简介:Staphylococcusepidermidisisoneoftheleadingpathogensofnosocomialinfections.Twenty-eightstrainsofbiofilm-negativeStaphylococcusepidermidis,ofwhichthirteenstrainsconsideredastheclinicalstrainswereisolatedfromcatheters,bloodandurineofpatientsinHuashanHospital(Shang-hai,China)andfifteenstrainsconsideredascommensalstrainswereisolatedfromtheskinofhealthystudentswhohadnocontactwithhospitalsinrecenthalfyear,wereinvestigatedfortheadherencetohumanumbilicalveinendothelialcelllineECV304andhumancervicaladenocareinomacelllineHela,respectively.Ourresultsshowedthattheclinicalstrainsweremuchmoreadhesivetobothcellsthancommensalones.Theendothelialadherencemaybeavirulencefactorassociatedwiththisbacterialpathogenesis.
简介:Objective:Differentiatedthyroidcarcinomas(DTCs)areclassifiedintopapillarythyroidcarcinoma(PTC)andfollicularthyroidcarcinoma(FTC).DTCsareanalyzedasasinglegroupinclinicalstudiesthatinvestigatedtheprognosticfactorsandprognosisofthesemalignancies.However,thebiologicalbehaviorsofthesecarcinomassignificantlydiffer.Inthepresentstudy,weaimedtodetectdifferencesintheoutcomesbetweenPTCandFTCinMansouraUniversityHospitalinEgypt.Methods:Atotalof558patientswithhistologicallyproventhyroidcarcinomasfromJanuary2003toDecember2012wereretrospectivelyenrolled.Theclinicalandpathologicaldataofpatientswerereviewed.Results:Largeprimarytumorsize,lymphnodeinvolvement,extrathyroidextension,anddistantmetastasisweresignificantpoorprognosticfactorsforoverallsurvival(OS)inoldPTCpatients.Coxhazardanalysisshowedthatthepatient'sage,extrathyroidextension,anddistantmetastasisweretheonlyindependentprognosticfactors.InFTCpatients,onlythedistantmetastasisanddegreeoftumorinvasionweresignificantpoorprognosticfactorsinOSunivariateanalysis.However,thesefactorswerenonsignificantinmultivariateanalysis.The10-yearOSrateswere97%and89%forPTCandFTC,respectively(P=0.003).The10-yeardisease-freesurvival(DFS)rateswere77.2%inPTCvs.65%inFTC(P=0.179).Conclusion:ThesignificantprognosticfactorsvarybetweenthetwotypesofDTCs.Therefore,PTCandFTCpatientsneedtobeanalyzedandreportedindependently.PTCsurvivaliswidelyandsignificantlyaffectedbyage,extrathyroidextension,anddistantmetastasis.Bycontrast,thesefactorswerenonsignificantinFTC,whichshowedpoorersurvivalthanPTC.
简介:AIM:ToinvestigatetheChineseversionoftheLowVisionQualityofLifeQuestionnaire(CLVQOL)asaninstrumentforobtainingclinicallyimportantchangesaftercataractsurgery.METHODS:PatientsunderwentcataractsurgeryinShanghaiGeneralHospital,ShanghaiJiaoTongUniversity,whofittheinclusioncriteriawererecruited.TwoCLVQOLswereadministered,includingapreoperativeCLVQOLandaCLVQOLattheendofthe3mofollow-upperiod,andwerecompletedusingface-to-faceinterviewsorphoneinterviewsconductedbytrainedinvestigators.Theminimalclinicallyimportantdifference(MCID)wascalculatedusingananchor-basedmethodandadistributionmethod.Inaddition,theresponsivenessofthequestionnairewasmeasured.RESULTS:Atotalof155residentswereenrolled.Theaveragevisualacuity(VA)preoperativelywas0.08(SD=0.05),anditincreasedto0.47(SD=0.28)attheendoffollowup.StatisticallysignificantpositivechangesintheCLVQOLscoresindicatedsignificantimprovementofvisionrelatedqualityoflifeaftercataractsurgery.Withthelargervaluebetweenthetworesultsasthefinalvalue,theMCIDvaluesoftheCLVQOL(scoresofthefourscalesaswellasthetotalscore)were8.94,2.61,4.34,3.10and17.63,respectively.TheCLVQOLhasbothgoodinternalandexternalresponsiveness.CONCLUSION:CLVQOLscoresareappropriateinstrumentsforobtainingclinicallyimportantchangesaftercataractsurgery.Thisstudyisaneffectiveexplorationforestablishingcataractsurgeryefficacystandards,whichhelpsclinicalandscientificresearchworkersinophthalmologytogainamorein-depthunderstandingwhenusingCLVQOL.
简介:Globozoospermia是round-headed精子与不在的acrosome,异常的原子膜和midpiece缺点描绘的teratozoospermia的一种严重形式。Globozoospermia被100%round-headed精子的存在在精液分析上诊断,并且有这个条件的病人绝对是不肥沃的。这研究的目的是在在人的round-headed和正常精子之间的蛋白质表示调查差别。二维(2-D)荧光差别胶化电气泳动(DIGE)结合了集体spectrometry(MS)在这研究被使用。超过61个蛋白质点在每配对的normal/round-headed比较被分析,用与一个内部标准一起的DIGE技术。总共,双人脚踏车团spectrometry(MS/MS)识别的35个蛋白质点展出了重要变化(配对的t测试,P<0.05)在在正常和round-headed精子之间的表示水平。九蛋白质的一个总数被发现是upregulated,26蛋白质被发现与正常精子相比是在round-headed精子的downregulated。差别表示了我们识别了的蛋白质可以在许多细胞的过程和结构有重要角色,包括精子发生,房间骨骼,新陈代谢和精子活动性。
简介:关于性别和临床疼痛的文献回顾显示,女性接受疼痛治疗多于男性;女性的疼痛比男性严重,频繁,持续时间长。实验室结果表明,对疼痛的感觉有性别上的差异,实验诱发疼痛的频率也有性别的不同。女性的疼痛阈值和对疼痛的耐受都低于男性。但很少有人关注这些差异是否反映了男女对疼痛反映的方式,对疼痛表达的社会习惯,或有害刺激作用方式的生物学差异。本文中,我们假设女性慢性口面部疼痛高发生率是一般疼痛机制的性别差异的结果,是到目前为止还不确定的颅面系统特定的因素引起的。我们将回顾有关疼痛性别差异的证据,主要集中在口面部疼痛,对影响疼痛发生率的生物学和心理社会因素的证据和假设进行讨论。
简介:Objective:Todescribethedifferentcharacteristicsbetweenfull-timesexworkers(FTSW)andpart-timesexworkers(PTSW)inGuangzhou,China,andtode-terminetheriskfactorswhichleadtothesignificantlyhigherprevalenceofgonorrheaandtrichomoniasisamongFTSW.Methods:FromMarch1998toOctober1999femalesexworkerswererecruitedthroughvariousoutreachmethods,andwereinterviewedandtestedforthepres-enceofsexuallytransmitteddiseases(STDs).IntermsofadditionalregularsalaryfemalesexworkersweredividedintoFTSWwhodidn'thaveadditionalregularsalaryandPTSWwhohadadditionalregularsalary.Univariateandmultivariatelogisticregressionanaly-seswereusedtoidentifyriskfactorsforgonorrhea/trichomoniasisandtodeterminetheconfoundersintherelationshipbetweennoregularsalaryandgonor-rhea/trichomoniasis.Results:Atotalof442FTSWand524PTSWen-teredthisstudy.Prevalenceofgonorrheaandtri-chomoniasiswassignificantlyhigherinFTSWcomparedtoPTSW.FTSWweremorelikelytohavealowereducationlevel,haveahistoryofinject-ingdrugsusesince1990,torecruitclientsinamas-sage/sauna,havebusinessmenastheirclientsandnothaveasteadypartnercomparedtoPTSW.Inbivariateanalysesmodels,ageleavingeducation,maintypesofclientsandrecruitmentlocationsappearedtobethestrongestlinksbetweennoregularsalariedpositionandgonorrhea.Ahistoryofinjectingdrugsandhay-ingnosteadypartner(past12months)appearedtobethestrongestlinksintherelationshipbetweennoregu-larsalariedpositionandtrichomoniasis.Conclusion:Differenteducationlevels,clients,andrecruitmentlocationsbetweenFTSWandPTSWmayaccountforthedifferentgonorrheaprevalenceamongsexworkers.Thehigherprevalenceoftrichomonia-sisamongFTSWmayberelatedtothelargerpropor-tionofwomenhavingnosteadypartnerorahistoryofinjectingdrugs.TheresultssuggeststrategiestopreventHIV/STDsamongfemalesexworkersshoul
简介:Objective:ToanalyzethedifferentiallyexpressedcDNAsequencesrelatedtochlorophyllin(CHL)mediatedinhibitionofmalignanttransformationofhumanbronchia1epithelialcellline(16HBE).Methods:16HBEcellstreatedwithchlorophyllinandanti-BPDEwereconductedastester,16HBEcellstreatedonlywithanti-BPDEwereconductedasdriver,andcDNArepresentationaldifferenceanalysis(cDNARDA)wasusedtocomparethedifferentialgeneexpressionbetweenthetwokindsofcells.ThecDNAfragmentswereligatedtopGEM-TvectorandtransformedintoJM109bacteria.TheplasmidDNAwassequencedandcomparedwithdatabaseinGenBankbyBLASTN.Results:Amongthe5clonedcDNAsequences,threewerenovelandwereregisteredindbESTdatabase,twoshowedsequencehomologytoalpha-enolaseandanewlyfoundgeneribosomalproteinS18/S6-like.Conclusion:These5cDNAsequencesmightplayimportantrolesinantitransformingeffectofchlorophyllin.