Background
Chronic sinusitis (CRS) is a common otorhinolaryngologic disease that is frequently encountered in everyday practice, but there is a lack of precise data regarding the prevalence of CRS in ...developing countries. We performed a national investigation in China to determine the prevalence and associated factors of CRS.
Methods
We conducted a cross‐sectional investigation in 2012. A stratified four‐stage sampling method was used to select participants randomly from seven cities in mainland China. All participants were interviewed face‐to‐face via a standardized questionnaire. Unconditional logistic regression analyses were conducted to examine the association between smoking and sinusitis after adjusting for socio‐demographic factors.
Results
This study included a total of 10 636 respondents from seven cities. The overall prevalence of CRS was 8.0% and ranged from 4.8% to 9.7% in seven centres. Chronic sinusitis affected approximately 107 million people in mainland China. Chronic sinusitis was particularly prevalent among people with specific medical conditions, including allergic rhinitis, asthma, chronic obstructive pulmonary disease and gout. The prevalence was slightly higher among males (8.79%) than females (7.28%) (P = 0.004), and the prevalence varied by age group, ethnicity and marital status and education (P < 0.05), but not by household per capita income or living space (P > 0.05). Both second‐hand tobacco smoke and active smoking were independent risk factors for CRS (P = 0.001).
Conclusions
Chronic sinusitis is an important public health problem in China. Our study provides important information for the assessment of the economic burden of CRS and the development and promotion of public health policies associated with CRS particularly in developing countries.
In order to increase the dielectric constants of polymer-based dielectrics, composite approaches, in which inorganic fillers with much higher dielectric constants are added to the polar polymer ...matrix, have been investigated. However, high dielectric constant fillers cause high local electric fields in the polymer, resulting in a large reduction of the electric breakdown strength. We show that a significant increase in the dielectric constant can be achieved in polyetherimide nanocomposites with nanofillers whose dielectric constant can be similar to that of the matrix. The presence of nanofillers reduces the constraints on the dipole response to the applied electric field, thus enhancing the dielectric constant. Our results demonstrate that through nanostructure engineering, the dielectric constant of nanocomposites can be enhanced markedly without using high dielectric constant nanofillers.
Magnetic field plays a crucial role in shaping molecular clouds and regulating star formation, yet the complete information on the magnetic field is not well constrained owing to the limitations in ...observations. We study the magnetic field in the massive infrared dark cloud G035.39-00.33 from dust continuum polarization observations at 850 m with SCUBA-2/POL-2 at JCMT for the first time. The magnetic field tends to be perpendicular to the densest part of the main filament (FM), whereas it has a less defined relative orientation in the rest of the structure, where it tends to be parallel to some diffuse regions. A mean plane-of-the-sky magnetic field strength of ∼50 G for FM is obtained using the Davis-Chandrasekhar-Fermi method. Based on 13CO (1-0) line observations, we suggest a formation scenario of FM due to large-scale (∼10 pc) cloud-cloud collision. Using additional NH3 line data, we estimate that FM will be gravitationally unstable if it is only supported by thermal pressure and turbulence. The northern part of FM, however, can be stabilized by a modest additional support from the local magnetic field. The middle and southern parts of FM are likely unstable even if the magnetic field support is taken into account. We claim that the clumps in FM may be supported by turbulence and magnetic fields against gravitational collapse. Finally, we identified for the first time a massive (∼200 M ), collapsing starless clump candidate, "c8," in G035.39-00.33. The magnetic field surrounding "c8" is likely pinched, hinting at an accretion flow along the filament.
Topological structures based on controllable ferroelectric or ferromagnetic domain configurations offer the opportunity to develop microelectronic devices such as high-density memories. Despite the ...increasing experimental and theoretical insights into various domain structures (such as polar spirals, polar wave, polar vortex) over the past decade, manipulating the topological transformations of polar structures and comprehensively understanding its underlying mechanism remains lacking. By conducting an in-situ non-contact bias technique, here we systematically investigate the real-time topological transformations of polar structures in PbTiO
/SrTiO
multilayers at an atomic level. The procedure of vortex pair splitting and the transformation from polar vortex to polar wave and out-of-plane polarization are observed step by step. Furthermore, the redistribution of charge in various topological structures has been demonstrated under an external bias. This provides new insights for the symbiosis of polar and charge and offers an opportunity for a new generation of microelectronic devices.
Periodontitis is a common infectious disease. Recent studies have indicated that the progression of periodontitis may be regulated by interactions between host immunity and periodontopathic bacteria. ...Although periodontopathic bacteria can destroy periodontal tissue, a dysfunctional host immune response triggered by the bacteria can lead to more severe and persistent destruction. Toll‐like receptors (TLRs), a type of pattern recognition receptor (PRR) that recognizes pathogens, have been implicated in host innate immune responses to periodontopathic bacteria and in the activation of adaptive immunity. TLR‐targeted drugs may hold promise to treat periodontal disease. This review summarizes recent studies on the role of TLRs in periodontitis and discusses areas needing further research. We believe TLRs may be an effective biomarker for the prevention, diagnosis, and treatment of periodontitis in the near future.
Aberrant DNA hypermethylation contributes to myelomagenesis by silencing tumor-suppressor genes. Recently, a few reports have suggested that a novel class of small non-coding RNAs, called ...Piwi-interacting RNAs (piRNAs), may be involved in the epigenetic regulation of cancer. In this study, for the first time we provided evidence that the expression of piRNA-823 was upregulated in multiple myeloma (MM) patients and cell lines, and positively correlated with clinical stage. Silencing piRNA-823 in MM cells induced deregulation of cell cycle regulators and apoptosis-related proteins expression, accompanied by inhibition of tumorigenicity in vitro and in vivo. Moreover, piRNA-823 was directly relevant to de novo DNA methyltransferases, DNMT3A and 3B, in primary CD138(+) MM cells. The inhibited expression of piRNA-823 in MM cells resulted in marked reduction of DNMT3A and 3B at both mRNA and protein levels, which in turn led to decrease in global DNA methylation and reexpression of methylation-silenced tumor suppressor, p16(INK4A). In addition, piRNA-823 abrogation in MM cells induced reduction of vascular endothelial growth factor secretion, with consequent decreased proangiogenic activity. Altogether, these data support an oncogenic role of piRNA-823 in the biology of MM, providing a rational for the development of piRNA-targeted therapeutic strategies in MM.
Recurrence/persistence of symptoms occurs in approximately 20 % of patients after Heller myotomy for achalasia. Controversy exists regarding the therapy for patients in whom Heller myotomy has ...failed. The aim of the current study was to evaluate the efficacy and feasibility of peroral endoscopic myotomy (POEM), a new endoscopic myotomy technique, for patients with failed Heller myotomy.
A total of 12 patients with recurrence/persistence of symptoms after Heller myotomy, as diagnosed by established methods and an Eckardt score of ≥ 4, were prospectively included. The primary outcome was symptom relief during follow-up, defined as an Eckardt score of ≤ 3. Secondary outcomes were procedure-related adverse events, lower esophageal sphincter (LES) pressure on manometry, reflux symptoms, and medication use before and after POEM.
All 12 patients underwent successful POEM after a mean of 11.9 years (range 2 - 38 years) from the time of the primary Heller myotomy. No serious complications related to POEM were encountered. During a mean follow-up period of 10.4 months (range 5 - 14 months), treatment success was achieved in 11/12 patients (91.7 %; mean score pre- vs. post-treatment 9.2 vs. 1.3; P < 0.001). Mean LES pressure was 29.4 mmHg pre-treatment and 13.5 mmHg post-treatment (P < 0.001). One patient developed mild reflux symptoms and required intermittent medication with proton pump inhibitors.
POEM seems to be a promising new treatment for failed Heller myotomy resulting in short-term symptom relief in > 90 % of cases. Previous Heller myotomy may make subsequent endoscopic remyotomy more challenging, but does not prevent successful POEM.
In this paper, we test whether time periods with hot proton temperature anisotropy are associated with electromagnetic ion cyclotron (EMIC) waves and whether the plasma conditions during the observed ...waves satisfy the linear theory threshold condition. We identify 865 events observed by the Composition Distribution Function instrument onboard Cluster spacecraft 4 during 1 January 2001 to 1 January 2011 that exhibit a positive temperature anisotropy (Ahp = T⊥ h/T∥ h − 1) in the 10–40 keV protons. The events occur over an L range from 4 to 10 in all magnetic local times and at magnetic latitudes (MLATs) within ±50°. Of these hot proton temperature anisotropy (HPTA) events, only 68 events have electromagnetic ion cyclotron (EMIC) waves. In these 68 HPTA events, for those at 3.8<L ≤ 5 and |MLAT| ≤ 10°, the EMIC waves with powers >1.0 nT2/Hz mainly appear in the region with fEMIC/fH,eq < 0.8. Two stop bands are present, one near the region with fEMIC/fH,eq ≈ 0.33, the other in the region with 0.8 < fEMIC/fH,eq < 0.9. Most of the EMIC waves in the He, H, and >H bands satisfy Ahp/(Ahp + 1) > fEMIC/fH,lo, Ahp/(Ahp + 1) > 0.45 × fEMIC/fH,lo, and Ahp/(Ahp + 1) < 0.45 × fEMIC/fH,lo. fEMIC, fH,eq, and fH,lo are the EMIC wave frequency, the magnetic equatorial, and the local proton gyrofrequencies. We also find that the EMIC waves predominantly occur with Ahp > 0.25. By testing a threshold equation for the EMIC instability based on linear theory, we find that for EMIC waves with |MLAT| ≤ 10° in the He, H, and >H bands, the percentages that satisfy the predicted conditions for wave growth by the threshold equation are 15.2%, 24.6%, and 25.6%. For the EMIC waves with |MLAT| > 10° the percentages that satisfy the wave growth predicted conditions are only 2.8%, 2.6%, and 0.0%. Finally, possible reasons for the low forecast accuracies of EMIC waves are suggested.
Key Points
We do the statistical analysis of EMIC waves from a 10 year Cluster observation
We test the A_hp versus EMIC wave frequency formula of Kennel and Petschek (1966)
We test the linear theory derived by Blum et al. (2009)
Scaling and root planing are widely considered as effective methods for treating chronic periodontitis. A meta‐analysis published in 2008 showed no statistically significant differences between ...full‐mouth disinfection (FMD) or full‐mouth scaling and root planing (FMS) and quadrant scaling and root planing (Q‐SRP). The FMD approach only resulted in modest additional improvements in several indices. Whether differences exist between these two approaches requires further validation. Accordingly, a study was conducted to further validate whether FMD with antiseptics or FMS without the use of antiseptics within 24 h provides greater clinical improvement than Q‐SRP in patients with chronic periodontitis. Medline (via OVID), EMBASE (via OVID), PubMed and CENTRAL databases were searched up to 27 January 2015. Randomized controlled trials comparing FMD or FMS with Q‐SRP after at least 3 mo were included. Meta‐analysis was performed to obtain the weighted mean difference (WMD), together with the corresponding 95% confidence intervals. Thirteen articles were included in the meta‐analysis. The WMD of probing pocket depth reduction was 0.25 mm (p < 0.05) for FMD vs. Q‐SRP in single‐rooted teeth with moderate pockets, and clinical attachment level gain in single‐ and multirooted teeth with moderate pockets was 0.33 mm (p < 0.05) for FMD vs. Q‐SRP. Except for those, no statistically significant differences were found in the other subanalyses of FMD vs. Q‐SRP, FMS vs. Q‐SRP and FMD vs. FMS. Therefore, the meta‐analysis results showed that FMD was better than Q‐SRP for achieving probing pocket depth reduction and clinical attachment level gain in moderate pockets. Additionally, regardless of the treatment, no serious complications were observed. FMD, FMS and Q‐SRP are all effective for the treatment of adult chronic periodontitis, and they do not lead to any obvious discomfort among patients. Moreover, FMD had modest additional clinical benefits over Q‐SRP, so we prefer to recommend FMD as the first choice for the treatment of adult chronic periodontitis.
SUMMARY
Diabetes mellitus has the probability to impair the anastomotic healing and cause postesophagectomy anastomotic leakages but previous studies showed controversial results. This review aims to ...summary the impact of diabetes mellitus on the risk of anastomotic leakage after esophagectomy. We searched the PubMed and EMBASE databases to recognize English articles that met our eligibility criteria. Odds ratio with 95% confidence interval serves as the appropriate summarized statistic. Sensitivity analysis, meta-regression analysis, and publication bias tests were also performed to perceive potential bias risks. Finally, 16 observational studies with 12359 surgical patients were included. An overall analysis identified that diabetes mellitus was significantly associated with the risk of anastomotic leakage after esophagectomy (odds ratio = 1.63; 95% confidence interval = 1.25–2.12; P < 0.001). Further subgroup analysis showed a significant impact of diabetes mellitus in surgical populations from the Europe and America (odds ratio = 1.42; 95% confidence interval = 1.22–1.65; P < 0.001) but not in the Asian populations (odds ratio = 2.27; 95% confidence interval = 0.86–6.05; P = 0.1). The robustness of these estimates was confirmed by meta-regression analysis and sensitivity analysis. No significant publication bias exists between studies. In conclusion, this systematic review demonstrates that diabetes mellitus can be a significant risk factor of anastomotic leakage for patients undergoing esophagectomy. Our findings need to be further confirmed and modified by more well-designed worldwide multivariable analyses in the future.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
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