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Background: The safety and efficacy of robotic liver resection (RLR) for patients with hepatocellular carcinoma (HCC) have been reported worldwide. However, the exact role of RLR in HCC patients with liver cirrhosis is not sufficiently determined. Methods: We conducted a retrospective study on consecutive patients with cirrhosis or non-cirrhosis who received RLR for HCC from 2018 to 2023. Data on patients' demographics and perioperative outcomes were collected and analyzed. Propensity score matching (PSM) analysis was performed. Multivariate logistic regression analysis was performed to determine the risk factors of prolonged postoperative length of stay (LOS) and morbidity. Results: Of the 571 patients included, 364 (64%) had cirrhosis. Among the cirrhotic patients, 48 (13%) were classified as Child–Pugh B. After PSM, the cirrhosis and non-cirrhosis group (n = 183) had similar operative time, estimated blood loss, postoperative blood transfusion, LOS, overall morbidity (p > 0.05). In addition, the intraoperative and postoperative outcomes were similar between the two groups in the subgroup analyses of patients with tumor size ≥ 5 cm, major hepatectomy, and high/expert IWATE difficulty grade. However, patients with Child–Pugh B cirrhosis had longer LOS and more overall morbidity than that of Child–Pugh A. Child–Pugh B cirrhosis, ASA score > 2, longer operative time, and multiple tumors were risk factors of prolonged LOS or morbidity in patients with cirrhosis. Conclusion: The presence of Child–Pugh A cirrhosis didn't significantly influence the difficulty and perioperative outcomes of RLR for selected patients with HCC. However, even in high-volume center, Child–Pugh B cirrhosis was a risk factor for poor postoperative outcomes. [ABSTRACT FROM AUTHOR]

Background: Despite the growing number of studies on the coronavirus disease-19 (COVID-19), little is known about the association of menopausal status with COVID-19 outcomes. Materials and methods: In this retrospective study, we included 336 COVID-19 inpatients between February 15, 2020 and April 30, 2020 at the Taikang Tongji Hospital (Wuhan), China. Electronic medical records including patient demographics, laboratory results, and chest computed tomography (CT) images were reviewed. Results: In total, 300 patients with complete clinical outcomes were included for analysis. The mean age was 65.3 years, and most patients were women (n = 167, 55.7%). Over 50% of patients presented with comorbidities, with hypertension (63.5%) being the most common comorbidity. After propensity score matching, results showed that men had significantly higher odds than premenopausal women for developing severe disease type (23.7% vs. 0%, OR 17.12, 95% CI 1.00–293.60; p = 0.003) and bilateral lung infiltration (86.1% vs. 64.7%, OR 3.39, 95% CI 1.08–10.64; p = 0.04), but not for mortality (2.0% vs. 0%, OR 0.88, 95% CI 0.04–19.12, p = 1.00). However, non-significant difference was observed among men and postmenopausal women in the percentage of severe disease type (32.7% vs. 41.7%, OR 0.68, 95% CI 0.37–1.24, p = 0.21), bilateral lung infiltration (86.1% vs. 91.7%, OR 0.56, 95% CI 0.22–1.47, p = 0.24), and mortality (2.0% vs. 6.0%, OR 0.32, 95% CI 0.06–1.69, p = 0.25). Conclusions: Men had higher disease severity than premenopausal women, while the differences disappeared between postmenopausal women and men. These findings support aggressive treatment for the poor prognosis of postmenopausal women in clinical practice. [ABSTRACT FROM AUTHOR]

Understanding the shape of superior talar dome is essential for a better size compatibility between talar component of ankle implant and bone. The purpose of this study was to determine whether there were gender variations in (1) width (TW) and length (TL) of talus, as well as anterior width (DAW), middle width (DMW), posterior width (DPW), and length (DL) of superior talar dome; (2) differences between the DAW, DMW, and DPW; (3) the ratios between these parameters. Fifty-one cadaveric ankle specimens were included. Two observers measured all the specimens using vernier caliper. Intraclass correlation coefficients (ICCs) were used for intraobserver and interobserver reliability analysis and the reliability was thought to be good if the ICC>0.75. A two-tailed unpaired t-test or the rank-sum test was used to investigate gender variations. A single-factor ANOVA was utilized to identify the differences between the width of the superior talar dome surface and p value of <0.05 was considered significant. Intraobserver and interobserver reliability were good. Significant gender variations were found, in which TW, TL, DAW, DMW, DPW, and DL of female specimens were much smaller than those of male. The width of talar dome linearly decreased from DAW to DPW; however, the linearly decreased rate from anterior to posterior width was bigger in female. Moreover, significant differences were found in DAW/DPW, DMW/DPW, DL/DAW, DL/DMW, and DL/DPW between male and female. Based on our result, there was no difference in the 2D shape of the whole talus instead gender variation existed in the 2D shape of superior talar dome between male and female. The current 2D data could contribute to figure out more suitable size of talar component for Chinese population and might indicate a gender-specific shape of bone-implant interface, which could reduce the potential bone-component incompatibility when performing ankle replacement using standard component. [ABSTRACT FROM AUTHOR]

Vuggy reservoirs are the most common, albeit important heterogeneous carbonate reservoirs in China. However, saturation calculations using logging data are not well developed, whereas Archie method is more common. In this study, electrical conduction in a vuggy reservoir is theoretically analyzed to establish a new saturation equation for vuggy reservoirs. We found that vugs have a greater effect on saturation than resistivity, which causes inflection in the rock-electricity curve. Using single-variable experiments, we evaluated the effects of vug size, vug number, and vug distribution on the rock-electricity relation. Based on the general saturation model, a saturation equation for vuggy reservoirs is derived, and the physical significance of the equation parameters is discussed based on the seepage-electricity similarity. The equation parameters depend on the pore structure, and vugs and matrix pore size distribution. Furthermore, a method for calculating the equation parameters is proposed, which uses nuclear magnetic resonance (NMR) data to calculate the capillary pressure curve. Field application of the proposed equation and parameter derivation method shows good match between calculated and experimental results, with an average absolute error of 5.8%. [ABSTRACT FROM AUTHOR]

Both sensible and latent heat fluxes are important components in the land surface energy budget, and accurately estimating them on kilometer-scale are important for understanding and modeling local hydro meteorological process. Scintillometry could provide kilometer-scale averaged turbulent heat fluxes, and has been used as ground-based remote sensing for estimating surface energy and water budget. This research compared heat fluxes obtained using an optical-microwave scintillometer (OMS) and an eddy covariance system (EC) over a typical temperate deciduous forest in hilly area, northern China. The observation period mainly represents growing season, from April to October 2018. We estimated the sensible and latent heat fluxes using both the two-wavelength method and the bichromatic correlation method, and the EC measurements were used as a benchmark. The results show the sensible heat fluxes from OMS showed 2% higher than EC, whilst the latent heat fluxes from OMS showed around 10% higher than EC. Changes in hydrological conditions or footprints have no significant effects on the measured turbulent fluxes from OMS. We also founded that there are slightly differences between fluxes derived by the two-wavelength method and the bichromatic correlation method due to assumed r Tq value. Based on these results, we conclude that OMS can be a reliable approach to measure kilometer-scale surface turbulent heat fluxes over the hilly area, and its ability to estimate kilometer-area sensible and latent heat fluxes looks promising. • This is a unique dataset of the two-wavelength method in calculated latent and sensible heat fluxes, which are lacking in the literature. • The microwave scintillometer (RPG-MWSC-160, Radiometer Physics GmbH, Germany) is a new commercialized microwave scintillometer device, and there is rare literature on its performance over a typical temperate deciduous forest in hilly area. • The result can provides much needed information about the performance of the OMS system and, more generally, two-wavelength scintillometry. [ABSTRACT FROM AUTHOR]

Pacific white shrimp (Litopenaeus vannamei) is an important aquaculture species worldwide, and there is a growing concern over misdescribed shrimp products, particularly over their geographical origins. Shrimp samples were collected from 12 locations in northern and southern China to develop traceability methods in identifying their geographic origins. In one of the sampling sites, shrimp were collected from five farms using the same water source but feeding with different brands of feed to investigate the effect of feed on the elemental compositions of shrimp. Totally 35 elements (Ce, Nd, Pr, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm, Yb, Lu, Th, Y, U, Li, Al, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, Ga, As, Rb, Sr, Ag, Cd, Cs, Ba, and Pb) were detected in both shrimp and feed. Only Cd and Tb in shrimp were positively correlated with those in the feed. Moreover, 24 elements (Li, Al, V, Fe, As, Rb, Sr, Cd, Pb, Ce, Nd, Pr, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm, Yb, Lu, Th, and Y) in shrimp were significantly different between northern and southern China. Elements As, Fe, Pb, Rb, Cs, and U, selected by stepwise discriminant analysis (SDA), were used to create a new dataset (SSDAs dataset) to compare with the entire dataset (ATEs dataset) in discrimination analyses. Classification tools, including linear discriminant analysis (LDA), k-nearest neighbor (KNN), and random forest (RF) were used to create a discrimination model to authenticate shrimp provenance based on the ATEs and SSDAs datasets. The highest discrimination rate was achieved with RF using the SSDAs dataset, which achieved an overall correct discrimination rate of 100%, a cross-validation rate of 98.78%, and a predictive discrimination rate of 100%. Therefore, elemental profiling combined with chemometrics is a promising method which can be used to identify shrimp provenance. • 24 elements in shrimp were different between north and south China. • Only Cd and Tb in feeds were related to elements in shrimp. • KNN and RF obtained higher discrimination rates than LDA. • The highest discrimination rate was over 98.75%. [ABSTRACT FROM AUTHOR]

Although mariculture activities play a significant role in coastal carbon cycling, there is a lack of research on sedimentary organic carbon (SOC) in mariculture areas. In this study, remineralization of SOC in Ailian Bay, China, and an adjacent offshore control area was analyzed by combining sediment and pore water analyses, to investigate the effects of mariculture on the preservation of SOC and the related mechanisms. The significant higher total organic carbon (TOC) to sediment surface area in abalone culture area (0.74 ± 0.10 mg·m−2) than those in control area (0.59 ± 0.06 mg·m−2) suggested the maricultural activities may increase the preservation efficiency of SOC. During anaerobic incubations, higher vertical profiles and production rates of ΣCO 2 in pore water of sediments in the abalone culture area than those in the control area indicated that maricultural activities may increase the rate of organic carbon remineralization. Furthermore, similar findings in dissolved organic carbon (DOC) suggested maricultural activities may increase the release of DOC in the sedimentary environment, which is an important supplement to the marine DOC pool. Additionally, the higher vertical concentrations and fluxes of the three major cations (i.e., K+, Ca2+, and Mg2+) coupled with the increased rate of SOC remineralization in the abalone culture area demonstrated that the maricultural activities strongly strengthened the formation of authigenic mineral. In conclusion, these findings suggested that maricultural activities play an important role in the coastal carbon cycle, significantly affecting the remineralization, preservation of SOC and the biogeochemical cycling of other important biogenic elements. • Maricultural activities promoted the preservation efficiency of sedimentary organic carbon (SOC). • Maricultural activities increased the rate of SOC remineralization. • Higher SOC deposition and remineralization rates in the mariculture area enhance the authigenic mineral formation. [ABSTRACT FROM AUTHOR]

[Display omitted] • Multi-way fluorescence fingerprint and chemometric methods classify Dao-di AM. • Pattern recognition methods (PLS-DA, k NN, PCA-LDA and RF) were evaluated. • The three-way and four-way PARAFAC were used for spectral characterization. • All new prediction samples obtained based on the PLS-DA can be correctly classified. Atractylodes macrocephala Koidz. (AM) is an important plant of traditional Chinese medicine (TCM), and its status can be comparable with ginseng in China. The efficacy and quality of AM are closely related to the place of origin. Hence, we proposed a simple and fast strategy to classify AM from different geographical origins by using multi-way fluorescence fingerprint combined with chemometric methods. AM samples with different dilution levels have different fluorescence characteristics, resulting from different content of fluorescence components and chemical microenvironment. Therefore, AM samples were diluted 5-fold, 10-fold, and 20-fold with 40% ethanol aqueous solution to obtain excitation-emission matrix data, and multi-way (three-way and four-way) data arrays were constructed. And then, the fluorescence fingerprints of AM samples were characterized by three-way and four-way parallel factor analysis (PARAFAC). In addition, four pattern recognition methods were used to classify AM from different provinces. The results show that the four-way data array can provide more abundant information than three-way data arrays, so it is more conducive to sample classification. According to the results obtained from the analysis of four-way data array, the correct classification rate (CCR) of the cross-validation and prediction set obtained by partial least squares-discrimination analysis (PLS-DA) were 90.5% and 100%, respectively. To sum up, the proposed method can be regarded as a powerful, feasible, convenient, reliable, and universal classification tool for the classification of AM samples from different provinces and can be used as a promising method to realize the geographical origin traceability of other TCMs. [ABSTRACT FROM AUTHOR]

Abstract: The levels of polybrominated diphenyl ethers (PBDEs) in breast milk from Beijing, China, were studied. The 6 predominant PBDEs congeners (BDE47, BDE99, BDE100, BDE153, BDE154 and BDE183) in 23 pooled breast milk samples from 205 mothers living in Beijing were measured. Mean and median of ΣPBDEs concentrations in all samples were 1.12ngg−1 lipid and 1.07ngg−1 lipid, respectively. The Statistical difference in concentrations was found between urban areas (1.22ngg−1 lipid, n =14) and rural areas (0.97ngg−1 lipid n =9). The sum of BDE47 and BDE153 accounted for more than 70% of ΣPBDEs in most samples. The significant correlation was found between the ΣPBDEs in pooled samples and average of consumption of food of animal origin in the pools in urban area. However, there was no correlation was found between the ΣPBDEs in pooled samples and average of consumption of food of animal origin in the pools in rural area of Beijing. The current study showed that the level of PBDEs in breast milk from Beijing was lower than that from South China and some developed countries such as USA and Sweden. [Copyright &y& Elsevier]

The lower limit temperature in the crop water stress index (CWSI) model refers to the canopy temperature ( T c ) or the canopy-air temperature differences ( dT ) under well-watered conditions, which has significant impacts on the accuracy of the model in quantifying plant water status. At present, the direct estimation of lower limit temperature based on data-driven method has been successfully used in crops, but its applicability has not been tes-ted in forest ecosystems. We collected continuously and synchronously T c and meteorological data in a Quercus variabilis plantation at the southern foot of Taihang Mountain to evaluate the feasibility of multiple linear regression model and BP neural network model for estimating the lower limit temperature and the accuracy of the CWSI indicating water status of the plantation. The results showed that, in the forest ecosystem without irrigation conditions, the lower limit temperature could be obtained by setting soil moisture as saturation in the multiple linear regression mo-del and the BP neural network model with soil water content, wind speed, net radiation, vapor pressure deficit and air temperature as input parameters. Combining the lower limit temperature and the upper limit temperature determined by the theoretical equation to normalize the measured T c and dT could realize the non-destructive, rapid, and automatic diagnosis of the water status of Q. variabilis plantation. Among them, the CWSI obtained by combining the lower limit temperature determined by the dT under well-watered condition calculated by the BP neural network model and the upper limit temperature was the most suitable for accurate monitoring water status of the plantation. The coefficient of determination, root mean square error, and index of agreement between the calculated CWSI and measured CWSI were 0.81, 0.08, and 0.90, respectively. This study could provide a reference method for efficient and accurate monitoring of forest ecosystem water status.

Background: Cognitive impairment is a clinical manifestation that occurs in the course of dementia like Alzheimer's disease. The association between cognitive impairment and gut microbiota is unclear., Objective: We aimed to identify gut microbiota characteristics and key gut microbiota biomarkers associated with cognitive impairment in a relatively large cohort of older adults in China., Methods: A total of 229 adults aged ≥60 years from Shenzhen, China were recruited into this cross-sectional study. Participants were divided into cognitive impairment (CI) and no cognitive impairment (NCI) groups according to the results of the Mini-Mental State Examination. Diversity analysis and network analysis were used to characterize the gut microbiota between the two groups. The linear discriminant analysis effect size method and machine learning approaches were sequentially performed to identify gut microbiota biomarkers. The relationship between biomarkers and lifestyle factors was explored using Transformation-based redundancy analysis (tb-RDA)., Results: A total of 74 CI participants and 131 NCI participants were included in the analysis. The CI group demonstrated lower α-diversity compared to the NCI group (Shannon: 2.798 versus 3.152, p < 0.001). The density of the gut microbiota interaction network was lower in the CI group (0.074) compared to the NCI group (0.081). Megamonas, Blautia, Pseudomonas, Stenotrophomonas, and Veillonella were key biomarkers for CI. The tb-RDA revealed that increased fruit intake and exercise contribute to a higher abundance of Megamonas, Blautia, and Veillonella., Conclusions: We identified a significantly reduced abundance of certain beneficial gut microbiota in older Chinese adults with cognitive impairment.

Background: Hand-foot-mouth is a viral infectious disease characterized by fever, hand foot rash and oral mucosal herpes caused by a variety of enteroviruses. It is often found in preschool children, and its immune system is not well developed, so it is very susceptible to infection by pathogens and epidemics, resulting in rapid progress of the disease. At present, the commonly used Chinese patent medicine oral liquid in our country has good clinical efficacy of antiviral, antibacterial, antiphlogistic and improving immunity, but there is no evidence to compare the clinical efficacy and safety of a variety of oral liquid of Chinese patent medicine. Therefore, this study is aim to use the network meta-analysis to integrate the clinical relevant evidence of direct and indirect comparative relationship, and to conduct quantitative comprehensive statistical analysis and sequencing after the aggregation of different Chinese patent medicine oral liquid with the same evidence body, and then the best clinical medication scheme is selected, which can provide reference value and evidence-based theoretical evidence for clinical optimization of drug selection., Methods: Comprehensive retrieval of CNKI, VIP, CBM, and WANFANG database and the Cochrane Library, PubMed, Web of Science and EMBASE database. Search and publish the clinical RCT of these 7 kinds of oral liquid of Chinese patent medicine compared with ribavirin or oral liquid of Chinese patent medicine. The retrieval time is from the establishment of the database to October 31st, 2021. The 2 first authors will screen the literatures that meets the inclusion criteria, extract the data independently according to the predesigned rules, and evaluate the literature quality and bias risk of the included research according to the Cochrane manual standard. Data merging and network meta-analysis were carried out with R programming software to evaluate the ranking probability of all interventions., Results: This network meta-analysis and probability ranking will identify the best Chinese patent medicine oral liquid treatment for Hand-foot-mouth., Conclusion: This study will provide systematic evidence-based medicine evidence for Chinese patent medicine oral liquid treatment for Hand-foot-mouth, and help clinicians, patients with poststroke depression and decision-makers to make more effective, safer and economic optimal treatment plan in the decision-making process., Registration Number: INPLASY202210032. The protocol for this systematic review was registered on INPLASY and is available in full on the inplasy.com (https://inplasy.com/inplasy-2022-1-0032/)., Competing Interests: The authors have no conflicts of interests to disclose., (Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.)

Objective: Infectious diseases can cause psychological changes in patients. This study aimed to evaluate the prevalence and related risk factors for anxiety and depression in patients with COVID-19., Methods: A cross-sectional study was performed on patients with COVID-19 admitted to the Sino-French New City branch of Wuhan Tongji Hospital from January to February 2020. The Zung Self-Rating Anxiety and Depression Scales were used to evaluate the prevalence of anxiety and depression. Demographic, clinical, and sociological data were also collected. Multivariable logistic regression analysis was used to identify independent risk factors of anxiety and depression in patients with COVID-19., Results: In the current study, 183 patients were enrolled (mean age = 53 ± 9 years; 41.1% women). The prevalences of anxiety and depression were 56.3% and 39.3%, respectively. Logistic regression analysis revealed that older age, female sex, being divorced or widowed, COVID-19 disease duration, renal disease, and depression were identified as independent risk factors for anxiety in patients with COVID-19. Factors that were associated with depression were female sex, being widowed, COVID-19 disease duration, and anxiety., Conclusions: This study demonstrates a high prevalence of anxiety and depression in patients with COVID-19 at the peak of the epidemic in Wuhan, China. The identification of demographic, clinical, and social factors may help identify health care professionals to provide psychological care as part of treatment for patients with COVID-19 and other life-threatening infectious diseases., (Copyright © 2021 by the American Psychosomatic Society.)

Objective: Several COVID-19 patients have overlapping comorbidities. The independent role of each component contributing to the risk of COVID-19 is unknown, and how some non-cardiometabolic comorbidities affect the risk of COVID-19 remains unclear., Methods: A retrospective follow-up design was adopted. A total of 1,160 laboratory-confirmed patients were enrolled from nine provinces in China. Data on comorbidities were obtained from the patients' medical records. Multivariable logistic regression models were used to estimate the odds ratio ( OR ) and 95% confidence interval (95% CI ) of the associations between comorbidities (cardiometabolic or non-cardiometabolic diseases), clinical severity, and treatment outcomes of COVID-19., Results: Overall, 158 (13.6%) patients were diagnosed with severe illness and 32 (2.7%) had unfavorable outcomes. Hypertension (2.87, 1.30-6.32), type 2 diabetes (T2DM) (3.57, 2.32-5.49), cardiovascular disease (CVD) (3.78, 1.81-7.89), fatty liver disease (7.53, 1.96-28.96), hyperlipidemia (2.15, 1.26-3.67), other lung diseases (6.00, 3.01-11.96), and electrolyte imbalance (10.40, 3.00-26.10) were independently linked to increased odds of being severely ill. T2DM (6.07, 2.89-12.75), CVD (8.47, 6.03-11.89), and electrolyte imbalance (19.44, 11.47-32.96) were also strong predictors of unfavorable outcomes. Women with comorbidities were more likely to have severe disease on admission (5.46, 3.25-9.19), while men with comorbidities were more likely to have unfavorable treatment outcomes (6.58, 1.46-29.64) within two weeks., Conclusion: Besides hypertension, diabetes, and CVD, fatty liver disease, hyperlipidemia, other lung diseases, and electrolyte imbalance were independent risk factors for COVID-19 severity and poor treatment outcome. Women with comorbidities were more likely to have severe disease, while men with comorbidities were more likely to have unfavorable treatment outcomes., (Copyright © 2020 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.)

Entomopathogenic fungi (EPF), such as Metarhizium spp. and Beauveria bassiana, are widely used in the biocontrol of many species of insect pests. Tobacco is an economically important crop in Guangdong Province of China, but insect pests, such as Spodoptera litura Fabricius, are a major threat to production. Here, we tested the persistence of five Metarhizium species and B. bassiana in glasshouse pot and field experiments and assessed their long-term efficacy against S. litura. We found that the colony forming units of these EPF decreased by c. 93% by 180 d in the pot soils declines tended to be exponential. In contrast, declines of c. 99% in field soils were more gradual (linear), occurring throughout the 360 d experiment. Metarhizium anisopliae Ma09 had the longest estimated half-life of 41 d, while that of B. bassiana was the shortest (9 d). Fungal density in the upper soil layer (0-5 cm) decreased rapidly and was undetectable after 150 d, whereas density was consistently greatest in the mid-layer (10-15 cm). At 180 d after inoculation, strain Ma09 elicited highest rates of mortality in S. litura. We conclude that soils in Guangdong Province are all suitable for the use of Metarhizium as a biocontrol agent, where M. anisopliae Ma09 offers greatest residual activity.

Purpose: The aim of this study was to evaluate the efficacy of using nedaplatin to replace cisplatin for concurrent chemoradiotherapy (CCRT) in patients with newly diagnosed locally advanced cervical cancer., Methods: The medical records of 155 patients with cervical cancer who had undergone CCRT with cisplatin (n = 85) or nedaplatin (n = 70) between January 2012 and January 2017 were retrospectively reviewed. Propensity score analysis with 1:1 matching with the nearest neighbor matching method was performed to assess response rates, progression-free survival, overall survival, and toxicity between 2 groups., Results: Propensity score matching identified 63 patients in each group. After matching, compared with patients treated with cisplatin-based concurrent chemoradiotherapy (CisRT), we found that patients treated with nedaplatin-based concurrent chemoradiotherapy (NedaRT) had a significant higher recurrence rate (25.4% vs 42.9%; P = 0.04). In addition, the 3-year progression-free survival rate for NedaRT group was also worse than that for the CisRT group (52.2% vs 63.4%, P = 0.03). There was no difference in the overall response rates between the CisRT and NedaRT groups (87.3% and 90.5%, respectively; P = 0.57). The rates of 3-year overall survival and grades 3 to 4 toxicities were similar between the 2 groups., Conclusions: The clinical outcome of this cohort of patients with locally advanced cervical cancer treated with CCRT did in no way provide support for the use of nedaplatin in place of cisplatin in chemoradiation and demonstrated no equivalence of the 2 drugs. Cautions should be taken for the replacement among platinum complexes in cancer treatment.

Campylobacter jejuni is a major food-borne pathogen that causes human gastroenteritis in many developed countries. In our study, we applied multilocus sequence typing (MLST) technology to 167 C. jejuni isolates from diverse sources in Eastern China to examine their genetic diversity. MLST defined 94 sequence types (STs) belonging to 18 clonal complexes (CCs). Forty-five STs from 60 isolates (36%) and 22 alleles have not been previously documented in an international database. One hundred and two isolates, accounting for 61.1% of all isolates, belonged to eight clonal complexes. The eight major CCs were also the most common complexes from different sources. The most common ST type of isolates from human and food was ST-353. The dominant ST type in chicken and foods was ST-354. Among 21 STs that contained two or more different sources isolates, 15 STs contained human isolates and isolates from other sources, suggesting that potentially pathogenic strains are not restricted to specific lineages.

Objective: To understand the epidemic situation of schistosomiasis in 27 counties (cities, districts) that reached the criteria of schistosomiasis infection controlled in Anhui Province., Methods: According to the requirement of The National Assessment Scheme of Schistosomiasis, 81 administrative villages where the schistosomiasis epidemic situation was relatively heaver in above-mentioned 27 counties (1 village per town, 3 towns per county) were sampled and investigated., Results: From 2012 to 2014, 81 villages were investigated, and 34,293 residents received the serum examinations, and 1,086 were positive with a positive rate of 3.17% (0.65%-9.58%), and the positives received stool examinations and the average stool positive rate was 0.37% (0-4.0%). The calculated prevalence of human infection was 0.01%. A total of 3 057 domestic animals were investigated including 438 cattle, 2,550 sheep, and 69 other animals, and no infections were detected. A total of 11,261 living Oncomelania hupensis snails were collected and detected, but no schistosome infected snails were found. Before this investigation, no infected snails were detected for more than 2 years [average 2.3 (2-6) years], and no acute schistosome infection cases were found for more than 2 years [average 4.9 (2-9) years]., Conclusion: The infection rates of schistosomiasis in residents and domestic animals are relatively low, and no schistosome infected snails are found in the regions.

Objective: To analyze the changes of schistosomiasis endemic situation in Anui Province from 2004 to 2014, so as to provide the evidence for formulating "The thirteenth five year" schistosomiasis control plan., Methods: The information for schistosomiasis control and the data of the endemic surveillance of schistosomiasis were collected and analyzed for the changes of schistosomiasis endemic situation in Anhui Province from 2004 to 2014., Results: The Oncomelania hupensis snail areas presented on a rising trend, and reached to the largest area with about 3.1 billon m2in 2011. However, the snail areas decreased from 2012, and reduced by 10.55% in 2012 compared with the areas in 2011, and reduced to the lowest level in 2014 in recent 10 years. The density of living snails presented a fluctuation situation from 2004 to 2008, and on a decreasing trend from 2008, and the density of living snails was below 1 snail/0.l i2 after 2011. The infection rate of snails remained stagnant state from 2004 to 2011, and decreased rapidly in 2012, and no schistosome infected snails were found in 2013 and 2014. The schistosome infection rate of residents decreased gradually, and the number of acute schistosomiasis was under 50 cases with scattered distribution after 2006, and no acute cases occurred in 2013 and 2014. The infection rate of livestock was above 1% from 2004 to 2011, and reduced to 0.55% in 2012, and it was the first time that the infection rate of livestock was lower than that of residents in the same year in 2014. The progress for achieving the goal of schistosomiasis transmission control accelerated after 2011, and the number of counties that reached the standard of schistosomiasis transmission controlled from 2012 to 2014 was 4, 9 and 14 and the number of townships was 33, 76 and 32, respectively., Conclusion: Schistosomiasis control has achieved remarkable effectiveness in Anhui Province, but there still exists hard work to consolidate the achievement and reach schistosomiasis transmission interrupted.

Objective: A pilot study found the masking level difference (MLD) normal value of Chinese aged from 10 to 40, served to clinical practice., Method: Seventy-three normal persons with hearing threshold < 20 dB and no disorder of otology were divided into three groups: classified 10-20 age as A group, 21-30 age as B group, 31-40 age as C group. MLD of age, gender and race were determined by the audiometer with dual channel by playing audio test disc. Same tests were compared with English language., Results: The mean value of MLD in Chinese was (11.1 ± 3.4) dB and the 95% normal reference values were between 4.4 to 17.8 dB . There was no difference in term of gender. The value of MLD increased with age. In the term of language, foreign showed high value of MLD than that of Chinese., Conclusions: The measuring of MLD depends on age and language but not depends on gender. The normal threshold of MLD depends on age and language should be measured when normal values were applied to assess MLD in clinical practice.

Diverse strategies of analgesic adjustment are often, respectively, used to sustain analgesic efficiency for opioid-tolerant patients with different refractory factors of pain. In order to select effective analgesic adjustment strategy for hospice patient without knowing explicit causes of diminishing analgesic efficiency, a retrospective data of 743 patients among 3760 hospice patients were analyzed. The efficacy and adverse effects were not significantly different among analgesic adjustment strategies at each adjustment. Opioid duration was not associated with clinical characteristics. For opioid-tolerant hospice patients, the analgesic adjustment strategy can be selected for individual patient. After repeated analgesic adjustments, opioid tapering may also occur.

We upgraded the preliminary CCPD 1.0 to CCPD 2.0 using the latest deep-profiling proteome (CCPD 2013) of three hepatocellular carcinoma (HCC) cell lines, namely, Hep3B, MHCC97H, and HCCLM3 (ProteomeXchange identifiers: PXD000529, PXD000533, and PXD000535). CCPD 2.0 totally covered 63.6% (438/689) of Chr. 8-coded proteins and 62.6% (439/701) of Chr. 8-coded protein-coding genes. Interestingly, we found that the missing proteins exhibited a tendency to form a cluster region in chromosomes, such as two β-defensins clusters in Chr. 8, caused perhaps by their inflammation-related features. For the 41 Chr. 8-coded proteins being weakly or barely identified previously, we have performed an immunohistochemical (IHC) verification in 30 pairs of carcinoma/para-carcinoma HCC and 20 noncancerous liver tissues and confirmed their expressional evidence and occurrence proportions in tissue samples. We also verified 13 Chr. 8-coded HCC tumorigenesis-associated depleting or deficient proteins reported in CCPD 1.0 using IHC and screened 16 positive and 24 negative HCC metastatic potential-correlated proteins from large-scale label-free proteome quantitation data of CCPD 2013. Our results suggest that the selection of proper samples and the methodology to look for targeted missing proteins should be carefully considered in further verifications for the remaining Chr. 8-coded proteins.

Objective: The characteristics of spatial-temporal distribution on infected snails were analyzed at the village level in Anhui province, 2006-2012., Methods: Data on the distribution of infected snails from 2006 to 2012 in Anhui province was collected. Spatial database was established by ArcGIS 9.3. Retrospective spatial-temporal cluster analysis was done by SaTScan 9.1.1 at the village level., Results: Eight areas with increased risk and distributed along the upstream to downstream of Yangtze and connecting branch rivers, were found having infected snails, from 2006 through 2012, including one area in 2006, five in 2006-2008, one in 2007-2009 and one in 2009-2011, respectively. Proportion on the number of areas with infected snails decreased from 6.2% in 2006 to 0.5% in 2012., Conclusion: The spatial-temporal distribution of infected snail was not random but there appeared significant clusters. The trend seemed to be declining in Anhui province, between 2006 and 2012. Areas being detected as snails positive were important for the schistosomiasis control program to be carried out in Anhui province.

Objective: To explore the application of space-time scan statistics in the early warning of distribution of schistosome infected Oncomelania hupensis snails., Methods: The data of distribution of infected snails in Anhui Province from 2006 to 2012 were collected, and a spatial database was established by ArcGIS 9.3. The prospective spatial-temporal cluster analysis was done by SaTscan 9.1.1 at the village level., Results: Four space-time clusters, which were distributed over the Yangtze River and its branch rivers, were detected., Conclusion: The space-time scan statistics could detect the distribution of infected snails early, and the space-time clusters found were the key and difficult points of schistosomiasis control in Anhui Province.

Objective: To evaluate the effect of comprehensive control strategy of schistosomiasis with emphasis on infection source control in Anhui province., Methods: Forty endemic villages in Guichi district, Chizhou city, Anhui province were selected as national pilot villages in the years from 2006 to 2008, and another 10 provincial pilot villages were respectively selected from 10 highly endemic villages in 7 cities in 2007. The comprehensive infection source control measures, including "replace cattle with machines", "raise livestock in pens", "improve the sanitary toilets", "supply safe water " and so on were carried out among the above pilot villages. At the end of 2008, 13 national pilot villages and 6 provincial pilot villages were selected to investigate the popularity of schistosomiasis, and the effect of the comprehensive control strategy in those villages were compared., Results: After implementing the comprehensive control strategy, the infectious rate of schistosomiasis in national pilot villages decreased from 4.57% (487/10 659) to 1.76% (147/8370), with the reduction rate at 61.49%, whose difference showed statistical significance (χ(2) = 115.16, P < 0.01); and the density of infected snails decreased from 0.0067/0.1 m(2) to 0.0008/0.1 m(2), the infectious rate of snails decreased from 0.28% to 0.04%, whose reduction rates were 88.06% and 85.71% respectively. While as to the provincial pilot villages, the infectious rate of schistosomiasis decreased from 1.27% (54/4254) to 0.21% (14/6592), with the reduction rate at 83.46%, whose difference showed statistical significance (χ(2) = 94.57, P < 0.01); and the density of infected snails decreased from 0.0025/0.1 m(2) to 0.0003/0.1 m(2), the infection rate of snails decreased from 0.13% to 0.05%, whose reduction rates were 88.00% and 61.54% respectively., Conclusion: The comprehensive control strategy with emphasis on infection source control implemented in marshland and lake regions can effectively control the transmission of schistosomiasis.

To evaluate the relationship between pain and quality of life (QoL) in patients newly admitted to Wuhan Hospice Center, China. A total of 1,634 patients were analyzed in this retrospective study. A Numerical Rating Scale and Chinese-QoL instrument were used to assess pain score and QoL, respectively. Most patients experienced moderate to severe pain, which significantly impaired QoL. The pain was significantly correlated with appetite, mood, sleep, fatigue, pain intensity, daily activity, side effect, general appearance, and support from family. But there was no correlation with support from society, understanding of cancer, or attitude toward treatment. In our study, the relationship between pain and QoL was found to be reciprocal. The staff can offer a multidisciplinary care perspective for improving hospice care for this special group of population.

Objective: To explore the socioeconomic determinants of chronic schistosomiasis japonica at household level., Methods: The socioeconomic status of case and control families in lake and marsh schistosomiasis endemic areas were investigated by questionnaire, socioeconomic factors were analyzed by the principle components analysis, and the wealth index were calculated to evaluate the economic status at household level. Then the relation between schistosome infection and some influencing factors were analyzed by two-level Logistic regression model., Results: A total of 2 716 households in 91 villages were investigated, among which 1 050 were case families and 1 666 were control families. The values of the first eigenvector of stone/brick house, house with > or = 2 floors, black/white TV, colour TV, washing machine, refrigerator, side occupation were -0.42, 0.46, -0.45, 0.46, 0.32, 0.24 and 0.16, respectively, which suggested that the first eigenvector was the comprehensive index reflecting family wealth. The results of Logistic regression model showed that there were 4 household factors significantly relating to chronic schistosomiasis, namely, the distance from residence to schistosome-infested water, source of washing water, economic status, and wet land area per capita, among which the factor that the distance from residence to schistosome - infested water < 100 m with the highest (OR = 12.590, P = 0)., Conclusion: In the lake and marsh endemic areas, health education and other intervention to the poor family living along river or lake without safe water supply should be strengthened to control schistosomiasis.

The role of cigarette smoking, alcohol use, family history of cancer and the interaction of cigarettes and family history in the etiology of Nasopharyngeal carcinoma (NPC) in general and within each histologic type are unclear. We conducted a case-control study among 1,044 Han Chinese patients with NPC and 1,095 Han Chinese cancer-free control subjects. Logistic regression was used to analyze the association between histologic type of NPC and cigarette smoking, alcohol drinking and family history. The results indicated that NPC was significantly associated with cigarette smoking [adjusted odds ratio (OR) = 2.97, 95% confidence interval (CI), 2.38-3.70], and the association exhibited a dose-response relationship for intensity, duration, and cumulative consumption of cigarettes (p(trend) < 0.0001 for intensity, duration and cumulative consumption of cigarettes). Positive family history of cancer led to a significant 12-fold elevated risk of NPC (adjusted OR = 12.95, 95% CI, 7.12-23.54) and acted jointly with cigarettes in contributing to NPC risk (adjusted OR = 56.68, 95% CI, 17.25-186.19). The association of NPC risk with cigarettes was stronger for nonkeratinizing carcinoma than for keratinizing squamous cell carcinoma (KSCC), whereas family history was more closely associated with KSCC. NPC risk was not associated with alcohol consumption. Our study demonstrated that cigarette smoking and family history of cancer could serve independently and jointly as risk factors for etiology of NPC and might affect the risk of histology-specific NPC differently. This knowledge may help facilitate comprehension of NPC etiology in general as well as within each histologic type, and thereby improve prevention efforts., (Copyright © 2010 UICC.)

Objective: To measure and evaluate the health inequalities due to chronic schistosomiasis japonica., Methods: Based on years lived with disability (YLD) caused by chronic schistosomiasis, a concentration index and Gini index, along with a concentration curve and Lorenz curve, the health inequalities between sexes, age groups or endemicities were identified and quantified., Results: The age concentration index was 0.395 of females and 0.380 of males, with no significant difference between them. More than 60% of YLD was contributed by those aged > or = 45 years old who accounted for about a third of total population in both sexes. Gini index was 0.666 of Dangtu County and 0.451 of Hanshou County, and 60% of YLD was contributed by the highly endemic villages., Conclusions: The concentration index and Gini index could quantify the magnitude of health inequalities well. The priority of morbidity control should be given to those aged > or = 45 years old and living in highly endemic villages.

Objective: To evaluate the mid-term effectiveness of the medium-and-long-term programme for prevention and control of schistosomiasis in Anhui Province., Methods: In the programme, the comprehensive measures were carried out, including the schistosomiasis detection and chemotherapy for residents and livestock, snail control, health education, and infectious source control. The mid-term effectiveness of the programme was observed and evaluated longitudinally., Results: From 2004 to 2009, 750 798 schistosomiasis patients and 547 069 persons with the history of infested water contacting were treated. The number of positive cattle treated was 8 462 cattle-times and the number of cattle with history of infested water contact treated was 117 023 cattle-times. The area with snails control by molluscicides was 30 532.0 hm2, and the area with snails control by environmental modification was 13 979.5 hm2. The number of persons who received health education was 31.73 million person-times. The infectious source control measures were carried out in 40% of endemic villages with human infection rate being more than 1%. Up to 2009, the infection rates of population and cattle, and the incidence rate of acute schistosomiasis reduced to 0.51%, 1.25% and 0.30/100 000, respectively. During the period of 2004-2009, the areas with snails fluctuated from 29 065.4 to 29 740.3 hm2. The densities of living snails and infected snails both showed a declining trend in general. During these years, the whole province reached the criteria of infection control, 4 counties reached the criteria of transmission control, and 4 counties reached the criteria of transmission interruption., Conclusion: The effect of the comprehensive strategy of schistosomiasis control is remarkable.

Objective: To discuss the evaluation index of the disease burden of chronic schistosomiasis and its calculation methods., Methods: The epidemiological data came from the thematic research carried out in two schistosome-endemic counties in lake areas between 2004 and 2005. The specific prevalence rates by age group, gender and endemic type were calculated. According to the age-specific disability weight obtained in the thematic research, the years lived with disability (YLDs) and the rates of YLD of stratified samples by age and gender, and the total YLDs of the two counties were calculated., Results: The total YLDs were 1 056.26 and 3 967.43 person-years in Dangtu and Hanshou counties, respectively. The contributing rate of Grade I type village to the total YLDs of two counties was 37.95% (40.08% in Dangtu and 37.39% in Hanshou). For different stratums by age and gender, the older ones and male tended to have larger YLDs. Compared to the non-endemic areas, chronic schistosomiasis brought an average extra of 4.398 and 1.505 years per 1 000 person to population in Dangtu and Hanshou counties, respectively., Conclusion: The evaluation to YLDs of chronic schistosomiasis is helpful for prioritizing intervention areas and population, as well as providing a new index for the evaluation of effectiveness of control measures.

Objective: To study the distribution of schistosomiasis in Anhui Province based on geographic information system (GIS)., Methods: The survey data of disease and Oncomelania snails in Anhui Province in 2006 were collected, GIS databases were set up, and the inverse distance weighted interpolation method (IDW) based on ArcGIS 9.3 was used to analyze the spatial distribution of schistosomiasis across the province., Results: The simulated maps of distribution of human prevalence and positive rate of serological tests were imitated by using IDW. The region with heavier infection rates of schistosomiasis was distributed over the region of the Yangtze River in Anhui Province, and the endemic areas were joined into a patch in the upper and middle reaches and distributed in pieces in the lower reaches. While the endemic areas were compared with the distribution of infected snails, the IDW map of positive rate of serological tests was more exactly than that of the human prevalence., Conclusions: The IDW method is helpful to show the distribution of schistosomiasis. The positive rate of serological tests is more sensitive to reflect the current endemic situation of schistosomiasis in Anhui Province.

Objective: To evaluate the effect of the project of afforestation for schistosomiasis prevention on Oncomelania hupensis control., Methods: The situation of afforestation for schistosomiasis prevention in the field and the snail distribution in marshland regions were surveyed with the systematic sampling method in the spring, 2009. The database of snail distribution was established and the status of afforestation was investigated, and the effect of the project on snail control was evaluated., Results: The rates of frames with living snails in the environment with plantations and the environment without a plantation were 14.9% and 19.7%, respectively, and there was a significant difference (Chi2 = 2 267, P < 0.01). The rate of frames with living snails in agroforestry model was lower than that in other models except for fishery-husbandry-forestry model. The average densities of living snails in the environment with plantations and the environment without a plantation were 0.552 snails/0.1 m2 and 0. 989 snails/0.1 m2, respectively. The average densities of living snails in the cultivating group and un-cultivating group were 0.354 snails/0.1 m2 and 0.653 snails/0.1 m2, respectively. The rate of frames with living snails and the average density of living snails were the lowest in the environment of long-term afforestation., Conclusions: The project of afforestation for schistosomiasis prevention has a good effect on snail control in Anhui Province. Long-term afforestation could stably maintain the effect on snail control.

Background: Reconstructive surgery is the primary goal in pediatric patients with valve disease. However, in cases with irreparable valve lesions, valve replacement is the only option. This study aimed to retrospectively analyze the clinical experience of heart valve prosthesis replacement in children., Methods: Between January 1990 and July 2009, 35 pediatric patients (16 boys, 19 girls) underwent mechanical valve replacement in Shandong University Qilu Hospital. The ages ranged from 2.5 to 14 years (mean, (8.8 ± 3.8) years) and body weight varied from 11 to 37 kg (mean, (22.1 ± 5.2) kg). Mechanical valve replacement was performed because of congenital heart disease in 23 patients, rheumatic disease in ten patients and infective endocarditis in two patients. St. Jude bileaflet mechanical valves were implanted in all the 35 patients including mitral valve replacement (MVR) in 18, aortic valve replacement (AVR) in 12, tricuspid valve replacement (TVR) in two, AVR and MVR in two and MVR and TVR in one. The size of the prostheses ranged between 19 and 27 mm. All patients received long-term anticoagulation treatment with sodium warfarin, aiming to maintain an international normalized ratio between 1.5 to 2.0. Follow-up was performed in all the patients with a total follow-up of 119.4 patient-years., Results: The operative mortality was 8.57% (3/35). One patient, who underwent cardiac debridement and AVR, died 2 hours after being admitted to the intensive care unit because of severe low cardiac output syndrome and ventricular fibrillation. Two patients died of cardiogenic shock and renal failure during initial hospitalization after the operation. One patient who received replacement of a tricuspid valve developed complete heart block requiring temporary pacing and recovered sinus rhythm 4 days later. Thirty-two patients survived and their cardiac function was in New York Heart Association (NYHA) class I to class II when discharged. Late events included hemorrhage and endocarditis. Two patients required reoperation. No late deaths occurred during the follow-up., Conclusions: Mechanical valve replacement remains an acceptable treatment option in children when the valve reparation is impossible or unsuccessful. The operative mortality and incidence of any valve-related events such as endocarditis, reoperation, thromboembolism or anticoagulation-related bleeding are acceptable.

The purpose of this cross-sectional observational study was to identify ethnic differences in body composition and obesity-related risk factors between Chinese and white males living in China. 115 Chinese and 114 white male pilots aged 28-63 years were recruited. Fasting body weight, height and blood pressure were measured following standard procedures. Whole-body and segmental body composition were measured using an 8-contact electrode bioimpedance analysis (BIA) system. Fasting serum glucose, fasting plasma total cholesterol (TC), high-density lipoprotein (HDL) cholesterol, and triglycerides (TG) were assessed using automatic biochemistry analyzer. After adjusting for age and body mass index (BMI), Chinese males had significantly higher percentage of body fat (PBF) both with respect to whole body (Chinese: 23.7%±0.2% vs. Whites: 22.4%±0.2%) and the trunk area (Chinese: 25.0%±0.3% vs. Whites: 23.2%±0.3%) compared to their white counterparts. At all BMIs, Chinese males had significantly higher fasting glucose levels (Chinese: 5.7±1.0 mmol/L vs. Whites: 5.2±1.0 mmol/L) but lower high-density lipoprotein levels (Chinese: 0.8±1.0 mmol/L vs. Whites: 1.0±1.0 mmol/L) than white males. In addition, a marginally significantly higher diastolic blood pressure was found among Chinese men than that among white men (Chinese: 80±1.0 mmHg vs. Whites: 77±1.0 mmHg). Chinese males had more body fat and a greater degree of central fat deposition pattern than that seen in white males in the present study. Furthermore, data on blood pressure, fasting glucose and blood lipids suggest that Chinese men may be more prone to obesity-related risk factors than white men.

A novel bacterium exhibiting alginolytic activity was isolated from rotten algae. The alginate-degrading activity was detected in the culture supernatant by measuring the decrease in alginate viscosity or the increase in reducing sugars. Basic characterization showed that it was gram negative, rod shaped, yellow pigmented, and positive for oxidase and catalase, with a DNA G+C content of 35.6 mol%. Phylogenetic analysis based on 16S rRNA gene sequences indicated that this strain is related to members of the genus Flavobacterium. Sequence similarity values with their nearest phylogenetic neighbours ranged from 95.9% to 96.7%. Genotypic results, together with phenotypic characteristics, differentiated this species from related Flavobacterium organisms with validly published names, which suggests that the organism should be a new species of the genus Flavobacterium tentatively named as Flavobacterium sp. strain LXA.

A survey of chloropropanols in soy sauce and some selected foods in China is reported. Thirty-seven traditionally brewed soy sauce samples contained 3-MCPD below the EC maximum limit (ML) of 0.02 mg kg(-1). All soy sauce samples (629) from retailers contained levels of 3-MCPD ranging between <0.005 (LOQ) and 189 mg kg(-1), and only 12.2% had levels in excess of the Chinese ML of 1.0 mg kg(-1) for acid hydrolyzed vegetable protein (acid HVP). This indicates that the necessary processing changes have been made to decrease levels of chloropropanols in soy sauce. 2-Monochloropropane-1,3-diol (2-MCPD), 1,3-dichloro-2-propanol (1,3-DCP) and 2,3-dichloro-1-propanol (2,3-DCP) were detected in 48.1 19.1 and 3.78% of the soy sauce samples, respectively; the highest levels being 20.3, 8.26 and 0.50 mg kg(-1), respectively. A good linear correlation was found between the amount of 3-MCPD and 2-MCPD, with the level of 3-MCPD being generally higher than that of other chloropropanols for the same soy sauce. Acid HVP contained 3-MCPD at a level of 0.010-117.7 mg kg(-1) (on a liquid basis) and 80% of samples contained levels exceeding 1.0 mg kg(-1). In some other foods investigated, relatively high levels of 3-MCPD were found in soy sauce powder, oyster sauce, beef products, instant noodle spices and health foods, ranging from 0.029 to 13.64 mg kg(-1). It is concluded that abnormal levels of 3-MCPD in soy sauce or other foods produced in China may result from acid hydrolysis or the addition of the contaminated acid HVP.

This study is to investigate HLA haplotypes in Jiangsu-Zhejiang-Shanghai Han population based on 166 families by serological and molecular biological HLA typing methods and to analyze the distribution characteristic of HLA haplotypes. The results showed that allele frequencies of more than 10% for HLA antigens were A2, A11, A24, B13, B46, B60, DRB1 *04, DRB1 *08, DRB1* 09, DRB1 * 12 and DRB1 * 15. In the analysis of HLA haplotypes, 128 kinds of A-B haplotypes and 182 kinds of B-DRB1 haplotypes were found, comprising 19.28% (128/664) and 27.41%(182/664) of total theoretical haplotypes, respectively. 18 kinds of A-B haplotypes and 23 kinds of B-DRB1 haplotypes occurred at frequencies of more than 0.5% (linkage disequilibrium value, delta > 0) .351 kinds of A-B-DRB1 haplotypes were found, comprising 52.86% (351/664) of total theoretical haplotypes, and 8 kinds of A-B-DRB1 haplotypes occurred at frequencies of more than 0.5% (delta > 0). The common A-B-DRB1 haplotypes were A30-B13-DRB1 * 07(4.22%), A2-B46-DRB1 * 09(3.77%), A33-B58-DRB1 * 17(3.01%), A33-B58-DRB1 * 13.1 (1.81%) and A11-B75-DRB1 * 12(1.51%). The HLA haplotype distribution of Jiangsu-Zhejiang-Shanghai Han population has its own genetic characteristics, so it suggests this population is between southern and northern Han population. The HLA polymorphism of Chinese Han population is more abundant in East Asian populations.