Autophagic Marker MAP1LC3B Expression Levels Are Associated with Carotid Atherosclerosis Symptomatology

Objectives: The mechanism by which atheroma plaque becomes unstable is not completely understood to date but analysis of differentially expressed genes in stable versus unstable plaques may provide clues. This will be crucial toward disclosing the mechanistic basis of plaque instability, and may help to identify prognostic biomarkers for ischaemic events. The objective of our study was to identify differences in expression levels of 59 selected genes between symptomatic patients (unstable plaques) and asymptomatic patients (stable plaques). Methods: 80 carotid plaques obtained by carotid endarterectomy and classified as symptomatic (>70% stenosis) or asymptomatic (>80% stenosis) were used in this study. The expression levels of 59 genes were quantified by qPCR on RNA extracted from the carotid plaques obtained by endarterectomy and analyzed by means of various bioinformatic tools. Results: Several genes associated with autophagy pathways displayed differential expression levels between asymptomatic and symptomatic (i.e. MAP1LC3B, RAB24, EVA1A). In particular, mRNA levels of MAP1LC3B, an autophagic marker, showed a 5-fold decrease in symptomatic samples, which was confirmed in protein blots. Immune system-related factors and endoplasmic reticulum-associated markers (i.e. ERP27, ITPR1, ERO1LB, TIMP1, IL12B) emerged as differently expressed genes between asymptomatic and symptomatic patients. Conclusions: Carotid atherosclerotic plaques in which MAP1LC3B is underexpressed would not be able to benefit from MAP1LC3B-associated autophagy. This may lead to accumulation of dead cells at lesion site with subsequent plaque destabilization leading to cerebrovascular events. Identified biomarkers and network interactions may represent novel targets for development of treatments against plaque destabilization and thus for the prevention of cerebrovascular events.

As construções simbólicas dos profissionais da saúde sobre humanização: um estudo no campo das representações sociais

Diante dos avanços que hoje se vive na sociedade tecnológica, globalizada, informatizada e marcada por avanços científicos parece ser uma verdadeira anomalia tratar do tema humanização na saúde. Entretanto, a questão toma assento nas diversas discussões que envolvem a problemática da saúde e, sobretudo, das diretrizes governamentais que a envolvem, enquanto aposta ético-política de Estado. Esta investigação teve como objetivo analisar o processo de humanização no campo da saúde a partir das construções simbólicas produzidas e das experiências vivenciadas por profissionais de saúde. O estudo teve como campo um hospital universitário federal, com a Política Nacional de Humanização implantada e, como sujeitos, profissionais de saúde que desenvolviam suas atividades laborais nesse mesmo campo. O desenho da pesquisa foi qualitativo, do tipo exploratório-descritivo, assumindo como referencial teórico a Teoria das Representações Sociais e também se amparando numa perspectiva filosófica. A coleta dos dados foi realizada utilizando as técnicas de questionário para caracterização dos sujeitos (n=24); e entrevista em profundidade (n=24). Os dados foram submetidos às análises de conteúdo e hermenêutica. Nos resultados destacam-se quatro eixos temáticos: atributos teóricos do conceito de humanização; atributos práticos do conceito de humanização; atributos práticos reais e ideais do processo de humanização e; fatores determinantes do processo de humanização. As representações sociais sobre a humanização no campo da saúde apreendidas neste trabalho encontram-se definidas a partir de dois conceitos: a humanização como a assistência voltada para o ser humano de forma integral/singular e; a tríade processo de humanização-estratégias para a humanização-facilidades versus dificuldades para a humanização. Destaca-se no significado da humanização a perspectiva humanista e naturalista e os fatores sociopolíticos, humanos e relacionados à gestão, como dimensões que interferem na promoção da humanização da assistência. Conclui-se que o grupo de trabalhadores da saúde estudado concebe a humanização de forma transcendente, a despeito dos próprios limites, possibilidades, fragilidades, desigualdades, mas que, ainda assim, preserva a capacidade de idealizar e, quiçá, sonhar

Mandibular variation among Chinese macaques

In order to clarify the degree to which mandibular variation among Chinese macaques results from functional adaptation and phylogenetic inertia, 13 mandibular variables were analyzed by bivariate and multivariate techniques. The results indicate, not surprisingly, that the main differences in the mandible are associated with size. The study further implies that the variation between species is not closely associated with differences in functional adaptation even though the dietary and related differences are large compared to the situation in other macaques. The great variety in diet and related factors among Chinese macaques may not have yet resulted in a significant variation in the mandible. This may be because their radiation in Asia, though involving considerably greater differences in habitat, climate, and so on, has occurred more recently than for other macaque species in Southeast Asia. Mandibular variation between these species, therefore, is likely to be more closely tied to their immediate prior phylogenetic history. For example, the two stump-tailed macaques are closely similar and are also closely similar to the Assam species. Function in the mandible in these species is quite different. The results, therefore, seem to support the hypothesis that these three macaque species should be placed in a single species-group (sinica) as proposed by Delson [1980], Pan [1998], and Pan et al. [1998]. (C) 2002 Wiley-Liss, Inc.

A simple closed aquatic ecosystem (CAES) for space

A closed aquatic ecosystem (CAES) was developed to stud), the effects of microgravity on the function of closed ecosystems aboard the Chinese retrieved satellite and on the spacecraft SHENZHOU-II. These systems housed a small freshwater snail (Bulinus australianus) and an autotrophic green algae (Chlorella pyrenoidosa). The results of the test on the satellite were that the concentration of algae changed little, but that the snails died during the experiments. We then sought to optimize the function of the control system, the cultural conditions and the data acquisition system and carried out an experiment on the spacecraft SHENZHOU-II. Using various sensors to monitor the CAES, real-time data regarding the operation of the CAES in microgravity was acquired. In addition, all on-board Ig centrifuge was included to identify gravity-related factors. It was found that microgravity is the major factor affecting the operation of the CAES in space. The change in biomass of the primary producer during each day in microgravity was larger than that of the control groups. The mean biomass concentration per day in the microgravity group decreased, but that of the control groups increased for several days and then leveled off. Space effects on the biomass of a primary producer may be a result of microgravity effects leading to increasing metabolic rates of the consumer combined with decreases in photosynthesis. (c) 2007 COSPAR. Published by Elsevier Ltd. All rights reserved.

Effects of the crystal structure on electrical and optical properties of pyrite FeS2 films prepared by thermally sulfurizing iron films

Based on experimental results and theoretical analysis effects of the crystal structure on the optical and electrical properties of pyrite FeS2 films produced by thermally sulfurizing iron films at various temperatures have been systematically studied. The results indicate that the crystal structure and some related factors, such as the crystallization and the stoichiometry, remarkably influence the optical and electrical performances of the pyrite films. It is also shown that the preferred orientation of the crystal grain plays a major role in determining the crystal structure and the optical and electrical properties of the pyrite FeS2 films. Also we find that it is the crystal grains, rather than the particles that exercise a decisive influence on the electrical performance of pyrite films. (C) 2003 Elsevier Science B.V. All rights reserved.

机采油井井口温度的影响因素分析

基于传热学理论, 建立了机采油井井筒及其周围地层温度场的数学模型, 对不同参数下的井口温度进行了模拟, 分析了油井产量、含水率、井深、油管半径、环境温度及地温梯度等参数的影响

中国明对虾（Fenneropenaeus chinensis）几种免疫相关因子的分离纯化、基因克隆及相互关系研究

中国明对虾（Fenneropenaeus chinensis）是我国重要的海水养殖动物，但是近年来在其养殖过程中深受病害的影响，细菌性和病毒性疾病给对虾养殖业造成了巨大的经济损失，因此对中国明对虾免疫机理的研究对于对虾的疾病控制以及海水养殖业的持续发展具有重要意义。甲壳动物只具有天然免疫系统。天然免疫系统对于异己物质的识别是通过有限数量的模式识别蛋白（PRPs）来实现的。C型凝集素（C-type lectin）作为宿主防御系统中的一种模式识别受体，在病原识别和细胞间的相互作用上具有重要作用，此外它们还参与止血、凝固、物质运输和创伤修复等一系列作用；酚氧化酶（phenoloxidase）又称为酪氨酸酶(tyrosinase,EC1.14.18.1)。它是一种含铜的酶,能够催化单酚羟化成二酚(如多巴)，把二酚氧化成醌；醌在非酶促条件下形成最终的反应产物黑色素。血蓝蛋白(hemocyanins，Hc)是在软体动物和节肢动物血淋巴中发现的存在于细胞外、负责运输氧的一类巨大蛋白质。本论文从中国明对虾血清中纯化了利用亲和层析纯化了一种凝集素FC-L，并对FC-L的理化性质、多糖结合和细菌结合特性进行了研究。从中国明对虾血细胞中克隆了一种酚氧化酶原(prophenoloxidase,proPO)基因FCproPO，从肝胰腺中克隆了一种血蓝蛋白基因FCHc，分析了它们的分子结构特征，预测了其可能的作用，并对它们的组织分布、应答不同病原感染的表达变化模式以及相互关系进行了研究。

Trace metal concentrations in suspended particles, sediments and clams (Ruditapes philippinarum) from Jiaozhou Bay of China

Suspended particulate matter (SPM), sediments and clams were collected at three sites in Jiaozhou Bay to assess the magnitude of trace metal pollution in the area. Metal concentrations in SPM (Cu: 40.11-203; Zn: 118-447; Pb: 50.1-132; Cd: 0.55-4.39; Cr: 147.6-288; Mn: 762-1670 mu g/g), sediments (Cu: 17.64-34.26; Zn: 80.79-110; Pb: 24.57-49.59; Cd: 0.099-0.324; Cr: 41.6-88.1; Mn: 343-520 mu g/g) and bivalves (Cu: 6.41-19.76; Zn: 35.5-85.5; Pb: 0.31-1.01; Cd: 0.51-0.67; Mn: 27.45-67.6 mu g/g) are comparable to those reported for other moderately polluted world environments. SPM showed a less clear pattern. Metal concentrations in sediments displayed a clear geographical trend with values increasing with proximity to major urban centers. The clams (on dry weight) showed a complex pattern due to the variability introduced by age-related factors. Cd showed an apparent reverse industrial trend with higher concentrations in clams collected at distant stations. Zn, Pb and Mn showed no clear geographical pattern, whereas Cu increased in the clams collected in the most industrialized area. In addition, the bioaccumulation factors (BAF) were calculated. The result indicated that the studied Ruditapes philippinarum in Jiaozhou Bay possessed different bioaccumulation capacities for Cd, Zn, Cu, Pb and Mn, and Cd, Zn had a relatively high assimilation of those metals from sediment particles. A significant relationship with clam age was observed for Zn (positive) and Cu (negative) suggesting different physiological requirements for both metals with age. Trace metal concentrations measured in the tissue of the investigated clam were in the range considered safe by the WHO for human use.

成就目标与心理健康的关系及相关因素的作用

The relationship between achievement goal and mental health, and the effect of the related factors Abstract Recently, adolescent’s mental health and depression problem have been widely concerned all over the world. Studies concerning it have been done from different perspectives. High school is the key period of adolescent’s physical and mental development, when they may have a high risk of mental conflicts, certain behavioral and emotional problems. Through questionnaire with high school students as subjects, this study examines achievement goal, self-concept, social comparison and the relationship between these factors and mental health. This study consists of three parts: 1) a preliminary exploration of the relationship between vocational school students’ achievement goal, self-concept and their mental health; 2) a revision of the simplified Chinese version for Dykman’ s goal Orientation Inventory; 3) a further discussion on the relationship between high school students’ achievement goal, self-concept, social comparison and depression. Major findings of this study are: 1. Dykman’s Goal Orientation Inventory is revised. This revised version, with high validity and reliability, conforms to Dykman’s theoretical assumptions and can be a convenient and effective measurement for achievement goal. 2. Self-concept and achievement goal of vocational school students can make a significant prediction of their mental health. Learning goal influences mental health through self-concept. 3. Achievement goal, self-concept and social comparison of high school students are closely related to their depression. 4. Self-concept and social comparison of high school students are the mediator variable between achievement goal and depression. The theoretical and practical implications of this study: 1. With the simplified Chinese version of Dykman’s Goal Orientation Inventory revised and used first in this study, its applicability is inspected and the conclusion drawn by Dykman on the prediction of achievement goal on depression is examined as well; on the basis of previous studies, a comprehensive and systematic study is done on how the factors work together to influence mental health(particularly depression). 2. This study enrichs the studies with high school students as subjects. It provides methods and basis for the theoretical studies and interference about high school students’ mental health education and depression problem.

2型糖尿病患者认知功能特点及相关影响因素研究

Objective: Type 2 diabetes patients’ performances of action memory , semantic memory and working memory and the related factors were explored. Methods: 60 Type 2 diabetes patients were compared with 60 age and gender and level of education matched non-diabetes controls. Mood were tested by SAS and SDS, MMSE was used to test the basic cognitive function, Trail Making Test A and B, Verbal fluency test, Go-No/Go test, and Stroop color-word test were used to investigate the executive function of Type 2 diabetes patients and normal controls (NC). Patients’ GLU, TG, TCH, HbA1c, insulin and Cp were tested and correlated with their action memory and working memory. Results: There was no difference between NC group and Type 2 diabetes patients in MMSE scores. There is depression and anxiety mood in Type 2 diabetes patients. Type 2 diabetes patients get lower score in action memory test. Comparing to NC group, Type 2 diabetes patients performed significantly worse in Trail Making Test A and B and verbal fluency test. In Stroop Test, NC group showed significant Stroop Effect and Repeated Distraction Promotion Effect and Negative Priming Effect. However, In Type 2 diabetes group, only the Stroop Effect appeared, but no Repeated Distraction Promotion Effect and Negative Priming Effect. There is no difference between Type 2 diabetes and NC in Stroop Effect. In Go-No/Go test, both of two groups showed significant Stroop Effect, however, there was no difference between them. And also there is no difference on error rate of all levels between them. The course of disease, GL, HbA1c, TG, TCH, INS and Cp affected action memory and working memory. Conclusion: Type 2 diabetes patients’ action memory, semantic memory and working memory were partially impaired. Controlling the levels of GLU, TG and TCH can delay these kinds of impairment.

影响汉语阅读能力发展的相关认知因素及其作用的发展变化

The present cross-sectional study paid attention to Chinese reading acquisition of 391 children from preschool to grade 3 in two elementary schools, and investigated the relationship between orthographic processing skills, morphological awareness, phonological awareness, naming, phonological memory, visual processing skill and reading skills, after controlling the variance of age, nonverbal intelligence and pinyin knowledge. The main results are as follows: Firstly, there are many different language skills as the predictors of Chinese reading success. Orthographic processing skills, morphological awareness, phonological awareness and naming are important in single-character recognition and comprehension. Beside them, the effect of visual processing skill and phonological memory for comprehension are also significant. Among them, the role of orthographic processing skills is the most important, whatever in single-character recognition or in comprehension. Secondly, orthographic processing skills are the most important factors in reading acquisition at low grade and its effect drops obviously after grade 2. Thirdly, morphological awareness is also the factor that cannot be ignored whatever for single-character recognition or for comprehension. Its influence appears in preschool and becomes the only significant predictor of character recognition in grade 3. Furthermore, morphological awareness is more relevant with the development of comprehension. Fourthly, phonological awareness plays the secondary role in Chinese reading acquisition except in grade 2 when its contribution is most of all. And compare with morphological awareness, the effect of phonological awareness is relative low. Fifthly, naming is important through preschool to grade 2. The contribution of phonological memory increases from preschool to grade 3 in comprehension.

汶川地震后青少年创伤后应激障碍症状及其相关因素研究

The present paper studies focus on the symptoms of the post-traumatic stress disorder in adolescents post-disaster. 482 students from 6 secondary schools and 17 primary schools in the extremely severe disaster areas in Mianzhu, Sichuan province and 785 students from 3 primary schools and 9 secondary schools in the severe disaster areas in Baoji, Shaanxi respectively were surveyed on the symptoms of the post-traumatic stress disorder and the extent of disaster exposure after the Wenchuan earthquake. Self-compiled background information questionnaire and CRIES were used for the investigation. In this study, we contrast the extent of disaster exposure in the two areas in order to explore the related factors about the post-traumatic stress disorder in adolescent post-disaster. The main results of this paper can be summarized as follows： 1. There are significant positive corrections between the post-traumatic stress disorder and the extent of disaster exposure(get trapped in the earthquake、relatives and friends have been injured in the earthquake、look at relatives and friends dying in the earthquake).The more exposed in the disaster, the more serious symptom of the post-traumatic stress disorder. The trauma exposure indicators (get trapped in the earthquake, relatives and friends have been injured in the earthquake、look at relatives and friends dying in the earthquake)were all significant predictors for PTSD severity. 2. There are significant sex difference in the extent（F=8.750, p <0.05） and the incidence rate of PTSD（χ =20.735, df=5,p =0.001）, the extent and the incidence rate of girls in Mianzhu is significantly higher than that of boys. 3. The age is also an influence factor of PTSD. The extent （F=7.246, p <0.001）and the incidence rate （χ =20.735, df=5,p =0.001）of PTSD get higher as adolescent in Mianzhu get older. 4. As the extremely severe disaster areas, the extent of disaster exposure of Mianzhu areas significantly higher than that of the severe disaster areas Baoji. However, there are not difference in the extent of PTSD between two areas（t=0.181，df=1265,p=0.857）, there are only significant difference in the incidence rate of PTSD between two areas（χ =8.766，df=1,p=0.003）, the incidence rate of PTSD in Mianzhu areas significantly higher than that of Baoji areas.

The cumulative effect of core lifestyle behaviours on the prevalence of hypertension and dyslipidemia

Background: Most cardiovascular disease (CVD) occurs in the presence of traditional risk factors, including hypertension and dyslipidemia, and these in turn are influenced by behavioural factors such as diet and lifestyle. Previous research has identified a group at low risk of CVD based on a cluster of inter-related factors: body mass index (BMI) < 25 Kg/m2, moderate exercise, alcohol intake, non-smoking and a favourable dietary pattern. The objective of this study was to determine whether these factors are associated with a reduced prevalence of hypertension and dyslipidemia in an Irish adult population. Methods: The study was a cross-sectional survey of 1018 men and women sampled from 17 general practices. Participants completed health, lifestyle and food frequency questionnaires and provided fasting blood samples for analysis of glucose and insulin. We defined a low risk group based on the following protective factors: BMI <25 kg/m2; waist-hip ratio (WHR) <0.85 for women and <0.90 for men; never smoking status; participants with medium to high levels of physical activity; light alcohol consumption (3.5–7 units of alcohol/week) and a "prudent" diet. Dietary patterns were assessed by cluster analysis. Results: We found strong significant inverse associations between the number of protective factors and systolic blood pressure, diastolic blood pressure and dyslipidemia. The prevalence odds ratio of hypertension in persons with 1, 2, 3, ≥ 4 protective factors relative to those with none, were 1.0, 0.76, 0.68 and 0.34 (trend p < 0.01). The prevalence odds ratio of dyslipidemia in persons with 1, 2, 3, ≥ 4 protective factors relative to those with none were 0.83, 0.98, 0.49 and 0.24 (trend p = 0.001). Conclusion: Our findings of a strong inverse association between low risk behaviours and two of the traditional risk factors for CVD highlight the importance of 'the causes of the causes' and the potential for behaviour modification in CVD prevention at a population level.

Issues in the prescribing of psychotropic and psychoactive medication for persons with learning disability: quantitative and qualitative perspectives

The administration of psychotropic and psychoactive medication for persons with learning disability and accompanying mental illness and/or challenging behaviour has undergone much critical review over the past two decades. Assessment and diagnosis of mental illness in this population continues to be psychopharmacological treatment include polypharmacy, irrational prescription procedures and frequent over-prescription. It is clear that all forms of treatment including non-pharmacological interventions need to be driven by accurate and appropriate diagnoses. Where a psychiatric diagnosis has been identified, it greatly aides the selection of appropriate medication, although a specific medication for each diagnosis, as was once hoped, is simply no longer a reality in practice. Part one of the present thesis seeks to address many of the current issues in mental health problems and pharmacological treatment to date. The author undertook a drug prevalence study within both residential and community facilities for persons with learning disability within the Mid-West region of Ireland in order to ascertain the current level of prescribing of psychotropic and psychoactive medications for this population. While many attempts have been made to account for the variation in prescribing, little systematic and empirical research has been undertaken to investigate the factors thought to influence such prescribing. While studies investigating the prescribing behaviours of General Practitioners (GP's) have illustrated the complex nature of the decision making process in the context of general practice, no similar efforts have yet been directed at examining the prescribing behaviours of Consultant Psychiatrists. Using The Critical Incident Technique, the author interviewed Consultant Psychiatrists in the Republic of Ireland to gather information relating not only to their patterns of prescribing for learning disabled populations, but also to examine reasons influencing their prescribing in addition to several related factors. Part two of this thesis presents the findings from this study and a number of issues are raised, not only in relation to attempting to account for the findings from part one of the thesis, but also with respect to implications for improved management and clinical practice.

Lower extremity amputation in people with diabetes: Trends and determinants

Introduction: The prevalence of diabetes is rising rapidly. Assessing quality of diabetes care is difficult. Lower Extremity Amputation (LEA) is recognised as a marker of the quality of diabetes care. The focus of this thesis was first to describe the trends in LEA rates in people with and without diabetes in the Republic of Ireland (RoI) in recent years and then, to explore the determinants of LEA in people with diabetes. While clinical and socio-demographic determinants have been well-established, the role of service-related factors has been less well-explored. Methods: Using hospital discharge data, trends in LEA rates in people with and without diabetes were described and compared to other countries. Background work included concordance studies exploring the reliability of hospital discharge data for recording LEA and diabetes and estimation of diabetes prevalence rates in the RoI from a nationally representative study (SLAN 2007). To explore determinants, a systematic review and meta-analysis assessed the effect of contact with a podiatrist on the outcome of LEA in people with diabetes. Finally, a case-control study using hospital discharge data explored determinants of LEA in people with diabetes with a particular focus on the timing of access to secondary healthcare services as a risk factor. Results: There are high levels of agreement between hospital discharge data and medical records for LEA and diabetes. Thus, hospital discharge data was deemed sufficiently reliable for use in this PhD thesis. A decrease in major diabetes-related LEA rates in people with diabetes was observed in the RoI from 2005-2012. In 2012, the relative risk of a person with diabetes undergoing a major LEA was 6.2 times (95% CI 4.8-8.1) that of a person without diabetes. Based on the systematic review and meta-analysis, contact with a podiatrist did not significantly affect the relative risk (RR) of LEA in people with diabetes. Results from the case-control study identified being single, documented CKD and documented hypertension as significant risk factors for LEA in people with diabetes whilst documented retinopathy was protective. Within the seven year time window included in the study, no association was detected between LEA in patients with diabetes and timing of patient access to secondary healthcare for diabetes management. Discussion: Many countries have reported reduced major LEA rates in people with diabetes coinciding with improved organisation of healthcare systems. Reassuringly, these first national estimates in people with diabetes in the RoI from 2005 to 2012 demonstrated reducing trends in major LEA rates. This may be attributable to changes in diabetes care and also, secular trends in smoking, dyslipidaemia and hypertension. Consistent with international practice, LEA trends data in Ireland can be used to monitor quality of care. Quantifying this improvement precisely, though, is problematic without robust denominator data on the prevalence of diabetes. However, a reduction in major diabetes-related LEA rates suggests improved quality of diabetes care. Much controversy exists around the reliability of hospital discharge data in the RoI. This thesis includes the first multi-site study to explore this issue and found hospital discharge data reliable for the reporting of the procedure of LEA and diagnosis of diabetes. This project did not detect protective effects of access to services including podiatry and secondary healthcare for LEA in people with diabetes. A major limitation of the systematic review and meta-analysis was the design and quality of the included studies. The data available in the area of effect of contact with a podiatrist on LEA risk are too sparse to say anything definitive about the efficacy of podiatry on LEA. Limitations of the case-control study include lack of a diabetes register in Ireland, restricted information from secondary healthcare and lack of data available from primary healthcare. Due to these issues, duration of disease could not be accounted for in the study which limits the conclusions that can be drawn from the results. The model of diabetes care in the RoI is currently undergoing a re-configuration with plans to introduce integrated care. In the future, trends in LEA rates should be continuously monitored to evaluate the effectiveness of changes to the healthcare system. Efforts are already underway to improve the availability of routine data from primary healthcare with the recent development of the iPCRN (Irish Primary Care Research Network). Linkage of primary and secondary healthcare records with a unique patient identifier should be the goal for the future.