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Medication reconciliation (MR) is the process of comparing a patient's medication orders to all of the medications that the patient has been taking in order to identify and resolve medication discrepancies. It is an effective means of risk management to avoid medication errors (eg, omissions, duplication, dosage errors, or drug interactions). Some guidelines explicitly state that MR is a pharmacist-led transition of care; however, there is a shortage of qualified pharmacists to meet the increasing clinical needs, and clinical nurses' roles have not been clearly described. This paper aimed to enable nurses to gain confidence in contributing to MR at discharge and to make the industry aware of the potential risks if nurses do not actively intervene in this area. A narrative approach was used to introduce experiences in identifying discrepancies and medication errors through MR at discharge in a geriatric ward of an academic medical center hospital in China. The nurses' main roles in MR involve chasing, checking, and education. Clinical nurses, an untapped hospital resource, can actively engage in MR at discharge if they receive effective training and motivation. Multidisciplinary collaboration at discharge allowed many discrepancies to be reconciled before harming older patients. It is worth conducting further research in MR when discharging older adults, such as the cost-effectiveness of nurses' efforts, the value of electronic tools and the impact of MR-targeted education and training for nursing students and nursing staff. [ABSTRACT FROM AUTHOR]

Since its initial discovery in the Hunan province of China, genomic DNA of porcine circovirus 4 (PCV4) has been detected in pigs across multiple provinces in China, as well as in South Korea. However, the prevalence of porcine circovirus type 4 in Gansu Province, China, remains unknown. To address this gap, we undertook an extensive study where we gathered 121 clinical samples displaying diverse clinical manifestations from pig farms in Gansu Province between 2022 and 2023. Employing a real-time fluorescence quantification method, we identified the presence of PCV4 genome. Out of the 121 clinical samples analyzed, 13 samples tested positive for PCV4, resulting in a positive rate of 10.74% (13/121). This finding confirms the presence of PCV4 in pig farms within Gansu Province, China. Furthermore, we successfully sequenced and analyzed the complete genomes of two distinct PCV4 strains, comparing them with 60 reference sequences archived in the GenBank database. The results revealed a high nucleotide homology (98.2–98.8%) between the strains obtained in this study and the PCV4 reference strains, indicating a relatively low evolutionary rate of the PCV4 genome. Phylogenetic analysis revealed that two strains in this study belong to PCV4a and PCV4c. As far as we know, this study marks the inaugural report on the molecular identification and genomic attributes of PCV4 in Gansu Province, China, offering valuable insights for devising preventive and control strategies against this emerging virus. [ABSTRACT FROM AUTHOR]

Allelopathy has been considered a good explanation for the successful invasion of some invasive plants. However, the real latitudinal and longitudinal allelopathic effects on native species have rarely been documented since many exotics have spread widely. We conducted a Petri dish experiment to determine the latitudinal and longitudinal allelopathic patterns of an invasive alligator weed (Alternanthera philoxeroides) on a common crop (Lactuca sativa) in China, and find what determines the allelopathic intensity. The results showed that the allelopathic effects of A. philoxeroides increased with the latitude while decreased with the longitude. This indicated that A. philoxeroides used its allelopathy to gain competitive advantages more in its recent invaded communities than that in its early invaded ones as A. philoxeroides is expanding from southeast China to northwest China. Furthermore, we found that the allelopathic intensity of A. philoxeroide was negatively correlated to the leaf contents of soluble carbohydrate (SC), carbon (C) and nitrogen (N), but that was positively correlated to the leaf contents of soluble protein (SP), free amino acids (FAA), plant polyphenol (PP), phosphorus (P) and potassium (K). These results suggested that the allelopathic intensity of A. philoxeroide was more determined by the limited P and K nutrients as well as the intermediate allelochemicals (SP, FAA, PP) rather than the unlimited C, N and SC. Thus, we can speculate that the negative or positive effects of plant aqueous extracts are a function of not only the extract concentrations but also the trade-offs between inhibition and promotion of all components in the extracts. Then we could reduce the allelopathic effects of A. philoxeroide by controlling the component contents in the plant tissues, by fertilization or other managements, especially in the plant recent invaded communities. [ABSTRACT FROM AUTHOR]

Downdrift shoreline recession associated with the construction of a shore-crossing hard structure represents one of coastal erosional hotspots that must be addressed for an integrated, sustainable coastal zone management. To prevent siltation within the navigation channel, two rubber-mounted jetties were installed at the Sheyang River mouth on the open mesotidal muddy coast in Jiangsu province, China, in October 2013. The north jetty is 7.9 km long, while the south jetty is 7.8 km long. The net longshore sediment transport is from the north to the south due to flood-tide dominance. As disclosed by high-resolution satellite images, a 36-km-long downdrift shoreline stretch had experienced remarkable retreats at alongshore varying rates by March 2019. The eroding shoreline planform does not resemble a classic "S" shape, a crescentic shape, or a parabolic shape but an irregularly indented curved shape. Transect topographic survey also reveals an almost immediate response of the downdrift coast from the original accretionary scenery to an erosional regime, with the erosion front translocating downcoast at a much faster speed than a normal speed of 1–1.5 km/yr. Using FVCOM and SWAN, 2DH process-based numerical simulations are performed to simulate the flow, the sediment transport, and the yearly-magnitude accretion/erosion distribution in the jetty-affected area by a representative tidal force and an annual-magnitude wave force. The results demonstrate that the reciprocal tidal flow is predominantly responsible for the muddy sediment accretions at downdrift intertidal and surf zones shallower than a 4.0-m isobath, whereas big wind waves play a decisive role in triggering and developing the downdrift erosional process. The predicted spatial extent of the downdrift erosional segment matches closely the actual eroding front. The loss of the net annual longshore sediment transport volume, i.e., 3.08 million m3 due to the blockage by the twin jetties is recovered from a much larger spatial extent than the 36-km-long retreating shoreline stretch. With regard to the Bruun model, the one-line model, the headland-bay model, and the 2DH numerical model, the potential maximum recession length and the planform shape of the downdrift erosional shoreline arc are further elaborated to gain new insights into the spatial and temporal impact of a hard structure on the adjacent shoreline and flat (beach). [ABSTRACT FROM AUTHOR]

Background: Early detection of gait abnormalities is critical for preventing severe injuries in future falls. The timed up and go (TUG) test is a commonly used clinical gait screening test; however, the interpretation of its results is limited to the TUG total time.Research Question: What is diagnostic accuracy of the low-cost, markerless, automated gait analyzer, with the aid of vision-based artificial intelligence technology, which extract gait spatiotemporal features and screen for abnormal walking patterns through video recordings of the TUG test?Methods: Our dataset contained retrospective data from outpatients from the Department of Neurology or Rehabilitation of two tertiary hospitals in Shanghai. A panel of three expert neurologists specialized in movement disorders reviewed the gait performance in each TUG video, and labeled them separately, with the most commonly assigned label being used as the reference standard. The gait analyzer performed the AlphaPose algorithm to track the human joint position and calculated the spatiotemporal parameters by filtering and double-threshold signal detection. Gait spatiotemporal features and expert labels were input into machine learning models, and the accuracy of each model was tested with leave-one-out cross-validation (LOOCV).Results: A total of 284 participants were recruited. Among these, 100 were labeled as having abnormal gait performance by experts. The Naive Bayes classifier achieved the best performance with a full-data accuracy of 90.14% and a LOOCV accuracy of 89.08% for screening abnormal gait performance.Significance: This study is the first to investigate the accuracy of a vision-based intelligent gait analyzer for screening abnormal clinical gait performance. By virtue of a pose estimation algorithm and machine learning models, our intelligent gait analyzer can detect abnormal walking patterns approximate to judgements made by experienced neurologists, which is expected to be a supplementary gait assessment protocol for basic-level doctors in the future. [ABSTRACT FROM AUTHOR]

Background: Despite the availability of free tuberculosis (TB) diagnosis and treatment, TB care still generates substantial costs that push people into poverty. We investigated out-of-pocket (OOP) payments for TB care and assessed the resulting economic burden and economic consequences for those with varying levels of household income in eastern China. Methods: A cross-sectional study was conducted among TB patients in the national TB programme networks in eastern China. TB-related direct OOP costs, time loss, and coping strategies were investigated across households in different economic strata. Analysis of Variance was used to examine the differences in various costs, and Kruskal-Wallis tests were used to compare the difference in total costs as a percentage of annual household income. Results: Among 435 patients, the mean OOP total costs of TB care were USD 2389.5. In the lower-income quartile, OOP payments were lower, but costs as a percentage of reported annual household income were higher. Medical costs and costs prior to treatment accounted for 66.4 and 48.9% of the total costs, respectively. The lower the household income was, the higher the proportion of medical costs to total costs before TB treatment, but the lower the proportion of medical costs patients spent in the intensive phase. TB care caused 25.8% of TB-affected households to fall below the poverty line and caused the poverty gap (PG) to increase by United States Dollar (USD) 145.6. Patients in the poorest households had the highest poverty headcount ratio (70.2%) and PG (USD 236.1), but those in moderately poor households had the largest increase in the poverty headcount ratio (36.2%) and PG (USD 177.8) due to TB care. Patients from poor households were more likely to borrow money to cope with the costs of TB care; however, there were fewer social consequences, except for food insecurity, in poor households. Conclusions: Medical and pretreatment costs lead to high costs of TB care, especially among patients from the poorest households. It is necessary to train health system staff in general hospitals to promptly identify and refer TB patients. Pro-poor programmes are also needed to protect TB patients from the medical poverty trap. [ABSTRACT FROM AUTHOR]

The objective of this study was to estimate the seroprevalence of Toxoplasma gondii infection in 394 patients of intensive care unit (ICU) in a hospital between April 2010 and March 2012 and analyze the association between T. gondii infection and ICU patients according to the species of disease. Toxoplasma serology was evaluated by ELISA method using a commercially available kit. Data of patients were obtained from the patients, informants, and medical examination records. Seventy-four (18.78%) of 394 patients were positive for anti-T. gondii IgG antibodies demonstrating latent infection. Of these, the highest T. gondii seroprevalence was found in the age group of 31–45 years (27.45%), and the lowest was found in the age group of <30 years (12.5%). In addition, females (21.6%) had a higher seroprevalence than males (18.36%). With respect to the species of disease, the patients with kidney diseases (57.14%), lung diseases (27.84%), and brain diseases (24%) had high T. gondii seroprevalence. The present study represents the first survey of T. gondii seroprevalence in ICU patients in China, revealing an 18.78% seropositivity. Considering the particularities of ICU patients, molecular identification, genetic characterization, and diagnosis of T. gondii should be considered in future study. [ABSTRACT FROM AUTHOR]

Aim: Premenstrual syndrome (PMS) is a commonly encountered complaint among women. It may affect women's quality of life and reduce their occupational productivity. This study aims to describe the symptoms of moderate-to-severe PMS and to examine the onset, stability, and severity of PMS among Chinese women. Methods: A descriptive study included 142 women with self-reported PMS, aged 18-45 years, who were recruited by the Outpatient Department of Gynecological Endocrinology, Peking Union Medical College Hospital. Premenstrual symptoms were retrospectively assessed by using screening questionnaires modified with the DSM-IV. In total, 126 eligible subjects were asked to record their daily symptoms during two consecutive menstrual cycles by using a premenstrual syndrome diary (PMSD). Results: Of 126 eligible subjects, 67 filled in the PMSD for two cycles. The median of total scores of PMSD peaked on the day before menses and dropped after the beginning of the menses. Mood swings were the most common moderate-to-severe symptom prospectively reported by the subjects. The symptoms of PMS were relatively consistent across the two cycles. Conclusions: Women with moderate-to-severe PMS were vulnerable to psychological symptoms. Further studies are needed to understand the correlations between hormonal changes and the experience of symptoms related to the menstrual cycle. [ABSTRACT FROM AUTHOR]

method based on elemental analyser-isotope ratio mass spectrometer (EA-IRMS) was developed for the identification of the geographical origins of Schisandra fruits which are used as traditional Chinese medicines and important food materials. A total of 96 authentic samples from seven provinces in China were collected and subjected to stable carbon isotope ratio analysis (SCIRA), and the results showed that there were significant differences between the mean δC values of samples from different origins. By using single analyte δC, the Schisandra fruits from northeast China and south China could potentially be discriminated. A follow-up study will combine trace elements with stable isotope ratios to analyse a larger set of samples, to confirm the discrimination capability of C and to enhance the discrimination between close geographical regions. [ABSTRACT FROM AUTHOR]

• Five well recognized TCM plant species in the Zingiberaceae family were investigated. • External morphology characteristics were provided. • Volatile marker compounds from each species were identified using a SPME GC/Q-ToF method. • Characterization and quantification of triglycerides were achieved using a SFC/MS method. • Comprehensive profiles and quality standards were established for distinguishing between different species. Volatile compounds (VCs) and triglycerides (TGs) are the primary groups of constituents in the fruits of five well-known species used in traditional Chinese medicine (TCM), viz. Alpinia oxyphylla Miq. (AO), Alpinia katsumadai Hayata (AK), Amomum villosum Lour. (FAL), Amomum villosum Lour. var. xanthioides T. L. Wu et Senjen (FALX), and Amomum longiligulare T. L. Wu (FALO). The fruits of these species are morphologically similar and commonly used in both foods and TCM. Each species is purportedly endowed with different medicinal properties. Efficient and environmentally friendly methods are desirable for the quality control of these species. The current study attempted to establish both comprehensive profiles and quality standards for the five TCM species. External morphology characters were provided to distinguish 18 fruit samples belonging to the five species, which were collected from different geographical regions of China. The VCs of each sample were analyzed by SPME GC/Q-ToF. The identification of marker compounds from each species allowed for the differentiation of the fruits from the five plants. Characterization and quantification of 21 TGs were achieved using SFC/MS with an analysis time of less than 15 min. The complex TGs were unambiguously identified using the MS detection with correct attribution of the acyl group to the sn-2 position. Moreover, the quantification of TGs was improved by using reference standards whenever possible or a single standard strategy to determine multiple TGs. The validity of the proposed SFC/MS method was assessed by analyzing fatty acids from the hydrolysis and transesterification products of the same sample set using GC/MS. The quantification results from both TGs and fatty acids were consistent, and were further substantiated by chemometric analysis. To our knowledge, this is the first comprehensive study utilizing the morphology, VCs, and TGs for quality evaluation purpose of these five TCM species. [ABSTRACT FROM AUTHOR]

Background: Disease activity indices (DAIs) including disease activity score 28 (DAS28), simplified disease activity index (SDAI), and clinical disease activity index (CDAI) have been widely used in clinical practice and research studies of rheumatoid arthritis (RA). The objective of our study was to evaluate the correlation and concordance among different DAIs in Chinese patients with RA., Methods: A cross-sectional study, including patients enrolled in the Chinese registry of rheumatoid arthritis from November 2016 to August 2018, was conducted. The correlations were evaluated using Spearman correlation coefficient and concordance with Bland-Altman plots, quadratic weighted kappa, and discordance rates in the crosstab. For other indices, the optimal cutoff points corresponding to SDAI remission were explored through receiver operating characteristic curve analysis., Results: A total of 30,501 patients were included, of whom 80.46% were women. Most individuals were with moderate disease activity or high disease activity. High correlations among DAS28-erythrocyte sedimentation rate (ESR) and DAS28-C-reactive protein (CRP), SDAI and CDAI were observed. Similarly, the weighted kappa value among the indices was high. In Bland-Altman plots, a positive difference between DAS28-ESR and DAS28-CRP was observed, with an absolute difference of >1.2 in 3079 (10.09%) patients. In crosstab, approximately 30% of the patients were classified into different groups. Concordance values between SDAI remission and the optimal cutoff points of DAS28-ESR, DAS28-CRP, and CDAI were 3.06, 2.37, and 3.20, respectively., Conclusions: Although DAIs had high correlations and weighted kappa values, the discordance between DAIs was significant in Chinese patients with RA. The four DAIs are not interchangeable., (Copyright © 2021 The Chinese Medical Association, produced by Wolters Kluwer, Inc. under the CC-BY-NC-ND license.)

Cadmium (Cd) contamination in the agricultural soils of China is a serious and growing environmental problem that urgently needs to be controlled and completely remediated. The biogeochemical cycles of nitrogen (N), sulfur (S), and iron (Fe), and the coupled cycles of Fe-N and Fe-S have been reported to control Cd transportation in the soil-rice system. Exploring practical remediation strategies for Cd from the perspective of the application of nutrients such as N, S, and Fe for rice growth is expected to obtain farm-specific and state-of-the-art technologies and products to reduce the accumulation of Cd in rice grains. Using our earlier study as a basis, the rhizosphere bag-pot experiment with ferrous sulfate (FeSO 4 ) and ferric nitrate[Fe(NO 3 ) 3 ] treatments was conducted to investigate Cd bioavailability in rhizosphere soil and Cd translocation in rice plants, and to highlight some possible factors and mechanisms controlling Cd accumulation in rice grains. The results showed that both FeSO 4 and Fe(NO 3 ) 3 treatments reduced the bioavailable Cd (NH 4 Ac-Cd) content in rhizosphere soil, with the decreasing extent being significantly lower in the former (55.6%) than in the latter (76.0%). Both FeSO 4 and Fe(NO 3 ) 3 treatments changed the distribution characteristics of Cd in rice tissues, and the FeSO 4 treatment increased the Cd content in brown rice (0.6 mg·kg -1 ), but the Fe(NO 3 ) 3 treatment decreased the Cd content in brown rice (0.1 mg·kg -1 ). Adsorption or co-precipitation of Cd by iron plaque, increased accumulations of Cd in root, stem, and leaf, and enhanced translocations of Cd from root, stem, and nodule to brown rice occurred with the increased Cd content in brown rice of the FeSO 4 treatment. However, the decreased Cd content in brown rice with the Fe(NO 3 ) 3 treatment was ascribed to adsorption or co-precipitation of Cd by poorly crystalline Fe oxides and solid Fe sulfides, decreased accumulations of Cd in stem and nodule, and weakened translocations of Cd from root, leaf, and nodule to brown rice. These findings provide a scientific basis for the exploration and application of nutritive soil amendment, and will have significance in regards to the remediation of Cd-contaminated agricultural soils in China.

Functional soft candy of traditional Chinese medicine( TCM) can be used to supplement vitamins,enhance immunity,assist in lowering blood sugar,assist in lowering blood lipid,assist in lowering blood pressure,relax the bowel,reduce weight and fight againstoxidation.It has attracted much attention due to its effective improvement in the bad taste and incompatibility of traditional medicines.TCM functional soft candy and health food made by gel,sweetener and Chinese herbal medicines( which can be used both as food and medicine) approved by the State Food and Drug Administration were selected as the research objects in this paper.We combed and analyzed the research situation of health food dosage forms and effects,the functional factors of TCM functional soft candy,gelatin,sweetener,production process,and quality evaluation,etc.,and then,we discussed their existing problems and development prospects.After reviewing the relevant literature on TCM functional soft candy and health food researches published in recent years,we analyzed and summarized their dosage forms,health effects,gels,sweeteners,production process,quality evaluation and safety.The following problems in the research of TCM functional soft candy were pointed out: for examples,differences in the sensory evaluation of soft candy;whether the combination of several similar gels and sweeteners had an effect on human health; the lack of laws and regulations in health foods and the lack of uniform standards for quality evaluation.In summary,TCM functional soft candy is a new type of health food,which changes the dosage form of health food based on capsules and tablets.This move conforms to the physiological and psychological needs of consumers.Therefore,it is in line with the requirement of &quot; Health China 2030&quot; Planning Outline.

BACKGROUND As a common nosocomial infection, ventilator-associated pneumonia (VAP) often has high mortality. This study aimed to assess the risk factor for mortality owing to VAP. MATERIAL AND METHODS This retrospective clinical audit study screened medical records between the period of January 2014 and December 2017. All patients under mechanical ventilation MV) for ≥72 hours were screened against previously reported diagnostic criteria for VAP. The medical records were obtained for cases of documented diagnosis of VAP. RESULTS In all, 145 patients (5.0%) diagnosed with VAP were included in the study; the morbidity of VAP was 19.5 episodes per 1000 days of MV. The 30-day mortality rate was 42.8%. Univariate logistic analysis showed that elevated neutrophil-to-lymphocyte ratio (NLR), high blood urea nitrogen/albumin (BUN/ALB) ratio, Multidrug-resistant organism infection, and a higher sequential organ failure assessment (SOFA) score were risk factors for mortality caused by VAP. In the second multivariate analysis, elevated NLR levels (P=0.038), high BUN/ALB ratio (P=0.016), multidrug-resistant organism infections (P=0.036), and a higher SOFA score (P<0.001) were still associated with the 30-day mortality rate. CONCLUSIONS The 30-day mortality rate of VAP was high. Blood NLR and BUN/ALB levels can be used as risk factors to assess the 30-day VAP-related mortality to help clinicians improve the prognosis of VAP.

Pain is one of the problems that seriously affect people's quality of life for thousands of years. The causes of pain are complex and varied,and long-term pain can also lead to depression. It has become a research hotspot to develop analgesic preparations with significant drug effects and small side effects. Recent studies have shown that certain alkaloid monomers have analgesic targets such as γ-aminobutyric acid,cannabinoids,and capsaicin. If their preparation is applied to the analgesic field,they can make up for the defects such as strong addiction and side effects of traditional opioid and non-steroidal analgesic drugs,but there is no relevant literature to summarize the research results in this field. This article first introduces the mechanism of pain production and the target of analgesia. Based on this,the application status of alkaloid monomer analgesic preparations approved by China Food and Drug Administration( CFDA)( number varieties,type of dosage form,drug description,analgesic mechanism and advantages) was analyzed,and the research dynamics of alkaloid monomer analgesic preparations( new formulation and new technology) were reviewed. Finally,some problems in this field were pointed out,such as imperfect medication information,inadequate transformation of research results,and too few kinds of analgesic components in developed alkaloids. The development direction was also pointed out for the above problems,with a view to provide reference for further development and in-depth research.

To screen allelochemical-resistant species of the alien invasive weed Mikania micrantha, we studied the allelopathic inhibition effects of the leaf aqueous extract (LAE) of Mikania on seed germination and seedling growth of the 26 species native or naturalized in the invaded region in South China. Seed germination was more strongly negatively affected by LAE than seedling growth. Responses of seed germination and seed growth to LAE differed differently among the target species. LAE more strongly negatively affected seed germination, but less strongly negatively affected seedling growth, in non-legume species than in legume species. LAE more strongly negatively affected seed germination and seedling growth in native species than naturalized exotic species. Therefore, naturalized exotic non-legume seedlings are more suitable than seeds of native legume species for restoration of Mikania-invaded habitats.

Coumarin as an additive or as a constituent of tonka beans or tonka extracts is banned from food in the United States due to its potentially adverse side effects. However, coumarin in food from other natural ingredients is not regulated. "True Cinnamon" refers to the dried inner bark of Cinnamomum verum. Other cinnamon species, C. cassia, C. loureiroi, and C. burmannii, commonly known as cassia, are also sold in the U.S. as cinnamon. In the present study, coumarin and other marker compounds were analyzed in authenticated cinnamon bark samples as well as locally bought cinnamon samples, cinnamon-flavored foods, and cinnamon-based food supplements using a validated UPLC-UV/MS method. The experimental results indicated that C. verum bark contained only traces of coumarin, whereas barks from all three cassia species, especially C. loureiroi and C. burmannii, contained substantial amounts of coumarin. These species could be potential sources of coumarin in cinnamon-flavored food in the U.S. Coumarin was detected in all locally bought cinnamon, cinnamon-flavored foods, and cinnamon food supplements. Their chemical profiles indicated that the cinnamon samples and the cinnamon in food supplements and flavored foods were probably Indonesian cassia, C. burmannii.

Pro-opiomelanocortin (POMC) plays an important role on animal ingestive behavior and energy homeostasis. Genetic variation of POMC was detected by PCR-SSCP and DNA sequencing techniques in 480 individuals from seven cattle breeds (i.e., Qinchuan, Nanyang, Jiaxian Red cattle, Jinnan, Luxi, Angus, and Chinese Holstein), and association analyses were carried out to evaluate the effects of genotypes of the candidate genes on growth traits in Nanyang cattle. Three SNPs (811845 C>T, 811821 T>C and 811797 A>G, ref. NW&#95;928357) in linkage were detected in P3 locus, which were located at the 3' flanking region of bovine POMC gene. The body weight at 6-month-old and the average daily gain of 0~6-month-old were higher in Nanyang cattle with the genotype BB than with the genotype AA (P<0.05).

Objective: To evaluate the impact of major causes of death on changes of life expectancy in China., Methods: Life expectancy was calculated by standard life table techniques using mortality data from the national censuses in 1990 and 2000 and the 1% National Population Sampling Surveys in 1995 and 2005. Mortality data about the major causes of death from VR-MOH were used as reference values to estimate their death proportions of the specific age groups by sex and regions, as well as all-cause mortality and age-specific mortality rates of major causes of death. Decomposition method was used to quantitatively evaluate the impact., Results: Three key findings were identified in our study. First, China's health challenge was shifted from diseases related to living conditions to those related to behavior and lifestyle, with rural areas relatively lagged behind urban areas. Second, the impacts of cardiovascular diseases and neoplasm on the middle aged and elderly population were stressed. Third, compared to the urban population, the rural population tended to have increasing mortality of neoplasm and cardiovascular diseases, especially in adults at the age of 15-39 years., Conclusion: Further efforts should be made to reduce the incidence of neoplasm and cardiovascular diseases, especially in rural areas, by promoting healthy behavior and lifestyle and providing appropriate therapies for all patients in need.

Melanocortin-4 receptor (MC4R) is one of five G-protein-coupled receptors binding melanocortins that is implicated in the control of feeding behavior and energy homeostasis. Six cattle populations (n = 594), including four Chinese indigenous breeds, Chinese Holstein, and a meat type breed (Angus), were used to detect single nucleotide polymorphisms in 5'-untranslated region of MC4R gene by means of PCR-SSCP and DNA sequencing. Four linked SNPs (g.[-293C>G; -193A>T; -192T>G; -129A>G]) were identified. The g.-293C>G and g.-129A>G could be genotyped with a PCR-RFLP using TaiI in three combined genotypes (AA, AB and BB). The two linked SNPs were associated with body weight and daily gain in Nanyang aged 6 months (P < 0.05), but they had no significant effect on body weight and daily gain in Nanyang aged 24 months (P > 0.05).

Objective/hypothesis: Nasopharyngeal adenoid cystic carcinoma (NACC) is a rare malignancy with special biological features. Clear consensus is not available regarding the clinical characters, management approaches, and prognostic factors. We presented one institution's experience with this tumor and the outcomes of treatment., Study Design: Retrospective clinical analysis., Methods: The medical records of 26 patients with NACC at one institution between 1976 and 2003 were reviewed. Patient records were analyzed for clinical characteristics, management approaches, and outcomes. Survival analysis was performed by Kaplan-Meier method, comparison between groups was performed using log-rank test., Results: The lymphatic metastases rate and distant metastases rate were 3.8% and 26.9%, respectively. Epstein-Barr virus did not have a close relationship to the incidence of NACC. The 5-year disease free survival rate and overall survival rate (OS) for all patients were 30.3% and 54.8%, respectively. In the stage I, II and III patients, the 5-year OS were 87.5% and 49.4%, respectively in patients treated mainly by combined surgical treatment with radiotherapy and those treated mainly by radiotherapy. Cranial nerves invasion, advanced stage and nonsurgical treatment indicated a significant worse OS, whereas combined surgical treatment was an independent factor affecting disease free survival rate and OS., Conclusions: NACC is a malignancy with low rate of lymphatic metastases. NACC should be treated by combined surgical operation and radiotherapy. Cranial nerves invasion, stage and treatment approach might be important factors affecting the prognosis of the patients with NACC.

Objective: To compare the life expectancies between the urban and rural residents, and to evaluate the influence of ages and diseases on the differences in life expectancy., Methods: Life tables, decomposition of life expectancy, the index of relative change in temporary life expectancies were used in our study., Results: In recent years the life expectancy of rural population growth and growth rate were higher than those in the urban. The contribution of children on the urban-rural difference of life expectancy was reducing, while it was increasing in the middle and older adults. Respiratory diseases, cancer, circulation diseases, as well as injury and poisoning could interpret the most discrepancy of the urban-rural gaps on life expectancy. It is worth noting that different age groups in the major cause of death had different impact on the urban-rural difference of life expectancy., Conclusion: In order to narrow the gap of life expectancy, we should take measures to improve the health of the middle-aged and elderly populations, in which respiratory diseases, cancer and circulation diseases should have been the focus of concern.

A rapid multi-residue method for the simultaneous analysis of 3 herbicides and 8 organochlorine pesticides (OCPs) in agricultural soils has been developed, using ultrasonic solvent extraction coupled with gas chromatography-mass spectrometry (GC-MS). The recoveries ranged from 81% to 117% with a relative standard deviation (R.S.D) lower than 15%. The limits of quantification (LOQs) ranged from 0.03 to 1.06 microg x kg(-1) dry weight for different pesticides studied. The proposed method has been applied to investigate the 11 pesticide residues in agricultural soils collected from Liaoning Province, northeast of China. 3 OCPs and 3 herbicides were identified. Acetochlor, atrazine, butachtor were measured in the relatively high level with values ranging from 0.53 to 203.18 microg x kg(-1), 0.14 to 21.20 microg x kg(-1), <0.05 to 30.87 microg x kg(-1), respectively. All the OCPs residue levels were below 10 microg x kg(-1). The concentration of the eleven pesticides in this study was compared with the date of other countries reported and the corresponding limiting values used in Netherland, USA, Canada, Vietnam and Thailand. Among the herbicide residues, there was a significant relativity between soil utilizing types and their residue concentration. It seems that the monitoring action for soil contamination caused by commonly-used herbicides should be enhanced according to soil utilizing types, especially acetochlor in maize field.