BACKGROUND Liver cancer is among the top five most common cancers globally. Lipid-lowering drugs such as statins can lower the risk of liver cancer, but may also cause liver damage. LipoCol Forte capsules(LFC), a red ...BACKGROUND Liver cancer is among the top five most common cancers globally. Lipid-lowering drugs such as statins can lower the risk of liver cancer, but may also cause liver damage. LipoCol Forte capsules(LFC), a red yeast rice product, have demonstrated significant antihypercholesterolemic effects and a good safety profile in clinical studies.AIM To evaluate whether LFC lowers the risk of liver cancer in adults in this propensity score-matched, nationwide, population-based cohort study.METHODS We used data from Taiwan’s National Health Insurance Research Database, which includes electronic medical records for up to 99.99% of Taiwan’s population. LFC users and LFC non-users were matched 1:1 by propensity scores between January 2010 and December 2017. All had followup data for at least 1 year. Statistical analyses compared demographic distributions including sex, age, comorbidities, and prescribed medications. Cox regression analyses estimated adjusted hazard ratios(aHRs) after adjusting for potential confounders.RESULTS We enrolled 33231 LFC users and 33231 non-LFC users(controls). No significant differences between the study cohorts were identified regarding comorbidities and medications [standardized mean difference(SMD) < 0.05]. At follow-up, the overall incidence of liver cancer was significantly lower in the LFC cohort compared with controls [aHR 0.91;95% confidence interval(CI): 0.86-0.95;P < 0.001]. The risk of liver cancer was significantly reduced in both females(aHR 0.87;95%CI: 0.8-0.94;P < 0.001) and males(aHR 0.93;95%CI: 0.87-0.98;P < 0.01) in the LFC cohort compared with their counterparts in the non-LFC cohort. The antitumor protective effects applied to patients with comorbidities(including hypertension, ischemic stroke, diabetes mellitus, hyperlipidemia, hepatitis B infection and hepatitis C infection). Those using LFC for more than 84 drug days had a 0.64-fold lower risk of liver cancer compared with controls(P < 0.001). Compared with controls, the risk of developing liver cancer in the LFC cohort progressively decreased over time;the lowest incidence of liver cancer occurred in LFC users followed-up for more than 6 years(27.44 vs 31.49 per 1,000 person-years;aHR 0.75;95%CI: 0.68-0.82;P < 0.001).CONCLUSION This retrospective cohort study indicates that LFC has a significantly protective effect on lowering the risk of liver cancer, in a dose-dependent and time-dependent manner.展开更多
本研究通过设置不同浓度梯度36%Baraca Forte悬浮剂(SC)田间小区药效试验,研究其对棉田杂草防除效果及安全性。试验结果表明:36%Baraca Forte SC 900 mL/hm^2处理用药后45 d杂草株防效、鲜重防效均在94%以上,36%Bacara Forte SC对棉田...本研究通过设置不同浓度梯度36%Baraca Forte悬浮剂(SC)田间小区药效试验,研究其对棉田杂草防除效果及安全性。试验结果表明:36%Baraca Forte SC 900 mL/hm^2处理用药后45 d杂草株防效、鲜重防效均在94%以上,36%Bacara Forte SC对棉田杂草有良好的防治效果,且对棉花安全,无药害。展开更多
A three-day show entirely dedicated to beachwear and resortwear.From July 22 to 24,the sixteenth edition of Maredamare,the international trade show organized and promoted by Underbeach,will be held in the splendid For...A three-day show entirely dedicated to beachwear and resortwear.From July 22 to 24,the sixteenth edition of Maredamare,the international trade show organized and promoted by Underbeach,will be held in the splendid Fortezza da Basso in Florence,Italy,previewing more than two hundred and fifty beachwear collections for summer 2024.Indoor and outdoor events,fashion shows,the presentation of new trends and an area dedicated to sustainability will be on the program.展开更多
上颌Le Fort Ⅰ型截骨术是正颌外科中矫治上颌骨畸形最常采用术式之一。但是,上颌骨的移动、肌肉的剥离会影响周围软组织的形态,其中鼻形态的改变越来越受到重视。已有研究报道,正颌手术后鼻形态的不利改变是降低患者手术满意度的主要...上颌Le Fort Ⅰ型截骨术是正颌外科中矫治上颌骨畸形最常采用术式之一。但是,上颌骨的移动、肌肉的剥离会影响周围软组织的形态,其中鼻形态的改变越来越受到重视。已有研究报道,正颌手术后鼻形态的不利改变是降低患者手术满意度的主要原因之一。明确上颌Le Fort Ⅰ型截骨术对鼻形态的影响能够帮助医生更准确地预测术后鼻形态的变化,从而优化手术设计、提高医患沟通效率。本文将对上颌Le Fort Ⅰ型截骨术后鼻部形态变化的研究进展作一综述,旨在为临床实践提供相应的参考。展开更多
上颌窦炎是Le Fort Ⅰ型截骨术后常见的并发症,对正颌术后的骨质愈合等非常不利。明确Le Fort Ⅰ型截骨术后上颌窦炎发生的相关因素,针对性采取预防措施,早期发现与及时治疗,对于降低上颌窦炎的发生率,加快患者术后康复,以及提升患者术...上颌窦炎是Le Fort Ⅰ型截骨术后常见的并发症,对正颌术后的骨质愈合等非常不利。明确Le Fort Ⅰ型截骨术后上颌窦炎发生的相关因素,针对性采取预防措施,早期发现与及时治疗,对于降低上颌窦炎的发生率,加快患者术后康复,以及提升患者术后生活质量具有重要意义。本文就上颌骨Le Fort Ⅰ型截骨术后并发上颌窦炎的影响、病因、诊断、治疗和预防等进行总结,为正颌外科相关医护人员早期诊治上颌窦炎提供参考。展开更多
目的:探讨改良鼻旁植骨是否能减少Le Fort 1型截骨下降手术术后上颌骨垂直向的复发。方法:选择双颌手术中上颌骨下降幅度>3 mm的患者30例,分为改良鼻旁植骨组和非改良鼻旁植骨组。利用术前(T0)、术后3天(T1)和术后6个月(T2)的颌面CT...目的:探讨改良鼻旁植骨是否能减少Le Fort 1型截骨下降手术术后上颌骨垂直向的复发。方法:选择双颌手术中上颌骨下降幅度>3 mm的患者30例,分为改良鼻旁植骨组和非改良鼻旁植骨组。利用术前(T0)、术后3天(T1)和术后6个月(T2)的颌面CT数据对上颌骨位置进行三维测量;同时利用T1与T2的CT数据计算植骨块厚度的变化。采用SPSS 22.0软件包对数据进行统计学分析。结果:术后6个月,在垂直方向上,改良鼻旁植骨组上切牙点复发量为(0.54±0.35)mm,非改良鼻旁植骨组上切牙点复发量为(1.18±0.76)mm(P=0.3997)。2组在前后、水平方向的复发率无显著差异。改良鼻旁植骨组的植骨块厚度降低(11.75±6.25)%,非改良鼻旁植骨组的植骨块厚度降低(33.77±11.56)%(P<0.0001)。结果:改良鼻旁植骨可有效减少植骨块吸收,以及术后上颌骨垂直向复发。展开更多
During the last 60 years, the southern Vietnam environment and Vietnamese living in the Mekong Delta have bio-accumulated arsenic from natural and anthropic (Vietnam Civil War (1962-1965)) sources via their drinking w...During the last 60 years, the southern Vietnam environment and Vietnamese living in the Mekong Delta have bio-accumulated arsenic from natural and anthropic (Vietnam Civil War (1962-1965)) sources via their drinking water (groundwater from tube wells) and food supply leading to an increasing risk of chronic poisoning over time. A synthesis and analysis of publications and records is presented to document the Republic of Vietnam (RV), the official name of the South Vietnam Government, and United States (US) militaries contribution to arsenic levels and toxic spikes in the Vietnam Mekong Delta groundwater. During the Vietnam Civil War, Agent Blue, in powder form, was shipped to Port Saigon, via the Saigon River, and transported to the Tan Son Nhut Air Force base during the Vietnam Civil War. After the official start of the American-Vietnam War (1965-1973) the tactical herbicides were re-routed to Bien Hoa Air Force base (1965 to 1971). Approximately 3.2 million liters of Agent Blue (468,008 kg As) was sprayed or dumped by the RV military with the assistance and support of the Central Intelligence (CIA), US Army and US Navy, during the 1962-1965 Khai Huang (Hamlet) Program. A portion of an additional 4.6 million liters of Agent Blue (664,392 kg of As) was sprayed between 1962 and 1965 by the US Air Force as part of Operation Ranch Hand and prior to the official start of the American-Vietnam War in August 1964. Operation Rand Hand began in 1962 and ended in 1971. The Institute of Medicine estimated a total of 7.8 million liters (1,132,400 kg As) of Agent Blue was applied to southern Vietnam landscape from 1962 to 1971. This total includes both the 1962 to 1965 RV Khai Huang program with the assistance of the CIA, US Army and US Navy, and the total Agent Blue applied by US Air Force Operation Ranch Hand from 1962 to 1971. The primary objective of this study was to document how Agent Blue, the arsenic-based herbicide, became a secret US military and environmental chemical weapon used by the RV and US militaries in southern Vietnam during the Vietnam Civil War years (1962-1965). This assessment found that the anthropic arsenic, including Agent Blue, added a toxic burden to the Mekong Delta soils, surface water, groundwater, drinking water, food supply, and human health. However, there are missing details regarding political decisions and a full accounting of the geographic locations sprayed and amount of Agent Blue used. Vietnam War Archives have paper correspondence and RV herbicide spray records that shed greater light on this period. These records are over 50 years old and need to be electronically scanned, stored, and made available for additional historical analyses.展开更多
The 84 km Panama Canal connecting the Atlantic and Pacific oceans has historically been a strategic waterway for shipping and the location of United States (US) military bases. Since the construction of Lake Gatun res...The 84 km Panama Canal connecting the Atlantic and Pacific oceans has historically been a strategic waterway for shipping and the location of United States (US) military bases. Since the construction of Lake Gatun reservoir, canal locks and navigation channel through the Isthmus of Panama tropical forests in the 1910s, chemicals, pesticides, and herbicides have been essential for controlling upland and wetland vegetation as well as managing mosquito-borne diseases. Chemicals and pesticides flowed into Lake Gatun via land surface runoff and subsurface drainage either attached to the sediment or in solution during the rainy season. Lake Gatun and the Panama Canal was the drinking water source for most of the civilian and military population living in the Panama Canal Zone. Between 1948 and 1999, US military base commanders had the ability to order, from the Federal Supply Catalog, commercially available herbicide 2,4,5-T with unknown amounts of dioxin TCDD for use on the military base grounds in the Panama Canal Zone. The herbicide 2,4,5-T was transported to Panama Canal Zone ports, including the ports Cristobal on the Caribbean and Balboa on the Pacific, and distributed to the US military bases in Panama by rail or truck. The US National Toxicology Program and the International Agency for the Research on Cancer listed dioxin and TCDD as known human carcinogens. Dioxins are endocrine disrupters and can cause certain chloracne, cancers, developmental and reproductive effects. In 1985, the United States government banned the manufacture of the herbicide 2,4,5-T, with unknown amounts of dioxin TCDD, after it was shown to cause cancer in animals. The objectives of this study are to determine: 1) the fate of dioxin TCDD, a contaminant in the herbicide 2,4,5-T, sprayed on the US military base vegetation in the Panama Canal Zone from 1948 to 1999, 2) the transport of dioxin TCDD rich sediment via soil erosion and overland flow into Lake Gatun and Panama Canal waterways and 3) the human health impacts of dioxin TCDD, a known carcinogen, on US military and Panamanian civilians exposed to dioxin TCDD in the Panama Canal Zone.展开更多
基金Supported by the Ministry of Science and Technology of Taiwan,No. NSTC111-2320-B-039-025China Medical University Hospital,No. DMR-111-013 and No. DMR-111-195
文摘BACKGROUND Liver cancer is among the top five most common cancers globally. Lipid-lowering drugs such as statins can lower the risk of liver cancer, but may also cause liver damage. LipoCol Forte capsules(LFC), a red yeast rice product, have demonstrated significant antihypercholesterolemic effects and a good safety profile in clinical studies.AIM To evaluate whether LFC lowers the risk of liver cancer in adults in this propensity score-matched, nationwide, population-based cohort study.METHODS We used data from Taiwan’s National Health Insurance Research Database, which includes electronic medical records for up to 99.99% of Taiwan’s population. LFC users and LFC non-users were matched 1:1 by propensity scores between January 2010 and December 2017. All had followup data for at least 1 year. Statistical analyses compared demographic distributions including sex, age, comorbidities, and prescribed medications. Cox regression analyses estimated adjusted hazard ratios(aHRs) after adjusting for potential confounders.RESULTS We enrolled 33231 LFC users and 33231 non-LFC users(controls). No significant differences between the study cohorts were identified regarding comorbidities and medications [standardized mean difference(SMD) < 0.05]. At follow-up, the overall incidence of liver cancer was significantly lower in the LFC cohort compared with controls [aHR 0.91;95% confidence interval(CI): 0.86-0.95;P < 0.001]. The risk of liver cancer was significantly reduced in both females(aHR 0.87;95%CI: 0.8-0.94;P < 0.001) and males(aHR 0.93;95%CI: 0.87-0.98;P < 0.01) in the LFC cohort compared with their counterparts in the non-LFC cohort. The antitumor protective effects applied to patients with comorbidities(including hypertension, ischemic stroke, diabetes mellitus, hyperlipidemia, hepatitis B infection and hepatitis C infection). Those using LFC for more than 84 drug days had a 0.64-fold lower risk of liver cancer compared with controls(P < 0.001). Compared with controls, the risk of developing liver cancer in the LFC cohort progressively decreased over time;the lowest incidence of liver cancer occurred in LFC users followed-up for more than 6 years(27.44 vs 31.49 per 1,000 person-years;aHR 0.75;95%CI: 0.68-0.82;P < 0.001).CONCLUSION This retrospective cohort study indicates that LFC has a significantly protective effect on lowering the risk of liver cancer, in a dose-dependent and time-dependent manner.
文摘本研究通过设置不同浓度梯度36%Baraca Forte悬浮剂(SC)田间小区药效试验,研究其对棉田杂草防除效果及安全性。试验结果表明:36%Baraca Forte SC 900 mL/hm^2处理用药后45 d杂草株防效、鲜重防效均在94%以上,36%Bacara Forte SC对棉田杂草有良好的防治效果,且对棉花安全,无药害。
文摘A three-day show entirely dedicated to beachwear and resortwear.From July 22 to 24,the sixteenth edition of Maredamare,the international trade show organized and promoted by Underbeach,will be held in the splendid Fortezza da Basso in Florence,Italy,previewing more than two hundred and fifty beachwear collections for summer 2024.Indoor and outdoor events,fashion shows,the presentation of new trends and an area dedicated to sustainability will be on the program.
文摘上颌Le Fort Ⅰ型截骨术是正颌外科中矫治上颌骨畸形最常采用术式之一。但是,上颌骨的移动、肌肉的剥离会影响周围软组织的形态,其中鼻形态的改变越来越受到重视。已有研究报道,正颌手术后鼻形态的不利改变是降低患者手术满意度的主要原因之一。明确上颌Le Fort Ⅰ型截骨术对鼻形态的影响能够帮助医生更准确地预测术后鼻形态的变化,从而优化手术设计、提高医患沟通效率。本文将对上颌Le Fort Ⅰ型截骨术后鼻部形态变化的研究进展作一综述,旨在为临床实践提供相应的参考。
文摘上颌窦炎是Le Fort Ⅰ型截骨术后常见的并发症,对正颌术后的骨质愈合等非常不利。明确Le Fort Ⅰ型截骨术后上颌窦炎发生的相关因素,针对性采取预防措施,早期发现与及时治疗,对于降低上颌窦炎的发生率,加快患者术后康复,以及提升患者术后生活质量具有重要意义。本文就上颌骨Le Fort Ⅰ型截骨术后并发上颌窦炎的影响、病因、诊断、治疗和预防等进行总结,为正颌外科相关医护人员早期诊治上颌窦炎提供参考。
文摘目的:探讨改良鼻旁植骨是否能减少Le Fort 1型截骨下降手术术后上颌骨垂直向的复发。方法:选择双颌手术中上颌骨下降幅度>3 mm的患者30例,分为改良鼻旁植骨组和非改良鼻旁植骨组。利用术前(T0)、术后3天(T1)和术后6个月(T2)的颌面CT数据对上颌骨位置进行三维测量;同时利用T1与T2的CT数据计算植骨块厚度的变化。采用SPSS 22.0软件包对数据进行统计学分析。结果:术后6个月,在垂直方向上,改良鼻旁植骨组上切牙点复发量为(0.54±0.35)mm,非改良鼻旁植骨组上切牙点复发量为(1.18±0.76)mm(P=0.3997)。2组在前后、水平方向的复发率无显著差异。改良鼻旁植骨组的植骨块厚度降低(11.75±6.25)%,非改良鼻旁植骨组的植骨块厚度降低(33.77±11.56)%(P<0.0001)。结果:改良鼻旁植骨可有效减少植骨块吸收,以及术后上颌骨垂直向复发。
文摘During the last 60 years, the southern Vietnam environment and Vietnamese living in the Mekong Delta have bio-accumulated arsenic from natural and anthropic (Vietnam Civil War (1962-1965)) sources via their drinking water (groundwater from tube wells) and food supply leading to an increasing risk of chronic poisoning over time. A synthesis and analysis of publications and records is presented to document the Republic of Vietnam (RV), the official name of the South Vietnam Government, and United States (US) militaries contribution to arsenic levels and toxic spikes in the Vietnam Mekong Delta groundwater. During the Vietnam Civil War, Agent Blue, in powder form, was shipped to Port Saigon, via the Saigon River, and transported to the Tan Son Nhut Air Force base during the Vietnam Civil War. After the official start of the American-Vietnam War (1965-1973) the tactical herbicides were re-routed to Bien Hoa Air Force base (1965 to 1971). Approximately 3.2 million liters of Agent Blue (468,008 kg As) was sprayed or dumped by the RV military with the assistance and support of the Central Intelligence (CIA), US Army and US Navy, during the 1962-1965 Khai Huang (Hamlet) Program. A portion of an additional 4.6 million liters of Agent Blue (664,392 kg of As) was sprayed between 1962 and 1965 by the US Air Force as part of Operation Ranch Hand and prior to the official start of the American-Vietnam War in August 1964. Operation Rand Hand began in 1962 and ended in 1971. The Institute of Medicine estimated a total of 7.8 million liters (1,132,400 kg As) of Agent Blue was applied to southern Vietnam landscape from 1962 to 1971. This total includes both the 1962 to 1965 RV Khai Huang program with the assistance of the CIA, US Army and US Navy, and the total Agent Blue applied by US Air Force Operation Ranch Hand from 1962 to 1971. The primary objective of this study was to document how Agent Blue, the arsenic-based herbicide, became a secret US military and environmental chemical weapon used by the RV and US militaries in southern Vietnam during the Vietnam Civil War years (1962-1965). This assessment found that the anthropic arsenic, including Agent Blue, added a toxic burden to the Mekong Delta soils, surface water, groundwater, drinking water, food supply, and human health. However, there are missing details regarding political decisions and a full accounting of the geographic locations sprayed and amount of Agent Blue used. Vietnam War Archives have paper correspondence and RV herbicide spray records that shed greater light on this period. These records are over 50 years old and need to be electronically scanned, stored, and made available for additional historical analyses.
文摘The 84 km Panama Canal connecting the Atlantic and Pacific oceans has historically been a strategic waterway for shipping and the location of United States (US) military bases. Since the construction of Lake Gatun reservoir, canal locks and navigation channel through the Isthmus of Panama tropical forests in the 1910s, chemicals, pesticides, and herbicides have been essential for controlling upland and wetland vegetation as well as managing mosquito-borne diseases. Chemicals and pesticides flowed into Lake Gatun via land surface runoff and subsurface drainage either attached to the sediment or in solution during the rainy season. Lake Gatun and the Panama Canal was the drinking water source for most of the civilian and military population living in the Panama Canal Zone. Between 1948 and 1999, US military base commanders had the ability to order, from the Federal Supply Catalog, commercially available herbicide 2,4,5-T with unknown amounts of dioxin TCDD for use on the military base grounds in the Panama Canal Zone. The herbicide 2,4,5-T was transported to Panama Canal Zone ports, including the ports Cristobal on the Caribbean and Balboa on the Pacific, and distributed to the US military bases in Panama by rail or truck. The US National Toxicology Program and the International Agency for the Research on Cancer listed dioxin and TCDD as known human carcinogens. Dioxins are endocrine disrupters and can cause certain chloracne, cancers, developmental and reproductive effects. In 1985, the United States government banned the manufacture of the herbicide 2,4,5-T, with unknown amounts of dioxin TCDD, after it was shown to cause cancer in animals. The objectives of this study are to determine: 1) the fate of dioxin TCDD, a contaminant in the herbicide 2,4,5-T, sprayed on the US military base vegetation in the Panama Canal Zone from 1948 to 1999, 2) the transport of dioxin TCDD rich sediment via soil erosion and overland flow into Lake Gatun and Panama Canal waterways and 3) the human health impacts of dioxin TCDD, a known carcinogen, on US military and Panamanian civilians exposed to dioxin TCDD in the Panama Canal Zone.
