Interdialytic 24-Hours Ambulatory Blood Pressure versus Dialysis Unit Blood Pressure for the Diagnosis of Electrocardiographic-Left Ventricular Hypertrophy in Chronic Hemodialysis Black Patients

Background and Aim: In hemodialysis patients, 24-hours interdialytic ABPM better detects TOD than dialysis unit blood pressure. Therefore, the present study was aimed to assess the diagnostic performance of 24-hours ABPM vs. dialysis unit BPs for the diagnosis of ECG-LVH in steady state chronic hemodialysis black patients. Methods: From March 31 to September 30, 2018, interdialytic ABPM was performed after a mid-week hemodialysis session for 24 hours using a Spacelab 90207 ABPM monitor in the non-access arm in 45 stable chronic hemodialysis black patients (age ≥ 20 years, hemodialysis for at least 3 months and informed consent) attending 3 hemodialysis centers in Kinshasa. Ambulatory BP was recorded every 20 minutes during the day (6 AM to 10 PM) and every 30 minutes during the night (10 PM to 6 AM). ECG-LVH was defined using Cornell product criteria. ROC curve method was used to assess the performance of dialysis unit BPs vs. interdialytic 24-hours ABPM in diagnosing ECG-LVH. P 0.05 defined the level of statistical significance. Results: Whatever the method of BP measurement, all the SBP values were related to ECG-LVH with similar AUC and overlapping 95% CI;however, they were not significantly different from each other. 24-hours interdialytic ambulatory SBP (AUC 0.748;95% CI 0.58 - 0.94) had the highest area under the curve. Conclusion: The present study showed that although all the two BP measurement methods equally detected ECG-LVH, 24-hours ABPM tended to have the highest diagnostic performance.

高血压病人血压节律对靶器官影响的探讨

目的 :观察血压昼夜节律变化对靶器官损害程度。方法 :采用动态血压测定 ,通过杓型组 (白昼与夜间血压变化下降百分率 >10 % ,视为血压昼夜节律正常 )与非杓型组 (昼夜血压下降百分率 <10 % ,为血压节律消失 )的血压节律变异比较对心脑肾等靶器官损害。结果 :①非杓型组 2 4小时收缩压 ,2 4小时舒张压 ,夜间平均收缩压 ,夜间平均舒张压 ,血压负荷值均高于杓型组 (P <0 .0 5 )。②血压节律消失的非杓型组病人左室重量和左室重量指数比杓型组显著增大 (P<0 .0 1)。③非杓型组的腔隙性脑梗塞次数和患病率均高于杓型组 (P <0 .0 1)。尿蛋白亦明显高于杓型组 (P <0 .0 1)。结论

Reproductive Behaviors and Pairing Modes of Odontotermes fomosanus(Shiraki)Alates

[ Objectives ] To study the reproductive behaviors and the effect of different pairing modes on the developmental status of incipient colonies＇of Odontote- rmes fomosanus （Shiraki）. [ Methods ] We observed the reproductive behaviors of male alates, female Mates and mated alates respectively. Male and female Mates had 9 pairing modes and founded 170 incipient colonies under laboratory conditions. The effect of pairing mode on incipient colonies＇ developmental status was ana- lyzed. [ Results ] Two peaking hours of mating activity within the daily circadian rhythm of Mate activity appeared from 09：00 to 10：00, and from 21：00 to 22：00, respectively. Courtship behavior before mating consisted of touching with antennae, connecting into a ring （head-to-end）, and licking. The reproductive behavior （ calling, pairing, tandem, mating and oviposition） of nestmate pairs was different to that of non-nestmate pairs. The pairing time of non-nestmate pairs was signifi- candy longer than that of alates paired with siblings （P 〈 0.05 ）. The non-swarming alates could mate with swarming or non-swarming Mates and lay fertile eggs which hatched successfully. However, the survival rate of colonies founded by non-swarming alates was very low. The death rate of incipient colonies was in the range of 0.61% -0. 99% after three months, while the death rate of the colonies founded by swarming alates was in the range of 0.22% -0.58%. Females that had been experimentally prevented from mating could lay eggs, but the eggs did not hatch. [ Conclusion] There are two distinct hourly peaks of mating activity within each 24 hour period. Incipient colonies founded by outbreeding have the highest probability of survival.