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Two new oleanane-type triterpenoids (1–2), a new ursane-type triterpenoid (3), and a new podocarpane-type diterpenoid (4), together with 20 known compounds (5–24) were isolated from the stems of Celastrus hindsii Benth. Their structures were identified on the basis of the spectral data (HRESIMS, IR, UV, 1D, and 2D NMR) and the absolute configurations were determined by comparison of experimental and calculated ECD data. The structures of 1 and 4 were further confirmed by single crystal X-ray diffraction analysis. In addition, all compounds were evaluated for their in vitro antiviral activities against respiratory syncytium virus (RSV) using cytopathic effect (CPE) reduction assay. Compounds 7, 10, 11, 19 and 24 exhibited obvious anti-RSV activity with IC50 values from 1.55 to 6.25 μM.

Although co-infection of tuberculosis (TB) and intestinal parasites, including protozoa and helminths, in humans has been widely studied globally, very little of this phenomenon is known in China. Therefore, a cross-sectional study was conducted in a rural county of China to investigate such co-infections. Patients with pulmonary TB (PTB) undergoing anti-Mycobacterium tuberculosis (anti-MTB) treatment were surveyed by questionnaires, and their feces and blood specimens were collected for detection of intestinal protozoa and helminths, routine blood examination and HIV detection. The χ(2) test and multivariate logistic regression model were used to identify risk factors. A total of 369 patients with PTB were included and all of them were HIV negative. Overall, only 7.3% of participants were infected with intestinal protozoa, among which prevalence of Blastocystis hominis, Entamoeba spp. and Trichomonas hominis were 6.0%, 1.1% and 0.3%, respectively; 7.0% were infected with intestinal helminths, among which prevalence of hookworm, Trichuris trichiura, Ascaris lumbricoides and Clonorchis sinensis were 4.3%, 1.9%, 0.5% and 0.3%, respectively; and 0.5% were simultaneously infected with intestinal protozoa and helminths. Among patients with PTB, body mass index (BMI)≤18 (OR=3.30, 95% CI=1.44-7.54) and raised poultry or livestock (e.g., chicken, duck, pig) (OR=3.96, 95% CI=1.32-11.89) were significantly associated with harboring intestinal protozoan infection, while BMI≤18 (OR=3.32, 95% CI=1.39-7.91), anemia (OR=3.40, 95% CI=1.44-8.02) and laboring barefoot in farmlands (OR=4.54, 95% CI=1.88-10.92) were significantly associated with having intestinal helminth infection. Additionally, there was no significant relationship between duration of anti-MTB treatment and infection rates of intestinal parasites including protozoa and helminths. Therefore, preventing malnutrition, avoiding unprotected contact with reservoirs of protozoa, and improving health education for good hygiene habits, particularly wearing shoes while outdoors, are beneficial in the prevention of intestinal protozoan and helminth infection among patients with PTB.

Epidemiologic studies of co-infection with tuberculosis (TB) and intestinal parasites in humans have not been extensively investigated in China. A cross-section study was conducted in a rural county of Henan Province, China. Pulmonary TB (PTB) case-patients receiving treatment for infection with Mycobacterium tuberculosis and healthy controls matched for geographic area, age, and sex were surveyed by using questionnaires. Fecal and blood specimens were collected for detection of intestinal parasites, routine blood examination, and infection with human immunodeficiency virus. The chi-square test was used for univariate analysis and multivariate logistic regression models were used to adjust for potential confounding factors. A total of 369 persons with PTB and 366 healthy controls were included; all participants were negative for human immunodeficiency virus. The overall prevalence of intestinal parasites in persons with PTB was 14.9%, including intestinal protozoa (7.9%) and helminthes (7.6%). The infection spectrum of intestinal parasites was Entamoeba spp. (1.4%), Blastocystis hominis (6.2%), Trichomonas hominis (0.3%), Clonorchis sinensis (0.3%), Ascaris lumbricoides (0.5%), Trichuris trichiura (2.2%), and hookworm (4.6%). The prevalence of intestinal parasites showed no significant difference between persons with PTB and healthy controls after adjusting for potential confounding factors. There was no factor that affected infection rates for intestinal parasites between the two groups. Infection with intestinal parasites of persons with PTB was associated with female sex (adjusted odds ratio [AOR] = 2.05, 95% confidence interval [CI] = 1.01–4.17), body mass index ≤ 19 (AOR = 3.02, 95% CI = 1.47–6.20), and anemia (AOR = 2.43, 95% CI = 1.17–5.03). Infection of healthy controls was only associated with an annual labor time in farmlands > 2 months (AOR = 4.50, 95% CI = 2.03–10.00). In addition, there was no significant trend between rates of infection with intestinal parasites and duration of receiving treatment for infection with M. tuberculosis in persons with PTB. The prevalence of intestinal parasites was not higher in persons with PTB, and there was no evidence that PTB increased susceptibility to intestinal parasites in this study. However, for patients with PTB, women and patients with comorbidities were more likely to be infected with intestinal parasites.

Two new quinolizidine-based alkaloids (2 and 12), along with ten known ones (1, 3-11) were isolated from the roots of S. tonkinensis. Their structures were determined by spectroscopic data (including NMR, MS, IR, and UV), X-ray single crystal diffraction, electronic circular dichroism analyses (ECD), and comparing with related literatures. Compounds 1, 3-12 at non-toxic concentrations exhibited potent anti-inflammatory activities according to in vitro and in vivo anti-inflammatory tests. Among them, (-)-anagyrine (4), sophocarpine (8), 14β-hydroxymatrine (10), and 7β-sophoramine (12) showed more potent in vitro anti-inflammatory activities, and 5α,14β-dihydroxymatrine (2), (-)-anagyrine (4), sophocarpine (8), and 5α-hydroxymatrine (9) exhibited better in vivo anti-inflammatory effects.

To investigate the association between metabolic syndrome (MetS) and the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) in a population-based sample of Chinese men.From October 2010 to July 2011, 1896 men, aged between 20 and 50 years, residing in Shijingshan district of Beijing, China, were selected to participate in the Male Reproductive Health Program (a random cross-sectional survey). The Chinese version of the NIH-CPSI questionnaire was used to identify men with prostatitis-like symptoms. The presence of MetS was determined according to the 2005 National Cholesterol Education Program-Adult Treatment Panel III criteria for Asian Americans.Complete data were available for 1673 men. The major domains of NIH-CPSI scores were significantly different among different body mass index (BMI) groups (P.05). No significant differences were identified in the incidence of prostatitis-like symptoms or each NIH-CPSI scores between patients with MetS and those without MetS. When the age and BMI were adjusted, there was no significant correlation between the components of MetS and each NIH-CPSI scores.There was no significant correlation between MetS or components of MetS and chronic prostatitis/chronic pelvic pain syndrome. Age and BMI were identified as a risk factor for chronic prostatitis/chronic pelvic pain syndrome. Further studies are necessary to confirm our results.

To evaluate the capability of malaria parasite detection among professionals from Class III malaria endemic counties of Henan Province in 2012. METHEDS: The capacity assessment of professionals from the Centres for Disease Control and the medical institutions was done in September to December 2012. The content of the assessment included malaria knowledge (including malaria etiology, clinical manifestation, diagnosis, treatment and epidemiology and so on, 100 scores as full marks and 60 as passing score), making blood slides of Plasmodium (4 slides in 1 hour, including Giemsa staining, 40 scores as full marks and 24 as passing score) and identification of species with microscopy (6 slides, 8 min per slide 60 scores as full marks and 36 as passing score). All the participanats were grouped by gender, age, professional title, level and type of institution. Their scores were statistically analyzed by SSPS 17.0 software.The average total score in 891 participants was 162.1, the highest was 200 (full markers), and the lowest was 96, and 871 (97.8%) participants passed the test (or = 120 scores). There were no significant differences for the scores of blood slide making among gender, age, professional title and level of institution (P0.05). No significant differences in the scores of malaria knowledge and blood slide reading among gender female participants (162.97 +/- 17.64) was higher than that of males (159.01 +/- 20.33) (P0.05). The film-reading and total scores of 50-plus age group (34.62 +/- 14.82, 144.62 +/- 20.33) was significantly lower than the other three groups (under age 30 group: 45.75 +/- 13.58 and 162.50 +/- 18.90, age 31-40 group: 46.53 +/- 12.72 and 163.51 +/- 17.77, age 41-50 group: 46.22 +/- 13.38 and 159.80 +/- 17.32) (P0.05). The scores of malaria knowledge in 50-plus age group (84.38 +/- 9.41) was lower than that of under age 30 group (89.91 +/- 7.81), age 31-40 group (89.96 +/- 7.74) (P0.05). The scores of malaria knowledge (88.33 +/- 8.23, 90.00 +/- 7.76, 92.37 +/- 7.29), film-reading (44.88 +/- 13.62, 46.59 +/- 12.88, 49.57 +/- 11.98) and total scores (159.61 +/- 18.37, 163.81 +/- 18.03, 169.15 +/- 16.38) of primary, intermediate and senior groups was proportional to the level of the titles, and the difference between the groups was statistically significant (P0.05). The theory (88.28 +/- 8.30, 90.84 +/- 7.32, 93.54 +/- 6.10), film-reading (44.54 +/- 13.14, 47.69 +/- 13.40, 52.62 +/- 11.04) and total scores (159.48 +/- 18.33, 165.92 +/- 17.31, 171.97 +/- 15.53) of the three institution level groups (township, county and province) were proportional to their level, and the difference between the groups was statistically significant (P0.05). There was no significant differences for the scores between the CDCs and hospitals (P0.05).The capabilities of malaria parasite detection in Class III malaria endemic counties of Henan Province is balanced. It needs to strengthen the skills training for the professionals of the junior, intermediate and primary care units.

According to water characteristics of industrial rain runoff in a catchment of Tongsha reservoir, Dongguan city, an improved baffled constructed wetland (BCW) was used for purification experiment study of simulated and on-the-spot rain runoff. The purification effects of simulated rain runoff were compared in different operated phases of BCW. Meanwhile, the variation of the pollutants (COD, SS, TN, TP, NH4(+) -N, Pb, Zn, Cu) along the BCW and their removal mechanism were analyzed and discussed, respectively. In the simulated experiment, the effluent water quality of BCW system met the needs of Environmental Quality Standard for Surface Water( GB 3838-2002) III, besides TN met IV, and most of the pollutants were removed in the front of the BCW. In the purification study of on-the-spot rain runoff, removal rate of COD, SS, TN, TP and NH4(+) -N were 90.9%, 97.0%, 83.4%, 92.2% and 90.0%, respectively; removal rate of Pb, Zn and Cu were 98.4%, 94.1% and 93.6%, respectively. The effluent met the grade III. Results showed that there was remarkable treatment performance of industrial catchment rain runoff when BCW system was used, which also can withstand strong shock load. Moreover, a modest variation of temperature affected the removal of pollutants in the BCW insignificantly.

To understand the prevalence of Spirometra mansoni sparganum infection in frogs from Henan Province and analyze the risk of people suffering from sparganum infection.The spargana were examined in the muscle of frogs collected from 12 sites of 5 regions in Henan Province, and the amount of spargana and their location were recorded.The natural infection rate of Spirometra mansoni spargana in frogs was 26.63% (306/1 149). There were totally 1 897 spargana found in those frogs, and the average was 6.2 per frog. The infection rate of pond frogs was higher than that of toad, the difference was statically significant (chi2 = 30.42, P0.01). The natural infection rate of pond frogs in the nearby patients' residence was higher than that of pond frogs collected from the other sites, and the natural infection rate of frogs was lower in the west region of Henan than that in the other areas. The muscles of hind legs of the frogs was the most common parasitic location compared with other parts of the frogs, and the ratio was 73.74% (1 365/1 851).The frogs living in the nature are widely infected with Spirometra mansoni spargana in Henan Province, and the comprehensive measures should be taken for the prevention and control of sparganosis mansoni.

To know and find some evidence for the improvement of the urologic and reproductive health of men between 30 and 60 years old.Using stratified random sampling, we conducted a questionnaire investigation on the urologic and reproductive health status of 1 006 men aged from 30 to 60 years old in the Shijingshan District of Beijing, including the unemployed, taxi drivers and office workers.Of the 1006 males investigated, BMIor = 24 kg/m2 was found in 72.7%, hypertension in 40.0%, abnormal IPSS in 85.5%, abnormal NIH-CPSI in 75.6%, abnormal IIEF-5 in 66.3%, aging male symptoms (AMS) in 10.7%, anxiety in 17.1%, depression in 25.1%, fasting blood-glucose6.1 mmol/L in 34.9%, total cholesterol5.07 mmol/L in 44.3% and triglyceride1.71 mmol/L in 46.6%; the level of total testosterone was (17.9 +/- 7.2) nmol/L,12 nmol/L in 21.3% and8 nmol/L in 3.4%, and the level of free testosterone was (6.5 +/- 15.1) pmol/L.The urologic and reproductive health status of 30 to 60 years old males in Beijing deserves serious attention from medical workers.

The investigation was made in Luohe City of Henan Province from April to November, 2008. Cyclops were collected and plerocercoids of Spirometra mansoni were examined by microscope. Skin, muscle and internal organs of frogs and tadpoles were checked to detect spargana by naked eye and/or anatomical microscope. Feces of cats and dogs were collected to examine eggs after washing and precipitation. Spargana from tadpoles were collected to infect cats by oral inoculation. Results showed that the infection rate of plerocercoids in cyclops was 3.5% (3/85) and that of spagarna in tadpoles and frogs was 35.9% (120/334) and 16.8% (75/446), respectively. Among 3 cats and 31 dogs investigated, 1 and 6 (19.4%) were found infected respectively. Eggs of Spirometra mansoni were found in feces of cats 12 days after infection. 17 adult worms were found in the intestine of the cat on the 25th day. The habit of eating live tadpoles was found in local residents. The investigation reveals a high prevalence of Spirometra mansoni in the intermediate and final hosts. Eating live tadpoles seems a main reason of getting sparganosis mansoni.

To investigate the incidence of lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) in men agedor = 50 years and to achieve the correlation between LUTS (obstructive symptoms and stimulant symptoms) and ED.We investigated 245 men agedor = 50 years and with regular sex mates using International Prostate Symptom Score (IPSS) and International Index of Erectile Function-5 (IIEF-5), designed diagnostic interrogation and medical examination, and statistically analyzed the results of IPSS, IIEF-5, LUTS and their correlation with erectile function.The incidence of ED was 81.9% (140/171) among the men with LUTS, 73.1% (38/52), 82.1% (46/56) and 88.9% (56/63) respectively in the 50-59, 60-69 andor = 70 age groups, with significant differences in IPSS, IIEF-5 (P0.01) and the severity of ED (P0.01) among different age groups. ED incidence was found significantly correlated with the severity of LUTS (r = 0.52, P0.01), 71.3% (57/80), 89.6% (60/67) and 95.8% (23/24) respectively in the groups of mild, moderate and severe LUTS. The mean scores on obstructive and stimulant symptoms were (3.1 +/- 3.6) and (6.8 +/- 4.9), and their correlation coefficients with IIEF-5 were r = -0.41 (P0.01) and r = -0.59 (P0.01), respectively.The incidence of ED is high in men with LUTS and positively correlated with the severity of LUTS. Stimulant symptoms have greater influence than obstructive symptoms on the sexual life of old and middle-aged males.