妊娠合并慢性乙型肝炎血清HBV pgRNA、PreS1抗原表达与肝内胆汁淤积症的相关性分析

目的 探究妊娠合并慢性乙型肝炎病人血清乙型肝炎病毒(HBV)前基因组RNA(HBV pgRNA)、前S1抗原(PreS1Ag)水平变化及与妊娠期肝内胆汁淤积症(ICP)发生的相关性。方法 选取2017年6月至2020年6月在雅安市人民医院进行孕期检查的慢性乙型肝炎孕妇279例作为研究对象,根据入组病人是否患有ICP分为合并ICP组43例、未合并ICP组236例。比较两组病人血清中HBV pgRNA、PreS1 Ag水平,并分析两组血清HBV pgRNA、PreS1 Ag表达与HBV DNA表达水平相关性;比较两组病人妊娠结局,并分析合并ICP组病人血清HBV pgRNA表达水平及PreS1 Ag阳性表达率与妊娠结局的关系。受试者操作特征(ROC)曲线分析血清HBV pgRNA、PreS1 Ag光密度[D(λ)]值诊断慢性乙型肝炎孕妇合并ICP的效能。结果 合并ICP组慢性乙型肝炎病人血清HBV表面抗原(HbsAg)水平[(3.71±0.92)log IU/mL]、HBV e抗原(HbeAg)阳性率[65.12%(28/43)]、HBV DNA含量[(8.03±1.69)log copies/mL]、天冬氨酸转氨酶(AST)[(79.68±15.73)U/L]、丙氨酸转氨酶(ALT)[(72.08±16.95)U/L]、PreS1 Ag阳性表达率[88.37%(38/43)]、PreS1 Ag D(λ)值水平(1.24±0.25)及HBV pgRNA表达水平[(5.17±1.25)log copies/mL]明显高于未合并ICP组[(2.26±0.74)log IU/mL、24.15%(57/236)、(5.19±1.07)logcopies/mL、(23.01±12.47)U/L、(21.76±10.51)U/L、67.80%(160/236)、(0.92±0.23)、(3.02±0.98)logcopies/mL](P<0.05)。血清HBV pgRNA诊断慢性乙型肝炎孕妇合并ICP的曲线下面积(AUC)为0.89,灵敏度为81.40%,特异度为80.50%。PreS1 Ag D(λ)值诊断慢性乙型肝炎孕妇合并ICP的AUC为0.83,灵敏度为76.70%,特异度为79.20%。二者联合诊断的AUC为0.91,灵敏度为93.00%,特异度为78.40%。合并ICP组、未合并ICP组血清PreS1 Ag阳性的慢性乙型肝炎病人血清HBV DNA、HBV pgRNA表达水平均明显高于PreS1 Ag阴性表达病人(P<0.05)。合并ICP组、未合并ICP组血清HBV pgRNA、PreS1 Ag D(λ)值均与HBV DNA表达水平呈正相关(P<0.05)。合并ICP组产后出血、早产的发生率明显高于未合并ICP组(P<0.05)。发生不良妊娠结局的慢性乙型肝炎合并ICP病人血清PreS1 Ag阳性表达率、PreS1 Ag D(λ)值、HBV pgRNA表达水平均明显高于未发生不良妊娠结局病人(P<0.05)。结论 合并ICP的慢性乙型肝炎病人血清HBV pgRNA表达水平、PreS1 Ag阳性表达率及D(λ)值水平均明显升高,对ICP有一定诊断价值,且两者水平变化均与HBV DNA含量有关,并可能预示病人不良妊娠结局的发生。

Study on Licker-In and Flat Speeds of Carding Machine and Its Effects on Quality of Cotton Spinning Process

Spinning has a significant influence on all textile processes. Combinations of all the capital equipment display the process’ critical condition. By transforming unprocessed fibers into carded sliver and yarn, the carding machine serves a critical role in the textile industry. The carding machine’s licker-in and flat speeds are crucial operational factors that have a big influence on the finished goods’ quality. The purpose of this study is to examine the link between licker-in and flat speeds and how they affect the yarn and carded sliver quality. A thorough experimental examination on a carding machine was carried out to accomplish this. The carded sliver and yarn produced after experimenting with different licker-in and flat speed combinations were assessed for important quality factors including evenness, strength, and flaws. To account for changes in material qualities and machine settings, the study also took into consideration the impact of various fiber kinds and processing circumstances. The findings of the investigation showed a direct relationship between the quality of the carded sliver and yarn and the licker-in and flat speeds. Within a limited range, greater licker-in speeds were shown to increase carding efficiency and decrease fiber tangling. On the other hand, extremely high speeds led to more fiber breakage and neps. Higher flat speeds, on the other hand, helped to enhance fiber alignment, which increased the evenness and strength of the carded sliver and yarn. Additionally, it was discovered that the ideal blend of licker-in and flat rates varied based on the fiber type and processing circumstances. When being carded, various fibers displayed distinctive behaviors that necessitated adjusting the operating settings in order to provide the necessary quality results. The study also determined the crucial speed ratios between the licker-in and flat speeds that reduced fiber breakage and increased the caliber of the finished goods. The results of this study offer useful information for textile producers and process engineers to improve the quality of carded sliver and yarn while maximizing the performance of carding machines. Operators may choose machine settings and parameter adjustments wisely by knowing the impacts of licker-in and flat speeds, which will increase textile industry efficiency, productivity, and product quality.

A Credit Card Fraud Model Prediction Method Based on Penalty Factor Optimization AWTadaboost

With the popularity of online payment, how to perform creditcard fraud detection more accurately has also become a hot issue. And withthe emergence of the adaptive boosting algorithm (Adaboost), credit cardfraud detection has started to use this method in large numbers, but thetraditional Adaboost is prone to overfitting in the presence of noisy samples.Therefore, in order to alleviate this phenomenon, this paper proposes a newidea: using the number of consecutive sample misclassifications to determinethe noisy samples, while constructing a penalty factor to reconstruct thesample weight assignment. Firstly, the theoretical analysis shows that thetraditional Adaboost method is overfitting in a noisy training set, which leadsto the degradation of classification accuracy. To this end, the penalty factorconstructed by the number of consecutive misclassifications of samples isused to reconstruct the sample weight assignment to prevent the classifierfrom over-focusing on noisy samples, and its reasonableness is demonstrated.Then, by comparing the penalty strength of the three different penalty factorsproposed in this paper, a more reasonable penalty factor is selected.Meanwhile, in order to make the constructed model more in line with theactual requirements on training time consumption, the Adaboost algorithmwith adaptive weight trimming (AWTAdaboost) is used in this paper, so thepenalty factor-based AWTAdaboost (PF_AWTAdaboost) is finally obtained.Finally, PF_AWTAdaboost is experimentally validated against other traditionalmachine learning algorithms on credit card fraud datasets and otherdatasets. The results show that the PF_AWTAdaboost method has betterperformance, including detection accuracy, model recall and robustness, thanother methods on the credit card fraud dataset. And the PF_AWTAdaboostmethod also shows excellent generalization performance on other datasets.From the experimental results, it is shown that the PF_AWTAdaboost algorithmhas better classification performance.

血清preS1水平与慢性乙型肝炎患者肝纤维化的关系及对癌变的诊断价值

目的分析血清乙型肝炎病毒(hepatitis B virus,HBV)前S1蛋白(precursor S1 protein,preS1)与慢性乙型肝炎(chronic hepatitis B,CHB)肝纤维化及癌变进展的相关性。方法对2019年10月—2021年10月期间在青海红十字医院接受检查的228例乙肝表面抗原(hepatitis B surface antigen,HBsAg)阳性慢性HBV感染者进行回顾性分析,其中CHB患者75例、肝硬化(liver cirrhosis,LC)患者93例(LC组)、肝细胞癌(hepatocellular carcinoma,HCC)患者60例(HCC组)。根据LC和HCC组肝组织活检分析肝脏炎症活动及肝纤维化程度。结果HCC组血清preS1水平[496.32(457.63,988.0)ng/mL]和LC组[338.72(247.93,554.61)ng/mL]血清preS1水平均显著高于CHB组[113.69(87.09,177.40)ng/mL],且差异具有统计学意义(P均<0.05)。HCC组血清preS1水平亦高于LC组(P=0.002)。经受试者工作特征曲线分析,血清preS1水平鉴别诊断CHB与LC的曲线下面积(area under the curve,AUC)是0.881(95%CI:0.830~0.932),鉴别诊断CHB/LC与HCC的AUC是0.861(95%CI:0.815~0.908)。3组患者的血清preS1水平与HBsAg(rs=0.799,P<0.001)呈强正相关和Log HBV DNA(rs=0.262,P<0.001)呈弱正相关。此外LC组和HCC组血清preS1水平与肝脏炎症活动分级(rs=0.201,P=0.009)及肝纤维化分期也呈弱正相关性(rs=0.295,P<0.001)。结论血清preS1水平与血清HBsAg、HBV DNA水平和肝脏炎症和纤维化进展呈正相关,有可能成为鉴别诊断HBV相关慢性肝病肝硬化或癌变的候选标志物。

儿童肺炎支原体肺炎肺泡灌洗液CARDS TX、HMGB1、TLR2表达及临床意义

目的研究肺炎支原体肺炎(MPP)患儿肺泡灌洗液中社区获得性呼吸窘迫综合征毒素(CARDS TX)、高迁移率族蛋白1(HMGB1)、Toll样受体2(TLR2)表达,探讨其在MPP发病中的临床意义。方法回顾性分析55例MPP病例组及20例对照组临床资料,同时检测两组支气管肺泡灌洗液(BALF)中CARDS TX、HMGB1、TLR2、TLR4、晚期糖基化终末产物受体(RAGE)及髓样分化因子88(MyD88)表达,体外检测不同浓度CARDS TX刺激下HMGB1、TLR2的表达并进行比较。结果与对照组相比,MPP组LYM绝对值计数、PA、CD3^(+)、CD3^(+)CD4^(+)、CD3^(+)CD8^(+)、CD3-CD19^(+)、NK cell、CD19^(+)CD23^(+)明显下降,CRP、LDH、D-二聚体、IgA、IgG、IgM、CARDS TX、HMGB1、TLR2、MyD88均升高,差异有统计学意义(P<0.05或0.001)。CARDS TX刺激后HMGB1、TLR2的表达升高,且呈正相关,差异有统计学意义(P<0.001)。结论CARDS TX可能通过HMGB1-TLR2-MyD88途径参与肺炎支原体(MP)的致病。

Study on Licker-In and Flat Speeds of Carding Machine and Its Effects on Quality of Cotton Spinning Process

Spinning has a significant influence on all textile processes. Combinations of all the capital equipment display the process’ critical condition. By transforming unprocessed fibers into carded sliver and yarn, the carding machine serves a critical role in the textile industry. The carding machine’s licker-in and flat speeds are crucial operational factors that have a big influence on the finished goods’ quality. The purpose of this study is to examine the link between licker-in and flat speeds and how they affect the yarn and carded sliver quality. A thorough experimental examination on a carding machine was carried out to accomplish this. The carded sliver and yarn produced after experimenting with different licker-in and flat speed combinations were assessed for important quality factors including evenness, strength, and flaws. To account for changes in material qualities and machine settings, the study also took into consideration the impact of various fiber kinds and processing circumstances. The findings of the investigation showed a direct relationship between the quality of the carded sliver and yarn and the licker-in and flat speeds. Within a limited range, greater licker-in speeds were shown to increase carding efficiency and decrease fiber tangling. On the other hand, extremely high speeds led to more fiber breakage and neps. Higher flat speeds, on the other hand, helped to enhance fiber alignment, which increased the evenness and strength of the carded sliver and yarn. Additionally, it was discovered that the ideal blend of licker-in and flat rates varied based on the fiber type and processing circumstances. When being carded, various fibers displayed distinctive behaviors that necessitated adjusting the operating settings in order to provide the necessary quality results. The study also determined the crucial speed ratios between the licker-in and flat speeds that reduced fiber breakage and increased the caliber of the finished goods. The results of this study offer useful information for textile producers and process engineers to improve the quality of carded sliver and yarn while maximizing the performance of carding machines. Operators may choose machine settings and parameter adjustments wisely by knowing the impacts of licker-in and flat speeds, which will increase textile industry efficiency, productivity, and product quality.

CARD6在脓毒症心肌损伤中的机制研究

目的:探讨CARD6在脓毒症心肌损伤中的调节机制。方法:将C57BL/6小鼠随机分为对照组与模型组。采用LPS腹腔注射法构建脓毒症心肌损伤小鼠模型,RT-qPCR检测小鼠心肌组织中CARD6、caspase-1的mRNA水平。体外实验则采用LPS刺激转染CARD6过表达质粒的H9C2细胞,检测caspase-1、细胞活力、CK-MB水平。结果:与对照组相比,模型组小鼠心肌组织中LDH、CK-MB含量,caspase-1表达水平上升,提示脓毒症导致小鼠心肌损伤,而CARD6表达水平明显降低。体外实验发现CARD6表达水平呈下降趋势,转染含有CARD6的过表达质粒后细胞释放CK-MB的水平降低、细胞活力增加、caspase-1水平降低。结论:CARD6可改善脓毒症所致心肌损伤,其机制可能与caspase-1介导的细胞焦亡相关。

植物PRE类转录因子基因的研究进展

多效唑是一种赤霉素合成抑制剂,抗多效唑(paclobutrazol-resistance,PRE)基因家族编码的蛋白质可与多效唑发生拮抗作用,这些蛋白质具有螺旋-环-螺旋(basic Helix-Loop-Helix,bHLH)结构,在高等植物中参与转录调控从而在植物发育的许多方面发挥关键作用.PRE基因通过参与各种激素(如赤霉素,油菜素内酯,生长素等)、温度和光响应信号通路来调节植物的生长和发育,对植物生长发育具有重要意义.综述PRE基因在植物中的研究进展,主要包括PRE基因的基本性质、分类、功能以及所参与的植物生理过程等方面,为进一步研究植物PRE类转录因子基因提供理论基础.

Analysis of Static Pressure in Area between Back Plate and Cylinder of a Carding Machine with CFD

To analyze static pressure between back plate and cylinder in an A186 carding machine,a fluid model is established. The model takes into account static pressure of airflow near back plate with the numerical simulation method of Computational Fluid Dynamics (CFD) in FLUENT software. The result of the simulation in the model shows that static pressure in this area quickly increases to its maximum then rapidly decreases to a lower fixed value from inlet to outlet along a zone between back plate and cylinder. Both rotating speeds of the cylinder and the taker-in affect static pressure from the inlet to the outlet,of which the cylinder rotating speed has more influence than that of taker-in. Numerical simulations reveal that static pressure on surface of back plate are in good agreement with the former result of experimental analysis.

肺炎支原体CARDS毒素依赖KELED序列调控炎性反应

目的细胞内逆向运输系统是微生物毒素蛋白导致细胞毒性的关键。KELED序列是肺炎支原体CARDS毒素逆向转运至内质网,而后发挥细胞毒性作用的关键氨基酸基序。在小鼠模型中,体外重组的CARDS蛋白可以重现肺炎支原体肺炎患者的特征性症状。然而,CARDS是否依赖于KELED序列调控肺组织炎性反应仍不清楚。方法在大肠杆菌中表达并纯化CARDS及其KELED序列突变蛋白;随后在细胞水平验证其致空泡化活性;最后,在小鼠模型中评价KELED序列突变的CARDS蛋白是否影响炎性因子的表达以及是否造成肺组织病理学损伤。结果KELED序列氨基酸发生突变,减弱CARDS蛋白致细胞空泡化效应,下调肺组织炎性因子mRNA表达,减轻肺组织的病理学损伤。结论KELED序列对CARDS蛋白致细胞空泡化及炎性损伤活性的维持至关重要。

Weighted Adaptive Generalized Predictive Control for Carding Autoleveler

In textile industry, carding process has decisive influence on produced yarn quality. From the system theoretic point of view, it is marked by stochastic disturbance, long delays, and parameter variation. So, a carding process is difficult to control with traditional control algorithms (such as PID). In this paper, a weighted adaptive generalized predictive control (GPC) law was developed to control such a process. The experimental results show that GPC autoleveller controller could greatly reduce the sliver’s standard deviation and reject disturbance.

Credit Card Fraud Detection Using Improved Deep Learning Models

Fraud of credit cards is a major issue for financial organizations and individuals.As fraudulent actions become more complex,a demand for better fraud detection systems is rising.Deep learning approaches have shown promise in several fields,including detecting credit card fraud.However,the efficacy of these models is heavily dependent on the careful selection of appropriate hyperparameters.This paper introduces models that integrate deep learning models with hyperparameter tuning techniques to learn the patterns and relationships within credit card transaction data,thereby improving fraud detection.Three deep learning models:AutoEncoder(AE),Convolution Neural Network(CNN),and Long Short-Term Memory(LSTM)are proposed to investigate how hyperparameter adjustment impacts the efficacy of deep learning models used to identify credit card fraud.The experiments conducted on a European credit card fraud dataset using different hyperparameters and three deep learning models demonstrate that the proposed models achieve a tradeoff between detection rate and precision,leading these models to be effective in accurately predicting credit card fraud.The results demonstrate that LSTM significantly outperformed AE and CNN in terms of accuracy(99.2%),detection rate(93.3%),and area under the curve(96.3%).These proposed models have surpassed those of existing studies and are expected to make a significant contribution to the field of credit card fraud detection.

A Self-Adapting and Efficient Dandelion Algorithm and Its Application to Feature Selection for Credit Card Fraud Detection

A dandelion algorithm(DA) is a recently developed intelligent optimization algorithm for function optimization problems. Many of its parameters need to be set by experience in DA,which might not be appropriate for all optimization problems. A self-adapting and efficient dandelion algorithm is proposed in this work to lower the number of DA's parameters and simplify DA's structure. Only the normal sowing operator is retained;while the other operators are discarded. An adaptive seeding radius strategy is designed for the core dandelion. The results show that the proposed algorithm achieves better performance on the standard test functions with less time consumption than its competitive peers. In addition, the proposed algorithm is applied to feature selection for credit card fraud detection(CCFD), and the results indicate that it can obtain higher classification and detection performance than the-state-of-the-art methods.

CARD11 serves as a therapeutic biomarker for the drug therapies of ccRCC

Background:The incidence of clear cell renal cell carcinoma(ccRCC)is globally high;however,despite the introduction of innovative drug therapies,there remains a lack of effective biomarkers for evaluating treatment response.Recently,Caspase recruiting domain-containing protein 11(CARD11)has garnered attention due to its significant association with tumor development and the immune system.Methods:The expression of CARD11 mRNA and protein in ccRCC were analyzed by public database and immunohistochemistry.The focus of this study is on the epigenomic modifications of CARD11,its expression of ccRCC immunophenotype,and its correlation with response to immunotherapy and targeted therapy.Furthermore,to investigate the mechanism of this molecule’s influence on different biological behaviors of cells,cell tests in vitro have been conducted to observe the impact of its expression level.Results:CARD11 expression was upregulated which may be mainly modified by body methylation and was correlated with poor prognosis in ccRCC.In the tumor microenvironment of ccRCC,CARD11 expression was positively correlated with increased T lymphocyte infiltration and increased expression of inhibitory immune checkpoints.Moreover,ccRCC patients with high CARD11 expression had a better response to immunotherapy and targeted therapy.The knockdown of CARD11 ultimately suppressed the proliferation,migration,and invasion capabilities of ccRCC cells while simultaneously enhancing tumor cell apoptosis.Conclusion:We identified CARD11 as a novel therapeutic biomarker for immunotherapy and targeted therapy in ccRCC.

Clinical Observation on the Treatment of Pre and Postmenopausal Syndromes by Modified Wumei Decoction

Objective:To compare the efficacy of Wumei Decoction in pre and postmenopausal patients and its effect on follicle-stimulating hormone(FSH)and estradiol(E2).Methods:Sixty-four patients who attended the Department of Traditional Chinese Medicine I in Cangzhou City Central Hospital from January 2020 to January 2022 were selected and randomly divided into treatment group and control group,32 cases in each group.The treatment group took modified Wumei Decoction orally,1 dose of water boiled 2 times a day,divided into 2 warm doses;the control group took Livial orally,2.5 mg/times,1 time/day,and the observation cycles were all for 3 months.Kupperman score,FSH,E2,clinical symptoms and clinical efficacy were compared between the two groups before and after treatment.Results:The Kupperman score of the two groups decreased after treatment,and the difference was statistically significant;the total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant;there was no statistical significance in the comparison of FSH before and after the treatment of the two groups,but the FSH values of the two groups were significantly lower than those before,and the difference was statistically significant;there was no statistically significant difference in the comparison of E2 of the two groups before treatment,and the E2 values of the two groups were higher than those of the control group after the treatment.After the treatment,E2 of the two groups of patients was significantly higher than before,and the difference was statistically significant.After treatment,E2 of the treatment group was higher than that of the control group,and the comparison between the groups was statistically significant.Conclusion:There was no significant difference between modified Wumei Decoction and Livial in lowering follicle-stimulating hormone levels;modified Wumei Decoction was superior in raising oestradiol;and modified Wumei Decoction was relatively effective in improving clinical symptoms.

A Study on the Problem of Employee Punch Card Substitution in Enterprise Management:The Case of Jingdong Enterprise

With economic progress and the continuous advancement of science and technology,the issue of employees substituting punch cards has gradually become a significant challenge in enterprise management.The purpose of this paper is to discuss the causes,effects,and countermeasures of the employee punch card phenomenon,with the aim of providing effective management recommendations for Chinese enterprises.In practice,enterprises should flexibly apply the countermeasures proposed in this paper according to their specific circumstances to prevent substitute punch card incidents and improve overall management efficiency.

Pre-miR172及miR172调控油菜AP2基因表达的规律分析

为探究油菜miR172前体(pre-miR172)及成熟体(miR172)对AP2基因的调控功能,该研究通过生物信息学方法对miR172和AP2启动子进行调控元件预测,分析6条油菜AP2基因的进化关系及miR172与AP2的靶向关系;通过qRT-PCR方法检测AP2、miR172和pre-miR172在早熟和晚熟油菜不同组织的表达规律;比较分析miR172丰度和AP2表达量间的相关关系,以及比较分析pre-miR172和miR172在表达水平上的相关关系;通过过表达pre-miR172,再次验证pre-miR172对成熟体miR172及AP2的作用。结果表明:(1)miR172和AP2启动子区均存在调控花发育的顺式元件。(2)6条AP2序列均经历了强烈的纯化选择,均具备miR172的结合位点,属miR172的靶基因。(3)miR172家族成员均可促进早熟油菜AP2表达,但miR172d作用不明显。在晚熟油菜中,miR172a和miR172c作用微弱,miR172b和miR172d二者共同发挥作用降低AP2的表达水平。(4)pre-miR172家族对于早熟油菜中miR172家族的表达水平均有促进作用;在晚熟油菜中pre-miR172a和pre-miR172b对其成熟序列的形成发挥正调控作用,pre-miR172c和pre-miR172d则对于其成熟序列的形成发挥负调控作用。过表达pre-miR172后,miR172和AP2表达规律与上述结果保持一致,证实pre-miR172对miR172及AP2的调控功能。该研究结果丰富了油菜AP2基因的功能调控路径,为基因的调控功能研究提供了新的思路。

Association between Placental Malaria and Severe Pre-Eclampsia in Two University Hospitals of Yaounde City

Context: Pre-eclampsia and placental malaria, are two diseases that share pathophysiological similarities, such as placental ischemia, endothelial dysfunction and production of pro-inflammatory cytokines. Objective: The objective of our study was to investigate the association between placental malaria lesions and severe pre-eclampsia. Methodology: We conducted a prospective analytical cross-sectional study in two University Hospitals in the city of Yaounde (Yaounde Central Hospital and the Gynaecological Obstetrics and Paediatrics Hospital), and in the laboratory of the Centre Pasteur in Yaounde over an eight-month period (1st January 2021 – 1st September 2021). All patients with pre-eclampsia diagnosed according to the criteria of the International Society for the Study of Hypertension (ISSHP) and free of chronic metabolic or infectious pathology were included in this study. The patients were divided into two groups: group 1 (mild pre-eclampsia) and group 2: severe pre-eclampsia. Socio-demographic, clinical and histopathological characteristics specific to pre-eclampsia and placental malaria were investigated. Statistical analysis was performed with SPSS 23.0 software, Chi 2 was used to compare categorical variables, Student t-test was used to compare means, and logistic regression was used to assess the association between placental malaria lesions and PES. Results: The mean age of our study population was 29.93 ± 7.36 years versus 28.28 ± 7.18 years in patients with mild and severe pre-eclampsia respectively. Pre-eclampsia placental lesions (accelerated villous maturation, infarction) were significantly greater in patients with severe pre-eclampsia (p Conclusion: Placental malaria lesions were significantly associated with severe pre-eclampsia and increased the risk of developing severe pre-eclampsia placental lesions by a factor of 10.

NIC X-FILE和DENCO Pre-Shaper镍钛器械对模拟弯曲根管成形的影响

背景:根管预备是根管治疗的关键步骤,近年来随着新型镍钛器械的迅速发展,根管成形能力得到了显著提高,然而不同种类的镍钛系统成形能力亦不同,目前国内外关于R相热处理机用镍钛器械NIC X-FILE和DENCO Pre-Shaper对弯曲根管成形能力的影响鲜见报道。目的:比较NIC X-FILE和DENCO Pre-Shaper机用镍钛锉预备树脂模拟弯曲根管的成形效果。方法:选取树脂模拟弯曲根管50个,随机分为2组(n=25),分别使用NIC X-FILE、DENCO Pre-Shaper镍钛根管锉进行根管预备,记录根管预备时间、采集根管预备前后图像。使用图像处理和分析软件测量各观测点的根管内、外侧壁树脂去除量,运用统计学软件,对比研究两种机用镍钛锉的根管预备时间和中心定位能力。结果与结论:①DENCO Pre-Shaper组平均根管预备时间为(1.58±0.02)min,NIC X-FILE组平均根管预备时间为(2.22±0.03)min,两组间比较差异有显著性意义(P<0.05);②DENCO Pre-Shaper组在距离根尖孔4,5,7,8,9,10 mm处的内侧树脂去除量多于NIC X-FILE组(P<0.05),在距离根尖孔3,5,6,7,8 mm处的外侧树脂去除量少于NIC X-FILE组(P<0.05);③在距离根尖孔2,4,5,6,7,8,9 mm处,NIC X-FILE组的中心定位能力优于DENCO Pre-Shaper组(P<0.05),其中在距离根尖孔4 mm处的中心定位能力最佳;④结果表明,DENCO Pre-Shaper根管锉较NIC X-FILE镍钛根管锉具有较高的机械效率,但其中心定位能力不如NIC X-FILE镍钛根管锉。

The Hidden Side of the Story between the Placenta and Preeclampsia: Preliminary Results of a Prospective Cohort of Pregnant Women in Cameroon

Introduction: Pre-eclampsia is a complication of pregnancy that generally occurs in the third trimester. It is associated with a maternal and foetal mortality rate of around 27%. In view of the grim picture painted by this condition for both mother and newborn, studies have been carried out into the early detection of patients at risk of developing pre-eclampsia. These make it possible to introduce pregnancy-specific monitoring and preventive strategies to reduce the incidence of the condition. Objective: To establish the link between placental ultrasound characteristics and the onset of pre-eclampsia. Methodology: A multicentre prospective cohort study was conducted in two hospitals in Yaoundé, namely the Yaoundé Gynaecological Obstetrics and Paediatrics Hospital and the Nkolndongo Health and Social Animation Centre, in the gynaecology and radiology departments over a period of 11 months, from October 2022 to August 2023. It included pregnant women who had undergone obstetric ultrasound between 12 and 18 weeks’ gestation. In addition to routine obstetric ultrasound, we performed obstetric Doppler measurements in these patients. The resistance index of the left and right uterine arteries, the umbilical artery and the placental volume were the characteristics sought. At the end of this examination, two groups were formed: cases (pathological Doppler group) and controls (normal Doppler group). Blood pressure and urine dipstick were taken at each antenatal visit until delivery, then during the immediate postpartum period and finally at 7 days, 21 days and 42 days after delivery. Results: Sixty-seven (67) patients were included. Of these, 35 (47.8%) had pathological Dopplers. Sixteen patients had arterial hypertension associated with proteinuria and were therefore labelled as pre-eclampsia (PE). This gives a prevalence of 23.9%. Fifteen (42.8%) of these patients belonged to the exposed group and one to the unexposed group. The mean IR of the pre-eclampsia patients was significantly higher than that of the patients without pre-eclampsia;respectively 0.74 ± 0.096 and 0.49 ± 0.097 for the right uterine arteries and 0.71 ± 0.13 and 0.52 ± 0.089 for the left uterine arteries. We found that an increase in the uterine artery resistance index was significantly associated with the onset of pre-eclampsia, with a relative risk of 13.7 and a p value Conclusion: Abnormal Doppler ultrasound between 12 and 18 weeks of amenorrhoea had good overall sensitivity for predicting pre-eclampsia. Among the Doppler indices, the uterine artery resistance index was the only one significantly associated with pre-eclampsia.