Background:Observational studies have shown that inflammatory bowel disease(IBD),such as ulcerative colitis(UC)and Crohn disease(CD),is associated with gingivitis and periodontal disease(GP).This study aims to investi...Background:Observational studies have shown that inflammatory bowel disease(IBD),such as ulcerative colitis(UC)and Crohn disease(CD),is associated with gingivitis and periodontal disease(GP).This study aims to investigate whether there is a causal relationship between IBD and GP.Methods:This study assessed the causal relationship between IBD and GP through a two-sample Mendelian randomization(MR)study.The required data were obtained through the IEU OpenGWAS project.Instrumental variable screening and the MR and sensitivity analyses were performed using the“TwoSampleMR”R package.Results:IBD,UC,and CD may have a causal effect on GP(IBD,inverse variance weighting[IVW]OR=1.05,95%CI=1.00–1.10,P=0.03;UC,IVWOR=1.05,95%CI=1.00–1.11,P=0.03;CD,weighted median OR=1.06,95%CI=1.00–1.13,P=0.04;simple mode OR=1.15,95%CI=1.02–1.31,P=0.03).Scatterplots,forest plots,and funnel plots showed a significant relationship between IBD and GP and confirmed the robustness of the model.In sensitivity testing,no horizontal pleiotropy or heterogeneity was found in this study.Conclusions:This study found a possible causal relationship between IBD(UC and CD)and GP,which deserves to be considered in clinical practice.展开更多
目的系统评价康复新液治疗放射性食管炎的疗效。方法检索PubMed、Cochrane Library、Web of Science、中国知网、万方数据库及维普医药信息资源系统,查找康复新治疗放射性食管炎的相关研究试验,采用STATA 12.0软件进行Meta分析。结果共1...目的系统评价康复新液治疗放射性食管炎的疗效。方法检索PubMed、Cochrane Library、Web of Science、中国知网、万方数据库及维普医药信息资源系统,查找康复新治疗放射性食管炎的相关研究试验,采用STATA 12.0软件进行Meta分析。结果共18项试验纳入研究,共1418例患者。Meta分析结果显示:康复新及其联合用药能够降低RTOG等级(OR=0.392,OR=0.306,P=0.000),同时能够降低发生率(OR=6.742,95%CI:4.123~11.026,P=0.000)并能推迟放射性食管炎的发生时间(WMD=4.800,95%CI:2.940~6.660,P=0.000)。结论康复新液治疗放射性食管炎效果显著,但本次系统评价纳入文献质量较低,上述结论尚需大样本、高质量、多中心、随机、双盲的随机对照试验进一步证实。展开更多
Cracks resulting from cyclic wetting and drying of expansive soils create discontinuities and anisotropy in the soil.The representative elementary volume(REV)defined by the continuous-media theory cannot be applied to...Cracks resulting from cyclic wetting and drying of expansive soils create discontinuities and anisotropy in the soil.The representative elementary volume(REV)defined by the continuous-media theory cannot be applied to cracked expansive soils that are considered discontinuous media.In this study,direct shear tests of three different scales(30 cm^(2),900 cm^(2),1963 cm^(2))and crack image analysis were carried out on undisturbed soil samples subjected to drying-wetting cycles in-situ.The REV size of expansive soil was investigated using the crack intensity factor(CIF)and soil cohesion.The results show that soil cohesion decreased with increasing sample area,and the development of secondary cracks further exacerbated the size effect of sample on cohesion of the soil.As shrinkage cracks developed,the REV size of the soil gradually increased and plateaued after 3−5 cycles.Under the same drying-wetting cycle conditions,the REV size determined using soil cohesion(REV-C)is 1.75 to 2.97 times the REV size determined using CIF(REV-CIF).Under the influence of shrinkage cracks,the average CIF is positively correlated with the REV size determined using different maximum permissible errors,with the coefficient of correlation greater than 0.9.A method for determining the REV-C based on crack image analysis is proposed,and the REV-C of expansive soil in the study area under different exposure times is given.展开更多
基金the Training Project of Key Talents of Youth Medicine in Jiangsu Province of China(No.QNRC2016330)the Graduate Research-Innovation Project in Jiangsu Province(No.SJCX21_1644)+5 种基金the Academic Science and Technology Innovation Fund for College Students(No.202011117056Y)the Social Development-Health Care Project of Yangzhou,Jiangsu Province(No.YZ2018087)the Social Development-Health Care Project of Yangzhou,Jiangsu Province(No.YZ2021075)the High-Level Talent“Six One Projects”Top Talent Scientific Research Project of Jiangsu Province(No.LGY2019034)the Graduate Research-Innovation Project in Jiangsu Province(No.SJCX22_1816)the Social development project of the key R&D plan of Jiangsu Provincial Department of Science and Technology(No.BE2022773).
文摘Background:Observational studies have shown that inflammatory bowel disease(IBD),such as ulcerative colitis(UC)and Crohn disease(CD),is associated with gingivitis and periodontal disease(GP).This study aims to investigate whether there is a causal relationship between IBD and GP.Methods:This study assessed the causal relationship between IBD and GP through a two-sample Mendelian randomization(MR)study.The required data were obtained through the IEU OpenGWAS project.Instrumental variable screening and the MR and sensitivity analyses were performed using the“TwoSampleMR”R package.Results:IBD,UC,and CD may have a causal effect on GP(IBD,inverse variance weighting[IVW]OR=1.05,95%CI=1.00–1.10,P=0.03;UC,IVWOR=1.05,95%CI=1.00–1.11,P=0.03;CD,weighted median OR=1.06,95%CI=1.00–1.13,P=0.04;simple mode OR=1.15,95%CI=1.02–1.31,P=0.03).Scatterplots,forest plots,and funnel plots showed a significant relationship between IBD and GP and confirmed the robustness of the model.In sensitivity testing,no horizontal pleiotropy or heterogeneity was found in this study.Conclusions:This study found a possible causal relationship between IBD(UC and CD)and GP,which deserves to be considered in clinical practice.
文摘目的系统评价康复新液治疗放射性食管炎的疗效。方法检索PubMed、Cochrane Library、Web of Science、中国知网、万方数据库及维普医药信息资源系统,查找康复新治疗放射性食管炎的相关研究试验,采用STATA 12.0软件进行Meta分析。结果共18项试验纳入研究,共1418例患者。Meta分析结果显示:康复新及其联合用药能够降低RTOG等级(OR=0.392,OR=0.306,P=0.000),同时能够降低发生率(OR=6.742,95%CI:4.123~11.026,P=0.000)并能推迟放射性食管炎的发生时间(WMD=4.800,95%CI:2.940~6.660,P=0.000)。结论康复新液治疗放射性食管炎效果显著,但本次系统评价纳入文献质量较低,上述结论尚需大样本、高质量、多中心、随机、双盲的随机对照试验进一步证实。
基金Project(41472240)supported by the National Natural Science Foundation of ChinaProjects(2015B25514,2015B17214)supported by the Fundamental Research Funds for the Central Universities,China。
文摘Cracks resulting from cyclic wetting and drying of expansive soils create discontinuities and anisotropy in the soil.The representative elementary volume(REV)defined by the continuous-media theory cannot be applied to cracked expansive soils that are considered discontinuous media.In this study,direct shear tests of three different scales(30 cm^(2),900 cm^(2),1963 cm^(2))and crack image analysis were carried out on undisturbed soil samples subjected to drying-wetting cycles in-situ.The REV size of expansive soil was investigated using the crack intensity factor(CIF)and soil cohesion.The results show that soil cohesion decreased with increasing sample area,and the development of secondary cracks further exacerbated the size effect of sample on cohesion of the soil.As shrinkage cracks developed,the REV size of the soil gradually increased and plateaued after 3−5 cycles.Under the same drying-wetting cycle conditions,the REV size determined using soil cohesion(REV-C)is 1.75 to 2.97 times the REV size determined using CIF(REV-CIF).Under the influence of shrinkage cracks,the average CIF is positively correlated with the REV size determined using different maximum permissible errors,with the coefficient of correlation greater than 0.9.A method for determining the REV-C based on crack image analysis is proposed,and the REV-C of expansive soil in the study area under different exposure times is given.
