[Phase Ⅱ clinical trial of PD-1 inhibitor combined with chemotherapy for locally advanced resectable oral squamous cell carcinoma]

Objective: To explore the effectiveness and safety of programmed death 1(PD-1) inhibitory combined with chemotherapy as a neoadjuvant therapy for locally advanced resectable oral squamous cell carcinoma. Methods: This study was a randomized controlled phase Ⅱ trial. Patients recruited from Tianjin Medical University Cancer Institute and Hospital from July 2021 to February 2023 were randomly divided into two groups in a 1∶1 ratio: the experimental group (Toripalimab combined with albumin paclitaxel and cisplatin) and the control group (albumin paclitaxel and cisplatin); patients in both groups underwent three cycles of neoadjuvant therapy. After completion of neoadjuvant therapy, patients were evaluated and subsequent surgical treatment was performed. According to the completion of treatment, the analysis was conducted on both the full analysis set and the protocol set. The effectiveness and safety of treatments were evaluated. SPSS 20.0 software was used for statistical analysis. Results: A total of 41 cases with oral cancer were enrolled, including 26 males and 15 females, aged between 34 and 74 years old. There were 23 cases in the experimental group and 18 cases in the control group. A total of 23 cases completed neoadjuvant therapy and surgery according to the protocol. Experimental group and control group showed respectively the complete response rates of 1/19 and 0/17, the partial response rates of 13/19 and 8/17, the stage-down rates of 4/19 and 3/17, the pathologic complete response rate of 8/14 and 2/9, with no statistically significant differences in individual rates between two groups (P>0.05). The major pathological response rate of 13/14 in experimental group was higher than that of 2/9 in control group (P<0.05). The incidence of grade 3-4 adverse reactions related to treatment was low in both groups (4/23 vs. 3/18, χ2=0.13, P=0.72), and the most common serious adverse reactions in the experimental group were granulocyte deficiency and electrolyte disorder. There were no adverse reactions that affected subsequent surgical treatment or caused death, and the safety and tolerability were good. The median follow-up time was 15 months, and the one-year disease-free survival rate of the experimental group was higher than that of control group (92.86% vs. 77.78%, χ2=0.62, P=0.42), with a relative decrease of 87% in the risk of disease progression or death (P=0.029). For patients with programmed death-ligand 1(PD-L1) protein expression combined positive score≥20, the experimental group showed higher major pathological response rate than control group (5/5 vs. 0/4, P=0.03). Conclusion: The neoadjuvant therapy of immunotherapy combined with chemotherapy can improve the pathological remission of oral squamous cell carcinoma and the long-term survival benefits and the prognosis of patients.

Measurements of All-Particle Energy Spectrum and Mean Logarithmic Mass of Cosmic Rays from 0.3 to 30 PeV with LHAASO-KM2A

We present the measurements of all-particle energy spectrum and mean logarithmic mass of cosmic rays in the energy range of 0.3-30 PeV using data collected from LHAASO-KM2A between September 2021 and December 2022, which is based on a nearly composition-independent energy reconstruction method, achieving unprecedented accuracy. Our analysis reveals the position of the knee at 3.67±0.05±0.15  PeV. Below the knee, the spectral index is found to be -2.7413±0.0004±0.0050, while above the knee, it is -3.128±0.005±0.027, with the sharpness of the transition measured with a statistical error of 2%. The mean logarithmic mass of cosmic rays is almost heavier than helium in the whole measured energy range. It decreases from 1.7 at 0.3 PeV to 1.3 at 3 PeV, representing a 24% decline following a power law with an index of -0.1200±0.0003±0.0341. This is equivalent to an increase in abundance of light components. Above the knee, the mean logarithmic mass exhibits a power law trend towards heavier components, which is reversal to the behavior observed in the all-particle energy spectrum. Additionally, the knee position and the change in power-law index are approximately the same. These findings suggest that the knee observed in the all-particle spectrum corresponds to the knee of the light component, rather than the medium-heavy components.

Measurement of Ultra-High-Energy Diffuse Gamma-Ray Emission of the Galactic Plane from 10 TeV to 1 PeV with LHAASO-KM2A

The diffuse Galactic γ-ray emission, mainly produced via interactions between cosmic rays and the interstellar medium and/or radiation field, is a very important probe of the distribution, propagation, and interaction of cosmic rays in the Milky Way. In this Letter, we report the measurements of diffuse γ rays from the Galactic plane between 10 TeV and 1 PeV energies, with the square kilometer array of the Large High Altitude Air Shower Observatory (LHAASO). Diffuse emissions from the inner (15°10  TeV). The energy spectrum in the inner Galaxy regions can be described by a power-law function with an index of -2.99±0.04, which is different from the curved spectrum as expected from hadronic interactions between locally measured cosmic rays and the line-of-sight integrated gas content. Furthermore, the measured flux is higher by a factor of ∼3 than the prediction. A similar spectrum with an index of -2.99±0.07 is found in the outer Galaxy region, and the absolute flux for 10≲E≲60  TeV is again higher than the prediction for hadronic cosmic ray interactions. The latitude distributions of the diffuse emission are consistent with the gas distribution, while the longitude distributions show clear deviation from the gas distribution. The LHAASO measurements imply that either additional emission sources exist or cosmic ray intensities have spatial variations.

Socio-economic disparities in exposure to and endorsement of COVID-19 vaccine misinformation and the associations with vaccine hesitancy and vaccination

OBJECTIVES

We examined disparities in vaccine misinformation exposure and endorsement and the associations with vaccine hesitancy and vaccination uptake.

STUDY DESIGN

Population-based survey.

METHODS

A population-based survey was conducted on 5,002 Hong Kong adults oversampling low socio-economic status (SES, n = 2,200). Information on exposure (13 misinformation statements, total 0-13, median = 2), endorsement (13 statements, score 0-10, high scores indicate higher levels of endorsement, median = 5.75) of misinformation, vaccine hesitancy (14 items, score 1-5), and vaccination (two doses) were collected. Multivariable regression (adjusted β [aβ]) and Poisson regression (adjusted risk ratio [aRR]) adjusting for demographic characteristics were used to examine the associations of exposure to and endorsement of misinformation with vaccine hesitancy and vaccination.

RESULTS

A total of 71.8% of respondents had at least exposure to one vaccine misinformation, and 35.7% had a high level of endorsement (median or above). Respondents with lower SES had a lower exposure (≤2 statements, 57.1% vs 50.1%, P < 0.001) but a higher level of endorsement (36.6% vs 34.9%, P = 0.01) of misinformation. Overall, 72.9% had been vaccinated for two or more doses, with a lower proportion in respondents with lower SES (83.6% vs 61.1%; P < 0.001). Compared with no exposure to misinformation, high levels of exposure and endorsement were associated with vaccine hesitancy (aβ = 0.44, 95% confidence interval 0.40-0.48; aβ = 0.50, 0.47-0.54, respectively) and lower vaccination rates (aRR = 0.98, 0.97-0.99; aRR = 0.92, 0.88-0.96, respectively). Vaccine hesitancy mediated the associations of exposure (fully, 100%) and endorsement (partially, 73%) with vaccination uptake.

CONCLUSION

Endorsement of vaccine misinformation in respondents with lower SES was associated with low vaccination uptake.

A tera-electron volt afterglow from a narrow jet in an extremely bright gamma-ray burst

Some gamma-ray bursts (GRBs) have a tera-electron volt (TeV) afterglow, but the early onset of this has not been observed. We report observations with the Large High Altitude Air Shower Observatory of the bright GRB 221009A, which serendipitously occurred within the instrument field of view. More than 64,000 photons >0.2 TeV were detected within the first 3000 seconds. The TeV flux began several minutes after the GRB trigger, then rose to a peak about 10 seconds later. This was followed by a decay phase, which became more rapid ~650 seconds after the peak. We interpret the emission using a model of a relativistic jet with half-opening angle ~0.8°. This is consistent with the core of a structured jet and could explain the high isotropic energy of this GRB.

Constraints on Heavy Decaying Dark Matter from 570 Days of LHAASO Observations

The kilometer square array (KM2A) of the large high altitude air shower observatory (LHAASO) aims at surveying the northern γ-ray sky at energies above 10 TeV with unprecedented sensitivity. γ-ray observations have long been one of the most powerful tools for dark matter searches, as, e.g., high-energy γ rays could be produced by the decays of heavy dark matter particles. In this Letter, we present the first dark matter analysis with LHAASO-KM2A, using the first 340 days of data from 1/2-KM2A and 230 days of data from 3/4-KM2A. Several regions of interest are used to search for a signal and account for the residual cosmic-ray background after γ/hadron separation. We find no excess of dark matter signals, and thus place some of the strongest γ-ray constraints on the lifetime of heavy dark matter particles with mass between 10^{5} and 10^{9}  GeV. Our results with LHAASO are robust, and have important implications for dark matter interpretations of the diffuse astrophysical high-energy neutrino emission.

Long-term exposure to particulate matter was associated with increased dementia risk using both traditional approaches and novel machine learning methods

Air pollution exposure has been linked to various diseases, including dementia. However, a novel method for investigating the associations between air pollution exposure and disease is lacking. The objective of this study was to investigate whether long-term exposure to ambient particulate air pollution increases dementia risk using both the traditional Cox model approach and a novel machine learning (ML) with random forest (RF) method. We used health data from a national population-based cohort in Taiwan from 2000 to 2017. We collected the following ambient air pollution data from the Taiwan Environmental Protection Administration (EPA): fine particulate matter (PM_2.5) and gaseous pollutants, including sulfur dioxide (SO₂), carbon monoxide (CO), ozone (O₃), nitrogen oxide (NO_x), nitric oxide (NO), and nitrogen dioxide (NO₂). Spatiotemporal-estimated air quality data calculated based on a geostatistical approach, namely, the Bayesian maximum entropy method, were collected. Each subject's residential county and township were reviewed monthly and linked to air quality data based on the corresponding township and month of the year for each subject. The Cox model approach and the ML with RF method were used. Increasing the concentration of PM_2.5 by one interquartile range (IQR) increased the risk of dementia by approximately 5% (HR = 1.05 with 95% CI = 1.04-1.05). The comparison of the performance of the extended Cox model approach with the RF method showed that the prediction accuracy was approximately 0.7 by the RF method, but the AUC was lower than that of the Cox model approach. This national cohort study over an 18-year period provides supporting evidence that long-term particulate air pollution exposure is associated with increased dementia risk in Taiwan. The ML with RF method appears to be an acceptable approach for exploring associations between air pollutant exposure and disease.

[Application of weighted adjustments of dropout rates in sensitivity analysis of medical repeated measurements data and implementation with SAS]

Objective: To explore the application of weighted adjustments of dropout rates in sensitivity analysis of medically repeated measurements data and the implementation with SAS 9.4 software. Methods: By compiling SAS codes, mixed-effects models for repeated measures were used to conduct the covariance analysis of multivariable repeated measurements data. Meanwhile, the overall dropout rate and the dropout rates of each group were used to make weighted adjustments by applying pattern-mixture models, which was considered to be a sensitivity analysis to validate the stability of results. Results: The dropout rates of placebo group, low-dose and high-dose groups were 8.77%, 11.79% and 16.15%, respectively, the differences were significant (P=0.025). The results of mixed-effects models for repeated measures showed the differences of curative effect indicators changes from baselines of between high-dose, low-dose groups and placebo group were significant (P=0.008 and P=0.002). The results of pattern-mixture models considering weighted adjustments of the respective groups' dropout rates were consistent with those of mixed-effects models for repeated measures. Conclusions: The pattern-mixture models considering weighted adjustments of dropout rates can be used in the sensitivity analysis of repeated measurements data. The SAS codes can provide a practical basis for the popularization and application of weighted adjustments of dropout rates in the sensitivity analysis of repeated measurements data.

[Effects of Janus kinase/signal transduction and activator of transcription 3 pathway inhibitor in skeletal muscle function in severely burned rats and its mechanism]

Objective: To observe the functional changes of skeletal muscle in severely burned rats, and to investigate the effects and possible mechanisms of Janus kinase/signal transducer and activator of transcription 3 (JAK/STAT3) pathway inhibitor in skeletal muscle function. Methods: The experiment research method was applied. One hundred and twenty male Wistar rats of 8-week-old were divided into sham injury group, simple burn group, and burn+JAK/STAT3 inhibitor group according to the random number table, with 40 rats in each group. Rats in simple burn group and burn+JAK/STAT3 inhibitor group were inflicted with 50% total body surface area full-thickness scald on the back and abdomen, and rats in sham injury group were sham injured. Rats in burn+JAK/STAT3 inhibitor group were intraperitoneally injected with JAK/STAT3 inhibitor ruxolitinib. On post injury day (PID) 0 (immediately), 1, 4, 7, and 14, 8 rats in each group were used to measure the specific force generated by extensor digitorum longus in optimal length stimulated with pulse frequency of 20, 40, 60, 80, 100, 120, 140, and 160 Hz using a multichannel electrophysiological instrument, and specific force in fatigue period of extensor digitorum longus in optimal length stimulated with pulse frequency of 50 Hz for 0, 10, 20, 30, 60, 120, 180, 240, and 300 s. On PID 0, 1, 4, 7, and 14, carbonyl compound content of extensor digitorum longus was determined by ultraviolet spectrophotometry, and ATP content of extensor digitorum longus was determined by micrometry. Data were statistically analyzed with analysis of variance for repeated measurement, analysis of variance for factorial design, Bonferroni method, and t test. Results: Compared with those of sham injury group, specific forces of extensor digitorum longus of rats in simple burn group were significantly decreased after being stimulated with all the pulse frequency on PID 0, 1, 7, and all the pulse frequency except for 20 Hz on PID 4, and pulse frequency of 20 and 40 Hz on PID 14 (P<0.05 or P<0.01). Compared with those of simple burn group, specific forces of extensor digitorum longus of rats in burn+JAK/STAT3 inhibitor group were significantly increased after being stimulated with all the pulse frequency except for 20 Hz on PID 1 and all the pulse frequency on PID 4, 7, and 14 (P<0.05 or P<0.01). Compared with those of sham injury group, specific forces of extensor digitorum longus of rats in simple burn group were significantly decreased in fatigue period at all the time points post injury and stimulation time points except for 240 s on PID 7 (P<0.05 or P<0.01). Compared with those of simple burn group, specific forces of extensor digitorum longus of rats in burn+JAK/STAT3 inhibitor group were obviously increased in fatigue period at all the stimulation time points except for 60 and 300 s on PID 1 and 240 s on PID 4, and all the stimulation time points on PID 7 and 14 (P<0.05 or P<0.01). The carbonyl compound content of extensor digitorum longus of rats in simple burn group on PID 0, 1, 4, 7, and 14 was (0.651±0.155), (0.739±0.194), (0.618±0.086), (0.813±0.162), (0.615±0.115) nmol/mg, which were obviously higher than (0.196±0.019), (0.156±0.004), (0.169±0.023) (0.156±0.027), (0.175±0.008) nmol/mg in sham injury group (t=7.219, 6.491, 10.938, 9.182, 11.589, P<0.01) and (0.538±0.069), (0.369±0.059), (0.273±0.061), (0.334±0.109), (0.318±0.101) nmol/mg in burn+JAK/STAT3 inhibitor group (t=2.446, 4.689, 8.355, 5.754, 6.097, P<0.05 or P<0.01). The ATP content in extensor digitorum longus of rats in simple burn group on PID 1, 4, 7, and 14 was obviously lower than that in sham injury group (t=7.159, 7.591, 7.473, 4.026, P<0.01) and burn+JAK/STAT3 inhibitor group (t=2.295, 2.575, 2.453, 2.997, P<0.05). Conclusions: After severe burn, the specific force of extensor digitorum longus in rats decreased significantly after being stimulated with different pulse frequencies, and the extensor digitorum longus in rats was prone to fatigue. Blocking the JAK/STAT3 signaling pathway can reduce the oxidative stress of muscle protein and increase ATP content, thereby reducing the muscle strength decline caused by burn injury and improving the muscle strength decline during fatigue period.

[Research on ZNA probe in the quantitative detection of chlamydia trachomatis nucleic acid]

Objective: To investigate the performance of ZNA(ZIP Nucleic Acid) probes and its application in the quantitative detection of Chlamydia trachomatis (CT)nucleic acid. Methods: Use CT positive plasmids to compare the PCR amplification curves of ZNA probes coupled with different ZIP numbers. Compare ZNA probes with other three sets of probes [namely, 29mer ordinary Taqman probes (long-DNA probe), 20mer ordinary Taqman probes (short-DNA probe) and MGB probes] for stability in PCR amplification curves and repeated freezing and thawing, and the difference in the detection rate of low-concentration plasmids. Use CT positive clinical samples to compare the difference in amplification curves between ZNA probes, long-DNA probe, short-DNA probe and MGB probes, and the detection rate of low-concentration samples. Results: (1) The Ct value and fluorescence value of the probes coupled with 5ZIP units are both better than those coupled with a smaller number of ZIPs. And the difference is biggest when compared with only coupled with 1 ZIP unit: Ct value increased by 1.34 (sensitivity increased by 2.37 times), and fluorescence value increased by 30%. (2) The amplification efficiency of the ZNA probe coupled with 5 ZIPs is 2.14-2.64 times that of the preferred ordinary Taqman probe and MGB probe, and the fluorescence value is 17%-90% higher. (3) The probe freeze-thaw stability results show that the ZNA probe has the best stability, and the lowest concentration of Ct value has the smallest deviation (CV% = 1.4), which is better than the other three sets of probes (CV%=1.7-3.7). (4) Using 35 CT positive clinical samples to compare the PCR amplification performance, compared with other three sets of probes, the amplification sensitivity of ZNA probes was increased by 1.60, 0.99 and 1.06 times respectively. And the results of the consistency analysis of the Ct value show that compared with short-DNA probe and MGB probes, ZNA probes have better detection performance for clinical samples. (5) Use low concentration plasmid template (200, 100, 50 and 10 copies/mL respectively) to compare the amplification sensitivity of the four sets of probes, the detection rate of ZNA probe is the best. Especially, at the lowest concentration 10 copies/mL, the detection rate of the other sets of probes is only 15%-20%, but the ZNA probe is still 30%. (6) In 20 clinical samples with different low concentrations (200, 150, 100, and 50 copies/mL), the detection rate of ZNA probes was the highest, which were 100%, 95%, 90%, and 70%, respectively. Conclusions: Through testing of the amplification efficiency, fluorescence value, freeze-thaw stability, the amplification performance of clinical samples and the detection sensitivity of low-concentration samples, ZNA probes coupled with 5 ZIPs show better performance than ordinary Taqman probes and MGB probes. As a new probe technology with flexible design and easy synthesis, ZNA probe can further improve detection sensitivity of low concentration samples in the field of gene expression.

[Repair of skin and soft tissue defects in shoulder and elbow with rotator scapular artery perforator flap, lateral thoracic perforator flap, or medial brachial artery perforator flap]

From January 2014 to June 2018, 12 patients with skin and soft tissue defects in shoulder and elbow were admitted to General Hospital of Ningxia Medical University with skin and soft tissue defect size of 6 cm×5 cm to 11 cm×8 cm, including 9 males and 3 females aged 15-56 years. Wounds of 5 patients were repaired with rotator scapular artery perforator flap (flap area of 8 cm×7 cm to 12 cm×6 cm), and the donor flap area was sutured directly. Wounds of 3 patients were repaired with lateral thoracic perforator flap (flap area of 8 cm×7 cm to 13 cm×9 cm). The donor flap area of two patients was sutured directly, the majority of the donor flap area of one patient was sutured directly, and a small part was covered by split-thickness skin graft from ipsilateral thigh. Wounds of 4 patients were repaired with medial brachial artery perforator flap (flap area of 6 cm×5 cm to 12 cm×10 cm). The donor flap area of two patients was sutured directly, and two patients were covered with split-thickness skin graft from left chest wall. The flaps of 11 patients survived after surgery. Blood flow disorder at the distal end of the flap was observed in one patient. After treatment, the distal end of the flap presented 3 cm×2 cm necrosis, and the skin graft survived after second skin grafting and debridement. During the follow-up of 6 to 24 months post surgery, all patients had good texture of flap, with light scar hyperplasia in the donor flap area, and good recovery of elbow and shoulder joint function. The rotator scapular artery perforator flap, lateral thoracic perforator flap, and medial brachial artery perforator flap with the advantages being of relatively simple operation, high survival rate, and good surgical outcome, are good choices for repairing the skin and soft tissue defects in shoulder and elbow.

Polymorphisms in the androgen receptor CAG repeat sequence are related to tumour stage but not to ERG or androgen receptor expression in Malaysian men with prostate cancer

INTRODUCTION

Polymorphic expression of a CAG repeat sequence in the androgen receptor (AR) gene may influence the activity of the AR and the occurrence of prostate cancer and the TMPRSS2-ERG fusion event. Furthermore, this polymorphism may be responsible for the ethnic variation observed in prostate cancer occurrence and expression of the ERG oncogene. We investigate the expression of AR and ERG in the biopsies of Malaysian men with prostate cancer and in the same patients relate this to the length of the CAG repeat sequence in their AR gene.

MATERIALS AND METHODS

From a PSA screening initiative, 161 men were shown to have elevated PSA levels in their blood and underwent prostatic tissue biopsy. DNA was extracted from the blood, and exon 1 of the AR gene amplified by PCR and sequenced. The number of CAG repeat sequences were counted and compared to the immunohistochemical expression of ERG and AR in the matched tumour biopsies.

RESULTS

Of men with elevated PSA, 89 were diagnosed with prostate cancer, and 72 with benign prostatic hyperplasia (BPH). There was no significant difference in the length of the CAG repeat in men with prostate cancer and BPH. The CAG repeat length was not associated with; age, PSA or tumour grade, though a longer CAG repeat was associated with tumour stage. ERG and AR were expressed in 36% and 86% of the cancers, respectively. There was no significant association between CAG repeat length and ERG or AR expression. However, there was a significant inverse relationship between ERG and AR expression. In addition, a significantly great proportion of Indian men had ERG positive tumours, compared to men of Malay or Chinese descent.

CONCLUSIONS

CAG repeat length is not associated with prostate cancer or expression of ERG or AR. However, ERG appears to be more common in the prostate cancers of Malaysian Indian men than in the prostate cancers of other Malaysian ethnicities and its expression in this study was inversely related to AR expression.

Impacts of hazardous metals and PAHs in fine and coarse particles with long-range transports in Taipei City

This study assessed the impact on air quality and health risk by long-range transported (LRT) PM_2.5-10- and PM_2.5-bound metals and PAHs in Taipei City, Taiwan. Several methods with receptor aerosol measurements were used to quantify the effect of LRT. The hybrid single particle lagrangian integrated trajectory model (HYSPLIT) was used in conjunction with the potential source contribution function (PSCF) to distinguish the LRT aerosols. By using a general linear model (GLM) with a marginal mean and positive matrix fraction (PMF), this study also evaluated the annual increased level of LRT (AIR_LRT) for each source contribution to the concentration and the resultant health risk of particle-bound metals and polycyclic aromatic hydrocarbons (PAHs). The LRT influenced fine-sized metals and PAHs rather than coarse-sized ones. We found that the level of PM_2.5-bound toxic metals (Pb, Cd, and As) and PAHs (Benzo[a]pyrene and dibenzo[a,e]pyrene) could increase by 90% under the influence of LRT in 2014, while an AIR_LRT value of 25% for the PM_2.5 mass concentration was observed. Overall, the excess cancer risk (ECR) resulting from PM_2.5-bound metal and PAH exposures was 6.40 × 10^-5 in relation to coal combustions (20.7%), traffic-related emissions (59.7%) and re-suspended aerosols (19.6%). Among these contributors, LRT-related metals and PAHs in PM_2.5 accounted for 51% of the total ECR.

PM2.5- and PM10-bound polycyclic aromatic hydrocarbons (PAHs) in the residential area near coal-fired power and steelmaking plants of Taichung City, Taiwan: In vitro-based health risk and source identification

We investigated spatial and season variations in particle-bound PAH concentrations, identified their potential sources and estimated resultant health risk of activate toxicity pathways in a residential area near coal-fired power and steelmaking plants. Both atmospheric PM_2.5 and PM₁₀ samples (n = 94) were simultaneously collected for summer and winter in the Wuqi and Shalu districts of Taichung City, central Taiwan. The principal component analysis (PCA) measure was used to evaluate the sources of particle-bound PAHs. The health risk of PAHs-activated toxicity pathways was estimated through a probabilistic model in cooperation with high-throughput screening (HTS) in vitro assays and measurement data for children and adults. No spatial difference, but significant seasonal variation, in PAH concentrations for PM_2.5 (summer = 1.7 ng m^-3 and winter = 4.7 ng m^-3) and PM₁₀ (summer = 2.1 ng m^-3 and winter = 4.8 ng m^-3) between two sites was observed, where both sites shared the similar PAH patterns in congener concentrations. PAH contents in the fine mode (PM_2.5) of ambient particles are predominant while coarse mode (PM_2.5-10) PAHs is negligible. Children with particle-bound PAH exposures have a relatively high health risk of aryl hydrocarbon receptor (AhR)-mediated adverse outcomes than adults, in particular in the winter period, while the activations of Nrf2 and p53 pathways are insignificant. Vehicle emission (67.1%), unburned petroleum (15.0%), steel industry and stationary emission (6.1%), and oil combustion + cooking oil fume (5.6%) associated with PM_2.5-bound PAHs were apportioned. The emission from the Taichung coal-fired power plant is rarely attributable to particle-bound PAHs of the study area based on results of spatiotemporal variation of PAHs, wind direction, and source apportionment.

[Current status of national free antiretroviral therapy in interprovincial migrating people living with HIV/AIDS and influencing factors, China, 2011-2015]

Objective: To understand the current status of national free antiretroviral therapy in interprovincial migrating people living with HIV/AIDS (PLWHA) and influencing factors in China. Methods: Descriptive and trend test analyses were performed to evaluate the historical characteristics and trends of main descriptive indicators on national free antiretroviral therapy for the interprovincial migrating PLWHA by using the data collected from National Comprehensive HIV/AIDS Information System from 2011 to 2015. Logistic regression model was used to explore the main factors that influencing the coverage of national free antiretroviral therapy among the interprovincial migrating PLWHA in China. Results: The proportion of interprovincial migrating PLWHA gradually increased in last 5 years from 7.1% (17 784/250 645) in 2011 to 10.3% (54 596/528 226) in 2015 (Z=51.38, P<0.000 1) in China. The coverage rate of free antiretroviral therapy in interprovincial migrating PLWHA increased from 37.3% (6 641/17 784) in 2011 to 71.0% (38 783/54 596) in 2015, showing a significant rising tendency (Z=96.23, P<0.000 1), but it was slightly lower than that in non-interprovincial migrating PLWHA in 2015 (71.5%, 338 654/473 630). Multivariate logistic regression analysis showed that the PLWHA who were females, aged ≥50 years, of Han ethnic group, married or had spouse, had the educational level of high school or above, infected through homosexual intercourse, with CD(4)(+)T cells counts ≤500 cells/μl at the first visit, identified to be infected with HIV in medical setting, living in urban areas et al, were more likely to receive free antiretroviral therapy. Conclusions: The coverage rate of free antiretroviral therapy varied among the interprovincial migrating PLWHA with different characteristics. It is still necessary to take effective measures to further increase the coverage of free antiretroviral therapy in interprovincial migrating PLWHA and to include the free antiretroviral therapy in interprovincial migrating PLWHA into standardized management system as soon as possible.

[Study on the application of dexmedetomidine combined with remifentanil in dressing change of conscious patients with non-intubation in burn intensive care unit]

Objective: To observe the analgesic and sedative effect and safety of application of dexmedetomidine combined with remifentanil in dressing change of conscious patients with non-intubation in burn intensive care unit. Methods: Forty patients conforming to the study criteria hospitalized in our burn intensive care unit from April 2015 to April 2017 were selected. Prospective, randomized, and double-blind method was used for the design. Patients were divided into dexmedetomidine group and dexmedetomidine+ remifentanil group according to the random number table, with 20 cases in each group. Patients in the two groups were respectively given corresponding drugs during dressing change. The frequency and time of dressing change, Verbal Rating Scale (VRS) score of patients during dressing change (at drug administration for 25 minutes) and after dressing change (25 min after dressing change), Ramsay Sedation Score (RSS) during dressing change, satisfaction level for anesthesia of the patients and physicians after dressing change, dosage of remifentanil, and various adverse effects during and after dressing change were recorded. The heart rate, mean arterial blood pressure (MAP), respiratory rate, and pulse oxygen saturation (SpO₂) before drug administration and at 10, 15, and 25 minutes after drug administration were also recorded. Data were processed with analysis of variance for repeated measurement, t test, chi-square test, and Fisher's exact probability test. Results: (1) Totally 38 patients completed the trial. There were no statistically significant differences between patients in two groups in gender, American Association of Anesthesiologist Grading, age, weight, and total burn area (χ²=0.230, 0.146, t=0.224, 0.351, 0.367, P>0.05). (2) The frequency of dressing change of patients in two groups were both 48 times. The time of dressing change and VRS scores during dressing change of patients in two groups were similar (t=0.821, 1.522, P>0.05). The VRS score of patients in dexmedetomidine+ remifentanil group after dressing change was (3.1±0.4) points, obviously lower than (3.8±0.8) points in remifentanil group (t=2.213, P<0.05). The RSS, satisfaction level scores for anesthesia of the patients and physicians after dressing change in dexmedetomidine+ remifentanil group were (3.13±0.32), (3.44±0.41), and (3.13±0.25) points, respectively, obviously better than (1.82±0.24), (2.71±0.23), (2.53±0.41) points in remifentanil group (t=2.226, 2.684, 7.702, P<0.01). The dosage of remifentanil of patients in dexmedetomidine+ remifentanil group was (282±19) μg, obviously less than (340±31) μg in remifentanil group (t=9.896, P<0.01). There were no statistically significant differences between patients in two groups in rates of respiratory inhibition and hypotension (χ²=0.211, 0.154, P>0.05). Compared with those in remifentanil group, the rates of nausea, vomiting, and other gastrointestinal symptoms of patients in dexmedetomidine+ remifentanil group were obviously reduced (P<0.05), but the rate of bradycardia was obviously increased (χ²=6.008, P<0.05). (3) There were no statistically significant differences between patients in two groups in heart rate, MAP, respiratory frequency, and SpO₂ before drug administration (t=0.444, 0.892, 1.059, 1.039, P>0.05). The heart rates of patients in dexmedetomidine+ remifentanil group at 10, 15, and 25 minutes after drug administration were (83±11), (78±10), and (82±14) times per minute, respectively, significantly lower than (95±10), (87±12), and (89±12) times per minute in remifentanil group (t=5.592, 3.992, 2.630, P<0.05 or P<0.01). The MAP of patients in dexmedetomidine+ remifentanil group at 15 and 25 minutes after drug administration were (69.4±3.1) and (73.8±2.2) mmHg (1 mmHg=0.133 kPa), respectively, significantly lower than (75.4±3.0) and (78.1±3.5) mmHg in remifentanil group (t=9.181, 7.206, P<0.01). There were no statistically significant differences between patients in two groups in respiratory frequency at each time point after drug administration (t=1.489, 1.862, 1.963, P>0.05). The SpO₂ of patients in dexmedetomidine+ remifentanil group at 15 minutes after drug administration was 0.972±0.018, obviously lower than 0.979±0.015 in remifentanil group (t=2.070, P<0.05). Conclusions: Application of remifentanil with small dosage has effective analgesia for conscious burn patients with non-intubation during dressing changes, however, adverse effects such as nausea and vomiting are likely to occur. Remifentanil combined with dexmedetomidine not only guarantee the analgesic effect, but also reduce the dosage of analgesics, improve the sedative effect and satisfaction of the patients for anesthesia, and reduce various adverse effects. However, it will increase the incidence of bradycardia and has some inhibition effect on circulation at the same time.

[Effects of arnebia root oil on wound healing of rats with full-thickness skin defect and the related mechanism]

Objective: To observe the effects of arnebia root oil on wound healing of rats with full-thickness skin defect, and to explore the related mechanism. Methods: Eighty SD rats were divided into arnebia root oil group and control group according to the random number table, with 40 rats in each group, then full-thickness skin wounds with area of 3 cm×3 cm were inflicted on the back of each rat. Wounds of rats in arnebia root oil group and control group were treated with sterile medical gauze and bandage package infiltrated with arnebia root oil gauze or Vaseline gauze, respectively, with dressing change of once every two days. On post injury day (PID) 3, 7, 14, and 21, 10 rats in each group were sacrificed respectively for general observation and calculation of wound healing rate. The tissue samples of unhealed wound were collected for observation of histomorphological change with HE staining, observation of expressions of vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF) with immunohistochemical staining, and determination of mRNA expressions of VEGF and bFGF with real time fluorescent quantitive reverse transcription polymerase chain reaction. Data were processed with analysis of variance of factorial design, t test, and Bonferroni correction. Results: (1) On PID 3, there were a few secretions in wounds of rats in the two groups. On PID 7, there were fewer secretions and more granulation tissue in wounds of rats in arnebia root oil group, while there were more secretions and less granulation tissue in wounds of rats in control group. On PID 14, most of the wounds of rats in arnebia root oil group were healed and there was much red granulation tissue in unhealed wounds, while part of wounds of rats in control group was healed and there were a few secretions and less granulation tissue in unhealed wounds. On PID 21, wounds of rats in arnebia root oil group were basically healed, while there were still some unhealed wounds of rats in control group. (2) On PID 3 and 7, the wound healing rates of rats in arnebia root oil group were (39±5)% and (46±4)% respectively, which were close to (34±3)% and (44±4)% of rats in control group (with t values respectively 0.807 and 0.481, P values above 0.05). On PID 14 and 21, the wound healing rates of rats in arnebia root oil group were (76±4)% and (90±3)% respectively, which were significantly higher than (60±6)% and (73±5)% of rats in control group (with t values respectively 2.308 and 3.072, P<0.05 or P<0.01). (3) On PID 3, 7, and 14, granulation tissue, fibroblasts, and nascent capillaries in unhealed wound tissue of rats in the two groups both gradually increased, and more ranulation tissue, fibroblasts, and nascent capillaries were seen in unhealed wound tissue of rats in arnebia root oil group. On PID 21, granulation tissue, fibroblasts, and nascent capillaries in unhealed wound tissue of rats in the two groups both gradually decreased. (4) On PID 3, 7, and 14, the numbers of VEGF positive cells and bFGF positive cells in unhealed wound tissue of rats in the two groups both gradually increased; there were more VEGF positive cells and bFGF positive cells in unhealed wound tissue of rats in arnebia root oil group than those in control group. On PID 21, positive expressions of VEGF and bFGF both decreased in unhealed wound tissue of rats in the two groups. (5) On PID 3, 7, and 14, mRNA expressions of VEGF in unhealed wound tissue of rats in arnebia root oil group were higher than those of control group (with t values from 2.967 to 4.173, P values below 0.01). On PID 21, mRNA expression of VEGF in unhealed wound tissue of rats in arnebia root oil group was lower than that of control group (t=-4.786, P<0.001). From PID 3 to 21, mRNA expressions of bFGF in unhealed wound tissue of rats in arnebia root oil group were higher than those of control group (with t values from 2.326 to 4.702, P<0.05 or P<0.01). Conclusions: Arnebia root oil can promote wound healing of rats with full-thickness skin defect, which may relate to increasing expressions of VEGF and bFGF.

[CD(4+) T lymphocyte responses to anti-retroviral therapy, among HIV/AIDS patients aged 18 and over]

Objective: To compare the differences of CD(4) (+) T lymphocyte (CD(4)) counts between patients aged 18 and over, to explore the effect of age on treatment, 36 months after having received the China National Free AIDS Antiretroviral Treatment on HIV/AIDS. Methods: Through the National ART Information Ssystem, we selected those HIV/AIDS patients who initiated the ART 36 months after the ART, between January 1, 2010 and December 31, 2012 in Guangzhou, Liuzhou and Kunming. Patients were divided into age groups as 18-49, 50-59 and 60 or over year olds, at the baseline of treatment. Under different levels of baseline CD(4) counts, we chose the baseline and different time-point of CD(4) counts as dependent variables, applied mixed linear model to analyze the effects of age, viral suppression, gender, baseline CD(4)/CD(8) ratio and initial treatment regimen. Results: A total of 5 331 HIV/AIDS patients were recruited. No differences were found on age group ratios between different levels of baseline CD(4) counts. At the level of baseline CD(4)<200 cells/μl, both the 50-59 and 60 or above years old groups had lower CD(4) counts than the 18-49 year-old group, within 36 months after the initiation of ART. However, at the baseline CD(4) level of 200-350 cells/μl, no significant differences on CD(4) counts between the 50-59 year-old and 18-49 year-old groups were noticed. CD(4) counts seemed lower in the 60 and above year-old group than in the 18-49 year-old group. Conclusion: Age might serve as an influencing factor on CD(4) counts within 36 months after the initiation of ART, suggesting that earlier initiation of ART might be of help to the recovery of immune function in the 50-59 year-old group.

[Factors associated with adherence of highly active antiretroviral therapy among 386 HIV/AIDS patients in 3 provinces of China]

OBJECTIVE

To investigate adherence and the influence factors among patients who are on antiretrovirus therapy (ART) of 3 provinces in China.

METHODS

This study selected 18-year-old and older AIDS patients as the survey objects who initiated anti-retrovirus therapy between April and September of 2014 and kept on the treatment for one year in Yunnan,Sichuan,and Hu'nan province. Information of demography, treatment and social support was collected by questionnaires. Adopt SSRS questionnaire to calculate the information of objective support, subjective support and utilization of social support. χ(2) test and logistic regression were performed to examine relationships between factors and adherence.

RESULTS

A total of 386 patients with medication were investigated. Among them, there were 365 (94.6%) cases who were compliant to the ART, and 357 (92.5%) cases can take their pills on time, and 29 (7.5%) cases take their medication in excess of the prescribed time more than two hours. Social support score was 27.2 ± 7.3, including objective support score (5.6 ± 2.7), subjective support score (16.1 ± 4.8), and utilization of social support (5.5 ± 1.9). Multivariate logistic regression analysis revealed that adherence was significantly associated with the correct cognition of medication (OR (95%CI): 3.24 (1.17-9.00)), the self-awareness of the drug regimen was not complexity (OR (95%CI): 9.34 (3.27-26.68)), taking medication 1 time a day (OR (95%CI): 4.00 (1.35-11.84)), and the batter utilization of social support (OR (95%CI): 1.49 (1.06-2.01)). Married/cohabiting or farmers tend to be nonadherenced, while the OR (95%CI) was 0.24 (0.08-0.67) and 0.23 (0.08-0.69), respectively.

CONCLUSION

The patients among these provinces were compliant to the ART, and most of them can take their pills on time. The social support score of these patients was lower than normal person. Participants who have correct cognition of medication, thinking their drug regimen was not complexity; Taking medication 1 time a day or have high level of utilization of social support showed a significantly higher level of self-reported adherence.

Ambient PM2.5-bound polycyclic aromatic hydrocarbons (PAHs) in Changhua County, central Taiwan: Seasonal variation, source apportionment and cancer risk assessment

This study investigates PM_2.5-bound PAHs for rural sites (Dacheng and Fangyuan) positioned close to heavy air-polluting industries in Changhua County, central Taiwan. A total of 113 PM_2.5 samples with 22 PAHs collected from 2014 to 2015 were analyzed, and Positive Matrix Factorization (PMF) and diagnostic ratios of PAHs were applied to quantify potential PAH sources. The influences of local and regional sources were also explored using the conditional probability function (CPF) and potential source contribution function (PSCF) with PMF-modeled results, respectively. Annual mean concentrations of total PAHs were 2.91 ± 1.34 and 3.04 ± 1.40 ng/m³ for Dacheng and Fangyuan, respectively, and their corresponding BaP_eq were measured at 0.534 ± 0.255 and 0.563 ± 0.273 ng/m³ in concentration. Seasonal variations with higher PAHs found for the winter than for the spring and summer were observed for both sites. The lifetime excess cancer risk (ECR) from inhalation exposure to PAHs was recorded as 4.7 × 10^-5 overall. Potential sources of PM_2.5-bound PAHs include unburned petroleum and traffic emissions (42%), steel industry and coal combustion (31%), and petroleum and oil burning (27%), and unburned petroleum and traffic emission could contribute the highest ECR (2.4 × 10^-5). The CPF results show that directional apportionment patterns were consistent with the actual locations of local PAH sources. The PSCF results indicate that mainly northeastern regions of China have contributed elevated PM_2.5-bound PAHs from long-range transports.

Review of atmospheric water-soluble ionic species in Asia during 1998-2001

Anthropogenic acid precursor emissions in Asia are increasing at a significant rate and this is expected to continue for the next several years. This paper comprises of studies that included sulfate, nitrate and ammonium around Asian countries (China, Korea, Japan and Taiwan) in recent years. The paper also provides the water-soluble ionic fine and coarse particulate concentrations in these Asian countries in recent years. Fine and coarse particulates in Taiwan (Kaohsiung and Talchung) and China (Nanjing and Shanghai) were found to have higher sulfate (average 18.68 and 15.75 mg/m3) and nitrate (average 12.77 and 7.71 mg/m3) concentrations than any other Asian country. The average sulfate concentrations for Japan and Korea were 7.31 and 5.84 mg/m3, respectively. The average nitrate concentrations for Japan and Korea were 6.73 and 4.65 mg/m3, respectively during the years 1998-2001. The different sample collection devices, analysis methods and pollutant concentrations are discussed in this study. The purpose of this study is to arrange the atmospheric water-soluble ionic species (SO/2- 4 and NO /-3) investigations in the Asian region. The data obtained here can also help to understand the sources, concentrations, phase distribution and health impact of atmospheric water-soluble ionic species (SO42- and NO-3) in other Asian regions.

Characteristic study of ionic species in nano, ultrafine, fine and coarse particle size mode at a traffic sampling site

A micro-orifice uniform deposit impactor (MOUDI) and a nano-MOUDI were used to measure the atmospheric coarse (PM2.5-10), fine (PM2.5), ultrafine (PM0.056 - 1) and nano (< 0.056 μm) particle concentrations at a traffic sampling site in central Taiwan during the winter period from November 2004 to January 2005. Meanwhile, concentrations of major ionic species (Cl-, NO3−, SO42−, NH4+, Na+, K+, Ca2+ and Mg2+) were also extracted from various particle size modes (nano, ultrafine, fine and coarse) and analysed by ion chromatography (DIONEX-100). The mass size distribution of ambient suspended particles exhibited two modes. The size ranges of the particles at these two particle size modes were between 1.0 and 1.8 mm and 3.2 and 5.6 mm, respectively. The average mass media aerodynamic diameter (MMAD) of suspended particles was 0.99 mm in this study. In addition, statistical methods, such as correlation coefficient and principal component analysis, were also used to identify the possible pollutant source for various particles size modes (nano, ultrafine, fine and coarse) during the winter months at a traffic sampling site in central Taiwan

Atmospheric pollutants study of particles and metallic elements during high wind speed (wind speed >6 m/s) near Taiwan Strait around central Taiwan

The purpose of this study was to characterize metallic elements associated with atmospheric particulate matter in total suspended particulate (TSP), fine particles (particle matter with an aerodynamic diameter of B / 2.5 mm, PM2.5) and coarse particles (particle matter with an aerodynamic diameter of 2.5-10 mm, PM2.5- 10), at high wind speed (wind speed-6 m/s) at Taichung Harbor (TH) and Wuci traffic (WT) in central Taiwan from March to December 2004. The correlation coefficient (R2) between TSP, coarse, fine particulate concentrations versus wind speed at the TH and WT sampling site during high wind speed (-6 m/s) are shown in this study. In addition, the correlation coefficients between TSP, coarse and fine particles of metallic species versus high wind speed were also observed. The results indicated that the correlation coefficient order was TSP-coarse-fine for particles at both sampling sites during high wind speed (-6 m/s) near central Taiwan. In addition, the concentrations of Fe, Zn, Mn, Cu, Pb, Cr, Mg for TSP, coarse and fine particulates were also analysed in this study.

The concentration, dry deposition, composition study of ambient air particulate and metallic pollutants at a traffic sampling site

Aerosol samples were collected by total suspended particulate (TSP) and dry deposition plate (downward, upward) from August to November in 2003 in central Taiwan. The particulate metallic elements (Fe, Pb, Zn, Cu, Mg and Mn) were also measured in this study during the summer and autumn periods of 2003. The results obtained in this study indicated that the ambient air particulate mass concentrations in the daytime period (averaged 975.4 mg/m3) were higher than the night-time period (averaged 542.1 mg/m3). And the downward dry deposition fluxes (averaged 58.12 mg/m2-sec) were about 2.2 times that of upward dry deposition fluxes (averaged 26.37 mg/m2-sec) in the daytime period. Furthermore, the average downward dry deposition fluxes (averaged 26.54 mg/m2-sec) were also about 2.3 times that of upward dry deposition fluxes (averaged 11.52 mg/m2-sec) in the nighttime period. Moreover, the average downward dry deposition fluxes are greater than the upward dry deposition fluxes for all the heavy metals in either daytime or night-time period. In addition, the deposition velocity for mass, metallic elements (Fe, Pb, Zn, Cu, Mg and Mn) during daytime and night-time period were also calculated. In addition, the average TSP composition (mg/g) in the daytime period of the metallic elements (Fe, Pb, Zn, Cu, Mg and Mn) is 1.73, 0.26, 1.16, 0.28, 0.43 and 0.12 mg/g, respectively. And the average TSP composition in the night-time period of the metallic elements (Fe, Pb, Zn, Cu, Mg and Mn) is 3.02, 0.33, 1.57, 0.41, 0.58 and 0.13 mg/g, respectively at traffic sampling site of central Taiwan.

[Fine needle aspiration cytology of thyroid nodules: a cytopathologic study of 2 043 cases]

OBJECTIVE

To evaluate the clinical value of thyroid fine needle aspiration cytology(FNAC) and the Bethesda system for reporting thyroid cytopathology(TBSRTC).

METHODS

FNAC was performed for 2 043 cases and cytopathological data were retrospectively analyzed. Cytopathological diagnoses according to TBSRTC were classified as non-diagnostic, benign, atypia of undetermined significance/follicular lesion of undetermined significance(AUS/FLUS), follicular neoplasm/suspicious for follicular neoplasm(FN/SFN), suspicious for malignancy(SM) and malignancy. The results of 234 FNAC samples in which surgery was performed were compared with the histological diagnoses.

RESULTS

Of the 2 043 FNAC samples, 15.7%(320/2 043)were non-diagnostic, 51.2%(1 047/2 043)were benign, 16.6%(339/2 043) were AUS/FLUS, 2.3%(46/2 043)were FN/SFN, 8.6%(176/2 043)were SM and 5.6%(115/2 043)were malignant. In 234 cases, there was follow-up histology. Rates of malignancy were as follows: non-diagnostic, 18.2%(2/11); benign(2.2%, 1/45); AUS/FLUS(25.6%, 10/29); FN/SFN(12.1%, 10/39); SM(91.8%, 56/61); malignant(100.0%, 45/45). The sensitivity, specificity, false positive rate, false negative rate and overall accuracy of FNAC in the diagnosis of thyroid nodules was 87.1%(101/116), 95.3%(102/107), 4.7%(5/107), 12.9%(15/116), 91.0%(203/223).

CONCLUSIONS

FNAC is a reliable diagnostic method for evaluation of thyroid disease. TBSRTC is a accurate and effective reporting system for cytopathological diagnoses, so it is worthy of being widely popularized in clinical application.

Microinjection of salusin-beta into the nucleus tractus solitarii inhibits cardiovascular function by suppressing presympathetic neurons in rostral ventrolateral medulla in rats

Salusin-beta is newly identified bioactive peptide of 20 amino acids, which is widely distributed in hematopoietic system, endocrine system, and the central nervous system (CNS). Although salusin-beta extensively expressed in the CNS, the central cardiovascular functions of salusin-beta are unclear. Our main objective was to determine the cardiovascular effect of microinjection of salusin-beta into the nucleus tractus solitarii (NTS) in anesthetized rats. Bilateral or unilateral microinjection of salusin-beta (0.94-94 microg/rat) into the NTS dose-dependently decreased blood pressure and heart rate. Bilateral NTS microinjection of salusin-beta (9.4 microg/rat) did not alter baroreflex sensitivity. Prior application of the glutamate receptor antagonist kynurenic acid (0.19 microg/rat, n=9) into the NTS did not alter the salusin-beta (9.4 microg/rat) induced hypotension and bradycardia. However, pretreatment with the GABA receptor agonist muscimol (0.5 ng/rat) within the rostral ventrolateral medulla (RVLM) completely abolished the hypotension (-14+/-5 vs. -3+/-5 mm Hg, P<0.05) and bradycardia (-22+/-6 vs. -6+/-5 bpm, P<0.05) evoked by intra-NTS salusin-beta (9.4 microg/rat). In addition, we found that vagotomy didn't influence the actions of salusin-beta (9.4 microg/rat) in the NTS. In conclusion, our present study shows that microinjection of salusin-beta into the NTS significantly produces hypotension and bradycardia, presumably by suppressing the activities of presympathetic neurons in the RVLM.

Analytical criterion for amplitude death in nonautonomous systems with piecewise nonlinear coupling

We investigate the amplitude death phenomenon in a nonautonomous chained network with complicated piecewise nonlinear coupling functions. An analytical criterion for the boundary of the amplitude death region is derived by using the average method. The mechanism of the amplitude death in the nonautonomous networks is very different from that of autonomous systems and rapid dynamic transitions could halt the amplitude death. Numerical verifications are carried out to check jump transitions among different solution branches and further confirm the correctness of the theoretical results.

Efficacy of gradual pressure-decline compressing stockings in Asian patients with lower leg varicose veins: analysis by general measurements and magnetic resonance image

AIM

Most applications of gradual pressure-decline compressing stockings (GPDCS) are used in the United States and Western European countries, with over a decade of clinical experiments. Up to know, there is no standard establishment of gradual pressure-decline compressing stockings for Asian patients with venous insufficiency and varicose vein formations.

METHODS

We collected data on volunteer candidates of varicose vein for general measurements and assessments and magnetic resonance imaging (MRI) by non-contrast enhanced MRV techniques, and for post processing data analysis.

RESULTS

Clinical use of GPCDS provide a mild to moderate improvement in the varicose vein conditions of patients with deep venous insufficiency by improving their deep vein circulation, by general measurements; recording major symptoms and complaint; comfort and stretching/flexibility to the candidates after using GPDCS; and area changes/flow velocity changes/available hemoglobin changes in deep veins monitored by MRI.

CONCLUSION

The benefits and data collected in these results may help in developing compression stockings standards in Taiwanese and Asian countries, and to establishing criterias for product sizes, compression levels, and related parameters.

Hepatitis B surface antigen-antibody interactions studied by optical tweezers

The protein-protein interactions between hepatitis B surface antigen (HBsAg) and its antibodies (anti-HBs) were studied by measuring the binding force between microspheres coated with such proteins using optical tweezers. The interaction force between the protein-coated microspheres was found to be strongly influenced by the acidity of the surrounding liquid medium, as well as the experimental temperature, and it reaches a maximum value at around pH 7.5 and temperature around 37°C. By measuring the protein distribution on the surfaces of the microspheres and their contact areas using scanning electron microscopy, the specific binding force between an HBsAg and anti-HBs protein pair is estimated to be around 4.8 pN at the optimum pH value and temperature at an applied loading rate of around 1 pN/s.

Atmospheric-particulates-bound mercury Hg(p) study at five characteristic sampling sites in Taiwan

The main purpose for this study is to observe the seasonal and month variations for particulates-bound mercury Hg(p) in total suspended particulates (TSP) concentration, dry deposition at five characteristic sampling sites during years of 2009-2010 in central Taiwan. The results show that the highest and lowest monthly average particulates-bound mercury Hg(p) concentrations in TSP were occurred in Dec. and Oct. at Gao-mei (wetland), Chang-hua (downtown) and He-mei (residential) sampling site. In addition, the results show that the highest and lowest monthly average particulates-bound mercury Hg(p) dry deposition was occurred in Feb. and Oct. at Quan-xing (industrial) sampling site. This study reflected that the mean highest particulates-bound mercury Hg(p) concentrations in TSP and mean highest particulates-bound mercury Hg(p) dry deposition were occurred at Gao-mei (wetland) and Quan-xing (industrial). However, the mean lowest particulates-bound mercury Hg(p) concentrations in TSP and mean lowest particulates-bound mercury Hg(p) dry deposition were also occurred at Gao-mei (wetland). Regarding seasonal variation, the order of mean-particulates-bound mercury Hg(p) concentrations in TSP in winter and spring were Gao-mei (wetland) > Quan-xing (industrial) > Bei-shi (suburban/coastal) > Chang-hua (downtown) > He-mei (residential). Finally, the order of mean-particulates-bound mercury Hg(p) dry deposition in fall, spring and summer were Quan-xing (industrial) > Bei-shi (suburban/coastal) > Chang-hua (downtown) > He-mei (residential) > Gao-mei (wetland).

Effect of posture positions on the evaporative resistance and thermal insulation of clothing

Evaporative resistance and thermal insulation of clothing are important parameters in the design and engineering of thermal environments and functional clothing. Past work on the measurement of evaporative resistance of clothing was, however, limited to the standing posture with or without body motion. Information on the evaporative resistance of clothing when the wearer is in a sedentary or supine posture and how it is related to that when the wearer is in a standing posture is lacking. This paper presents original data on the effect of postures on the evaporative resistance of clothing, thermal insulation and permeability index, based on the measurements under three postures, viz. standing, sedentary and supine, using the sweating fabric manikin-Walter. Regression models are also established to relate the evaporative resistance and thermal insulation of clothing under sedentary and supine postures to those under the standing posture. The study further shows that the apparent evaporated resistances of standing and sedentary postures measured in the non-isothermal condition are much lower than those in the isothermal condition. The apparent evaporative resistances measured using the mass loss method are generally lower than those measured using the heat loss method due to moisture absorption or condensation within clothing. STATEMENT OF RELEVANCE: The thermal insulation and evaporative resistance values of clothing ensembles under different postures are essential data for the ergonomics design of thermal environments (e.g. indoors or a vehicle's interior environment) and functional clothing. They are also necessary for the prediction of thermal comfort or duration of exposure in different environmental conditions.

Measurement and modeling of concentrations of ambient air particles, chromium, copper and lead pollutants concentrations, as well as dry deposition in central Taiwan

The main purpose of this investigation was to monitor ambient air particles and metallic elements (Cr, Cu and Pb) in total suspended particulates (TSP) concentration, dry deposition. Furthermore, the calculated/measured dry deposition flux ratios of ambient air particles and metallic elements (Cr, Cu and Pb) were evaluated using three dry deposition models at five characteristic sampling sites for the 2009-2010. The results show that the average concentrations of metallic elements Cr, Cu and Pb in TSP were highest at Bei-shi (suburban/coastal) and the lowest at Gao-mei (wetland) among the five characteristic sampling sites during the years 2009-2010. This study also shows that the mean rates of dry deposition of metallic elements Cr and Cu were highest at Quan-xing (industrial) and lowest at Bei-shi (suburban/coastal) and Chang-hua (downtown). Finally, the Noll and Fang model was found to yield better predictions of the dry deposition of ambient air particles and metallic elements Cr and Cu than any of the other deposition models.

Season variations for metallic elements compositions study in plant Bidens pilosa L. var. radiate Sch. in central Taiwan

The possibility of using Bidens pilosa L. var. radiate Sch leaves as environmental indicators of metallic element pollution has been investigated. Samples were analyzed with respect to the following pollutants: Zn, Mn, Cu, Ni, Pb, Cd, Cr, Fe, Ca, and Mg by using inductively coupled plasma atomic emission spectrometry. The results obtained on the metallic elements had the following average composition order: Ca > Mg > Fe, Mn > Zn > Cu > Ni > Pb > Cr > Cd for plant B. pilosa L. var. radiate Sch. at HK sampling site. In addition, the metallic elements had the following average composition order: Ca > Mg > Fe > Mn, Zn > Cu > Ni > Pb > Cr > Cd for plant B. pilosa L. var. radiate Sch. at TMP sampling site. Finally, the metallic elements had the following average composition order: Ca > Mg > Fe > Zn > Mn > Cu > Pb > Ni > Cr > Cd for plant B. pilosa L. var. radiate Sch. at LH sampling site. The seasonal average composition for metallic elements Mg, Fe, and Pb were ranked highest at HK sampling site in winter. In addition, seasonal average composition for metallic elements Mn, Zn, and Cd were ranked highest at TMP sampling site in winter. Finally, seasonal average composition for metallic elements Mg, Fe, and Cu were ranked highest at LH sampling site in spring.

Microarray analysis of multiple candidate genes and associated plasma proteins for nephropathy secondary to type 2 diabetes among Chinese individuals

AIMS/HYPOTHESIS

Evolving research suggests that common and rare alleles jointly constitute the genetic landscape of complex disease. We studied the association between 43 pathway-related candidate genes with 'intermediate phenotype' (i.e. corresponding plasma protein) and diabetic nephropathy in a customised microarray of 1,536 SNPs.

METHODS

In this case-control study of type 2 diabetic Chinese individuals with and without diabetic nephropathy, cases (n = 545) were defined on the basis of a spot urinary albumin/creatinine ratio (ACR) > 113 mg/mmol; the value for controls (n = 503) was ACR < 3.3 mg/mmol. Genotyping was performed using Illumina GoldenGate assay.

RESULTS

No single nucleotide polymorphism (SNP) remained significant in single locus analysis after correction for multiple testing. Therefore, we explored the best approximately 1% SNPs. Of these 13 SNPs, four clustered to a 5' end NADPH oxidase homologue 4 (NOX4) haplotype (GGCC frequency = 0.776) with estimated OR for diabetic nephropathy of 2.05 (95% CI 1.04-4.06) (heterozygous) and 2.48 (1.27-4.83) (homozygous) (p = 0.0055). The haplotype was correlated with plasma Cu/Zn superoxide dismutase (SOD) concentration, suggesting increased oxidative burden. Endothelin-1 SNP (rs1476046G>A, frequency = 0.252) was correlated with plasma C-terminal pro-endothelin-1 concentrations with an estimated OR for diabetic nephropathy of (heterozygous) 1.26 (0.96-1.66) and (homozygous) 1.87 (1.13-3.12) (p = 0.0072). Nitric oxide synthase 1 (NOS1) 5' haplotype (TGTC frequency = 0.38) also revealed a suggestive association with diabetic nephropathy: heterozygous 1.26 (0.95-1.67), homozygous 1.57 (1.04-2.35) (p = 0.0073). A rare NADPH oxidase homologue 1 (NOX1)-coding non-synonymous SNP (Arg315His, frequency = 0.006) was found exclusively among cases.

CONCLUSIONS/INTERPRETATION

Our preliminary observations suggest that common haplotypes from NOX4 and endothelin-1 SNP correlated with plasma Cu/Zn SOD and C-terminal pro-endothelin-1 concentrations, respectively, and might have conferred diabetic nephropathy susceptibility. Common NOS1 and rare NOX1 variants also revealed a suggestive association with diabetic nephropathy. Future studies to validate our observation are needed.

Comparison of atmospheric mercury (Hg) among Korea, Japan, China and Taiwan during 2000-2008

The paper reviewed studies about total gaseous mercury, atmospheric particulate of mercury and average dry deposition fluxes of mercury in Korea, Japan, China and Taiwan. This study compared sample collection and analytical methods for mercury in Asian countries. Analytical results indicated that the primary mercury sources are anthropogenic source (for example coal burning) and high temperature processes. This study also elucidates the sources, analytical tools, and the average concentrations for atmospheric mercury (Hg) for these Asian countries during 2000-2008. This study indicated that the total gaseous mercury concentrations were higher in urban area than that in suburban area in Asian countries (Korea, Japan, China and Taiwan). As for the seasonal variations, in general, the average total gaseous mercury concentrations were higher in winter than that in summer especially in China. In addition, the average total gaseous mercury concentrations were higher in mining areas than that in the rest of the other areas. And the total gaseous mercury concentrations were decreasing as this distance increasing. These phenomena revealed that the total gaseous mercury concentrations are reduced by long-distance transportation especially in the main land of China.

First Report of Rhizoctonia Blight of a Coastal Redwood Tissue-Culture-Derived Saplings Caused by Rhizoctonia solani AG-IV in Taiwan

Coastal redwood (Sequoia sempervirens (D. Don) Endl.) is native to North America. This tall tree species is used for forestation and lumber; its wood is also used for furniture, its burls for art ware, and its bark for fuel, insulation, and mulch. In August 2005, an instance of wilt was observed among 2-year-old tissue-culture-cloned plants (2) in the Sitou Forest of central Taiwan. Essentially, all plants were infected. The leaves or stems near the ground were affected first, but the wilt soon spread over the entire plant with the leaves becoming grayish brown and water soaked, and then wilting, drying, and finally defoliation occurred. Aerial hyphae were present over the affected areas, aerial mycelium was cob-web-like, hyaline, later becoming slightly brown. Hyphae were 6.5 to 10.4 μm wide with right-angle branching and septal constriction at their bases. Sclerotia were hemispherical, subglobose, to irregular in shape, 1 to 2 mm, and brown. The perfect stage of the fungus was not found. The fungus was identified as Rhizoctonia solani Kühn (3). Vegetative cells were stained with alkaline safranin solution and identified as multinucleate (1). Portions of the stem that displayed symptoms, together with adjacent healthy tissue, were disinfested for 1 min in 0.5% NaOCl and plated on to potato-dextrose agar (PDA) (Merck, Darmstadt, Germany) supplemented with 100 mg/L of ampicillin (Sigma, St. Louis, MO). Single hyphal tips were transferred to PDA and two isolates were established as pure cultures. On the basis of hyphal anastomosis with AG-IV tester isolates (exfop234, exfop241, and exfop250) (1), the fungus was identifed as R. solani AG-IV. Pathogenicity of the fungal isolates was confirmed by inoculating 2-month-old tissue-culture-derived S. sempervirens plants that were grown in pots and incubated in a growth chamber maintained at 28°C with a relative humidity above 95%. Inoculum consisted of a single mycelial 5-day-old 0.5-cm disc grown on PDA of the pathogen placed on the soil surface touching the base of each plant. Four plants were inoculated with mycelium and the four control plants were noninoculated. Inoculated plants wilted gradually over 4 days and all plants developed severe stem rot and were dead in 6 days, whereas control plants remained symptomless. The Rhizoctonia solani AG-IV was reisolated from all inoculated plants. This fungus has been observed to cause disease in many species of plants (4), but to our knowledge, this is the first report of Rhizoctonia blight of coastal redwood tissue-culture-derived saplings caused by Rhizoctonia solani AG-IV in Taiwan. References: (1) T. T. Chang. Taiwan J. For. Sci. 12:47, 1997. (2) L. C. Huang et al. Plant Physiol. 98:166, 1992. (3) B. Sneh et al. Identification of Rhizoctonia species. The American Phytopathological Society, St. Paul, MN, 1991. (4) S. T. Su et al. List of Plant Diseases in Taiwan. The Phytopathological Society of the Republic of China, 2002.

Organic carbon and elemental carbon in Asia: a review from 1996 to 2006

The principal sources of organic carbon (OC) and elemental carbon (EC) are anthropogenic or biogenic, whereas secondary sources are atmospheric oxidation processes of specific precursor gases. These compounds are considered atmospheric contaminants and adversely affect human health. Numerous studies have monitored atmospheric particulates and gaseous phases of OC and EC in Asia over the last decade. This work compares and analyzes different sample collection, pretreatment and analytical approaches. The principal carbonaceous sources are traffic exhaust and industrial emissions. The OC and EC concentrations are highest in high traffic areas, followed by urban sites, and lowest in suburban sites. Many characteristics of these sites, such a dense population, are important to research. The major OC to EC ratios in Asia cities were 1.0-3.0. This work elucidates the characteristics, sources, distributions, and characteristics of atmospheric carbonaceous species in Asia.

Study of ambient air particulates pollutants near Taichung airport sampling site in central Taiwan

This study monitored the atmospheric pollutants at Taichung airport (TA) sampling site during September to December of 2005 near Taiwan Strait in central Taiwan. The distributions of the particle concentrations between the TSP, coarse and fine were also displayed at TA sampling site. Analysis the average percentage of various kinds of metallic elements, the data obtained here indicated that the average percentage concentrations of metallic elements Fe and Mg were higher in fine particulate than that of the coarse particulate at Taichung airport sampling site. These foundry factories were by the TA sampling site was the possible reason responsible for this result. In addition, by a non-parametric (Spearman) correlation analysis, the results indicated that Fe, Mn and Pb have high correlation coefficients of metallic elements in different particle size. The results indicate that the airport pollutants might come from similar pollutant sources at this airport sampling site. In addition, high correlation coefficients of non-airport pollutants were observed on the ionic species of SO(4)(2-), NH(4)(+) and K(+). The r(sp) correlate values between closed to r(sp)=0.7 and 0.9 at different particles size mode. Besides, the ionic Ca(2+) has high negative values (r(sp)=-0.66, -0.66 and 0.61) with the increasing of the temperature, relative humidity and wind speed, respectively at fine particle size.

A review of atmospheric fine particulate matter and its associated trace metal pollutants in Asian countries during the period 1995-2005

Many studies have monitored atmospheric particulates and gaseous phases of PM(2.5) in Asia over the past 10 years. This work also compared and discussed different sample collection, pretreatment and analytical methods in Asia countries in past decade. The results indicated that the main PM(2.5) sources are traffic exhausts. PM(2.5) concentrations are also ranked highest in the areas of traffic, followed by the urban sites, and lowest in rural sites in Asian countries. This work elucidates the sources, analytical tools, and the average concentrations for PM(2.5) and related metallic elements during 1995-2005. The results indicated that the average highest concentrations order of metallic elements for PM(2.5) were Fe>Mg>Zn, and the average concentrations of lowest metallic elements was Pb>Cu>Mn>Cr>Cd. The results also indicated that the concentration of metallic element Cu increased as the averaged concentrations of metallic element Zn and Mn increased during the past 10 years in Asian countries.

Influence of meteorological parameters on particulates and atmospheric pollutants at Taichung harbor sampling site

Atmospheric aerosol particles and metallic concentrations, ionic species were monitored at the Experimental harbor of Taichung sampling site in this study. This work attempted to characterize metallic elements and ionic species associated with meteorological conditions variation on atmospheric particulate matter in TSP, PM2.5, PM2.5-10. The concentration distribution trend between TSP, PM2.5, PM2.5-10 particle concentration at the TH (Taichung harbor) sampling site were also displayed in this study. Besides, the meteorological conditions variation of metallic elements (Fe, Mg, Cr, Cu, Zn, Mn and Pb) and ions species (Cl(-), NO3 (-), SO4 (2-), NH4+, Mg2+, Ca2+ and Na+) concentrations attached with those particulate were also analyzed in this study. On non-parametric (Spearman) correlation analysis, the results indicated that the meteorological conditions have high correlation at largest particulate concentrations for TSP at TH sampling site in this study. In addition, the temperature and relative humidity of meteorological conditions that played a key role to affect particulate matter (PM) and have higher correlations then other meteorological conditions such as wind speed and atmospheric pressure. The parameter temperature and relative humidity also have high correlations with atmospheric pollutants compared with those of the other meteorological variables (wind speed, atmospheric pressure and prevalent wind direction). In addition, relative statistical equations between pollutants and meteorological variables were also characterized in this study.

Overall dry deposition velocities of trace elements measured at harbor and traffic site in central Taiwan

For reasonable and convenient assessments of the characteristics of the dry deposition velocities between Taichung harbor site and Wuchi town site in central Taiwan, the overall dry deposition velocities of several metallic elements were calculated as the particulate diameter (D(p)) distributions of large particles (D(p) > 10 microm), coarse particles (10 microm < D(p) < 2.5 microm), and fine particles (D(p) < 2.5 microm) based on the ambient measurements during March-December of 2004. In this work, the dry deposition fluxes showed the higher correlation with coarse particle concentrations than large particle concentrations; however, the least well correlation was observed between the dry deposition fluxes and the fine particle concentrations. The calculated best-fit overall dry deposition velocities obtained using coarse particle concentrations varied from approximately 0.2 cm s(-1) for Cr to 1.5 cm s(-1) for Pb and 0.2 cm s(-1) for Fe to 2.6 cm s(-1) for Pb at Taichung harbor and Wuchi town site, respectively. In general, the crustal elements had higher deposition velocities than anthropogenic elements. In addition, overall dry deposition velocities for crustal elements were higher in Wuchi town site than in Taichung harbor site. The results identified the dry deposition flux was mainly contributed from large and coarse particles due to their high deposition velocities. The results also indicated that the best approach to estimate overall dry deposition was by depending on the characteristics of particles with diameters larger than 2.5 microm.

Reuse potential analysis on WWTP effluent of industrial parks in Taiwan

This study examined the reuse potential of the effluents discharged from several unified wastewater treatment plants (WWTPs) of industrial parks in Taiwan, with designed capacity exceeding 10,000 CMD. Parameters were selected based on the relevant reuse purposes. The "potential recycling percentage", R of the WWTP effluent was defined as the maximal percentage of pure water extractable by the "ideal reverse osmosis module" while the RO retentate still met local effluent standards and required no treatment. The analytical results demonstrated that the WWTP effluents had potential for recycling. A pilot plant was installed in one of the WWTPs. The treatment process included a sand filter, an ultrafiltration unit (UF) and a reverse osmosis module (RO). Results of this study demonstrated that the production quantity and quality are stable and appropriate for various purposes, including both industrial and domestic applications.

Atmosphic pollutants study of particles ionic species during high wind speed (>7 m s(-1)) near Taiwan strait in central Taiwan from 2004 to 2005

This study monitored atmospheric pollutants during high wind speed (> 7 m s(-1)) at two sampling sites: Taichung Harbor (TH) and Wuci traffic (WT) during March 2004 to January 2005 in central Taiwan. The correlation coefficient (R (2)) between TSP, PM(2.5), PM(2.5-10) particle concentration vs. wind speed at the TH and WT sampling site during high wind speed (< 7 m s(-1)) were also displayed in this study. In addition, the correlation coefficients between TSP, PM(2.5) and PM(2.5-10) of ionic species vs. high wind speed were also observed. The results indicated that the correlation coefficient order was TSP > PM(2.5-10) > PM(2.5) for particle at both sampling sites near Taiwan strait. In addition, the concentration of Cl(-), NO(3) (-), SO(4) (2-), NH(4) (+), Mg(2+), Ca(2+) and Na(+) were also analyzed in this study.

Photoirradiation of polycyclic aromatic hydrocarbons with UVA light - a pathway leading to the generation of reactive oxygen species, lipid peroxidation, and dna damage

Polycyclic aromatic hydrocarbons (PAHs) are a class of genotoxic environmental contaminants. We have long been interested in determining the mechanisms by which PAHs induce genotoxicity. Although the metabolic activation of PAHs leading to biological activities has been well studied, the photo-induced activation pathway has seldom reported. In this paper, we review the study of photoirradiation of PAHs with UVA irradiation results in (i) cytotoxicity and DNA damage (ii) DNA single strand cleavage; (iii) formation of 8-hydroxy-2'-deoxyguanosine adduct (8-OHdG), and (iv) formation of lipid peroxidation. Evidence has been shown that these photobiological activities are mediated by reactive oxygen species (ROS).

Characteristic study of dry deposition, concentration, compositions for particulates mass and ionic species during summer and autumn season at a traffic sampling site

Aerosol samples for dry deposition and total suspend particulates (TSP) were collected from August to November of 2003 in central Taiwan. Ion chromatography was used to analyze the related water-soluble ionic species (Cl(-), NO(3)(-), SO(4)(2-), Na(+), NH(4)(+), K(+), Mg(2+) and Ca(2+)). The results obtained in this study indicated that the ambient air particulate mass concentrations in the daytime period (averaged 975.4 microg m(-3)) were higher than the nighttime period (averaged 542.1 microg m(-3)). And the daytime dry deposition fluxes (averaged 58.12 microg m(-2) sec(-1)) were about 2.2 times as that of nighttime dry deposition fluxes (averaged 26.54 microg m(-2) sec(-1)) of the downward dry deposition. The average values downward and upward of dry deposition fluxes for the weekend period were almost higher than the weekday period for either daytime or nighttime period. Furthermore, the average daytime dry deposition fluxes (averaged 26.37 microg m(-2) sec(-1)) were also about 2.3 times as that of nighttime dry deposition fluxes (averaged 11.52 microg m(-2) sec(-1)). Moreover, the results also indicate that SO(4) (2-) and Ca(2+) have higher average composition for total suspended particulates in the daytime period while Ca(2+), SO(4) (2-), and Na(+) have the higher average composition for total suspends particulates in the nighttime period.

Relationship between common functional polymorphisms of the p22phox gene (-930A > G and +242C > T) and nephropathy as a result of Type 2 diabetes in a Chinese population

OBJECTIVE

Genetic determinants are important in diabetic nephropathy (DN). Oxidative stress has also emerged as an important pathogenic factor in DN and vascular NADH oxidase is a major source of reactive oxygen species (ROS). Previous small studies reported a strong but contradictory association between functional genetic variation of p22(phox), an important subcomponent of NADH oxidase, and DN. We investigated the association between two common functional single nucleotide polymorphisms (SNPs) (-930 A > G and +242 C > T) and DN in a much larger group of Chinese patients with Type 2 diabetes mellitus (T2DM).

RESEARCH DESIGN AND METHODS

Case-control study of Chinese subjects with long-standing T2DM (> 10 years). Cases (n = 306) were subjects with a spot urinary albumin : creatinine ratio (ACR) of > 113 mg/mmol or elevated serum creatinine. Control subjects (n = 306) had ACR < 3.3 mg/mmol and normal serum creatinine. Genotyping was carried out by standard PCR and restriction fragment length polymorphism analysis.

RESULTS

Gender distribution, age, duration of diabetes and HbA(1c) were similar in cases and control subjects. Distribution of genotypes in the control subjects for both SNPs was consistent with the Hardy-Weinberg equilibrium. Distribution of genotypes did not differ significantly between cases and control subjects for both polymorphisms-+2424C > T: cases CC 84.6%, CT 15.0%, TT 0.4% and control subjects CC 87.6%, CT 11.8%, TT 0.6% (P = 0.45); -930 A > G: cases AA 40.5%, AG 41.8%, GG 17.7% and control subjects AA 38.2%, AG 49.0%, GG 12.8% (P = 0.12). Distribution of alleles was also similar-+2424 C > T: cases C 92.2%, T 7.8% and control subjects C 93.5%, T 6.5% (P = 0.66); -930 A > G cases A 61.4%, G 38.6% and control subjects A 62.7%, G 37.3% (P = 0.38). We estimated that our study has approximately 80% power to detect a relative risk of 1.65 (for +242 C > T) and 1.35 (for -930 A > G) conferred by the minor allele, respectively.

CONCLUSIONS

In contrast with previous small studies, our data suggest that these SNPs do not confer significantly increased susceptibility to DN secondary to T2DM in Chinese subjects.

Ambient air particulate concentrations and metallic elements principal component analysis at Taichung Harbor (TH) and WuChi Traffic (WT) near Taiwan Strait during 2004-2005

The purpose of this study is to characterize metallic elements associated with atmospheric particulate matter of total suspended particulate (TSP), fine particle (particle matter with aerodynamical diameter <2.5 microm, PM(2.5)), coarse particle (particle matter with aerodynamical diameter 2.5-10 microm, PM (2.5-10)) at the Taichung Harbor (TH) and WuChi Traffic (WT) sampling site of central Taiwan during March 2004 to February 2005. The result indicated the average total suspended particulate concentration in 1 year was 157.31 and 112.58 microg m(-3) at TH and WT sampling site, respectively. Fine particle (PM(2.5)) size was the dominant species at TH and WT sampling site. In TH sampling site, higher correlation coefficient was observed on total suspended particulates of metallic elements Fe and Zn. And in WT sampling site, higher correlation coefficients displayed on total suspended particulates of metallic elements Fe and Zn, Fe and Mn. Ambient airborne particle principal component analysis of metallic metals was used to identify the possible pollutant sources in this study. At the TH sampling site, 50.81% of the total variance of the data was observed in factor 1. Higher loading of Fe (0.86), Zn (0.79), Pb (0.76), and Mn (0.68) were contributed by traffic emission and the soil source. At the WT sampling site, factor 1 explained 53.74% of the total variance of the data and had high loading for Zn (0.86) and Cu (0.85), which were identified as industrial/traffic emission sources.

Seasonal variation in concentration and metallic constituents of atmospheric particulates near the western coast of central Taiwan

In addition to determining the concentration and metallic constituents of particulate matter at Taichung Harbor in central Taiwan, this study attempts to characterize the mass, metallic elements, composition and concentrations of total suspended particulates (TSP), fine particles and coarse particles. Statistical approaches, such as the Spearman tests, were also adopted to determine the seasonal variations of concentrations of these pollutants. Experimental results indicate that the mean TSP, fine particulate and coarse particulate concentrations in spring and winter are higher than in summer and autumn on the western coast of central Taiwan. Spearman statistical analysis of metallic elements Mn and Pb showed high concentration coefficients for fine and coarse particulates on the western coast of central Taiwan. The order of mean metallic concentrations in TSP, coarse particulates and fine particles was Fe > Zn > Mg > Cu> Cr > Mn > Pb in TSP, Fe > Cu > Zn > Mg > Mn > Pb > Cr in coarse particulates and Fe > Cu > Mg > Pb > Zn > Mn > Cr in fine particulates.