独感

我实在是不适合用如此矫情的文字在这个如此具有画面感的夜晚用手抄笔记的形式记录。我习惯用大脑锁住某个场景或假想不存在的某个事物或发生的情节，以至于出现某种幻听或半真实的感受。

Synergistic Action of Clonorchiasis,HBV Infection and Alcohol Consumption on Primary Hepatocellular Carcinoma

OBJECTIVE It has been recognized that HBV infection and alcohol consumption are two important risk factors for primary hepatocellular carcinoma （HCC）. Recently, the role of clonorchiasis as a risk factor for HCC is controversial. We aimed to investigate whether these factors increase the risk of HCC in Guangxi, China. METHODS A hospital-based, case-control study of HCC was conducted from July 2005 to July 2007. We enrolled 500 consecutive patients with HCC as an experimental group and 500 patients without tumor in liver as a control group. The risk factors that the patients were exposed to were assessed. RESULTS Comparing the risks of developing the HCC, we found out the following results. The risk of developing HCC for the patients with clonorchiasis was 5 folds of that for the patients without clonorchiasis （OR = 5.0; 95% CI： 3.1-8.1）, and the risk for the patients with alcohol consumption was 3 folds of that for the patients without drinking alcohol （OR = 3.4; 95% CI： 2.3-4.9）, and similarly, the risk for the patients with HBV infection was 21 times of that for the patients without HBV infection （OR = 20.6; 95% CI： 14.3-29.7）. According to crossover analysis, there was significant interaction among clonorchiasis, HBV infection and alcohol consumption, with synergistic indices greater than 1. The etiologic fractions attributed to these interactions [EF （A × B）] are 0.7465, 0.5789 and 0.5506, respectively. CONCLUSION Clonorchiasis, HBV infection and heavy alcohol consumption are independent risk factors for developing HCC in our population in Guangxi, and as they can interact synergistically, the risk of developing HCC is increased. Data from this study may indicate new prevention strategies of developing HCC in high-risk individuals.

Preparation of High Purity Neodymium Oxide from Brazilian Monazite by Ion Exchange

A simple and economical chemical process for obtaining high purity neodymium oxide is discussed. The raw material in the form of RE （rare earth） carbonates is produced industrially in Brazil from monazite. Using this concentrate as the feed material, ion exchange with a strong cationic resin, commonly used for water treatment, and without the use of retention ions was used for the fractionating of the REE （rare earth elements）. The eluent was ammonium salt of EDTA （ethylenediaminetetraacetic acid） at pH 4.0. The complex of EDTA-neodymium was transformed into neodymium oxides via oxalate precipitation. We produced 99.9% pure Nd203 in yields greater than or equal to 80%. Molecular absorption spectrophotometry was used to monitor the neodymium content during the process and sector field inductively coupled plasma mass spectrometry was used to certify the purity of the neodymium oxides. The typical neodymium oxides obtained contained the followings contaminants in micrograms per gram： Sc （4.09）; Y （0.39）; La （0.78）; Ce （5.62）; Pr （4.56）; Sm （11.10）; Eu （1.10）; Gd （14.30）; Tb （29.3）; Dy （4.15）; Ho （8.39）; Er （13.80）; Tm （0.23）; Yb （2.29）; Lu （0.39）. High purity neodymium oxides obtained from this procedure replaced the imported product used in research and development work on rare earth at IPEN/CNEN-SP （Instituto de Pesquisas Energeticas e Nucleares/Comissfio Nacional de Eneergia Nuclear-Sao Paulo）.

Optimization and Shelf-Life Evaluation of Pearl Millet Based Halwa Dry Mix

Indian traditional sweet dish i.e. halwa was developed from pearl millet grains. Pearl millet grains （Pennisetum typhoides var. PHB-2168） were steamed for 20 min at 1.05 kg cm^2 in order to minimize lipase activity, total phenols, phytic acid and tannins content. Steamed grains were dried （12 ± 0.5% moisture content）, pearled, milled, sieved through sieve opening size of 0.234 mm and were used for study. Central composite rotatable design （CCRD） with three independent variables i.e. vanaspati, sugar and water for rehydration were used to design the experiments. Sensory responses and rehydration ratio were used to study the individual and interactive effects of variables. Sensory score for colour varied from taste 6.3-7.9, mouth feel 6.4-7.8, overall acceptability （OAA） 6.5-7.9 and rehydration ratio （RR） from 1.4 to 2.3. All the responses fitted into quadratic equation with R2 〉 0.80. Halwa dry mix was also evaluated for stability in polyethylene pouches at ambient conditions and the peroxide and free fatty acids value were 21.35 meqO2 kg^-1 fat, 0.55% （oleic acid）, respectively after 6 months of storage. Based on compromise optimization, optimum levels of the ingredients recommended with 86.4% desirability were： vanaspati 38.6 g 100 g^-1 pearl millet semolina （PMS）, sugar 88.7 g 100 g^-1 PMS and water for rehydration 151 mL 100 g^-1 dry mix.

Pathogenesis of occult chronic hepatitis B virus infection

Occult hepatitis B infection(OBI) is characterized by hepatitis B virus(HBV) DNA in serum in the absence of hepatitis B surface antigen(HBsAg) presenting HBsAg-negative and anti-HBc positive serological patterns.Occult HBV status is associated in some cases with mutant viruses undetectable by HBsAg assays;but more frequently it is due to a strong suppression of viral replication and gene expression.OBI is an entity with world-wide diffusion.The failure to detect HBsAg,despite the persistence of the viral DNA,is due in most cases to the strong suppression of viral replication and gene expression that characterizes this"occult"HBV infection;although the mechanisms responsible for suppression of HBV are not well understood.The majority of OBI cases are secondary to overt HBV infection and represent a residual low viremia level suppressed by a strong immune response together with histological derangements which occurred during acute or chronic HBV infection.Much evidence suggests that it can favour the progression of liver fibrosis and the development of hepatocellular carcinoma.

Parenting stress and affective symptoms in parents of autistic children

We examined parenting stress and mental health status in parents of autistic children and assessed factors associated with such stress. Participants were parents of 188 autistic children diagnosed with DSM-IV criteria and parents of 144 normally developing children. Parents of autistic children reported higher levels of stress, depression, and anxiety than parents of normally developing children. Mothers of autistic children had a higher risk of depression and anxiety than that did parents of normally developing children. Mothers compared to fathers of autistic children were more vulnerable to depression. Age, behavior problems of autistic children, and mothers' anxiety were significantly associated with parenting stress.

The complex genetics in autism spectrum disorders

Autism spectrum disorders(ASD) are a pervasive neurodevelopmental disease characterized by deficits in social interaction and nonverbal communication, as well as restricted interests and stereotypical behavior. Genetic changes/heritability is one of the major contributing factors, and hundreds to thousands of causative and susceptible genes, copy number variants(CNVs), linkage regions, and micro RNAs have been associated with ASD which clearly indicates that ASD is a complex genetic disorder. Here, we will briefly summarize some of the high-confidence genetic changes in ASD and their possible roles in their pathogenesis.