中国医学科学院学报最新文献

{"title":"[Thyroglossal Duct Papillary Carcinoma:Report of One Case and Literature Review].","authors":"Guo-Feng Dai, Shu-Ya Li, Yi-Qiang Yin, Gang-Pu Wang","doi":"10.3881/j.issn.1000-503X.15901","DOIUrl":"10.3881/j.issn.1000-503X.15901","url":null,"abstract":"<p><p>Thyroglossal duct papillary carcinoma is extremely rare in clinical practice.This article reports a case of a thyroglossal duct cyst complicated by thyroid papillary carcinoma,while also reviewing the relevant literature.It summarizes the clinical manifestations,imaging characteristics,and pathological features of thyroglossal duct papillary carcinoma and discusses the relationship between thyroglossal duct cysts,malignant transformation of thyroglossal duct cysts,and thyroid papillary carcinoma.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"46 5","pages":"792-796"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581755","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}

{"title":"[Chen Zhiqian's Thoughts on Public Health in the 1920s].","authors":"Zhe-Xi Gong, Jin-Heng Li, Pu-An Cui, Meng-Lan Lin, Zhong He","doi":"10.3881/j.issn.1000-503X.16020","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16020","url":null,"abstract":"<p><p>During his studies at the Peking Union Medical College (1921-1929),Chen Zhiqian formed his thoughts on public health under the influences of modern medical education and the advanced thinking of the times,which laid an ideological foundation for his later engagement in rural health care and reflected the medical progress in China at that time.In the 1920s,Chen Zhiqian's thoughts on public health mainly encompassed five aspects.First,health was a cornerstone of the country's wealth and people's well-being.Second,he belived in comprehensive \"big medicine\" which emphasized the combination of prevention and treatment.Third,he advocated the return of medicine to the state and the building of a medical system covering all people.Fourth,he advocated maternal training and institutional standardization,emphasizing child health protection.Fifth,he was committed to the popularization of health science and advocated health education reform.Summarizing the above five aspects is of great significance for enriching and improving the academic evaluation about Chen Zhiqian and provides a reference for today's work on public health.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"46 5","pages":"700-705"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581654","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}

{"title":"[Mechanism of Butylphthalide in Treating Delayed Encephalopathy After Carbon Monoxide Poisoning Based on Activation of Microglia].","authors":"Yu Shi, Bao-Jun Wang, Chao Chen, Jiang-Xia Pang, Yang Li, Jun Zhang, Mao-Mao Xu","doi":"10.3881/j.issn.1000-503X.16017","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16017","url":null,"abstract":"<p><p>Objective To explore the mechanism of butylphthalide (NBP) in regulating microglia activation and inflammatory cytokine expression in the hippocampus of the mouse model of delayed encephalopathy after carbon monoxide poisoning (DEACMP). Methods Wild-type C57 adult mice with normal cognitive function were selected,and DEACMP was modeled by static inhalation of carbon monoxide.The mice were randomized into three groups:DEACMP,control,and NBP.The NBP group was administrated with NBP suspension at 6 mg/kg by gavage for 21 days,and the DEACMP and control groups were administrated with the same amount of vegetable oil by gavage.The hippocampal injury was observed by HE staining.The protein level of ionized calcium-binding adapter molecule 1 (IBA1) was determined by Western blotting,and the levels of downstream inflammatory cytokines were measured by ELISA. Results Compared with the control group,the DEACMP and NBP groups showed prolonged escape latency (<i>P</i>=0.001,<i>P</i>=0.029),reduced nerve cells (<i>P</i>=0.001,<i>P</i>=0.035),up-regulated expression of IBA1 (<i>P</i>=0.001,<i>P</i>=0.042),increased mean fluorescence intensity of IBA1 (<i>P</i>=0.001,<i>P</i>=0.021),and elevated levels of tumor necrosis factor-α (TNF-α) (<i>P</i>=0.002,<i>P</i>=0.024),interleukin (IL)-6 (<i>P</i>=0.001,<i>P</i>=0.015),and IL-1β (<i>P</i>=0.001,<i>P</i>=0.023).Compared with the DEACMP group,the NBP group showed shortened escape latency (<i>P</i>=0.025),increased nerve cells (<i>P</i>=0.039),down-regulated expression of IBA1 (<i>P</i>=0.035),decreased average fluorescence intensity of IBA1 (<i>P</i>=0.031),and lowered levels of TNF-α (<i>P</i>=0.028),IL-6 (<i>P</i>=0.037),and IL-1β (<i>P</i>=0.034). Conclusion NBP can inhibit the activation of microglia and reduce the expression of inflammatory factors,thereby alleviating cognitive dysfunction and brain tissue damage caused by DEACMP.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"46 5","pages":"659-665"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581727","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}

{"title":"[Effects of Schisandrae Chinensis Fructus Lignans on Alertness of Rats With Sleep Deprived by Treadmill Exercise].","authors":"Ya-Nan Wu, Qing Ma, Yan-Yan Wang, Li-Li Huang","doi":"10.3881/j.issn.1000-503X.15910","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.15910","url":null,"abstract":"<p><p>Objective To investigate the effects of Schisandrae Chinensis Fructus lignans on the alertness of the rats with sleep deprived by treadmill exercise and the underlying neurobiological mechanism. Methods According to the random number table method,SD male rats were assigned into control,sleep deprivation,low-,medium-,and high-dose Schisandrae Chinensis Fructus lignans,and atomoxetine hydrochloride groups,with 8 rats in each group.The rats in other groups except the control group were subjected to sleep deprivation by treadmill exercise for 3 d.During the deprivation period,each administration group was administrated with the corresponding drug by gavage,and a 5-9 hole tester was used to test the alertness performance of rats in each group. Furthermore,other SD male rats were selected and randomized into control,sleep deprivation,Schisandrae Chinensis Fructus lignans (67.2 mg/kg) and atomoxetine hydrochloride groups,with 10 rats in each group.The rats were modeled with the sleep deprivation method the same as that above and administrated with corresponding agents.ELISA was employed to measure the serum level of orexin A in each group of rats.The protein levels of c-Fos,orexin receptor 1,and orexin receptor 2 in the prefrontal cortex of rats in each group were observed by immunofluorescence and Western blotting. Results Compared with the control group,sleep deprivation reduced the choice accuracy (<i>P</i><0.001) and increased the omission responses,omission percent,and mean correct response latency (<i>P</i>=0.002,<i>P</i>=0.003,<i>P</i>=0.020).Compared with the sleep deprivation group,medium- and high-dose Schisandrae Chinensis Fructus lignans and atomoxetine hydrochloride improved the alertness of rats,as demonstrated by the increased choice accuracy (<i>P</i>=0.001,<i>P</i>=0.006,<i>P</i><0.001) and reduced omission responses (<i>P</i>=0.001,<i>P</i>=0.001,<i>P</i><0.001),omission percent (<i>P</i>=0.001,<i>P</i>=0.002,<i>P</i><0.001),and mean correct response latency (<i>P</i>=0.018,<i>P</i>=0.003,<i>P</i>=0.014).Compared with the control group,the sleep deprivation group showed elevated level of orexin A in the serum (<i>P</i><0.001),up-regulated expression of c-Fos (<i>P</i><0.001),and down-regulated expression of orexin receptor 1 (<i>P</i>=0.037) in the prefrontal cortex.Compared with the sleep deprivation group,Schisandrae Chinensis Fructus lignans (67.2 mg/kg) and atomoxetine hydrochloride lowered the orexin A level in the serum (<i>P</i>=0.005,<i>P</i>=0.029),down-regulated the expression of c-Fos (<i>P</i>=0.028,<i>P</i>=0.036),and up-regulated the expression of orexin receptor 1 (<i>P</i>=0.043,<i>P</i>=0.013) in the prefrontal cortex. Conclusion Schisandrae Chinensis Fructus lignans may antagonize the alertness decrease caused by sleep deprivation by regulating the secretion of orexin and the expression of orexin receptor 1 in the prefrontal cortex.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"46 4","pages":"471-481"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118655","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}

{"title":"[Research Progress of Ferroptosis in Ulcerative Colitis].","authors":"Qin Chen, Li-Fan Peng, Rui Xu, Long Lou, Zi-Yun Peng","doi":"10.3881/j.issn.1000-503X.15918","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.15918","url":null,"abstract":"<p><p>Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by continuous inflammation and ulcer formation in the intestinal mucosa.Its pathogenesis involves immune dysfunction,dysbiosis of gut microbiota,and mucosal damage caused by inflammation.Ferroptosis is an iron-dependent form of cell death regulated by disturbances in iron metabolism,lipid peroxidation,and depletion of glutathione (GSH).Studies have indicated that ferroptosis plays a crucial role in the pathogenesis of UC,particularly in regulating inflammatory responses and damaging intestinal epithelial cells.This article reviews the regulatory mechanisms and roles of ferroptosis in UC and discusses the potential therapeutic strategies to alleviate UC symptoms by modulating iron metabolism,reducing lipid peroxidation,and maintaining GSH levels,providing new targets and directions for the diagnosis and treatment of UC.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"46 4","pages":"619-624"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118661","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}

{"title":"[Effects of Total Intravenous Anesthesia on Circadian Rhythms in Patients Undergoing Cardiac Transcatheter Closure].","authors":"Yun-Fei Gu, Zhen-Xing Bao, Kai-Hua Yu, Ling Wang, Dian-Wei Cheng, Su-Heng Chen, Yu-Lan Li","doi":"10.3881/j.issn.1000-503X.15896","DOIUrl":"10.3881/j.issn.1000-503X.15896","url":null,"abstract":"<p><p>Objective To evaluate the effects of total intravenous anesthesia on the circadian rhythms in the patients undergoing cardiac transcatheter closure. Methods Thirty patients undergoing cardiac transcatheter closure under elective intravenous anesthesia were included in this study.Paired <i>t</i>-tests were performed to compare the mRNA levels of the genes encoding circadian locomotor output cycles kaput(CLOCK),brain and muscle ARNT-1 like protein-1(BMAL1),cryptochrome 1(CRY1),and period circadian clock 2(PER2),the Munich Chronotype Questionnaire(MCTQ)score,and the Pittsburgh Sleep Quality Index(PSQI)score before and after anesthesia.Multiple stepwise regression analysis was performed to screen the factors influencing sleep chronotype and PSQI total score one week after surgery. Results The postoperative mRNA level of CLOCK was higher [1.38±1.23 <i>vs</i>.1.90±1.47;<i>MD</i>(95%<i>CI</i>):0.52(0.20-0.84),<i>t</i>=3.327,<i>P</i>=0.002] and the postoperative mRNA levels of CRY1 [1.56±1.50 <i>vs</i>.1.13±0.98;<i>MD</i>(95%<i>CI</i>):-0.43(-0.81--0.05),<i>t</i>=-2.319,<i>P</i>=0.028] and PER2 [0.82±0.63 <i>vs</i>.0.50±0.31;<i>MD</i>(95%<i>CI</i>):-0.33(-0.53--0.12),<i>t</i>=-3.202,<i>P</i>=0.003] were lower than the preoperative levels.One week after surgery,the patients presented advanced sleep chronotype [3:03±0:59 <i>vs</i>.2:42±0:37;<i>MD</i>(95%<i>CI</i>):-21(-40--1),<i>t</i>=-2.172,<i>P</i>=0.038],shortened sleep latency [(67±64)min <i>vs</i>.(37±21)min;<i>MD</i>(95%<i>CI</i>):-30.33(-55.28--5.39),<i>t</i>=-2.487,<i>P</i>=0.019],lengthened sleep duration [(436±83)min <i>vs</i>.(499±83)min;<i>MD</i>(95%<i>CI</i>):62.80(26.93-98.67),<i>t</i>=3.581,<i>P</i>=0.001],increased sleep efficiency [(87.59±10.35)% <i>vs</i>.(92.98±4.27)%;<i>MD</i>(95%<i>CI</i>):5.39(1.21-9.58),<i>t</i>=2.636,<i>P</i>=0.013],decreased sleep quality score [1.13±0.78 <i>vs</i>.0.80±0.71;<i>MD</i>(95%<i>CI</i>):-0.33(-0.62--0.05),<i>t</i>=-2.408,<i>P</i>=0.023],and declined PSQI total score [6.60±3.17 <i>vs</i>.4.03±2.58;<i>MD</i>(95%<i>CI</i>):-2.57(-3.87--1.27),<i>t</i>=-4.039,<i>P</i><0.001].Body mass index(BMI)(<i>B</i>=-227.460,<i>SE</i>=95.475,<i>t</i>=-2.382,<i>P</i>=0.025),anesthesia duration(<i>B</i>=-47.079,<i>SE</i>=18.506,<i>t</i>=-2.544,<i>P</i>=0.017),and mRNA level of PER2(<i>B</i>=2815.804,<i>SE</i>=1080.183,<i>t</i>=2.607,<i>P</i>=0.015)collectively influenced the sleep chronotype,and the amount of anesthesia medicine(<i>B</i>=0.067,<i>SE</i>=0.028,<i>t</i>=2.385,<i>P</i>=0.024)independently influenced the PSQI one week after surgery. Conclusion Total intravenous anesthesia can improve sleep habits by advancing sleep chronotype.BMI,anesthesia duration,and mRNA level of PER2 collectively influence sleep chronotype one week after surgery.The amount of anesthesia medicine independently influences the PSQI total score one week after surgery.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":" ","pages":"539-545"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874419","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}

{"title":"[Single Center Experience in Surgical Treatment of Extracranial Supra-Aortic Aneurysms].","authors":"Gen-Huan Yang, Peng-Zhi Liao, Xin-Nong Liu, Yan Wang, Yu-Long Jia, Chen-Yang Shen","doi":"10.3881/j.issn.1000-503X.16082","DOIUrl":"10.3881/j.issn.1000-503X.16082","url":null,"abstract":"<p><p>Objective To evaluate the effect of surgical treatment on extracranial supra-aortic aneurysms and summarize the experience. Methods The clinical data of 10 patients undergoing surgical treatment of extracranial supra-aortic aneurysms from May 2019 to November 2023 in the Department of Vascular Surgery of Beijing Tiantan Hospital affiliated to Capital Medical University were collected.The 10 patients included 5 patients with internal carotid artery aneurysm,2 patients with subclavian artery aneurysm,2 patients with vertebral artery aneurysm,and 1 patient with internal carotid artery aneurysm combined with ipsilateral subclavian artery aneurysm.The surgical indications,surgical regimens,clinical efficacy,and complications were retrospectively analyzed. Results All the 10 patients underwent surgery successfully,with the surgery duration range of 60-420 min and the median surgery duration of 180.0 (121.5,307.5) min.Intraoperative bleeding volume varied within 30-400 mL,with a median of 90 (50,125) mL.The time of carotid artery blocking and vertebral artery blocking varied within the ranges of 10-20 min and 20-30 min,with the medians of 15.0 (11.5,16.3) min and 25.0 (15.0,22.5) min,respectively.No cardiac accident,cerebral infarction,or cerebral hemorrhage occurred during the perioperative period.The 10 patients were followed up for 3-58 months,with the median follow-up time of 8.5 (5.3,17.0) months.One patient with subclavian artery aneurysm developed artificial vessel occlusion 20 months after surgery.One patient with internal carotid artery aneurysm developed distal carotid artery stenosis 6 months after surgery. Conclusion Surgical treatment should be actively adopted for extracranial supra-aortic aneurysms,and individualized surgical regimens should be designed according to patient conditions.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":" ","pages":"554-559"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141858725","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}

{"title":"[Onset of Glycogen Storage Disease Type Ⅻ in Two Brothers in the Neonatal Period].","authors":"Yan-Bo Sun, Cun-Yu Li, Min Chen","doi":"10.3881/j.issn.1000-503X.15874","DOIUrl":"10.3881/j.issn.1000-503X.15874","url":null,"abstract":"<p><p>Glycogen storage diseases (GSDs) are a group of autosomal recessive disorders of glucose metabolism.GSDs are caused by congenital deficiency of enzymes in glycogen synthesis or decomposition,which results in glycogen accumulation in organs.According to the types of enzyme deficiency,GSDs can be classified into more than ten types,among which GSD Ⅻ is a super-rare type of GSD.Two brothers with a 5-year age difference presented severe neonatal asphyxia,myasthenia,myocardial damage,anemia,and mental retardation,being GSD Ⅻ homozygous cases with neonatal onset.The results of gene detection showed that nucleotide and amino acid alterations (c.619G>A,p.E207K) of the ALDOA gene existed in the two brothers,being homozygous,and the genotypes in the parents were heterozygous.This article summarized the clinical features,diagnosis,and treatment of GSD Ⅻ,providing reference for exploring the etiology and treatment of severe asphyxia,myasthenia,anemia,and multiple organ damage in neonates after birth.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"46 4","pages":"636-640"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118656","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}

{"title":"[Risk Factors and a Prediction Model for Frequent Acute Exacerbations of Chronic Obstructive Pulmonary Disease].","authors":"Yu-Fen Fu, Ting Mou, Xiang He, De-Hong Wu, Guo-Ping Li","doi":"10.3881/j.issn.1000-503X.15981","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.15981","url":null,"abstract":"<p><p>Objective To identify the risk factors of patients with frequent acute exacerbations of chronic obstructive pulmonary disease (AECOPD) and construct a prediction model based on the clinical data,providing a theoretical basis for the clinical prevention and treatment. Methods A total of 25 638 COPD patients admitted to the Department of Respiratory and Critical Care Medicine,the Third People's Hospital of Chengdu from January 1,2013 to May 1,2023 were selected.Among them,11 315 patients were included according to the inclusion and exclusion criteria,and their clinical characteristics were analyzed.Multivariate Logistic regression was carried out to identify the risk factors for frequent AECOPD.A nomogram model was utilized to quantify the risk of acute exacerbation,and the performance of the prediction model was assessed based on the area under the receiver operating characteristic (ROC) curve. Results In the patients with frequent AECOPD,male percentage (<i>P</i><0.001),age (<i>P</i><0.001),urban residence (<i>P</i><0.001),smoking (<i>P</i><0.001),length of stay (<i>P</i><0.001),total cost (<i>P</i><0.001),antibiotic cost (<i>P</i><0.001),diabetes (<i>P</i>=0.003),respiratory failure (<i>P</i><0.001),heart disease (<i>P</i><0.001),application of systemic glucocorticoids (<i>P</i><0.001),white blood cell count (<i>P</i><0.001),neutrophil percentage (<i>P</i><0.001),C-reactive protein (<i>P</i><0.001),total cholesterol (<i>P</i><0.001),and brain natriuretic peptide (BNP) (<i>P</i><0.001) were all higher than those in the patients with infrequent AECOPD.Multivariate Logistic regression analysis revealed that age,urban residence,smoking,diabetes,heart disease,<i>Pseudomonas aeruginosa</i> infection,application of systemic glucocorticoids,antibiotics,respiratory failure,and elevated white blood cell count,total cholesterol,and BNP were independent risk factors for hospitalization due to frequent AECOPD.A nomogram model of hospitalization due to frequent AECOPD was constructed according to risk factors.The ROC curve was established to evaluate the performance of the model,which showed the area under the ROC curve of 0.899 (95%<i>CI</i>=0.892-0.905),the sensitivity of 85.30%,and the specificity of 79.80%. Conclusion Frequent AECOPD is associated with smoking,heart disease,application of systemic glucocorticoids,<i>Pseudomonas aeruginosa</i> infection,age,low body mass index,and elevated BNP.Predicting the risks of hospitalization due to frequent AECOPD by the established model can provide theoretical support for the treatment and risk factor management of the patients.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"46 4","pages":"519-527"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118729","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}

{"title":"[Relationship Between Physical Activity and Depressive Symptoms Among Middle-Aged and Older Adults in Chengdu,Sichuan,China].","authors":"Tian-Xin Xu, Ya-di He, Zheng-Jie Cai, Lin-Hua Li, Yu-Ju Wu, Huan Zhou","doi":"10.3881/j.issn.1000-503X.15929","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.15929","url":null,"abstract":"<p><p>Objective To investigate the current status of physical activity and depressive symptoms among middle-aged and older adults in Chengdu,Sichuan and explore the relationship between physical activity and depressive symptoms. Methods Multi-stage proportional stratified random sampling was employed to select middle-aged and older adults aged ≥45 years as the participants,and face-to-face interviews were carried out to collect data.Logistic regression was adopted to explore the relationship between physical activity and depressive symptoms in middle-aged and older adults.The trend test was performed for the relationship between different levels of physical activity and depressive symptoms.The subgroup analysis and the test for multiplicative interactions were conducted for the relationship between physical activity and depressive symptoms. Results A total of 4376 middle-aged and older adults were included.Among them,14.58% (638/4376),25.98% (1137/4376),and 27.83% (1218/4376) had depressive symptoms,failed to reach the guideline-recommended standards of physical activity,and were at low levels of physical activity,respectively.There was a negative association between reaching guideline-recommended physical activity standard and depressive symptoms in middle-aged and older adults (<i>OR</i>=0.713,95%<i>CI</i>=0.589-0.861,<i>P</i><0.001).In addition,moderate levels (<i>OR</i>=0.714,95%<i>CI</i>=0.586-0.871,<i>P</i>=0.001) and high levels of physical activity (<i>OR</i>=0.705,95%<i>CI</i>=0.548-0.906,<i>P</i>=0.006) had negative associations with the presence of depressive symptoms.The trend test revealed that the negative association between physical activity and depressive symptoms in middle-aged and older adults enhanced as the level of physical activity increased (<i>P_for</i> <i>_trend</i>=0.001).The subgroup analysis and the test for multiplicative interactions revealed that neither reaching guideline-recommended physical activity standards or not nor the physical activity level had an interaction with each of the subgroups (all <i>P_for</i> <i>_interaction</i>>0.05). Conclusion The current status of depressive symptoms among middle-aged and older adults in Chengdu,Sichuan needs to be ameliorated.A negative association existed between reaching the guideline-recommended physical activity standard and presence of depressive symptoms,and the negative association enhanced as the physical activity level elevated.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"46 4","pages":"497-506"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118657","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}