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Neutrophil-to-lymphocyte ratio associated with renal function in type 2 diabetic patients

World Journal of Clinical Cases 2024年第14期12卷 2308-2315页

作者： Jin-Li Gao Jue Shen Li-Ping Yang Li Liu Kai Zhao Xiao-Rong Pan Lei Li Ji-Ji Xu Department of Prevention and health Care Community Health Service Center of Miaohang TownShanghai 200443China Department of Prevention and health Care Community Health Service Center of Songnan TownShanghai 200434China Department of general Practice Community Health Service Center of Songnan TownShanghai 200434China Department of Administrative Community Health Service Center of Songnan TownShanghai 200434China

BACKGROUND Type 2 diabetes mellitus(T2DM)is a leading risk factor for the development and progression of chronic kidney disease(CKD).However,an accurate and con-venient marker for early detection and appropriate management of CKD in in-dividuals with T2DM is *** studies have demonstrated a strong correlation between the neutrophil-to-lymphocyte ratio(NLR)and ***-theless,the predictive value of NLR for renal damage in type 2 diabetic patients remains *** study included 1040 adults aged 65 or older with T2DM from Shanghai's community health service *** total number of neutrophils and lym-phocytes was detected,and NLR levels were *** was defined as an estimated glomerular filtration rate≤60 mL/min/1.73 m².Participants were di-vided into four groups based on NLR *** clinical data and biochemical characteristics were compared among groups.A multivariate logistic regression model was used to analyze the association between NLR levels and *** Significant differences were found in terms of sex,serum creatinine,blood urea nitrogen,total cholesterol,and low-density lipoprotein cholesterol among patients with T2DM in different NLR groups(P<0.0007).T2DM patients in the highest NLR quartile had a higher prevalence of CKD(P for trend=0.0011).Multivariate logistic regression analysis indicated that a high NLR was an independent risk factor for CKD in T2DM patients even after adjustment for important clinical and pathological parameters(P=0.0001,odds ratio=1.41,95%confidence intervals:1.18-1.68).CONCLUSION An elevated NLR in patients with T2DM is associated with higher prevalence of CKD,suggesting that it could be a marker for the detection and evaluation of diabetic kidney disease.

关键词： Type 2 diabetes mellitus Neutrophil-to-lymphocyte ratio Chronic kidney disease Logistic regression Diabetes mellitus

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Biotin-modified Galactosylated Chitosan-gene Carrier in Hepatoma Cells Targeting Delivery

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Journal of Wuhan University of Technology(Materials Science) 2024年第2期39卷 522-531页

作者：程明荣张锋李清王华 Department of general Surgery Nanxiang Branch of Ruijin HospitalShanghai 201802China Minhang District Pujin community health service center Shanghai 201112China Hepatobiliary Surgery center Tongji Hospital Affiliated to Tongji UniversityShanghai 200065China

Our previous studies have successfully grafted biotin and galactose onto chitosan(CS)and synthesized biotin modified galactosylated chitosan(Bio-GC).The optimum N/P ratio of Bio-GC and plasmid DNA was 3:*** this N/P ratio,the transfection efficiency in the hepatoma cells was the highest with a slow release ***-GC nanomaterials exhibit the protective effect of preventing the gene from nuclease degradation,and can target the transfection into hepatoma cells by combination with galactose and biotin *** transfection rate was inhibited by the competition of galactose and ***-GC nanomaterials were imported into cells’cytoplasm by their receptors,followed by the imported exogenous gene transfected into the ***-GC nanomaterials can also cause inhibitory activity in the hepatoma cells in the model of orthotopic liver transplantation in mice,by carrying the gene through the blood to the hepatoma *** together,bio-GC nanomaterials act as gene vectors with the activity of protecting the gene from DNase degradation,improving the rate of transfection in hepatoma cells,and transporting the gene into the cytoplasm in vitro and in ***,they are efficient hepatoma-targeting gene carriers.

关键词： gene vector hepatocellular carcinoma nanoparticles sustained release gene therapy

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Prevalence and risk factors of diabetes mellitus among elderly patients in the Lugu community

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World Journal of Diabetes 2024年第4期15卷 638-644页

作者： Li-Zhen Zhao Wei-Min Li Ying Ma Lugu community health service center West Campus Beijing Chao-yang Hospital Affiliated to Capital Medical UniversityBeijing 100043China

BACKGROUND Age is a significant risk factor of diabetes mellitus(DM).With the develop of population aging,the incidence of DM remains *** the epidemiology of DM among elderly individuals in a certain area contributes to the DM interventions for the local elderly individuals with high risk of *** To explore the prevalence of DM among elderly individuals in the Lugu community and analyze the related risk factors to provide a valid scientific basis for the health management of elderly *** A total of 4816 elderly people who came to the community for physical examination were retrospectively *** prevalence of DM among the elderly was *** individuals were divided into a DM group and a non-DM group according to the diagnosis of DM to compare the differences in diastolic blood pressure(DBP)and systolic blood pressure(SBP),fasting blood glucose,body mass index(BMI),waist-to-hip ratio(WHR)and incidence of hypertension(HT),coronary heart disease(CHD),and chronic kidney disease(CKD).RESULTS DM was diagnosed in 32.70%of the 4816 elderly *** BMI of the DM group(25.16±3.35)was greater than that of the non-DM group(24.61±3.78).The WHR was 0.90±0.04 in the non-DM group and 0.90±0.03 in the DM group,with no significant *** left SBP and SBP in the DM group were 137.9 mmHg±11.92 mmHg and 69.95 mmHg±7.75 mmHg,respectively,while they were 126.6 mmHg±12.44 mmHg and 71.15 mmHg±12.55 mmHg,respectively,in the non-DM *** findings indicate higher SBP and lower DBP in DM patients than in those without *** the DM group,1274 patients were diagnosed with HT,accounting for 80.89%.Among the 3241 non-DM patients,1743(53.78%)were hypertensive and 1498(46.22%)were *** DM group had more cases of HT than did the non-DM *** were more patients with CHD or CKD in the DM group than in the non-DM *** were more patients who drank alcohol more frequently(≥3 times)in the DM group than in the no

关键词： Diabetes mellitus Type 2 diabetes mellitus Elderly Risk factors

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Hearing Loss and Depressive Symptoms Among community-Dwelling Older Adults-Liaoning,Henan,and Guangdong Provinces,China,2019-2020

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China CDC weekly 2024年第32期6卷 811-815,I0002页

作者： Ran An Lu Cui Liyuan Yang Han Zhang Shige Qi Haoyan Guo National center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina School of Public health Capital Medical UniversityBeijingChina Chengnan community health service center of Changping District BeijingChina National Institute for Nutrition and health Chinese Center for Disease Control and PreventionBeijingChina

Summary What is already known about this topic?More than half of Chinese older adults over 60 are suffering from hearing loss(HL),which might increase the risk of depressive *** is added by this report?The results indicated a significant association between severe or profound HL and depressive symptoms,characterized by notable age and gender disparities,particularly among women aged 60–74 years *** are the implications for public health practice?Timely intervention and treatment for elderly individuals with HL,particularly younger female elders suffering from severe or profound HL,are pivotal in reducing depressive symptom rates and are key policy considerations.

关键词： younger policy suffering

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Hearing Loss and Cognitive Impairment Among community-Dwelling Older Adults-Liaoning,Henan,and Guangdong Provinces,China,2019-2020

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China CDC weekly 2024年第32期6卷 816-820,I0003页

作者： Shige Qi Yuzhang Huang Liyuan Yang Haoyan Guo Ran An Lu Cui Han Zhang Jing Wu National center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina Department of health Policy Management Johns Hopkins University Bloomberg School of Public HealthBaltimoreMDUSA Chengnan community health service center of Changping District BeijingChina National Institute for Nutrition and health Chinese Center for Disease Control and PreventionBeijingChina School of Public health Capital Medical UniversityBeijingChina

Summary What is already known about this topic?Many studies have shown that hearing loss(HL)is a risk factor for cognitive decline and dementia,but there are still limited studies on this association among Chinese older *** is added by this report?Based on the results of pure-tone audiometry tests,HL is associated with cognitive impairment in communitydwelling older *** odds ratios(ORs)were 1.23(1.08–1.40)for mild HL,1.55(1.32–1.82)for moderate HL,and 1.87(1.47–2.39)for severe or profound *** are the implications for public health practice?Enhanced public awareness of hearing protection is important for preventing cognitive *** is advocated to promote the screening of HL and cognitive function assessment in elderly health examinations or management in primary care services.

关键词： hearing Guangdong Henan

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Efficacy and safety of 10 mg/d vs. 20 mg/d rosuvastatin in elderly patients with coronary heart disease and hyperlipidemia

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South China Journal of Cardiology 2024年第3期 149-155页

作者：陈慧钦 The Departerment of Pharmacy Longqiao Street Community Health Service CenterChengxiang District Putian City

Background Population aging has become a common concern in the world. coronary heart disease(CHD) is one of the major diseases that lead to the death of the elderly and affect the quality of life. Studies have confirmed that increase in blood lipids is an independent risk factor for the occurrence and development of coronary heart disease. Therefore, adjusting the level of blood lipids effectively has significant value to alleviate the severity, slow the progression and reduce the occurrence of complications of coronary heart disease. Statins can play a role in regulating the blood lipids. Although rosuvastatin is a kind of highly potent statin that is often used at present, the effects of different doses of rosuvastatin on elderly patients with coronary heart disease and hyperlipidemia were seldom reported. Methods In this study, 60 elderly patients with coronary heart disease and hyperlipidemia admitted to our hospital from 2021 to July to September 2023 were retrospectively selected. 30 patients with 10 mg/d rosuvastatin were assigned to the control group and 30 patients with 20 mg/d rosuvastatin were assigned to the observation group, and their efficacy and safety were compared and analyzed. Results The total effective rate of observation group was 96.67%, which was higher than that of control group 86.67%(P0.05). After treatment, the levels of total cholesterol(TC), triglyceride(TG), low density lipoprotein(LDL-C) and high density lipoprotein(HDL-C) were lower in the observation group(P0.05). Conclusions The effect of 20 mg/d of rosuvastatin in the treatment of elderly CHD patients with hyperlipidemia is better than that of 10 mg/d of rosuvastatin, which can effectively regulate the level of blood lipids in the body without causing excessive adv

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Navigating the complex terrain of hepatitis B virus reactivation in the era of Bruton tyrosine kinase inhibitors

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World Journal of Gastroenterology 2024年第21期30卷 2748-2750页

作者： Wei-Nung Liu Ming-Shen Dai Felicia Lin Gen-Min Lin Department of Medicine Tri-Service General HospitalTaipei 114Taiwan Division of Hematology/Oncology Department of Internal MedicineNational Defense Medical CenterTaipei 114Taiwan community Care Minnesota OncologyMinneapolisMN 55404United States Department of Medicine Hualien Armed Forces General HospitalHualien City 970Taiwan

In this editorial,we offer a summary of the risk associated with hepatitis B reactivation(HBVr)in the setting of both solid and hematologic malignancies treated with Bruton tyrosine kinase(BTK)inhibitors,with insights derived from current ***,we emphasize the critical need for a framework regarding robust risk evaluation in patients undergoing such *** framework is essential for identifying those at increased risk of HBVr,enabling healthcare providers to implement proactive measures to prevent reactivation and ensure the safe administration of BTK inhibitor therapy.

关键词： Hepatitis B virus reactivation Bruton tyrosine kinase inhibitors Hematologic malignancies Solid tumors Prophylaxis guidelines

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Clinical Study on Respiratory Medicine Treatment of Chronic Obstructive Pulmonary Disease Combined with Respiratory Failure

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Journal of Clinical and Nursing Research 2024年第5期8卷 293-298页

作者： Jianhua Yu Sanshandao Street community health service center Laizhou CityYantai 261418Shandong ProvinceChina

Objective:To explore the respiratory medicine treatment methods for treating chronic obstructive pulmonary disease(COPD)combined with respiratory ***:70 cases of COPD patients with combined respiratory failure admitted to our hospital from January 2021 to January 2023 were selected as the study subjects,and randomly divided into the control group and the experimental group,each with 35 *** control group received only conventional treatment,and the experimental group received non-invasive positive pressure ventilation,and the treatment effects and changes in the levels of IL-18,hs-CRP,and CES2 inflammatory factors were observed and evaluated in the two ***:There was no significant difference between the general data of the two groups(P>0.05);after treatment,the total effective rate of clinical efficacy of the observation group(91.43%)was significantly higher than that of the control group(71.43%),and the difference showed a significant correlation(Phealth status of patients when dealing with patients with chronic obstructive pulmonary disease accompanied by respiratory failure,showing a good clinical application prospect.

关键词： Chronic obstructive pulmonary disease Respiratory failure Non-invasive positive pressure ventilation Therapeutic effect Inflammatory factor

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Utility of Goal Attainment Scaling(GAS)in evaluating a multicomponent exercise programme for community-dwelling pre-frail older adults

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Family Medicine and community health 2024年第1期12卷 36-44页

作者： Juan Fang Jianping Ren Jinjing Wang Xiantao Qiu Shiyan Zhang Shuang Yuan Liangfeng Wu Lin Xie Le Yu School of Public health Hangzhou Normal UniversityHangzhouZhejiangChina School of Medicine Huzhou UniversityHuzhouZhejiangChina School of Clinical Medicine Hangzhou Normal UniversityHangzhouZhejiangChina Ziyang Street community health service center HangzhouZhejiangChina

Objectives This study aimed to investigate the effectiveness of Goal Attainment Scaling(GAS)in assessing an intervention for pre-frail senior ***,the study aimed to explain how the GAS goals were established based on the International Classification of Functioning,Disability and health(ICF)categories,including body function,activity and participation and environmental *** In this study,220 pre-frail older adults were randomly selected to participate in a controlled *** intervention group engaged in multicomponent exercise three times a week,once at a community health service location and twice at *** control group received advice on physical activity but did not have supervised *** in both groups selected individualised GAS goals from 23 goals developed based on ICF by focus group *** study used generalised estimating equations to analyse the differences between the *** The study included 144 participants,72 in the exercise group and 72 in the control *** top three individualised goals for all participants were vestibular functions(53.5%),pain management(43.1%)and lifting and carrying objects(31.9%).Both groups saw a significant increase in GAS scores at week 8 and week 24 of the intervention(p<0.05),but the exercise group showed a more significant improvement(p<0.05).The participants living alone were associated with lower postintervention improvements in the GAS *** contrast,the participants who were using a smartphone were likely to get higher postintervention improvements in the GAS *** GAS can be a valuable tool for setting and evaluating individualised and meaningful goals in body functions,activity and participation and environmental *** multicomponent exercise interventions can help pre-frail older adults achieve their expected goals as measured by the GAS.

关键词： meaningful goals lifting

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Analysis of the Effect of Transcutaneous Electrical Stimulation of Acupoints Combined with Rehabilitation Training in The Treatment of Upper Limb Dysfunction After Stroke

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Journal of Clinical and Nursing Research 2024年第6期8卷 316-321页

作者： Chenglong Wang Wuxi Xinwu District Rehabilitation Hospital(Wangzhuang Street community health service center)Wuxi Jiangsu 214000China

Objective:To analyze the effect of combining transcutaneous electrical acupoint stimulation(TEAS)with rehabilitation training in patients with upper limb dysfunction after stroke(ULDAS).Methods:A total of 130 ULDAS patients who were hospitalized and rehabilitated in Wuxi Xinwu District Rehabilitation Hospital from May 2021 to May 2023 were selected and randomly divided into Group A(65 cases,rehabilitation training)and Group B(65 cases,rehabilitation training+TEAS).The effects of the two groups were ***:After treatment,the upper limb functional indexes of Group B were better than those of Group A(P<0.05).The rate of muscle tone grades 0-4 in Group B was higher than those of Group A(P<0.05).Conclusion:The function of upper limbs and muscle strength of ULDAS patients improved by combining TEAS with rehabilitation training.

关键词： Transcutaneous electrical acupoint stimulation Rehabilitation training Stroke Upper limb dysfunction Muscle tone

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