目的探讨外周血红细胞分布宽度(red blood cell distribution width,RDW)、系统免疫炎症指数(systemic immune-inflammation index,SⅡ)与重性抑郁障碍(major depressive disorder,MDD)的相关性。方法回顾性分析2020-2022年于我院临床...目的探讨外周血红细胞分布宽度(red blood cell distribution width,RDW)、系统免疫炎症指数(systemic immune-inflammation index,SⅡ)与重性抑郁障碍(major depressive disorder,MDD)的相关性。方法回顾性分析2020-2022年于我院临床心理科住院的176例MDD患者和常规体检的209例非MDD对照者的临床资料。从血液分析结果中,得到RDW、SⅡ、红细胞分布宽度与血小板计数比值(RDW to platelet ratio,RPR)。绘制受试者操作特征(receiver operator characteristic,ROC)曲线以确定RDW区分患者与对照的最佳临界值及曲线下面积(area under the curve,AUC)。结果MDD组患者的RDW[中位数及四分位数:13.20(12.70,13.98)vs.12.80(12.40,13.35)]、SⅡ水平[中位数及四分位数:510.87(350.95,878.12)vs.405.33(313.74,539.92)]高于非MDD组对照者,差异有统计学意义(P<0.05),两组间RPR差异无统计学意义(P>0.05)。多因素logistic回归分析结果显示,调整混杂因素后,RDW与MDD呈正关联(OR=3.086,95%CI:1.926~4.944)。ROC曲线结果显示,RDW区分MDD与非MDD的最佳临界值为12.85,AUC为0.647(95%CI:0.592~0.702;P<0.001)。结论高RDW可能是MDD发生的危险因素,是对MDD诊断有价值的重要参数。展开更多
The increasing concentration of atmospheric CO_(2) since the Industrial Revolution has affected surface air temperature.However,the impact of the spatial distribution of atmospheric CO_(2) concentration on surface air...The increasing concentration of atmospheric CO_(2) since the Industrial Revolution has affected surface air temperature.However,the impact of the spatial distribution of atmospheric CO_(2) concentration on surface air temperature biases remains highly unclear.By incorporating the spatial distribution of satellite-derived atmospheric CO_(2) concentration in the Beijing Normal University Earth System Model,this study investigated the increase in surface air temperature since the Industrial Revolution in the Northern Hemisphere(NH) under historical conditions from 1976-2005.In comparison with the increase in surface temperature simulated using a uniform distribution of CO_(2),simulation with a nonuniform distribution of CO_(2)produced better agreement with the Climatic Research Unit(CRU) data in the NH under the historical condition relative to the baseline over the period 1901-30.Hemispheric June-July-August(JJA) surface air temperature increased by 1.28℃ ±0.29℃ in simulations with a uniform distribution of CO_(2),by 1.00℃±0.24℃ in simulations with a non-uniform distribution of CO_(2),and by 0.24℃ in the CRU data.The decrease in downward shortwave radiation in the non-uniform CO_(2) simulation was primarily attributable to reduced warming in Eurasia,combined with feedbacks resulting from increased leaf area index(LAI) and latent heat fluxes.These effects were more pronounced in the non-uniform CO_(2)simulation compared to the uniform CO_(2) simulation.Results indicate that consideration of the spatial distribution of CO_(2)concentration can reduce the overestimated increase in surface air temperature simulated by Earth system models.展开更多
BACKGROUND Amyloidosis is a rare disorder that can be classified into various types,and the most common type is the systemic light chain type.The prognosis of this disease is extremely poor.In general,amyloidosis main...BACKGROUND Amyloidosis is a rare disorder that can be classified into various types,and the most common type is the systemic light chain type.The prognosis of this disease is extremely poor.In general,amyloidosis mainly affects the kidneys and heart and manifests as abnormal proliferation of clonal plasma cells.Cases in which the liver is the primary organ affected by amyloidosis,as in this report,are less common in clinical practice.CASE SUMMARY A 62-year-old man was admitted with persistent liver dysfunction of unknown cause and poor treatment outcomes.His condition persisted,and he developed chronic liver failure,with severe cholestasis in the later stage that was gradually accompanied by renal injury.Ultimately,he was diagnosed with hepatic amyloidosis through liver biopsy and pathological examination.CONCLUSION Hepatic amyloidosis rarely occurs in the clinic,and liver biopsy and pathological examination can assist in the accurate and effective diagnosis of this condition.展开更多
BACKGROUND Whether operation is superior to non-operation for humeral shaft fracture remains debatable.We hypothesized that operation could decrease the nonunion and reintervention rates and increase the functional ou...BACKGROUND Whether operation is superior to non-operation for humeral shaft fracture remains debatable.We hypothesized that operation could decrease the nonunion and reintervention rates and increase the functional outcomes.AIM To compare the clinical efficacy between operative and nonoperative approaches for humeral shaft fractures.METHODS We searched the PubMed,Web of Science,ScienceDirect,and Cochrane databases from 1990 to December 2023 for clinical trials and cohort studies comparing the effects of operative and conservative methods on humeral shaft fractures.Two investigators independently extracted data from the eligible studies,and the other two assessed the methodological quality of each study.The quality of the included studies was assessed using the Cochrane risk bias or Newcastle-Ottawa Scale.The nonunion,reintervention and the overall complications and functional scores were pooled and analyzed using Review Manager software(version 5.3).RESULTS A total of four randomized control trials and 13 cohort studies were included,with 1285 and 1346 patients in the operative and nonoperative groups,respectively.Patients in the operative group were treated with a plate or nail,whereas those in the conservative group were managed with splint or functional bracing.Four studies were assessed as having a high risk of bias,and the other 13 were of a low risk of bias according to the Newcastle-Ottawa Scale or Cochrane risk bias tool.The operative group had a significantly decreased rate of nonunion[odds ratio(OR)0.30;95%CI:0.23 to 0.40,reintervention(OR:0.33;95%CI:0.24 to 0.47),and overall complications(OR:0.62;95%CI:0.49 to 0.78)].The pooled effect of the Disabilities of Arm,Shoulder,and Hand score showed a significant difference at 3[mean difference(MD)-8.26;95%CI:-13.60 to-2.92],6(MD:-6.72;95%CI:-11.34 to-2.10),and 12 months(MD:-2.55;95%CI:-4.36 to-0.74).The pooled effect of Visual Analog Scale scores and the Constant-Murley score did not significantly differ between the two groups.CONCLUSION This systematic review and meta-analysis revealed a trend of rapid functional recovery and decreased rates of nonunion and reintervention after operation for humeral shaft fracture compared to conservative treatment.展开更多
With the rapid development of modern agriculture,the prevention and control of crop diseases and insect pests has become an important part to ensure the safety of agricultural production,the quality of agricultural pr...With the rapid development of modern agriculture,the prevention and control of crop diseases and insect pests has become an important part to ensure the safety of agricultural production,the quality of agricultural products and the safety of agricultural ecological environment.Although the effect of traditional chemical prevention and control technology is remarkable,the health risks and environmental problems brought by it should not be ignored.As a green and environmentally friendly means of prevention and control,biological prevention and control technology has gradually become a hot research topic and a trend of agricultural production.This paper is intended to comprehensively evaluate the social costs of biological control technologies for crop diseases and pests,including the health risks reduced,environmental improvements,economic benefits,and barriers to promotion,and put forward corresponding policy recommendations.展开更多
In the field of biological control of agricultural and forestry pests,natural enemy insects play an important role,constituting the core of modern integrated pest management(IPM)strategy,providing solid support for th...In the field of biological control of agricultural and forestry pests,natural enemy insects play an important role,constituting the core of modern integrated pest management(IPM)strategy,providing solid support for the zero growth goal of chemical pesticide use,and helping the sustainable development of green agriculture.The rise of the natural enemy insect industry has become a key driver of the transformation of green agriculture,injecting vitality into the sustainability and ecological protection of agriculture.With the increasing concern about food safety,environmental protection and ecological balance all over the world,the application scope of natural enemy insects as biological control means is constantly expanding.Its unique ecological adaptability and environmentally friendly characteristics help to reduce dependence on chemical pesticides,ensure the safety of agricultural products and maintain ecological diversity.The purpose of this study is to analyze the current situation of natural enemy insect industry,evaluate its cost and benefit,emphasize its great significance in promoting the transformation of green agriculture,improving production efficiency and promoting ecological protection by drawing lessons from foreign successful experiences,and explore an efficient and sustainable new agricultural development model.展开更多
As the blueberry industry continues to evolve,the effective control of its diseases and pests has become an essential component of local agricultural development.This paper provides a comprehensive overview of the pri...As the blueberry industry continues to evolve,the effective control of its diseases and pests has become an essential component of local agricultural development.This paper provides a comprehensive overview of the principal types of blueberry diseases and pests in Guizhou Province,along with the corresponding control measures,in order to serve as a valuable reference for blueberry growers.展开更多
Objective:To analyze the clinical value of non-invasive prenatal testing(NIPT)in detecting chromosomal copy number variations(CNVs)and to explore the relationship between gene expression and clinical manifestations of...Objective:To analyze the clinical value of non-invasive prenatal testing(NIPT)in detecting chromosomal copy number variations(CNVs)and to explore the relationship between gene expression and clinical manifestations of chromosomal copy number variations.Methods:3551 naturally conceived singleton pregnant women who underwent NIPT were included in this study.The NIPT revealed abnormalities other than sex chromosome abnormalities and trisomy 13,18,and 21.Pregnant women with chromosome copy number variations underwent genetic counseling and prenatal ultrasound examination.Interventional prenatal diagnosis and chromosome microarray analysis(CMA)were performed.The clinical phenotypes and pregnancy outcomes of different prenatal diagnoses were analyzed.Additionally,a follow-up was conducted by telephone to track fetal development after birth,at six months,and one year post-birth.Results:A total of 53 cases among 3551 cases showed chromosomal copy number variation.Interventional prenatal diagnosis was performed in 36 cases:27 cases were negative and 8 were consistent with the NIPT test results.This indicates that NIPT’s positive predictive value(PPV)in CNVs is 22.22%.Conclusion:NIPT has certain clinical significance in screening chromosome copy number variations and is expected to become a routine screening for chromosomal microdeletions and microduplications.However,further interventional prenatal diagnosis is still needed to identify fetal CNVs.展开更多
文摘目的探讨外周血红细胞分布宽度(red blood cell distribution width,RDW)、系统免疫炎症指数(systemic immune-inflammation index,SⅡ)与重性抑郁障碍(major depressive disorder,MDD)的相关性。方法回顾性分析2020-2022年于我院临床心理科住院的176例MDD患者和常规体检的209例非MDD对照者的临床资料。从血液分析结果中,得到RDW、SⅡ、红细胞分布宽度与血小板计数比值(RDW to platelet ratio,RPR)。绘制受试者操作特征(receiver operator characteristic,ROC)曲线以确定RDW区分患者与对照的最佳临界值及曲线下面积(area under the curve,AUC)。结果MDD组患者的RDW[中位数及四分位数:13.20(12.70,13.98)vs.12.80(12.40,13.35)]、SⅡ水平[中位数及四分位数:510.87(350.95,878.12)vs.405.33(313.74,539.92)]高于非MDD组对照者,差异有统计学意义(P<0.05),两组间RPR差异无统计学意义(P>0.05)。多因素logistic回归分析结果显示,调整混杂因素后,RDW与MDD呈正关联(OR=3.086,95%CI:1.926~4.944)。ROC曲线结果显示,RDW区分MDD与非MDD的最佳临界值为12.85,AUC为0.647(95%CI:0.592~0.702;P<0.001)。结论高RDW可能是MDD发生的危险因素,是对MDD诊断有价值的重要参数。
基金the National Natural Science Foundation of China (Grant Nos.42175142,42141017 and 41975112) for supporting our study。
文摘The increasing concentration of atmospheric CO_(2) since the Industrial Revolution has affected surface air temperature.However,the impact of the spatial distribution of atmospheric CO_(2) concentration on surface air temperature biases remains highly unclear.By incorporating the spatial distribution of satellite-derived atmospheric CO_(2) concentration in the Beijing Normal University Earth System Model,this study investigated the increase in surface air temperature since the Industrial Revolution in the Northern Hemisphere(NH) under historical conditions from 1976-2005.In comparison with the increase in surface temperature simulated using a uniform distribution of CO_(2),simulation with a nonuniform distribution of CO_(2)produced better agreement with the Climatic Research Unit(CRU) data in the NH under the historical condition relative to the baseline over the period 1901-30.Hemispheric June-July-August(JJA) surface air temperature increased by 1.28℃ ±0.29℃ in simulations with a uniform distribution of CO_(2),by 1.00℃±0.24℃ in simulations with a non-uniform distribution of CO_(2),and by 0.24℃ in the CRU data.The decrease in downward shortwave radiation in the non-uniform CO_(2) simulation was primarily attributable to reduced warming in Eurasia,combined with feedbacks resulting from increased leaf area index(LAI) and latent heat fluxes.These effects were more pronounced in the non-uniform CO_(2)simulation compared to the uniform CO_(2) simulation.Results indicate that consideration of the spatial distribution of CO_(2)concentration can reduce the overestimated increase in surface air temperature simulated by Earth system models.
基金Natural Science Foundation of Hubei Province,China,No.2022CFB120.
文摘BACKGROUND Amyloidosis is a rare disorder that can be classified into various types,and the most common type is the systemic light chain type.The prognosis of this disease is extremely poor.In general,amyloidosis mainly affects the kidneys and heart and manifests as abnormal proliferation of clonal plasma cells.Cases in which the liver is the primary organ affected by amyloidosis,as in this report,are less common in clinical practice.CASE SUMMARY A 62-year-old man was admitted with persistent liver dysfunction of unknown cause and poor treatment outcomes.His condition persisted,and he developed chronic liver failure,with severe cholestasis in the later stage that was gradually accompanied by renal injury.Ultimately,he was diagnosed with hepatic amyloidosis through liver biopsy and pathological examination.CONCLUSION Hepatic amyloidosis rarely occurs in the clinic,and liver biopsy and pathological examination can assist in the accurate and effective diagnosis of this condition.
基金Supported by Natural Science Foundation of Chongqing,China,No.CSTB2023NSCQ-MSX1080.
文摘BACKGROUND Whether operation is superior to non-operation for humeral shaft fracture remains debatable.We hypothesized that operation could decrease the nonunion and reintervention rates and increase the functional outcomes.AIM To compare the clinical efficacy between operative and nonoperative approaches for humeral shaft fractures.METHODS We searched the PubMed,Web of Science,ScienceDirect,and Cochrane databases from 1990 to December 2023 for clinical trials and cohort studies comparing the effects of operative and conservative methods on humeral shaft fractures.Two investigators independently extracted data from the eligible studies,and the other two assessed the methodological quality of each study.The quality of the included studies was assessed using the Cochrane risk bias or Newcastle-Ottawa Scale.The nonunion,reintervention and the overall complications and functional scores were pooled and analyzed using Review Manager software(version 5.3).RESULTS A total of four randomized control trials and 13 cohort studies were included,with 1285 and 1346 patients in the operative and nonoperative groups,respectively.Patients in the operative group were treated with a plate or nail,whereas those in the conservative group were managed with splint or functional bracing.Four studies were assessed as having a high risk of bias,and the other 13 were of a low risk of bias according to the Newcastle-Ottawa Scale or Cochrane risk bias tool.The operative group had a significantly decreased rate of nonunion[odds ratio(OR)0.30;95%CI:0.23 to 0.40,reintervention(OR:0.33;95%CI:0.24 to 0.47),and overall complications(OR:0.62;95%CI:0.49 to 0.78)].The pooled effect of the Disabilities of Arm,Shoulder,and Hand score showed a significant difference at 3[mean difference(MD)-8.26;95%CI:-13.60 to-2.92],6(MD:-6.72;95%CI:-11.34 to-2.10),and 12 months(MD:-2.55;95%CI:-4.36 to-0.74).The pooled effect of Visual Analog Scale scores and the Constant-Murley score did not significantly differ between the two groups.CONCLUSION This systematic review and meta-analysis revealed a trend of rapid functional recovery and decreased rates of nonunion and reintervention after operation for humeral shaft fracture compared to conservative treatment.
文摘With the rapid development of modern agriculture,the prevention and control of crop diseases and insect pests has become an important part to ensure the safety of agricultural production,the quality of agricultural products and the safety of agricultural ecological environment.Although the effect of traditional chemical prevention and control technology is remarkable,the health risks and environmental problems brought by it should not be ignored.As a green and environmentally friendly means of prevention and control,biological prevention and control technology has gradually become a hot research topic and a trend of agricultural production.This paper is intended to comprehensively evaluate the social costs of biological control technologies for crop diseases and pests,including the health risks reduced,environmental improvements,economic benefits,and barriers to promotion,and put forward corresponding policy recommendations.
文摘In the field of biological control of agricultural and forestry pests,natural enemy insects play an important role,constituting the core of modern integrated pest management(IPM)strategy,providing solid support for the zero growth goal of chemical pesticide use,and helping the sustainable development of green agriculture.The rise of the natural enemy insect industry has become a key driver of the transformation of green agriculture,injecting vitality into the sustainability and ecological protection of agriculture.With the increasing concern about food safety,environmental protection and ecological balance all over the world,the application scope of natural enemy insects as biological control means is constantly expanding.Its unique ecological adaptability and environmentally friendly characteristics help to reduce dependence on chemical pesticides,ensure the safety of agricultural products and maintain ecological diversity.The purpose of this study is to analyze the current situation of natural enemy insect industry,evaluate its cost and benefit,emphasize its great significance in promoting the transformation of green agriculture,improving production efficiency and promoting ecological protection by drawing lessons from foreign successful experiences,and explore an efficient and sustainable new agricultural development model.
基金Supported by Science and Technology Development Center Project of Ministry of Education(2022YFD1601704)Huang Yanpei s Vocational Education Thought Research Topic of China Vocational Education Society(ZJS2024YB181)+1 种基金Project of Chinese Institute of Electronic Labor(Cea12023269)New Generation Information Technology Innovation Project of Center for Scientific Research and Development of Higher Education Institutions,Ministry of Education(2022IT120).
文摘As the blueberry industry continues to evolve,the effective control of its diseases and pests has become an essential component of local agricultural development.This paper provides a comprehensive overview of the principal types of blueberry diseases and pests in Guizhou Province,along with the corresponding control measures,in order to serve as a valuable reference for blueberry growers.
基金Dongguan City Social Development Project(Project number:20161081101023)。
文摘Objective:To analyze the clinical value of non-invasive prenatal testing(NIPT)in detecting chromosomal copy number variations(CNVs)and to explore the relationship between gene expression and clinical manifestations of chromosomal copy number variations.Methods:3551 naturally conceived singleton pregnant women who underwent NIPT were included in this study.The NIPT revealed abnormalities other than sex chromosome abnormalities and trisomy 13,18,and 21.Pregnant women with chromosome copy number variations underwent genetic counseling and prenatal ultrasound examination.Interventional prenatal diagnosis and chromosome microarray analysis(CMA)were performed.The clinical phenotypes and pregnancy outcomes of different prenatal diagnoses were analyzed.Additionally,a follow-up was conducted by telephone to track fetal development after birth,at six months,and one year post-birth.Results:A total of 53 cases among 3551 cases showed chromosomal copy number variation.Interventional prenatal diagnosis was performed in 36 cases:27 cases were negative and 8 were consistent with the NIPT test results.This indicates that NIPT’s positive predictive value(PPV)in CNVs is 22.22%.Conclusion:NIPT has certain clinical significance in screening chromosome copy number variations and is expected to become a routine screening for chromosomal microdeletions and microduplications.However,further interventional prenatal diagnosis is still needed to identify fetal CNVs.