleviated by an endoscopic anastomotic dilatation. All the other 5 patients had uneventful recoveries after operations and restored oral intake on the 10th-15th days after operation, and they tolerated normal diets without subsequent sequelae on follow-up. One patient developed both local and lung recurrence and died in 15 months after operation, while the other 5 patients survived with good tumor control during the follow-up of 25-53 months. Conclusion The satisfactory treatment outcome in our study demonstrates that pectoralis major myocutaneous flap reconstruction is a reliable management modality for refractory cervical anastomotic fistulas after esophagectomy, particularly for those patients who experienced persistent fistulas after conservative wound care and repeated wound closures.

O objetivo do texto foi analisar a tendência a longo prazo da carga da doença devida a câncer de pulmão atribuível à poluição atmosférica domiciliar na população feminina chinesa de 1990 a 2019 e fazer previsões para a próxima década. Com base nos dados da Carga Global de Doenças 2019 (GBD 2019), o modelo de regressão joinpoint foi utilizado para refletir a tendência temporal da carga da doença devida a câncer de pulmão atribuível à poluição atmosférica domiciliar e um modelo autorregressivo de média móvel integrada (ARIMA), para prevê-la na próxima década. Entre 1990 e 2019, as taxas de mortalidade padronizada por idade e esperança de vida corrigida pela incapacidade (DALYs) da população feminina chinesa foram maiores do que as taxas globais e a diferença devido à exposição residencial a radônio aumentou ao longo do tempo. A carga da doença atribuível a combustíveis sólidos mostrou uma tendência significativa à queda, enquanto aquela devida à exposição residencial a radônio aumentou ligeiramente no geral, mas permanece menor que a primeira. A carga da doença aumentou com a idade, e a idade máxima das taxas de DALYs passou de 70 < 75 anos em 1990 para 75 < 80 anos em 2019. Nosso modelo previu que a carga da doença atribuível aos combustíveis sólidos diminuirá gradualmente na próxima década, enquanto a carga da doença devida ao radônio aumentará paulatinamente e superará a carga devida aos combustíveis sólidos em 2023. A exposição residencial ao radônio se tornará um fator mais importante à poluição atmosférica domiciliar para a população feminina chinesa do que os combustíveis sólidos na próxima década. Futuras intervenções direcionadas à poluição atmosférica domiciliar são necessárias para reduzir a carga do câncer de pulmão.

This study analyzes the long-term trend of the burden of lung cancer attributable to household air pollution in the Chinese female population, from 1990 to 2019, and make predictions for the next decade. Based the data from the 2019 Global Burden of Diseases (GBD 2019), the joinpoint regression model was used to reflect the temporal trend of the burden of lung cancer attributable to household air pollution, and an autoregressive integrated moving average (ARIMA) model was used to predict the burden of disease over the next decade. From 1990 to 2019, the age-standardized mortality and disability-adjusted life years (DALYs) rates of the Chinese female population were higher than the global rates, and the gap due to residential radon increased over time. The burden of lung cancer attributable to solid fuels has shown a significant downward trend while that due to residential radon has increased slightly overall, but remains lower than the former. The burden of lung cancer increased with age, and the peak age of DALYs rates changed from 70 < 75 years in 1990 to 75 < 80 years in 2019. The model predicted that the burden of lung cancer attributable to solid fuels will gradually decrease over the next decade, whereas the burden of lung cancer due to residential radon will gradually increase and surpass the burden due to solid fuels in 2023. Residential radon will become a more important factor of household air pollution than solid fuels in the next decade for the Chinese female population. Future interventions targeted at household air pollution are needed to reduce the burden of lung cancer.

El objetivo fue analizar la tendencia a largo plazo de la carga de morbilidad del cáncer de pulmón atribuible a la contaminación del aire doméstico en la población femenina china de 1990 a 2019 y hacer predicciones para la próxima década. Según los datos de la Carga Global de Enfermedad de 2019 (GBD 2019), se utilizó el modelo de regresión joinpoint para reflejar la tendencia temporal de la carga de morbilidad pulmonar atribuible a la contaminación del aire doméstico y un modelo autorregresivo integrado de media móvil (ARIMA) para predecir la carga de morbilidad durante la próxima década. De 1990 a 2019, las tasas de mortalidad estandarizadas por edad y años de vida ajustados por discapacidad (AVAD) de la población femenina china fueron más altas que las tasas mundiales, y la brecha debida al radón residencial aumentó con el tiempo. La carga de morbilidad atribuible a los combustibles sólidos mostró una significativa tendencia decreciente, mientras que la del radón residencial aumentó ligeramente, pero en niveles inferiores a la anterior. La carga de morbilidad aumentó con la edad, y las tasas de edad máxima de AVAD cambiaron de 70 < 75 años en 1990 a 75 < 80 años en 2019. El modelo predijo que la carga de morbilidad atribuible a los combustibles sólidos disminuirá gradualmente durante la próxima década, mientras que la carga de morbilidad por radón residencial aumentará gradualmente y superará la carga debida a los combustibles sólidos en 2023. El radón residencial se convertirá en un factor más importante de contaminación del aire doméstico que los combustibles sólidos en la próxima década para la población femenina china. Se necesitan intervenciones futuras dirigidas a la contaminación del aire doméstico para reducir la carga del cáncer de pulmón.