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Background We investigate the pain relief and safety of microwave ablation (MWA) combined with percutaneous vertebroplasty (PVP) in the treatment of metastatic vertebral tumors. Methods This prospective pilot study enrolled patients with metastatic vertebral tumors treated between January 2018 and October 2019. The participants were randomized to the PVP and MWA + PVP groups. Clinical parameters, pain visual analog scale (VAS), analgesic use scores (AUS), and quality-of-life score (QLS) were compared between groups. Results Sixty-seven participants were enrolled (PVP: n = 35; MWA + PVP: n = 32). There were no differences in bone cement injection volume, extravasation, and X-ray exposure time between the two groups (p > 0.05), but treatment costs were higher for the MWA + PVP group (26,418 ± 194 vs. 15,606 ± 148 yuan; p < 0.05). There were no significant improvements in VAS from baseline to 24 hours, 72 hours, 7 days, 1 month, and 3 months in the two groups (p > 0.05); at 6 and 12 months after the operation, the improvement from baseline was significant in the two groups (p < 0.05). The VAS was lower at 6 months (2.7 ± 0.7 vs. 3.2 ± 0.7) and 12 months (3.5 ± 0.8 vs. 4.0 ± 0.7) in the MWA + PVP group (both p < 0.01 vs. PVP). The AUS and QLS were improved with PVP at 6 and 12 months (p < 0.05) and with MWA + PVP at 12 months (p < 0.05). The AUS was lower at 6 and 12 months in the MWA + PVP group (p < 0.05 vs. PVP). Conclusion MWA combined with PVP might be a safe and effective palliative treatment for pain from metastatic vertebral tumors. [ABSTRACT FROM AUTHOR]

The synthesis, structure, and reactivity of titanocene derivatives containing polysiliated cyclopentadienyl ligands is presented. The study was conducted in line with research concerning hexane-soluble organometallic Lewis acids. The study of the chemistry of early transition metal complexes requires the production of highly electrophilic cationic complexes that are soluble in nonpolar media.

Objective: To study the relationship between dietary soy isoflavones and blood lipids among residents of 40 - 65 years old, in Guangzhou., Methods: Dietary soy isoflavones and other nutrients intakes were assessed with quantitative food frequency questionnaire (FFQ). Total cholesterol (TC), triglycerides (TG), HDL cholesterol (HDL-C) and LDL cholesterol (LDL-C) in plasma were measured with colorimetry., Results: Ranges of dietary soy isoflavones intake among 134 males and 261 females were from 0 mg/day to 61.96 mg/day and 0 mg/day to 82.52 mg/day, with means of 11.95 mg/day, 14.90 mg/day, respectively. After adjusted for total energy intake and fat percent energy, differences of TC, LDL-C in total population and TC in women were statistically significant between groups (P value was 0.002, 0.008, 0.004, respectively) and dose-effect relationships (P value was < 0.001, 0.012, 0.001, respectively) were observed between dietary soy isoflavones intake and the upper mentioned three indices. Compared with the low-intake group, these three indices lowered 7.06%, 10.13% and 7.48%, respectively in high-intake group. Critical significance of LDL-C was observed both in women and men between groups. Further controlled for age, BMI and WHR, no obvious change of the results was observed., Conclusion: Moderate intakes of soy isoflavone as part of a regular diet seemed to be associated with favorable blood lipid levels.

Objective: To evaluate the overall diet quality of adults in Guangzhou and investigate whether adherence to the Dietary Guidelines for Chinese Residents could help to reduce the risk of obesity and insulin resistance., Methods: All 540 adults aged 40-59 years completed 3 consecutive 24-hour diet recalls. Diet quality were evaluated by using Chinese Diet Balance Index (DBI) scoring and evaluating system. Anthropometric parameters, fast glucose and fast insulin were measured. Insulin resistance was defined as the highest quartile of the homeostasis model assessment scores., Results: The DBI-Lower Bound Score (DBI-LBS), DBI-Higher Bound Score (DBI-HBS) and DBI-Diet Quality Distance (DBI-DQD) were 16.1-17.5, 7.6-8.2, 23.6-25.7 relatively. The intake of cereals, beans and dietary products were insufficient in the population, while the intake of animal food, salt and edible oils were excessive. Subjects in model A had a lower body mass index (BMI, P=0.022) and waist-to-hip ratio (WHR, P=0.001) than those in model E. Compared with model A, subjects in model E had greater odds ratio for insulin resistance (odds ratio: 3.00; 95% CI: 1.21, 7.67)., Conclusion: The dietary structure of the residents in Guangzhou was relatively balanced and reasonable, but the problems such as inadequate food intake and excessive food intake still co-exist. Adherence to the Dietary Guidelines for Chinese Residents could help to reduce the risk of insulin resistance.

Objective: To study the effects of dietary fatty acids on the serum lipids in hypercholesterolemic subjects., Methods: All 297 residents with hypercholesterolemia were enrolled in Guangzhou. The dietary composition and the changes in serum lipid levels during the 6-month follow-up were analyzed., Results: (1) 297 subjects were enrolled and 281 subjects (88 male, 193 female) completed the 6-month follow-up. The serum TC concentration of the subjects was (6.09+/-0.68) mmol/L at baseline. (2) According to the percentage of energy from total fat, all of the subjects were divided into three groups, including total fat % en<25% (group I, 90 subjects), 25%-30% (group II, 97 subjects), >30% (group III, 94 subjects). The reduction of TC and LDL-C in group I and group II was greater than that in group III. (3) According to the percentage of energy from SFA, all of the subjects were divided into three groups, including SFA % en<7% (group I, 81 subjects), 7%-10% (group II, 129 subjects), >10% (group III, 71 subjects). The reduction of TC and LDL-C in group I and group II was greater than that in group III. (4) All of the subjects were divided into three groups, according to the percentage of energy from MUFA, including MUFA % en<10% (group I, 93 subjects), 10%-13% (group II, 106 subjects), >13% (group III, 82 subjects). The reduction of TC and LDL-C in group II was greater than that in group I and group III. (5) All of the subjects were divided into three groups according to the percentage of energy from PUFA, including PUFA % en<7% (88 subjects), 7%-9% (94 subjects), >9% (99 subjects). No significant difference was found among the reduction of serum lipids in the three groups., Conclusion: Dietary total fat % en