Background: Pre-eclampsia (PE), a complex, multisystem, pregnancy-associated hypertensive disorder, typically developing after the 20<sup>th</sup> week of gestation, that complicates 2% - 8% of pregnancies...Background: Pre-eclampsia (PE), a complex, multisystem, pregnancy-associated hypertensive disorder, typically developing after the 20<sup>th</sup> week of gestation, that complicates 2% - 8% of pregnancies, is a leading cause of neonatal and maternal mortality and morbidity. Aim of the Work: To identify different factors predicting transformation of non-severe pre-eclampsia in to pre-eclampsia with severe features. Patients and Methods: This prospective cohort study was conducted at tertiary care hospital at Ain Shams University hospitals from June 2021 till January 2022 and performed on total of 100 patients who diagnosed as non-severe pre-eclampsia after exclusion of severity features. Results: The current study revealed that transformation to severe pre-eclampsia occurred in 33% of the studied cases. Body mass index (BMI), past and family histories of preeclampsia statistically were significantly higher in cases transformed into preeclampsia with severe features. Admission blood pressure, albumin dipstick, Oligohydramnios and IUGR statistically were significantly higher in cases with transformation from non-severe pre-eclampsia into pre-eclampsia with severe features. Platelet count statistically was significantly lower in cases with transformation from non-severe pre-eclampsia into pre-eclampsia with severe features Conclusion: Our study results identified the most important clinical risk factors for transformation to severe features of pre-eclampsia from non-severe features and provided new information on the level of risk associated with specific combinations of risk factors (BMI ≥ 35.4, admission systolic blood pressure, admission diastolic blood pressure, albumin dipstick 4+ and platelets count) with low significant diagnostic performance in predicting transformation from non-severe pre-eclampsia into pre-eclampsia with severe features.展开更多
动脉粥样硬化是心血管疾病重要的病理生理基础,延缓和防治动脉粥样硬化对于减少和降低心血管疾病的发病率及病死率具有重要意义。高密度脂蛋白(high density lipoprotein,HDL)通过参与介导胆固醇逆向转运(reverse cholesterol transport...动脉粥样硬化是心血管疾病重要的病理生理基础,延缓和防治动脉粥样硬化对于减少和降低心血管疾病的发病率及病死率具有重要意义。高密度脂蛋白(high density lipoprotein,HDL)通过参与介导胆固醇逆向转运(reverse cholesterol transport,RCT)在抗动脉粥样硬化的形成和进展中发挥了重要作用。Preβ-1高密度脂蛋白(prebeta-1 high density lipoprotein,Preβ-1HDL)作为HDL的一种亚类,是外周细胞移出胆固醇的最初接受体,直接参与了RCT的起始步骤,并在随后的胆固醇酯化及转运中起着重要作用。本文就Preβ-1HDL的结构、代谢及其与心血管疾病的关系作一简要综述。展开更多
The main intent of this study is to investigate the accuracy of short-duration traffic counts conducted during winter months. The investigation is based on 11-year sample data collected using permanent traffic counter...The main intent of this study is to investigate the accuracy of short-duration traffic counts conducted during winter months. The investigation is based on 11-year sample data collected using permanent traffic counters at various locations in Alberta, Canada. Four types of road sites： commuter, regional commuter, rural long-distance, and recreational sites are studied. The sample data consti- tute six different durations of counts （12-, 24-, 48-, 72-, 96-h, and 1 week） taken during summer and winter months. The coefficient of variation （CV） is used as the relative measure of deviation for counts of different dura- tions to measure the accuracy of short-period traffic counts. The study results indicate that 48-h count seems to be the most cost-effective counting interval during both summer and winter months. It is also found that the lowest values of CV result for counts taken at commuter sites, and the highest values are observed for recreational sites. Frequent changes in temperature and other weather events cause significant variation in traffic volume, which results in an increase in CV values for counts taken during winter months. The application of an adjustment factor to remove the effect of cold and snow from short-period counts is also included in this study. Introduced adjustment factors can reduce the values of CV for all counts taken during winter months. The findings of this study can lead highway agencies to improve the cost-effectiveness of their short- period traffic counting programs.展开更多
文摘Background: Pre-eclampsia (PE), a complex, multisystem, pregnancy-associated hypertensive disorder, typically developing after the 20<sup>th</sup> week of gestation, that complicates 2% - 8% of pregnancies, is a leading cause of neonatal and maternal mortality and morbidity. Aim of the Work: To identify different factors predicting transformation of non-severe pre-eclampsia in to pre-eclampsia with severe features. Patients and Methods: This prospective cohort study was conducted at tertiary care hospital at Ain Shams University hospitals from June 2021 till January 2022 and performed on total of 100 patients who diagnosed as non-severe pre-eclampsia after exclusion of severity features. Results: The current study revealed that transformation to severe pre-eclampsia occurred in 33% of the studied cases. Body mass index (BMI), past and family histories of preeclampsia statistically were significantly higher in cases transformed into preeclampsia with severe features. Admission blood pressure, albumin dipstick, Oligohydramnios and IUGR statistically were significantly higher in cases with transformation from non-severe pre-eclampsia into pre-eclampsia with severe features. Platelet count statistically was significantly lower in cases with transformation from non-severe pre-eclampsia into pre-eclampsia with severe features Conclusion: Our study results identified the most important clinical risk factors for transformation to severe features of pre-eclampsia from non-severe features and provided new information on the level of risk associated with specific combinations of risk factors (BMI ≥ 35.4, admission systolic blood pressure, admission diastolic blood pressure, albumin dipstick 4+ and platelets count) with low significant diagnostic performance in predicting transformation from non-severe pre-eclampsia into pre-eclampsia with severe features.
文摘动脉粥样硬化是心血管疾病重要的病理生理基础,延缓和防治动脉粥样硬化对于减少和降低心血管疾病的发病率及病死率具有重要意义。高密度脂蛋白(high density lipoprotein,HDL)通过参与介导胆固醇逆向转运(reverse cholesterol transport,RCT)在抗动脉粥样硬化的形成和进展中发挥了重要作用。Preβ-1高密度脂蛋白(prebeta-1 high density lipoprotein,Preβ-1HDL)作为HDL的一种亚类,是外周细胞移出胆固醇的最初接受体,直接参与了RCT的起始步骤,并在随后的胆固醇酯化及转运中起着重要作用。本文就Preβ-1HDL的结构、代谢及其与心血管疾病的关系作一简要综述。
文摘The main intent of this study is to investigate the accuracy of short-duration traffic counts conducted during winter months. The investigation is based on 11-year sample data collected using permanent traffic counters at various locations in Alberta, Canada. Four types of road sites： commuter, regional commuter, rural long-distance, and recreational sites are studied. The sample data consti- tute six different durations of counts （12-, 24-, 48-, 72-, 96-h, and 1 week） taken during summer and winter months. The coefficient of variation （CV） is used as the relative measure of deviation for counts of different dura- tions to measure the accuracy of short-period traffic counts. The study results indicate that 48-h count seems to be the most cost-effective counting interval during both summer and winter months. It is also found that the lowest values of CV result for counts taken at commuter sites, and the highest values are observed for recreational sites. Frequent changes in temperature and other weather events cause significant variation in traffic volume, which results in an increase in CV values for counts taken during winter months. The application of an adjustment factor to remove the effect of cold and snow from short-period counts is also included in this study. Introduced adjustment factors can reduce the values of CV for all counts taken during winter months. The findings of this study can lead highway agencies to improve the cost-effectiveness of their short- period traffic counting programs.
文摘为了对肉鸡屠宰预冷过程中预冷水、鸡胴体的微生物群落结构进行动态分析,研究二者优势菌群的消长规律。本文对第一批屠宰鸡通过预冷水0、2、4、6、8 h时预冷池中一阶、二阶预冷水以及鸡胴体进行菌落总数(TVC)检测,然后采用高通量测序的方法对二者的群落结构进行动态分析。菌落总数测定结果表明:在预冷过程中,一阶预冷水菌落总数由10;CFU/mL增长到10;CFU/mL,二阶预冷水菌落总数由10;CFU/mL增长到10;CFU/mL,在预冷前,鸡胴体的菌落总数为4.53 lg CFU/g,经预冷后在6~8 h内,鸡胴体表面菌落总数高于预冷前,说明预冷水已经失去了清洗减菌的作用,还可能会对鸡胴体造成交叉污染。高通量测序发现:在预冷过程中,一阶预冷水中气单胞菌属减少,假单胞菌属、链球菌属增加;二阶预冷水的不动杆菌属减少,假单胞菌属增加;与预冷前相比,预冷过程中鸡胴体的魏斯氏菌和漫球菌属减少,金黄杆菌属和假单胞菌属增加。本研究表明预冷后期预冷水失去减菌作用,对鸡胴体造成污染,预冷工艺主要对气单胞菌属、魏斯氏菌和漫球菌属有较好的减菌效果,对金黄杆菌和假单胞菌属减菌效果不佳。这为宰后胴体预冷工艺的优化提供参考依据,同时为冰鲜鸡产品的质量安全提供保障。
