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Objectives: To perform a correlation analysis on the structural and functional changes of the carotid artery in patients with H-type hypertension. Methods: Outpatients and inpatients with hypertension in our hospital between 2017 and 2018 were selected and divided into the H-type hypertension group (primary hypertension + plasma homocysteine ≥ 10 umol/l) (n = 30) and the simple hypertension group (primary hypertension + plasma Hcy < 10 umol/l) (n = 30) based on the plasma homocysteine (Hcy), and 30 healthy people were included in the control group. Thickness and stiffness parameters of the intima of the carotid artery (compliance coefficient [CC], stiffness index [β], and pulse wave velocity [PWV]) were measured for all study participants using ultrasound radiofrequency signal-based quality intima-media thickness (QIMT) and quantitative arterial stiffness (QAS) for contrast analysis. Results: Indexes such as QIMT, β, and PWV of the carotid artery were significantly higher, and the CC was significantly lower in the H-type hypertension group and simple hypertension group than the control group (p <.05), and the difference was statistically significant; these indexes were significantly higher in the H-type hypertension group than in the simple hypertension group, and the CC was significantly lower than in the control group (p <.05), and the difference was statistically significant. Conclusions: Hypertension can accelerate structural and functional changes of the carotid artery intima, with these changes being more significant in H-type hypertension. The ultrasound radiofrequency technique can be used to quantitatively evaluate the structure and function of the carotid artery in patients with H-type hypertension. [ABSTRACT FROM AUTHOR]

Taking the bridge widening project of Shanghai-Hangzhou-Ningbo expressway widening construction project (China) as the background in this paper, the variation law of the internal force of the old bridge in the widening hollow slab girder bridge under vehicle load is studied, which is under the condition of different span lengths and different widening widths. Three different span lengths of the pre-tensioned prestressed hollow slab girder bridges are selected, the spatial finite element models of both the old bridge and the whole structure of widening bridge are established and calculated respectively by Midas/Civil software. The influences of widening and load increasing on the old bridges under the vehicle load are compared and analyzed. In addition, the authors also analyze the influences of different widening widths on the force state of old bridges under the condition of widening the same number of lane. Moreover , the effects on the old bridges that are caused by the uneven foundation settlement of widening bridge structure are also studied in this paper. This paper can provide some references for widening design of hollow slab bridges.

Background: Breast cancer remains the most common malignancy in females around the world. Recently, a growing number of studies have focused on gene dysregulation. In our previous study, Krüppel‐like factors (KLFs) were found to play essential roles in breast cancer development, among which KLF2 could function as a tumor suppressor. Nevertheless, the underlying molecular mechanism remains unclear. Methods: miR‐92a‐3p was identified as the upstream regulator of KLF2 by starBase v.3.0. The regulation of KLF2 by miR‐92a‐3p was verified by a series of in vitro and in vivo assays. Further exploration revealed that Baculoviral IAP Repeat Containing 5 (BIRC5) was the target of KLF2. ChIP assay, dual‐luciferase reporter analysis, quantitative real‐time PCR, and western blot were performed for verification. Results: miR‐92a‐3p functioned as a tumor promoter by inhibiting KLF2 by binding to its 3'‐untranslated region (3'‐UTR). In addition, KLF2 could transcriptionally suppress the expression of BIRC5. Conclusion: Collectively, our results uncovered the miR‐92a‐3p/KLF2/BIRC5 axis in breast cancer and provided a potential mechanism for breast cancer development, which may serve as promising strategies for breast cancer therapy. [ABSTRACT FROM AUTHOR]

The prevalence of and risk factors for uncertainty stress among residents during the COVID-19 pandemic remain unclear. An online cross-sectional survey was conducted to explore and identify the risk factors for high perceived uncertainty stress among the general public in China during the COVID-19 outbreak. Information about the respondents' socioeconomic characteristics, knowledge of and attitudes towards COVID-19, perceived uncertainty stress, social capital, anxiety, and depressive symptoms was collected and analysed. Among the 1205 respondents, 45.3% (546) reported a high level of uncertainty stress. Multiple linear regression analysis indicated that anxiety (β=3.871,P<0.001) and depression symptoms (β=2.458, P<0.001), family residence (in towns or rural areas) (β=0.947, P<0.001), lack of support for local epidemic control strategies (β=1.253, P<0.001), worry about the pandemic (β=1.191, P<0.001), and symptoms of weakness among family members (β=1.525, P=0.002) were positively associated with perceived uncertainty stress. Cognitive social capital (β=-0.883, P<0.001) and social networks (β=-0.726, P<0.001) were negatively, but social participation (β=0.714, P<0.001) was positively associated with perceived uncertainty stress. Our findings identify factors associated with a higher level of uncertainty stress and should be helpful in the consideration of effective policies and interventions for uncertainty stress during the initial phases of public health emergencies. [ABSTRACT FROM AUTHOR]