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Expression of SORT1 in Gastric Cancer Tissue and Its Effect on Gastric Cancer Cell Biology. SORT1在胃癌组织中的表达及其对胃癌细胞生物学的影响
中国医学科学院学报 Pub Date : 2025-06-30 DOI: 10.3881/j.issn.1000-503X.16238
Lin-Yu Xiao, Ting Duan, Yong-Sheng Xia, Yue Chen, Xing-Zhou Yan, Jian-Guo Hu
{"title":"Expression of SORT1 in Gastric Cancer Tissue and Its Effect on Gastric Cancer Cell Biology.","authors":"Lin-Yu Xiao, Ting Duan, Yong-Sheng Xia, Yue Chen, Xing-Zhou Yan, Jian-Guo Hu","doi":"10.3881/j.issn.1000-503X.16238","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16238","url":null,"abstract":"<p><p>Objective To investigate the expression of SORT1 in the gastric cancer tissue and analyze its relationship with clinical prognosis of patients as well as the pathways and mechanisms involved in gastric cancer progression.Methods The Gene Expression Profiling Interaction Analysis database,Western blot,and immunohistochemistry were employed to predict and analyze the expression of SORT1 in the gastric cancer and the adjacent tissue.The clinical case information of 109 patients who underwent radical surgery for gastric cancer in the First Affiliated Hospital of Bengbu Medical University from April 2015 to April 2017 was collected to analyze the relationship of SORT1 with the clinicopathological parameters and prognosis of the patients.Cell proliferation was detected by the CCK-8 assay and colony formation assay,while cell migration and invasion were assessed by the scratch assay and Transwell assay,respectively.Western blot was employed to determine the expression of proteins related to epithelial-mesenchymal transition(EMT)in gastric cancer cells,followed by further analysis on molecular mechanism through which SORT1 regulates EMT in gastric cancer cells.Results Western blot and immunocytochemistry results showed that SORT1 was highly expressed in the gastric cancer tissue(<i>P</i>=0.003,<i>P</i><0.001),which was positively correlated with malignant progression of tumors(all <i>P</i><0.05).The Kaplan-Meier survival analysis revealed shortened postoperative survival periods for the patients with high expression of SORT1(<i>P</i><0.001).The Cox regression model indicated that SORT1 expression was an independent risk factor affecting the 5-year survival rate after surgery for gastric cancer patients(<i>P</i><0.001).Up-regulation of SORT1 expression promoted the proliferation,migration,invasion,and EMT of gastric cancer cells(all <i>P</i><0.05),while down-regulation of SORT1 showed the opposite effects(all <i>P</i><0.05).Western blot results showed that high expression of SORT1 promoted the expression of β-catenin,cyclin D1,and c-Myc(all <i>P</i><0.05).Moreover,<i>in vitro</i> use of the Wnt/β-catenin pathway inhibitor(XAV939)effectively suppressed the EMT enhancement caused by high expression of SORT1 in gastric cancer cells(all <i>P</i><0.05).Conclusions SORT1 is highly expressed in gastric cancer and affects patients' postoperative survival periods.It is involved in the proliferation,migration,and invasion of gastric cancer cells and may promote the EMT of gastric cancer cells by activating the Wnt/β-catenin pathway.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"47 3","pages":"343-353"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caregiver Presence Needs and Their Influencing Factors Among Hospitalized Elderly Non-Surgical Patients. 住院老年非手术患者照顾者存在需求及其影响因素
中国医学科学院学报 Pub Date : 2025-06-30 DOI: 10.3881/j.issn.1000-503X.16310
Ran Guo, Zi-Rong Li, Ling-Yan Zuo, Jian-Hua Sun, Long-Fei Yang, Hai-Xin Bo
{"title":"Caregiver Presence Needs and Their Influencing Factors Among Hospitalized Elderly Non-Surgical Patients.","authors":"Ran Guo, Zi-Rong Li, Ling-Yan Zuo, Jian-Hua Sun, Long-Fei Yang, Hai-Xin Bo","doi":"10.3881/j.issn.1000-503X.16310","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16310","url":null,"abstract":"<p><p>Objective To analyze the caregiver presence needs and their influencing factors among hospitalized elderly non-surgical patients and provide a basis for formulating relevant policies.Methods A descriptive qualitative study method was adopted.Through purposive sampling,semi-structured interviews were conducted on elderly non-surgical patients and their families and medical staff in Peking Union Medical College Hospital from September to October 2023.MAXQDA 2020 and the 7-step phenomenological analysis method of Colaizzi were used to classify and code the interview contents and identify themes.Results The categories of caregiver presence needs of elderly non-surgical patients included basic living assistance needs,disease monitoring needs,psychological support needs,as well as the needs for family members to provide economic support and participate in treatment decision-making.The influencing factors included advanced age,frailty,the lack of self-care ability in patients with comorbidities,the susceptibility of patients to sudden situations during the disease exacerbation period,the increased risk of unexpected events in patients with psychological distress,and patients' concerns about social support and medical decision-making.Conclusion The caregiver presence needs of elderly non-surgical patients during hospitalization are high and influenced by multiple factors.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"47 3","pages":"396-401"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research Progress of Photoacoustic Imaging in the Precision Diagnosis and Treatment of Thyroid Carcinoma. 光声成像在甲状腺癌精确诊断和治疗中的研究进展。
中国医学科学院学报 Pub Date : 2025-06-30 DOI: 10.3881/j.issn.1000-503X.16349
Jiao-Jiao Ma, Xue-Hua Xi, Yang DU, Bo Zhang
{"title":"Research Progress of Photoacoustic Imaging in the Precision Diagnosis and Treatment of Thyroid Carcinoma.","authors":"Jiao-Jiao Ma, Xue-Hua Xi, Yang DU, Bo Zhang","doi":"10.3881/j.issn.1000-503X.16349","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16349","url":null,"abstract":"<p><p>The incidence of thyroid cancer keeps rising globally,with the majority being papillary thyroid carcinoma (PTC),which has a favorable prognosis.However,some aggressive PTCs exhibit different clinical behaviors and higher mortality risks,with the growth rate surpassing that of well-differentiated PTC and undifferentiated cancers.Therefore,achieving precise diagnosis and treatment of thyroid carcinoma presents a significant challenge.Photoacoustic imaging is a molecular imaging technology that integrates optical imaging and ultrasound,providing imaging information on structure,function,and molecules.Moreover,it can utilize exogenous contrast agents to realize tumor treatment,such as photothermal therapy,serving as a promising technology for precise diagnosis and treatment of thyroid carcinoma.Researchers both domestically and internationally have explored the application of photoacoustic imaging in the precise diagnosis and treatment of thyroid tumors.This article reviews the research progress,elucidates the advantages and limitations of photoacoustic imaging in the diagnosis and treatment of thyroid carcinoma,and prospects on the precise diagnosis and treatment of this disease.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"47 3","pages":"447-451"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in Influencing Mechanisms and Therapeutic Effects of Bacteriophages on Cancer. 噬菌体对肿瘤的影响机制及治疗作用研究进展。
中国医学科学院学报 Pub Date : 2025-06-30 DOI: 10.3881/j.issn.1000-503X.16282
Yu-Yang Xiao, Yu-Yang Ma, Yi-Bo Zhang, Cheng Chen, Yang Meng, Ming-Yi Zhao
{"title":"Advances in Influencing Mechanisms and Therapeutic Effects of Bacteriophages on Cancer.","authors":"Yu-Yang Xiao, Yu-Yang Ma, Yi-Bo Zhang, Cheng Chen, Yang Meng, Ming-Yi Zhao","doi":"10.3881/j.issn.1000-503X.16282","DOIUrl":"10.3881/j.issn.1000-503X.16282","url":null,"abstract":"<p><p>Cancer brings about an enormous threat to human health,making the exploration of its mechanisms and therapeutic strategies a current focal point and challenge in research.Bacteriophages are integral components of the human microbiome,and studies have shown their influences on tumor growth and metastasis and their pivotal role in cancer treatment.This article elucidates the mechanisms by which bacteriophages impact the occurrence and development of cancer from their interactions with cancer cells,effects on bacteria,and influence on the immune system.Additionally,it explores bacteriophage-based strategies in cancer treatment and their potential in this field.This article aims to bring new thoughts and insights to the research in this field.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"47 3","pages":"470-477"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of Influencing Factors of Death in the Elderly With Coronavirus Disease 2019 Based on Propensity Score Matching. 基于倾向评分匹配的2019冠状病毒病老年人死亡影响因素分析
中国医学科学院学报 Pub Date : 2025-06-30 DOI: 10.3881/j.issn.1000-503X.16256
Ying Chen, Hai-Ping Huang, Xin Li, Si-Jie Chai, Jia-Li Ye, Ding-Zi Zhou, Tao Zhang
{"title":"Analysis of Influencing Factors of Death in the Elderly With Coronavirus Disease 2019 Based on Propensity Score Matching.","authors":"Ying Chen, Hai-Ping Huang, Xin Li, Si-Jie Chai, Jia-Li Ye, Ding-Zi Zhou, Tao Zhang","doi":"10.3881/j.issn.1000-503X.16256","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16256","url":null,"abstract":"<p><p>Objective To analyze the influencing factors of death in the elderly with coronavirus disease 2019(COVID-19).Methods The case data of death caused by COVID-19 in West China Fourth Hospital from January 1 to July 8,2023 were collected,and surviving cases from the West China Elderly Health Cohort infected with COVID-19 during the same period were selected as the control.LASSO-Logistic regression was adopted to analyze the data after propensity score matching and the validity of the model was verified by drawing the receiver operating characteristic curve.Results A total of 3 239 COVID-19 survivors and 142 deaths with COVID-19 were included.The results of LASSO-Logistic regression showed that smoking(<i>OR</i>=3.33,95%<i>CI</i>=1.46-7.59,<i>P</i>=0.004),stroke(<i>OR</i>=3.55,95%<i>CI</i>=1.15-10.30,<i>P</i>=0.022),malignant tumors(<i>OR</i>=19.93, 95%<i>CI</i>=8.52-49.23, <i>P</i><0.001),coronary heart disease(<i>OR</i>=7.68, 95%<i>CI</i>=3.52-17.07, <i>P</i><0.001),fever(<i>OR</i>=0.51, 95%<i>CI</i>=0.26-0.96, <i>P</i>=0.042),difficulty breathing or asthma symptoms(<i>OR</i>=21.48, 95%<i>CI</i>=9.44-51.95, <i>P</i><0.001),and vomiting(<i>OR</i>=8.19,95%<i>CI</i>=2.87-23.58, <i>P</i><0.001)increased the risk of death with COVID-19.The prediction model constructed based on the influencing factors achieved an area under the curve of 0.889 in the test set.Conclusions Smoking,stroke,malignant tumors,coronary heart disease,fever,breathing difficulty or asthma symptoms,and vomiting were identified as key factors influencing the death risk in COVID-19.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"47 3","pages":"375-381"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Construction of a Disulfidptosis-Related Prediction Model for Acute Myocardial Infarction Based on Transcriptome Data. 基于转录组数据的急性心肌梗死二硫醇相关预测模型构建
中国医学科学院学报 Pub Date : 2025-06-30 DOI: 10.3881/j.issn.1000-503X.16057
Qiu-Rong Tang, Yang Feng, Yao Zhao, Yun-Fei Bian
{"title":"Construction of a Disulfidptosis-Related Prediction Model for Acute Myocardial Infarction Based on Transcriptome Data.","authors":"Qiu-Rong Tang, Yang Feng, Yao Zhao, Yun-Fei Bian","doi":"10.3881/j.issn.1000-503X.16057","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16057","url":null,"abstract":"<p><p>Objective To identify disulfidptosis-related gene(DRG)in acute myocardial infarction(AMI)by bioinformatics,analyze the molecular pattern of DRGs in AMI,and construct a DRGs-related prediction model.Methods AMI-related datasets were downloaded from the Gene Expression Omnibus database,and DRGs with differential expression were screened in AMI.CIBERSORT method was used to analyze the immune infiltration.Based on the differentially expressed DRGs,the AMI patients were classified into distinct subtypes via consensus clustering,followed by immune infiltration analysis,differential expression analysis,gene ontology and Kyoto encyclopedia of genes and genomes enrichment analysis,and gene set variation analysis.Weighted gene co-expression network analysis(WGCNA)was then performed to construct subtype-associated modules and identify hub genes.Finally,least absolute shrinkage and selection operator,random forest,and support vector machine-recursive feature elimination were used to screen feature genes to construct a DRGs-related prediction model.The model's diagnostic efficacy was evaluated by nomogram and receiver operating characteristic(ROC)curve analysis,followed by external validation.Results Nine differentially expressed DRGs were identified between AMI patients and controls.Based on the expression levels of these nine DRGs,AMI patients were divided into two DRGs subtypes,C1 and C2.Increased infiltration of monocytes,M0 macrophages,and neutrophils was observed in AMI patients and C1 subtype(all <i>P</i><0.05),indicating a close correlation between DRGs and immune cells.There were 257 differentially expressed genes between the C1 and C2 subtypes,which were related to biological processes such as myeloid leukocyte activation and positive regulation of cytokines.Fcγ receptor-mediated phagocytosis and NOD-like receptor signaling pathway activity were enhanced in C1 subtype.WGCNA analysis suggested that the brown module exhibited the strongest correlation with DRG subtypes(<i>r</i>=0.67),from which 23 differentially expressed genes were identified.The feature genes screened by three machine learning methods were interpolated to obtain a DRGs-related prediction model consisting of three genes(AQP9,F5 and PYGL).Nomogram and ROC curves(AUC<sub>train</sub>=0.891,AUC<sub>test</sub>=0.840)showed good diagnostic efficacy.Conclusions DRGs were closely related to the occurrence and progression of AMI.The DRGs-related prediction model consisting of AQP9,F5 and PYGL may provide targets for the diagnosis and personalized treatment of AMI.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"47 3","pages":"354-365"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anesthetic Management Process of Pregnancy Complicated With Acute Myeloid Leukemia: Report of One Case. 妊娠合并急性髓性白血病1例麻醉处理过程。
中国医学科学院学报 Pub Date : 2025-06-30 DOI: 10.3881/j.issn.1000-503X.16314
Si Chen, Chong Wei, Jia-Li Tang, Jun Ying, Li-Jian Pei
{"title":"Anesthetic Management Process of Pregnancy Complicated With Acute Myeloid Leukemia: Report of One Case.","authors":"Si Chen, Chong Wei, Jia-Li Tang, Jun Ying, Li-Jian Pei","doi":"10.3881/j.issn.1000-503X.16314","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16314","url":null,"abstract":"<p><p>Pregnancy complicated with acute myeloid leukemia is uncommon,requiring the collaborative management by specialists from departments of hematology,obstetrics,anesthesiology,and neonatology for both the parturient and the neonate.This article reports an anesthesic management process of a parturient woman with acute myeloid leukemia and reviews relevant literature published in recent years to systematically summarize the approach for anesthesia-related perinatal management of such patients.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"47 3","pages":"487-491"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Severe Hydrops of an Idiopathic Solitary Kidney and Ureter:Report of One Case. 特发性孤立肾及输尿管严重水肿1例报告。
中国医学科学院学报 Pub Date : 2025-06-30 DOI: 10.3881/j.issn.1000-503X.16276
Sha-Sha Xia, Jun Shen, Kai-Wen Shen, Qiang Wang, Wei-Hu Cen
{"title":"Severe Hydrops of an Idiopathic Solitary Kidney and Ureter:Report of One Case.","authors":"Sha-Sha Xia, Jun Shen, Kai-Wen Shen, Qiang Wang, Wei-Hu Cen","doi":"10.3881/j.issn.1000-503X.16276","DOIUrl":"10.3881/j.issn.1000-503X.16276","url":null,"abstract":"<p><p>Hydronephrosis is a common urological disease,and pregnancy with hydronephrosis is also common.However,it is extremely rare that patients suffering from hydronephrosis after delivery cannot recover on their own.Moreover,due to the no specificity of clinical manifestations,it is easy to be ignored by clinicians.This paper reports a solitary kidney patient with severe dilatation and hydronephrosis of the kidney and ureter that were caused by late pregnancy,and the hydrops could not recover spontaneously after delivery.In addition,the methods of open surgery,ureteroscopy,and ureteral stent placement for many times in other hospital were ineffective for her.The purpose of this study is to improve the attention of clinicians to hydronephrosis during pregnancy and after delivery and provide the reference for clinical treatment.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"47 3","pages":"492-496"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of 24 h Ambulatory Blood Pressure Control Among Hypertensive Patients in Communities in Different Time Periods and Analysis of Its Influencing Factors. 社区不同时段高血压患者24 h动态血压控制情况比较及影响因素分析
中国医学科学院学报 Pub Date : 2025-06-27 DOI: 10.3881/j.issn.1000-503X.16379
Xiang Huang, Hua-Jie Yang, Yong-Jun Zheng, Yu-Ting Li, Jie-Zhen Feng, Hao-Xiang Wang, Ling Wang
{"title":"Comparison of 24 h Ambulatory Blood Pressure Control Among Hypertensive Patients in Communities in Different Time Periods and Analysis of Its Influencing Factors.","authors":"Xiang Huang, Hua-Jie Yang, Yong-Jun Zheng, Yu-Ting Li, Jie-Zhen Feng, Hao-Xiang Wang, Ling Wang","doi":"10.3881/j.issn.1000-503X.16379","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16379","url":null,"abstract":"<p><p>Objective To assess the blood pressure control and its influencing factors among hypertensive patients in communities in different time periods by 24 h ambulatory blood pressure monitoring(24 h ABPM)and provide reference for optimizing the health management services for hypertension in communities. Methods A total of 765 hypertensive patients registered in the hypertension management project of national essential public health services in Sanxiang Town,Zhongshan City from October 2022 to September 2023 were identified as target subjects.The 24 h ABPM devices were distributed for blood pressure monitoring and a questionnaire survey was conducted to analyze the influencing factors of blood pressure control. Results Of all the participants,16.5% did not monitor blood pressure regularly,and 59.2% monitored blood pressure 1-2 times per week.The patients who were not on night shifts/staying up late had higher mean rates of achieving the target blood pressure and the circadian rhythm of blood pressure during 24 h,nighttime,and early morning than those who were on night shifts/staying up late(P<0.05 for all).The patients who never drank alcohol had higher rate of achieving the target blood pressure in early morning than those who drank alcohol(P<0.05).The average blood pressure during daytime,nighttime,and 24 h were different by sex(P<0.05 for all).The average blood pressure during nighttime was different by age and job types(P<0.05 for all).The average blood pressure during daytime,nighttime,and 24 h were different in patients with different body weight types(P<0.05 for all).The results of the multivariate logistic regression analysis showed that uncontrolled blood pressure during daytime was more likely to occur in male patients(OR=1.394,95%CI:1.045-1.858,P=0.024),and that during nighttime was more likely to be associated with male patients(OR=1.573,95%CI:1.088-2.275,P=0.016)and night shifts(OR=2.467,95%CI:1.198-5.077,P=0.014).It was difficult to achieve blood pressure control in early morning for the patients who drank alcohol for more than three times per week(OR=4.567,95%CI:1.629-12.807,P=0.004),woke up at night(OR=1.800,95%CI:1.125-2.878,P=0.014),and had night shifts(OR=1.579,95%CI:1.102-2.465,P=0.044).The patients on night shifts were more likely to have abnormal circadian rhythm of blood pressure(OR=1.753,95%CI:1.018-3.018,P=0.043). Conclusion The personal characteristics and lifestyle of hypertensive patients significantly affect the blood pressure control in different time periods(daytime,nighttime,and early morning)and the circadian rhythm of blood pressure.The family doctor team of community healthcare institutions can implement targeted and precise intervention measures for hypertensive patients according to the influencing factors of blood pressure control in different time periods,so as to achieve better management effects.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The neurophysiological mechanisms of exercise-induced improvements in cognitive function]. [运动诱导认知功能改善的神经生理机制]。
生理学报 Pub Date : 2025-06-25 DOI: 10.13294/j.aps.2025.0047
Jian-Xiu Liu, Bai-Le Wu, Di-Zhi Wang, Xing-Tian Li, Yan-Wei You, Lei-Zi Min, Xin-Dong Ma
{"title":"[The neurophysiological mechanisms of exercise-induced improvements in cognitive function].","authors":"Jian-Xiu Liu, Bai-Le Wu, Di-Zhi Wang, Xing-Tian Li, Yan-Wei You, Lei-Zi Min, Xin-Dong Ma","doi":"10.13294/j.aps.2025.0047","DOIUrl":"10.13294/j.aps.2025.0047","url":null,"abstract":"<p><p>The neurophysiological mechanisms by which exercise improves cognitive function have not been fully elucidated. A comprehensive and systematic review of current domestic and international neurophysiological evidence on exercise improving cognitive function was conducted from multiple perspectives. At the molecular level, exercise promotes nerve cell regeneration and synaptogenesis and maintains cellular development and homeostasis through the modulation of a variety of neurotrophic factors, receptor activity, neuropeptides, and monoamine neurotransmitters, and by decreasing the levels of inflammatory factors and other modulators of neuroplasticity. At the cellular level, exercise enhances neural activation and control and improves brain structure through nerve regeneration, synaptogenesis, improved glial cell function and angiogenesis. At the structural level of the brain, exercise promotes cognitive function by affecting white and gray matter volumes, neural activation and brain region connectivity, as well as increasing cerebral blood flow. This review elucidates how exercise improves the internal environment at the molecular level, promotes cell regeneration and functional differentiation, and enhances the brain structure and neural efficiency. It provides a comprehensive, multi-dimensional explanation of the neurophysiological mechanisms through which exercise promotes cognitive function.</p>","PeriodicalId":7134,"journal":{"name":"生理学报","volume":"77 3","pages":"504-522"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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